CMS Price Transparency Data

Vaginal delivery (full package)

Facility: Orthocolorado Hosp at St Anthony Med Campus

Billing Code: 59400 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$3,598

about 1.6× the $2,214 Medicare rate · typically $1,738–$7,054

modeled estimate · not a bill or quote

What this hospital charges insurers

$2,306

Below the fair price — a good deal

about $1,292 under the fair price · 1.0× Medicare

Medicare pays $2,214 Fair price $3,598 This hospital $2,306

How we calculate the fair BaseRate →

How this hospital compares to other CO hospitals

One of the lower prices — 0 of 8 other CO hospitals charge more for the same procedure.

Cheapest $1,724 Priciest $2,306

Black dot = this hospital, among the 9 CO hospitals with a price for this procedure. Full list below.

A fair price for a Vaginal delivery (full package) is about $3,598 (about 1.6× the $2,214 Medicare rate). Orthocolorado Hosp at St Anthony Med Campus charges insurers about $2,306 — below the fair price — a good deal. Located in Lakewood, CO.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$2,282 - $2,306	103%
Blue Cross Blue Shieldmajor	$2,306 - $15,506	104%
Aetnamajor	$2,306	104%
Cignamajor	$2,306	104%
Humanamajor	$2,306	104%
Kaiser Permanentemajor	$2,306	104%
Devoted Health	$2,306	104%
+ 1 smaller / regional plan	$2,306

Government programs also on file: Medicare.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 59400.

Insurance Before you use insurance

Call your insurance company to confirm Orthocolorado Hosp at St Anthony Med Campus is in-network.
Ask your insurer whether prior approval is required for CPT code 59400.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Orthocolorado Hosp at St Anthony Med Campus

Compare: Vaginal delivery (full package) at other CO hospitals

Insurance negotiated median for the same procedure, sorted lowest first.