CMS Price Transparency Data

Vaginal delivery (full package)

Facility: Loma Linda University Children's Hospital

Billing Code: 59400 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59400
Insurance Median: $3,051
Cash Discount Price: $2,102
vs. Medicare Baseline: 1.38x Medicare

The contracted insurance negotiated median rate for a Vaginal delivery (full package) at Loma Linda University Children's Hospital is $3,051. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,102. Compared to the federal Medicare reimbursement reference rate of $2,214.42, this hospital’s rate is 1.38x the Medicare baseline. Located in 11234 Anderson Street Suite A, Loma Linda, CA.

Cash / Self-Pay

$2,102

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,051

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: $2,102 (95%)

Insurance Median: $3,051 (138%)

Cash: $2,102 (95% of Medicare)

Ins. Median: $3,051 (138% 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
UnitedHealthcare	$581 - $1,091	26%
Adventist Health	$934	42%
Lluh Dept Of Risk Management	$1,121	51%
Kaiser Foundation Hospitals	$1,780 - $3,973	80%
Epic Health Plan	$1,869	84%
Alpha Care Medical Group	$2,570 - $3,971	116%
Global Benefits Group	$2,803	127%
Temecula Valley Physicians Medical Group	$2,803	127%
Trivalley Medical Group	$2,803	127%
Cigna	$2,990 - $3,457	135%
Networks By Design	$3,037	137%
Aetna	$3,064	138%
Molina Healthcare Of Ca	$3,270	148%
Inland Empire Health Plan (Iehp)	$3,513	159%
Multiplan	$3,738	169%
Dignity Health	$3,971	179%
Galaxy Health	$3,971	179%
Prime Health Services	$3,971	179%
Vantage Medical Group	$3,971	179%
Blue Cross Blue Shield	$11,413	515%

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 $2,102.
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 Loma Linda University Children's Hospital 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.