CMS Price Transparency Data

Vaginal delivery (full package)

Facility: Spanish Peaks Regional Health Center

Billing Code: 59400 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 59400
  • Insurance Median: $3,473
  • Cash Discount Price: $3,473
  • vs. Medicare Baseline: 1.57x Medicare
The contracted insurance negotiated median rate for a Vaginal delivery (full package) at Spanish Peaks Regional Health Center is $3,473. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,473. Compared to the federal Medicare reimbursement reference rate of $2,214.42, this hospital’s rate is 1.57x the Medicare baseline. Located in 23500 Us Highway 160, Walsenburg, CO.
Cash / Self-Pay
$3,473

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,473

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: $3,473 (157%)
Insurance Median: $3,473 (157%)
Cash: $3,473 (157% of Medicare)
Ins. Median: $3,473 (157% 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.

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
Humana $300 14%
Medicare (plans) $300 14%
Devoted Health Mcr - All Plans $315 14%
Blue Cross Blue Shield $1,891 - $3,473 85%
UnitedHealthcare $1,891 - $3,589 85%
Beacon Health Op Only-All Plans $3,133 141%
Apostrophe - All Plans $3,473 157%
Cigna $3,473 157%
Friday Hp Chp - All Plans $3,473 157%
Kaiser Ppo - All Other Plans $3,473 157%
Prov Ntwrk Of America - All Plans $3,473 157%
Cofinity - All Plans $3,550 160%
Connect For Health - All Plans $3,589 162%
Rmhp - All Plans $3,589 162%
Multiplan Phcs - All Plans $3,666 166%
Kaiser Ppo Mcr $3,859 174%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 23500 Us Highway 160, Walsenburg, CO 81089
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals