CMS Price Transparency Data

Vaginal delivery (full package)

Facility: Kossuth Regional Health Center

Billing Code: 59400 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 59400
  • Insurance Median: $3,432
  • Cash Discount Price: $3,386
  • vs. Medicare Baseline: 1.55x Medicare
The contracted insurance negotiated median rate for a Vaginal delivery (full package) at Kossuth Regional Health Center is $3,432. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,386. Compared to the federal Medicare reimbursement reference rate of $2,214.42, this hospital’s rate is 1.55x the Medicare baseline. Located in 1515 South Phillips Street, Algona, IA.
Cash / Self-Pay
$3,386

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,432

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: $3,386 (153%)
Insurance Median: $3,432 (155%)
Cash: $3,386 (153% of Medicare)
Ins. Median: $3,432 (155% 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
Humana $1,949 88%
Va Ccn - All Plans $1,949 88%
Amerigroup Mcr Adv - All Other Plans $1,988 90%
UnitedHealthcare $2,007 - $4,167 91%
Mercy One - All Plans $2,046 92%
Sanford Pho Isno Mcr Adv Profee Only - All Plans $2,046 92%
Blue Cross Blue Shield $3,033 - $3,568 137%
Medical Associates - All Plans $3,216 145%
Preferred Health - All Plans $3,216 145%
Health Partners New Bus - All Other Plans $3,296 149%
Aetna $3,574 - $3,767 161%
Health Partners Exisiting Bus $3,625 164%
Midlands Choice - All Plans $3,696 167%
Multiplan - All Plans $4,021 182%
Molina Mcaid/Chip - All Plans $4,339 196%
Amerigroup Mcaid $4,360 197%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1515 South Phillips Street, Algona, IA 50511
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals