CMS Price Transparency Data

Vaginal delivery (full package)

Facility: Cleveland Clinic Martin North Hospital

Billing Code: 59400 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59400
Insurance Median: $2,604
Cash Discount Price: $8,659
vs. Medicare Baseline: 1.18x Medicare

The contracted insurance negotiated median rate for a Vaginal delivery (full package) at Cleveland Clinic Martin North Hospital is $2,604. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,659. Compared to the federal Medicare reimbursement reference rate of $2,214.42, this hospital’s rate is 1.18x the Medicare baseline. Located in 200 Se Hospital Ave, Stuart, FL.

Cash / Self-Pay

$8,659

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,604

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: $8,659 (391%)

Insurance Median: $2,604 (118%)

Cash: $8,659 (391% of Medicare)

Ins. Median: $2,604 (118% 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	$1,539 - $11,989	69%
Freedom Health	$1,539 - $2,735	69%
Simply	$1,539	69%
Sunshine Health	$1,539	69%
Amerihealth	$1,585	72%
Miami Childrens Health Plan	$1,616 - $2,604	73%
Molina	$1,616	73%
Independent Living Systems	$1,846 - $2,735	83%
Cigna	$2,121 - $2,720	96%
Blue Cross Blue Shield	$2,398 - $2,604	108%
Avmed	$2,604 - $3,900	118%
United	$2,604 - $2,681	118%
Careplus	$2,735	124%
Clear Spring Health	$2,813	127%
Multiplan	$3,907	176%
Clarity Health	$8,659	391%
The Legacy Companies	$8,659	391%
Consociate Health	$9,991	451%

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 $8,659.
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 Cleveland Clinic Martin North 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.