CMS Price Transparency Data

Vaginal delivery (full package)

Facility: Mercyone Clinton Medical Center

Billing Code: 59400 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 59400
  • Insurance Median: $955
  • Cash Discount Price: $6,388
  • vs. Medicare Baseline: 0.43x Medicare
The contracted insurance negotiated median rate for a Vaginal delivery (full package) at Mercyone Clinton Medical Center is $955. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,388. Compared to the federal Medicare reimbursement reference rate of $2,214.42, this hospital’s rate is 0.43x the Medicare baseline. Located in 1410 North 4Th Street, Clinton, IA.
Cash / Self-Pay
$6,388

Average discount available for prompt cash payment at this facility.

Insurance Median
$955

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: $6,388 (288%)
Insurance Median: $955 (43%)
Cash: $6,388 (288% of Medicare)
Ins. Median: $955 (43% 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
Albany County Correctional Facility $682 31%
Ambetter / Centene $682 - $1,656 31%
Amish Mennonite $682 31%
Ascension St. Vincent Public Safety Medical $682 31%
Bcccp-Michigan $682 31%
Bccp $682 31%
Blue Cross Blue Shield $682 - $1,784 31%
Bmc Healthnet $682 31%
Breast Grant-Connecticut $682 31%
Broward County Dept Of Health $682 31%
California Health And Wellness $682 31%
Can Community Health Inc $682 31%
Cardinal Innovations Lme $682 31%
Care Connections Of Northern Iowa $682 31%
Care Oregon Ohp $682 31%
Cencal Health Plan $682 31%
Cenpatico $682 31%
Chhuny $682 31%
Childrens Comm Health Plan $682 31%
Childrens Medical Services Title 19 $682 31%
Cigna $682 - $2,100 31%
City Of Philadelphia $682 31%
Cmh Allegan County $682 31%
Cmh Ausable Valley $682 31%
Cmh Barry County $682 31%
Cmh Bay-Arenac County $682 31%
Cmh Berrien County $682 31%
Cmh Cass County $682 31%
Cmh Central Mi County $682 31%
Cmh Clinton-Eaton-Ingham County $682 31%
Cmh Detroit Wayne Integrated Health Network $682 31%
Cmh Genesee County $682 31%
Cmh Ionia County $682 31%
Cmh Jackson County/Lifeways $682 31%
Cmh Kalamazoo $682 31%
Cmh Kent County $682 31%
Cmh Lenawee County $682 31%
Cmh Livingston County $682 31%
Cmh Macomb $682 31%
Cmh Misc $682 31%
Cmh Monroe County $682 31%
Cmh Montcalm County $682 31%
Cmh Muskegon County $682 31%
Cmh Newaygo County $682 31%
Cmh North Country $682 31%
Cmh Northern Lakes County $682 31%
Cmh Oakland County $682 31%
Cmh Ottawa County $682 31%
Cmh Van Buren County $682 31%
Cmh Washtenaw County $682 31%
Cmh Wayne County/Carelink $682 31%
Cmh Wayne Cty/Com Liv Svcs $682 31%
Cmh West Mi County $682 31%
Community Benefit Health $682 31%
Community Care Behavorial Health $682 31%
Community Care Partners $682 31%
Community Health Choice $682 31%
Connections Csp $682 31%
County Coroner $682 31%
County Funding Generic $682 31%
Covid19 Hrsa Uninsured Testing And Treatment Fund $682 31%
Dean Wi Badgercare $682 31%
Delaware County Department Of Health $682 31%
Delaware First Health $682 31%
Delta Dental Nj $682 31%
Dph Tb Program $682 31%
Dscc $682 31%
