CMS Price Transparency Data

Vaginal delivery (full package)

Facility: Veterans Memorial Hospital

Billing Code: 59400 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 59400
  • Insurance Median: $1,949
  • Cash Discount Price: $4,379
  • vs. Medicare Baseline: 0.88x Medicare
The contracted insurance negotiated median rate for a Vaginal delivery (full package) at Veterans Memorial Hospital is $1,949. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,379. Compared to the federal Medicare reimbursement reference rate of $2,214.42, this hospital’s rate is 0.88x the Medicare baseline. Located in 40 1St Street Se, Waukon, IA.
Cash / Self-Pay
$4,379

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,949

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: $4,379 (198%)
Insurance Median: $1,949 (88%)
Cash: $4,379 (198% of Medicare)
Ins. Median: $1,949 (88% 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
Aetna $1,949 88%
Amerigroup Mcr Adv $1,949 88%
Humana $1,949 88%
Iowa Total Care Exchange $1,949 88%
Molina Mcr Adv $1,949 88%
Quartz Mcr Adv $1,949 88%
Welmark Mcr Adv $1,949 88%
Amerigroup Mcaid - All Other Plans $7,682 347%
Iowa Total Care Mcaid - All Other Plans $7,682 347%
Molina Mcaid - All Other Plans $7,682 347%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 40 1St Street Se, Waukon, IA 52172
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals