CMS Price Transparency Data

Vaginal delivery (full package)

Facility: Adventist Health Hanford

Billing Code: 59400 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59400
Insurance Median: $2,186
Cash Discount Price: $1,534
vs. Medicare Baseline: 0.99x Medicare

The contracted insurance negotiated median rate for a Vaginal delivery (full package) at Adventist Health Hanford is $2,186. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,534. Compared to the federal Medicare reimbursement reference rate of $2,214.42, this hospital’s rate is 0.99x the Medicare baseline. Located in 115 Mall Drive, Hanford, CA.

Cash / Self-Pay

$1,534

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,186

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$2,214.42

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $2,214.42 (100%)

Cash / Self-Pay: $1,534 (69%)

Insurance Median: $2,186 (99%)

Cash: $1,534 (69% of Medicare)

Ins. Median: $2,186 (99% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $2,214.42 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Aetna	$1,866	84%
Upn Mcal Profee	$2,018	91%
Blue Shield Mcr Adv	$2,132	96%
Fhcn Pace Mcr Adv-All Plans	$2,132	96%
Prime Health Mcr Adv- All Plans	$2,132	96%
Sante Ipa Mcal/Mcare Hmo Profee Only	$2,132	96%
Tricare	$2,132	96%
UnitedHealthcare	$2,132 - $2,803	96%
Universal Hc Mcr Adv Profee - All Other Plans	$2,132	96%
Upn Mcr Adv Profee - All Other Plans	$2,132	96%
Central Valley Med Prov Profee Only-All Plans	$2,239	101%
Ah Employee Health Plan - All Plans	$2,346	106%
Cigna	$2,356	106%
Sante Ipa Hmo Profee Only - All Other Plans	$2,559	116%
Kaiser - All Other Plans	$2,879	130%
Kaiser Mcr Adv	$2,879	130%
Western Growers/Pinnacle- All Plans	$2,964	134%
Healthnet - All Other Plans	$3,107	140%
Blue Shield Epn	$3,218	145%
Blue Shield Non-Epn - All Other Plans	$3,401	154%
Blue Cross Blue Shield	$3,631	164%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,534.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 59400.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Adventist Health Hanford is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 59400.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.