CMS Price Transparency Data

Vaginal delivery (full package)

Facility: Dupont Hospital LLC

Billing Code: 59400 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59400
Insurance Median: $2,177
Cash Discount Price: $1,368
vs. Medicare Baseline: 0.98x Medicare

The contracted insurance negotiated median rate for a Vaginal delivery (full package) at Dupont Hospital LLC is $2,177. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,368. Compared to the federal Medicare reimbursement reference rate of $2,214.42, this hospital’s rate is 0.98x the Medicare baseline. Located in 2520 E Dupont Rd, Fort Wayne, IN.

Cash / Self-Pay

$1,368

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,177

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: $1,368 (62%)

Insurance Median: $2,177 (98%)

Cash: $1,368 (62% of Medicare)

Ins. Median: $2,177 (98% 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
Physicians Health Plan	$687 - $2,050	31%
Amish Aid	$765 - $1,429	35%
Self Pay	$765 - $2,382	35%
Lutheran Preferred	$842 - $3,176	38%
Cigna	$916 - $1,922	41%
Php Freedom Network	$941 - $1,757	42%
Aetna	$1,049 - $2,366	47%
Encore Ppo	$1,418 - $2,647	64%
Lutheran Network	$1,418 - $2,647	64%
Medical Mutual Of Oh	$1,503 - $2,806	68%
Sagamore	$1,525 - $2,949	69%
Veterans Eval Services	$2,123	96%
Prime Health Services	$2,126 - $3,970	96%
Frontpath	$2,268 - $4,235	102%
Encore Health Network	$2,325 - $4,765	105%
Advantage Health Solutions	$2,353 - $4,394	106%
Multiplan	$2,438 - $4,765	110%
Allied Benefit Systems	$2,552 - $4,765	115%

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 $1,368.
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 Dupont Hospital LLC 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.