CMS Price Transparency Data

Vaginal delivery (full package)

Facility: Northside Hospital Forsyth

Billing Code: 59400 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$4,280

about 1.9× the $2,214 Medicare rate · typically $1,808–$5,053

modeled estimate · not a bill or quote

What this hospital charges insurers

$4,154

About the fair price

about $126 under the fair price · 1.9× Medicare

Medicare pays $2,214 Fair price $4,280 This hospital $4,154 Cash price $5,489 Hospital's list price $7,319

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

Highest price of the 9 GA hospitals we have prices for — worth calling around.

Cheapest $1,677 Priciest $4,154

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

A fair price for a Vaginal delivery (full package) is about $4,280 (about 1.9× the $2,214 Medicare rate). Northside Hospital Forsyth charges insurers about $4,154, or about $5,489 in cash — about the fair price. Located in Cumming, GA.

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	$2,299 - $8,133	104%
Blue Cross Blue Shieldmajor	$2,299 - $34,850	104%
Aetnamajor	$2,299 - $30,000	104%
Cignamajor	$2,368 - $11,990	107%
Humanamajor	$2,299	104%
Kaiser Permanentemajor	$2,299 - $7,460	104%
Ambetter (Centene)	$2,471 - $9,299	112%
Amerigroup	$2,471 - $7,112	112%
CareSource	$2,299 - $18,600	104%
Clover Health	$2,414	109%
Health Net	$3,520 - $8,102	159%
Oscar Health	$3,103 - $6,119	140%
WellCare	$2,299	104%
+ 8 smaller / regional plans	$2,100 - $27,500

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 (about 5,489), 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 Northside Hospital Forsyth 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 Northside Hospital Forsyth

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

Miller County Hospital · Colquitt $1,677
CHI Memorial Hospital- Georgia · Ringgold $2,204
Atrium Health Floyd Medical Center · Rome $2,322
Atrium Health Navicent the Medical Center · Macon $2,345
Navicent Health Baldwin · Milledgeville $2,345
Atrium Health Navicent Rehabilitation Hopsital · Macon $2,379
Grady Memorial Hospital · Atlanta $2,471
Doctors Hospital · Augusta $2,550

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