CMS Price Transparency Data

Vaginal delivery (full package)

Facility: University of Iowa Health Care Medical Center Down

Billing Code: 59400 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59400
Insurance Median: $4,862
Cash Discount Price: $5,377
vs. Medicare Baseline: 2.20x Medicare

The contracted insurance negotiated median rate for a Vaginal delivery (full package) at University of Iowa Health Care Medical Center Down is $4,862. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,377. Compared to the federal Medicare reimbursement reference rate of $2,214.42, this hospital’s rate is 2.20x the Medicare baseline. Located in 500 E Market Street, Iowa City, IA.

Cash / Self-Pay

$5,377

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,862

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: $5,377 (243%)

Insurance Median: $4,862 (220%)

Cash: $5,377 (243% of Medicare)

Ins. Median: $4,862 (220% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 220% of the Medicare baseline (a markup of 120%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Immergrun	$1,920	87%
Aetna	$2,106 - $4,423	95%
Iowa Total Care	$2,106 - $2,191	95%
Medical Associates	$2,106 - $4,594	95%
Molina Healthcare	$2,106	95%
UnitedHealthcare	$2,106 - $6,794	95%
Blue Cross Blue Shield	$2,127 - $3,568	96%
Healthpartners	$2,148 - $6,530	97%
Wellpoint (Amerigroup)	$2,212	100%
Quad City Community Healthcare	$4,434 - $5,762	200%
Midlands Choice	$4,784 - $5,628	216%
Oscar Health	$4,840	219%
Aplos Health Plan	$4,885	221%
Great River Health Systems	$5,377	243%
Sedgwick	$6,146	278%
Global Excel	$6,530	295%
Sanford Health Plan	$6,530	295%
Employee Benefit Systems	$6,760	305%
Sisco	$6,760	305%
Healthsmart	$6,914	312%
Hfn	$7,067	319%
Multiplan	$7,067	319%

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 $5,377.
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 University of Iowa Health Care Medical Center Down 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.