CMS Price Transparency Data

Vaginal delivery (full package)

Facility: Adventist Health Tehachapi Valley

Billing Code: 59400 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59400
Insurance Median: $2,431
Cash Discount Price: $2,180
vs. Medicare Baseline: 1.10x Medicare

The contracted insurance negotiated median rate for a Vaginal delivery (full package) at Adventist Health Tehachapi Valley is $2,431. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,180. Compared to the federal Medicare reimbursement reference rate of $2,214.42, this hospital’s rate is 1.10x the Medicare baseline. Located in 1100 Magellan, Tehachapi, CA.

Cash / Self-Pay

$2,180

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,431

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: $2,180 (98%)

Insurance Median: $2,431 (110%)

Cash: $2,180 (98% of Medicare)

Ins. Median: $2,431 (110% 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
Healthnet Mcare	$2,160	98%
Tricare	$2,160	98%
UnitedHealthcare	$2,160 - $2,803	98%
Universal Ipa Mcr Adv Op/Profee Only-All Other Pla	$2,160	98%
Aetna	$2,308	104%
Network Providers- All Plans	$2,355	106%
Cigna	$2,356	106%
Ah Employee Health Plan - All Plans	$2,377	107%
Oscar Health Plan- All Plans	$2,485	112%
Coventry- All Plans	$2,593	117%
Western Grwrs/Pinnacle - All Plans	$3,003	136%
Healthnet- All Other Plans	$3,148	142%
Blue Shield Epn- All Other Plans	$3,218	145%
Centivo - All Plans	$3,241	146%
Blue Shield Non-Epn	$3,401	154%
Blue Cross Blue Shield	$3,848	174%

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 $2,180.
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 Tehachapi Valley 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.