CMS Price Transparency Data

Vaginal delivery (full package)

Facility: Clay County Hospital

Billing Code: 59400 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$2,578
about 1.2× the $2,214 Medicare rate · typically $1,572–$3,706
modeled estimate · not a bill or quote
What this hospital charges insurers
$2,994
Above the fair price
about $416 over the fair price · 1.4× Medicare
Medicare pays $2,214 Fair price $2,578 This hospital $2,994

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

Highest price of the 9 IL hospitals we have prices for — worth calling around.

Cheapest $1,840 Priciest $2,994

Black dot = this hospital, among the 9 IL hospitals with a price for this procedure. Full list below.

A fair price for a Vaginal delivery (full package) is about $2,578 (about 1.2× the $2,214 Medicare rate). Clay County Hospital charges insurers about $2,994 — above the fair price. Located in Flora, IL.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $2,578. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $1,779 80%
Blue Cross Blue Shieldmajor $3,630 164%
Aetnamajor $2,358 106%

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 911 Stacy Burk Dr, Flora, IL 62839
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals