CMS Price Transparency Data

Vaginal delivery (full package)

Facility: Morris Hospital & Healthcare Centers

Billing Code: 59400 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59400
Insurance Median: $2,429
Cash Discount Price: $1,077
vs. Medicare Baseline: 1.10x Medicare

The contracted insurance negotiated median rate for a Vaginal delivery (full package) at Morris Hospital & Healthcare Centers is $2,429. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,077. Compared to the federal Medicare reimbursement reference rate of $2,214.42, this hospital’s rate is 1.10x the Medicare baseline. Located in 150 W High St, Morris, IL.

Cash / Self-Pay

$1,077

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,429

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: $1,077 (49%)

Insurance Median: $2,429 (110%)

Cash: $1,077 (49% of Medicare)

Ins. Median: $2,429 (110% 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
Capp Care Ppo-Oth	$1,745	79%
Blue Cross Blue Shield	$1,933 - $2,148	87%
Caterpillar - All Plans	$2,014	91%
Choicecare Hum Mcr Ppo	$2,358	106%
UnitedHealthcare	$2,358 - $3,446	106%
Aetna	$2,405 - $2,748	109%
Health Alliance Mcr Adv	$2,429	110%
Ambetter / Centene	$3,132	141%
Choicecare Hum Othr - All Other Plans	$3,580	162%
Multiplan - All Other Plans	$3,580	162%
Multiplan Prime Ntwrk	$3,580	162%
Health Alliance - All Other Plans	$3,804	172%
Hfn All Plans - All Plans	$3,804	172%

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 $1,077.
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 Morris Hospital & Healthcare Centers 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.