CMS Price Transparency Data

Vaginal delivery (full package)

Facility: Knoxville Hospital & Clinics

Billing Code: 59400 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59400
Insurance Median: $3,369
Cash Discount Price: $2,995
vs. Medicare Baseline: 1.52x Medicare

The contracted insurance negotiated median rate for a Vaginal delivery (full package) at Knoxville Hospital & Clinics is $3,369. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,995. Compared to the federal Medicare reimbursement reference rate of $2,214.42, this hospital’s rate is 1.52x the Medicare baseline. Located in 1002 South Lincoln Street, Knoxville, IA.

Cash / Self-Pay

$2,995

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,369

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: $2,995 (135%)

Insurance Median: $3,369 (152%)

Cash: $2,995 (135% of Medicare)

Ins. Median: $3,369 (152% 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.

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
Oscar-All Plans	$1,949	88%
UnitedHealthcare	$1,949 - $2,241	88%
Amerigroup Mcr - All Other Plans	$1,968	89%
Medical Associates Health Plan-All Other Plans	$2,046	92%
Wellmark Hmo 7/1/22	$2,978	134%
Wellmark Ppo 7/1/22-All Other Plans	$3,226	146%
Cigna	$3,369	152%
Health Partners New Bus	$3,369	152%
Health Partners-All Other Plans	$3,369	152%
Midlands Choice-All Plans	$3,403	154%
Humana	$4,242	192%
Iowa Total Care Mcaid - All Plans	$4,991	225%
Molina Mcaid/Chip - All Plans	$5,116	231%
Amerigroup Mcaid	$5,241	237%

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 $2,995.
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 Knoxville Hospital & Clinics 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.