Eastpointe Lme $682 31%
Family Health Network $682 31%
Freedom First Healthcare $682 31%
Fresno County Ccs $682 31%
Ghc Scw Wi Badgercare $682 31%
Harbor Health $682 31%
Health Safety Net $682 31%
Healthy Blue Ne $682 31%
Hennepin Health $682 31%
Humana $682 - $1,559 31%
Id County Ada $682 31%
Id County Canyon $682 31%
Id County Cat Fund $682 31%
Id County Other $682 31%
Id County Payette $682 31%
Idaho Dept Health And Wellfare $682 31%
Idaho Womens Health Check $682 31%
Indiana Breast Cervical Cancer $682 31%
Inland Empire Health Plan $682 31%
Intercommunity Health Ohp $682 31%
Jai Medical System $682 31%
Kern Family Health Plan $682 31%
Keystone First $682 31%
Keystone First Chip $682 31%
La Care Health Plan $682 31%
Lakeland Care Inc $682 31%
Managed Health Services - Indiana $682 31%
Maryland Breast & Cervical Program $682 31%
Maryland Healthy Smiles - Scion Dental $682 31%
Maryland Physicians Care $682 31%
Massachusetts Behavioral Health Partnership $682 31%
Mdwise $682 31%
Medi-Cal $682 31%
Medi-Cal Healthnet $682 31%
Medicaid / KanCare $682 - $3,750 31%
Medstar Dc Healthy Family $682 31%
Medstar Md Health Choice $682 31%
Mo Home State Health Plan $682 31%
Molina Centennial Care $682 31%
Nascentia Health Options $682 31%
New York Cancer Services Program $682 31%
Nextlevel Health $682 31%
Oregon Screenwise $682 31%
Pace Of Southwest Michigan $682 - $955 31%
Paramount Advantage $682 31%
Parkland Community Health Plan $682 31%
Partners Behavioral Lme $682 31%
Peach State Healthplan $682 31%
Philadelphia County Funding $682 31%
Presbyterian Centennial Care $682 31%
Prestige Health Choice $682 31%
Priority Partners $682 31%
Robert F Sing Program $682 31%
Rx 340B Pass Along $682 31%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $682 31%
Rx Medi-Cal $682 31%
Rx Meridian Rx $682 31%
Ryan White Florida Mssrp $682 31%
Sandhills Center Lme $682 31%
Screening For Life $682 31%
St Joseph County Hlth Dpt $682 31%
Sunshine State Health Plan $682 31%
Superior Health $682 31%
Tenncare $682 31%
Texas Children'S Health Plan $682 31%
Trillium Community Ohp $682 31%
Tufts Health Public Plans $682 31%
UnitedHealthcare $682 - $7,499 31%
Vaya Health Lme $682 31%
Washtenaw Health Plan $682 31%
Wellsense Health Plan $682 31%
Wi Womens Wellness $682 31%
Iowa Total Care $696 31%
Wellpoint $703 32%
Aetna $920 - $7,499 42%
Wc Corvel $926 42%
Align Senior Care $955 43%
Ally Align Care Adv $955 43%
American Health Advantage Of Idaho $955 43%
Aurora Special Needs $955 43%
Blue Care Network Advantage $955 43%
Blue Shield - De (Highmark) Medciare Advantage $955 43%
Care Dimensions $955 43%
Care Improvement Plus $955 43%
Care Resources Pace $955 43%
Careplus Health Plans $955 43%
Cca - Zing Health $955 43%
Cca Senior Care Options $955 43%
Central Valley Medical Services Corp Pace $955 43%
Champion Health Plan Mcr Advantage $955 43%
Clear Spring Health $955 43%
Clover Health $955 43%
Commonwealth Care Alliance $955 43%
Community Pace At Home $955 43%
Eddy Senior Care-Pace $955 43%
Eddy Seniorcare Pace $955 43%
Elementcare $955 43%
