CMS Price Transparency Data

Vaginal delivery (full package)

Facility: Memorial Hospital and Health Care Center

Billing Code: 59400 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59400
Insurance Median: $2,760
Cash Discount Price: $2,345
vs. Medicare Baseline: 1.25x Medicare

The contracted insurance negotiated median rate for a Vaginal delivery (full package) at Memorial Hospital and Health Care Center is $2,760. 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 1.25x the Medicare baseline. Located in 800 W 9Th St, Jasper, IN.

Cash / Self-Pay

$2,345

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,760

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: $2,760 (125%)

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

Ins. Median: $2,760 (125% 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
Tricare	$1,804 - $2,123	81%
Aetna	$2,123 - $3,550	96%
Blue Cross Blue Shield	$2,123 - $4,595	96%
Caresource In Marketplace	$2,123 - $2,654	96%
Humana	$2,123	96%
Mdwise	$2,152	97%
Mhs Hoosier Care Connect	$2,152	97%
Immergrun	$2,547	115%
Patoka Valley	$2,600	117%
Ambetter / Centene	$2,760	125%
Encore	$2,856	129%
Encore Elite +	$2,856 - $5,095	129%
Noncontracted	$3,397	153%
Onecare	$3,503	158%
Siho	$3,503	158%
Cigna	$3,550	160%
Sagamore	$3,550	160%
Chamber Care	$3,610	163%
UnitedHealthcare	$3,667 - $6,369	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 $2,345.
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 Memorial Hospital and Health Care Center 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.