CMS Price Transparency Data

Vaginal delivery (full package)

Facility: Cass County Memorial Hospital

Billing Code: 59400 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59400
Insurance Median: $2,144
Cash Discount Price: $2,499
vs. Medicare Baseline: 0.97x Medicare

The contracted insurance negotiated median rate for a Vaginal delivery (full package) at Cass County Memorial Hospital is $2,144. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,499. Compared to the federal Medicare reimbursement reference rate of $2,214.42, this hospital’s rate is 0.97x the Medicare baseline. Located in 1501 East Tenth Street, Atlantic, IA.

Cash / Self-Pay

$2,499

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,144

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: $2,499 (113%)

Insurance Median: $2,144 (97%)

Cash: $2,499 (113% of Medicare)

Ins. Median: $2,144 (97% 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
Midlands Choice Medica Mcr	$714	32%
Triwest - All Plans	$1,890	85%
Aetna	$1,949 - $3,213	88%
Amerigroup Mcr Adv - All Other Plans	$1,949	88%
Medica Mcr Adv	$1,949	88%
Tricare	$1,949	88%
UnitedHealthcare	$1,949 - $2,277	88%
Va Ccn - All Plans	$1,949	88%
Wellmark Mcr Adv	$1,968	89%
Iowa Total Care Mcr	$1,988	90%
American Hlth Mcr Adv - All Plans	$2,007	91%
Iowa Total Care Comm - All Other Plans	$2,144	97%
Wellmark Hmo	$3,033	137%
Medica Comm - All Other Plans	$3,142	142%
Multiplan - All Plans	$3,392	153%
Wellmark Ppo - All Other Plans	$3,568	161%
Medicaid / KanCare	$3,570	161%
Iowa Total Care Mcaid	$3,641	164%
Molina Mcaid - All Plans	$3,641	164%
Midlands Choice New Bus	$3,670	166%
Midlands Choice Pho (Ppo) - All Other Plans	$3,670	166%

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 $2,499.
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 Cass County Memorial Hospital 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.