Evercare $955 43%
Everence $955 43%
Gateway Health Plan $955 43%
Genesys Pace Of Genesee County $955 43%
Georgia Health Advantage $955 43%
Gold Advantage $955 43%
Gpa Croell Redi Mix $955 43%
Health America Advantra $955 43%
Highmark Health Options Dual Plan $955 43%
Hope Select Pace $955 43%
Horizon Nj Total Care $955 43%
Hudson Headwaters Pace $955 43%
Huron Valley Pace $955 43%
Innovative Integrated Health Community Plans $955 43%
Johns Hopkins Advantage Md $955 43%
Lasso Healthcare Msa $955 43%
Life St Marys Pace $955 43%
Lifecircles Pace $955 43%
Longevity Health Plan $955 43%
Longevity Ipa Of Michigan Llc Health Plan Isnp $955 43%
Martins Point Generations Advantage $955 43%
Mass General Brigham Mcr Adv $955 43%
Medicare (plans) $955 - $1,011 43%
Medipak Advantage $955 43%
Mercy Life $955 43%
Mercyone Cedar Valley $955 43%
Meridian Complete $955 43%
Michigan Complete Health $955 43%
Nascentia Health Plus $955 43%
New Centry Health Careplus $955 43%
Osu Prime Care Advantage $955 43%
Pace Cny $955 43%
Pace Iowa Immanuel Pathways $955 43%
Pace Southeast $955 43%
Pace-Trinity Health $955 43%
Peak Pace Solutions $955 43%
Perennial Advantage $955 43%
Preferred Care Partners $955 43%
Presbyterian Senior Plan $955 43%
Provider Partners Health Plan Of Illinois $955 43%
Provider Partners Health Plan Of Indiana $955 43%
Pruitthealth Premier $955 43%
Reliance Community Care Partners Care Resources Pace $955 43%
Rx Allwin $955 43%
Rx Grane Grnmedd $955 43%
Rx Retiree Rx Care $955 43%
Scan Health Plan Mcr Ipa Meritage Oon $955 43%
Secure Horizons Ma Pffs $955 43%
Serenity Pace $955 43%
Siouxland Pace $955 43%
Solis Health Plans $955 43%
Sunnyview-Pace Finance Dept $955 43%
Texan Plus $955 43%
The Health Plan $955 43%
Thome Pace $955 43%
Todays Options $955 43%
Tribute Health Plans $955 43%
Um Health Advantage $955 43%
Union Health Service $955 43%
Welbe Health $955 43%
Wellmed $955 43%
Veterans Administration $974 44%
American Health Plan $1,003 45%
Iowa Health Advantage $1,003 45%
Champva $1,053 48%
Tricare $1,053 48%
Triwest Health Alliance $1,053 48%
Us Family Health Plan $1,053 48%
Veterans Eval Services $1,053 48%
Amish Hospital Aid $1,296 59%
Amps $1,315 59%
Stephenson Cty Health $1,341 61%
Avera $1,485 67%
Bcn Domestic $1,516 68%
Blue Benefit Administrators Of Massachusetts $1,516 68%
Blue Care Network $1,516 68%
Blue Distinction Transplant $1,516 68%
Blue Shield - Ca $1,516 68%
Blue Shield - Id (Regence) $1,516 68%
Blue Shield - Ny Highmark Northeastern $1,516 68%
Blue Shield - Ny Highmark Western $1,516 68%
Blue Shield - Pa (Highmark) $1,516 68%
Blue Shield - Wa (Regence) $1,516 68%
Health Choices $1,516 - $2,100 68%
Kaiser Domestic $1,516 68%
Pre-Employment $1,516 68%
Wc Domestic $1,516 68%
Medical Associates $1,627 73%
Health Partners $1,648 - $1,991 74%
Ucare $1,737 78%
Lucent Health $1,754 79%
Sanford Health Plan $1,771 80%
Health Smart $1,803 81%
Oscar $1,823 82%
Usa Managed Care $1,890 85%
Quiktrip $1,900 86%
Centivo $1,952 88%
Claimdoc $2,036 92%
The Alliance $2,046 92%
Allied Benefit Systems $2,100 95%
Auxiant $2,100 95%
First Choice Health $2,100 95%
Group Administrators $2,100 95%
Midlands $2,100 95%
Midlands Choice $2,100 95%
Global Excel $2,202 99%
Velocity $2,290 103%
Preferred One $2,382 108%
Multiplan $2,562 116%
Iowa Dept Of Public Health $2,638 - $3,750 119%
Nebraska Total Care $2,638 - $3,750 119%
Geha $2,693 122%
Meritain $3,380 153%
Newton Correctional Facility $3,430 - $4,874 155%
Genex Wc $3,958 - $5,624 179%
Wc Align Network $4,222 - $5,999 191%
Wc Praxis Health Network $4,485 - $6,374 203%
Wc Reny Company $4,591 - $6,524 207%
Wc Velocity $4,591 - $6,524 207%
Auto Velocity $4,749 - $6,749 214%
Wc O'Hara Corp $4,749 - $6,749 214%
Andrie Inc $5,277 - $7,499 238%
East Greenbush Central School District $5,277 - $7,499 238%
Healthsmart Workers Comp $5,277 - $7,499 238%
Jag Source $5,277 - $7,499 238%
New York State Insurance Fund $5,277 - $7,499 238%
Njm Insurance Group $5,277 - $7,499 238%
Rx Heatlhcomp $5,277 - $7,499 238%
Rx Restat $5,277 - $7,499 238%
Rx Saif Opdp Wc $5,277 - $7,499 238%
Rx Worker'S Comp $5,277 - $7,499 238%
Wc Accident Fund $5,277 - $7,499 238%
Wc Ace $5,277 - $7,499 238%
Wc Acs Federal Employees $5,277 - $7,499 238%
Wc Acuity $5,277 - $7,499 238%
Wc Advantage $5,277 - $7,499 238%
Wc Aegis $5,277 - $7,499 238%
Wc Aig $5,277 - $7,499 238%
Wc Aims $5,277 - $7,499 238%
Wc Alaska National Ins $5,277 - $7,499 238%
Wc Allied $5,277 - $7,499 238%
Wc Am Trust N America $5,277 - $7,499 238%
Wc American Claims Mgmt $5,277 - $7,499 238%
Wc Amerisure $5,277 - $7,499 238%
Wc Amtrust $5,277 - $7,499 238%
Wc Asu Risk Mgt $5,277 - $7,499 238%
Wc Benetech $5,277 - $7,499 238%
Wc Berkley Admin $5,277 - $7,499 238%
Wc Broadspire $5,277 - $7,499 238%
Wc Broward County $5,277 - $7,499 238%
Wc Bunch & Associates $5,277 - $7,499 238%
Wc California State Comp Ins $5,277 - $7,499 238%
Wc California State Ins Fund $5,277 - $7,499 238%
Wc Capitol Area Health Consortium $5,277 - $7,499 238%
Wc Ccmsi $5,277 - $7,499 238%
Wc Chartis $5,277 - $7,499 238%
Wc Chubb $5,277 - $7,499 238%
Wc Cirma $5,277 - $7,499 238%
Wc City Of Albany $5,277 - $7,499 238%
Wc City Of Sioux City $5,277 - $7,499 238%
Wc Claims Mgmt Inc $5,277 - $7,499 238%
Wc Cna $5,277 - $7,499 238%
Wc Comp One Admin C/O Manageability $5,277 - $7,499 238%
Wc Compone Admin $5,277 - $7,499 238%
Wc Ct Healthcare Trust $5,277 - $7,499 238%
Wc Donegal Insurance Group $5,277 - $7,499 238%
Wc Emc Insurance Company $5,277 - $7,499 238%
Wc Employee Mutual $5,277 - $7,499 238%
Wc Enablecomp $5,277 - $7,499 238%
Wc Encore Health Network $5,277 - $7,499 238%
Wc Erie $5,277 - $7,499 238%
Wc Esis $5,277 - $7,499 238%
Wc Evolutions $5,277 - $7,499 238%
Wc Fcci $5,277 - $7,499 238%
Wc Fed Ex $5,277 - $7,499 238%
Wc Federal Black Lung $5,277 - $7,499 238%
Wc Federated $5,277 - $7,499 238%
Wc Finley Occupational Health $5,277 - $7,499 238%
Wc First Agency/Occunet $5,277 - $7,499 238%
Wc Ford Motor $5,277 - $7,499 238%
Wc Fresno Unified Emp $5,277 - $7,499 238%
Wc Gallagher Bassett $5,277 - $7,499 238%
Wc General Motors $5,277 - $7,499 238%
Wc Generic $5,277 - $7,499 238%
Wc Genex Care For Ohio $5,277 - $7,499 238%
Wc Great West Casualty $5,277 - $7,499 238%
Wc Guarantee Insurance $5,277 - $7,499 238%
Wc Guard Insurance Company $5,277 - $7,499 238%
Wc Hab $5,277 - $7,499 238%
Wc Hartford $5,277 - $7,499 238%
Wc Hastings $5,277 - $7,499 238%
Wc Health Management $5,277 - $7,499 238%
Wc Heritage Summit $5,277 - $7,499 238%
Wc Hireright $5,277 - $7,499 238%
Wc Horizon $5,277 - $7,499 238%
Wc Icw Group $5,277 - $7,499 238%
Wc Idaho State Ins Fund $5,277 - $7,499 238%
Wc Intercare Insurance $5,277 - $7,499 238%
Wc Intermountain $5,277 - $7,499 238%
Wc Johns Eastern $5,277 - $7,499 238%
Wc Kemberton $5,277 - $7,499 238%
Wc Key Ins & Benefit Solutions $5,277 - $7,499 238%
Wc Liberty Mutual $5,277 - $7,499 238%
Wc Mac Risk Management $5,277 - $7,499 238%
Wc Massachusetts $5,277 - $7,499 238%
Wc Mdia $5,277 - $7,499 238%
Wc Meadowbrook Claim $5,277 - $7,499 238%
Wc Medical Administrators $5,277 - $7,499 238%
Wc Meijers $5,277 - $7,499 238%
Wc Memic $5,277 - $7,499 238%
Wc Mercy Workcare $5,277 - $7,499 238%
Wc Michigan $5,277 - $7,499 238%
Wc Michigan Millers Mutual $5,277 - $7,499 238%
Wc Mitchell Frankenmuth $5,277 - $7,499 238%
Wc Mra $5,277 - $7,499 238%
Wc Nationwide $5,277 - $7,499 238%
Wc Nca Comp $5,277 - $7,499 238%
Wc New York $5,277 - $7,499 238%
Wc New York Special Funds $5,277 - $7,499 238%
Wc North American Rishces $5,277 - $7,499 238%
Wc Northeast Health $5,277 - $7,499 238%
Wc Notre Dame $5,277 - $7,499 238%
Wc Novanet $5,277 - $7,499 238%
Wc Occ Health Allen $5,277 - $7,499 238%
Wc Ohio Bureau $5,277 - $7,499 238%
Wc One Call Medical $5,277 - $7,499 238%
Wc Paradigm $5,277 - $7,499 238%
Wc Peerless $5,277 - $7,499 238%
Wc Pma $5,277 - $7,499 238%
Wc Price Chopper $5,277 - $7,499 238%
Wc Procura Management $5,277 - $7,499 238%
Wc Qualcare $5,277 - $7,499 238%
Wc Quiktrip $5,277 - $7,499 238%
Wc Rev Claims $5,277 - $7,499 238%
Wc Risico $5,277 - $7,499 238%
Wc Rural Mutual $5,277 - $7,499 238%
Wc Saif Oregon $5,277 - $7,499 238%
Wc Secura $5,277 - $7,499 238%
Wc Sedgwick $5,277 - $7,499 238%
Wc Sentry $5,277 - $7,499 238%
Wc Sheakley Unicomp $5,277 - $7,499 238%
Wc Smile Lodge $5,277 - $7,499 238%
Wc Society $5,277 - $7,499 238%
Wc Srs $5,277 - $7,499 238%
Wc Taconic (Mro) $5,277 - $7,499 238%
Wc Taconic Farms $5,277 - $7,499 238%
Wc Travelers $5,277 - $7,499 238%
Wc Triad Group $5,277 - $7,499 238%
Wc Tristar $5,277 - $7,499 238%
Wc Troy Ny $5,277 - $7,499 238%
Wc Tyson $5,277 - $7,499 238%
Wc Unified Health Services $5,277 - $7,499 238%
Wc United Heartland $5,277 - $7,499 238%
Wc Us Dept Of Labor $5,277 - $7,499 238%
Wc Walmart $5,277 - $7,499 238%
Wc West Bend $5,277 - $7,499 238%
Wc West Bend Mutual/Argent $5,277 - $7,499 238%
Wc Winnebago Industries $5,277 - $7,499 238%
Wc Yankee Trails $5,277 - $7,499 238%
Wc York Risk $5,277 - $7,499 238%
Wc Zenith $5,277 - $7,499 238%
Wc Zurich $5,277 - $7,499 238%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1410 North 4Th Street, Clinton, IA 52732
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals