CMS Price Transparency Data

Vaginal delivery (full package)

Facility: UW Health

Billing Code: 59400 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59400
Insurance Median: $2,358
Cash Discount Price: $1,093
vs. Medicare Baseline: 1.06x Medicare

The contracted insurance negotiated median rate for a Vaginal delivery (full package) at UW Health is $2,358. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,093. Compared to the federal Medicare reimbursement reference rate of $2,214.42, this hospital’s rate is 1.06x the Medicare baseline. Located in 1401 East State Street, Rockford, IL.

Cash / Self-Pay

$1,093

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,358

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: $1,093 (49%)

Insurance Median: $2,358 (106%)

Cash: $1,093 (49% of Medicare)

Ins. Median: $2,358 (106% 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
Aetna	$1,840 - $3,600	83%
Blue Cross Blue Shield	$1,840 - $6,830	83%
Medicaid / KanCare	$1,840	83%
Humana	$2,358	106%
Medicare (plans)	$2,358 - $2,593	106%
Mychoice Wi Medical Adv	$2,358	106%
UnitedHealthcare	$2,358 - $3,751	106%
Workers Comp	$3,294	149%
Wps	$3,415	154%
Beloit Healt System	$3,961	179%
Cigna	$4,479	202%
Alliance Premier Network	$4,688	212%
Mercy Care	$4,781	216%
Ecoh	$4,783 - $5,497	216%
Hfn	$4,783 - $5,497	216%
Quartz Fully Insured	$4,861	220%
The Alliance	$5,045	228%
Quartz Aso	$5,489	248%

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 $1,093.
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 UW Health 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.