CMS Price Transparency Data

Vaginal delivery (full package)

Facility: Deaconess Illinois Crossroads

Billing Code: 59400 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59400
Insurance Median: $2,406
Cash Discount Price: $2,345
vs. Medicare Baseline: 1.09x Medicare

The contracted insurance negotiated median rate for a Vaginal delivery (full package) at Deaconess Illinois Crossroads is $2,406. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,345. Compared to the federal Medicare reimbursement reference rate of $2,214.42, this hospital’s rate is 1.09x the Medicare baseline. Located in 8 Doctors Park Rd, Mount Vernon, IL.

Cash / Self-Pay

$2,345

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,406

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: $2,345 (106%)

Insurance Median: $2,406 (109%)

Cash: $2,345 (106% of Medicare)

Ins. Median: $2,406 (109% 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 - $5,293	83%
Blue Cross Blue Shield	$1,840 - $3,630	83%
Meridian Health Plan	$1,840 - $2,406	83%
Molina Healthcare Of Illinois	$1,840 - $2,430	83%
Wellcare	$1,840 - $2,406	83%
UnitedHealthcare	$2,302 - $2,406	104%
Self-Pay	$2,345	106%
Humana	$2,373 - $5,226	107%
Mytru Advantage	$2,373 - $2,406	107%
Umwa	$2,373 - $2,406	107%
Care Improvement Plus	$2,454	111%
Cigna	$2,606	118%
Alliance Coal	$3,274 - $3,970	148%
Alter-Net Medical Services, Inc.	$3,796 - $6,857	171%
Noncontracted	$3,796 - $3,850	171%
Deaconess Onecare	$4,864	220%
Prime Health Services	$5,025	227%
Guardian Resources, Inc.	$5,628	254%
Healthcare'S Finest Network (Hfn)	$5,695	257%
Medicalcontrol Network Solutions	$5,695	257%
National Provider Network	$5,695	257%
Three Rivers Provider Network	$5,829	263%
Beech Street	$5,896	266%
Hope Trust	$6,857	310%

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 $2,345.
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 Deaconess Illinois Crossroads 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.