CMS Price Transparency Data

Vaginal delivery (full package)

Facility: Kosciusko Community Hospital

Billing Code: 59400 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59400
Insurance Median: $2,203
Cash Discount Price: $1,109
vs. Medicare Baseline: 0.99x Medicare

The contracted insurance negotiated median rate for a Vaginal delivery (full package) at Kosciusko Community Hospital is $2,203. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,109. Compared to the federal Medicare reimbursement reference rate of $2,214.42, this hospital’s rate is 0.99x the Medicare baseline. Located in 2101 E Dubois Dr, Warsaw, IN.

Cash / Self-Pay

$1,109

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,203

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: $1,109 (50%)

Insurance Median: $2,203 (99%)

Cash: $1,109 (50% of Medicare)

Ins. Median: $2,203 (99% 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
Amish Aid	$595 - $1,112	27%
Self Pay	$595 - $2,065	27%
Lutheran Preferred Network	$896 - $4,235	40%
Physicians Health Plan	$1,046 - $2,439	47%
Php Freedom Network	$1,095 - $2,045	49%
UnitedHealthcare	$1,106 - $2,668	50%
Encore	$1,134 - $2,118	51%
Trma Inc	$1,134 - $2,382	51%
Aetna	$1,162 - $2,816	52%
Connecticut General Life Insurance Company	$1,670 - $3,118	75%
Cigna	$1,792 - $3,346	81%
One Call Care Diagnostics Wc	$1,988	90%
Veterans Eval Services	$2,123	96%
First Health Network	$2,126 - $3,970	96%
Prime Health Services	$2,126 - $3,970	96%
Advantage Health	$2,353 - $4,394	106%
Private Healthcare Systems	$2,438 - $4,553	110%
Sagamore	$2,495 - $4,976	113%
Encore Health Network	$2,637 - $4,923	119%

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 $1,109.
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 Kosciusko Community Hospital 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.