CMS Price Transparency Data

Vaginal delivery (full package)

Facility: Gibson General Hospital

Billing Code: 59400 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59400
Insurance Median: $2,345
Cash Discount Price: $2,345
vs. Medicare Baseline: 1.06x Medicare

The contracted insurance negotiated median rate for a Vaginal delivery (full package) at Gibson General Hospital is $2,345. 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 1.06x the Medicare baseline. Located in 1808 Sherman Drive, Princeton, IN.

Cash / Self-Pay

$2,345

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,345

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: $2,345 (106%)

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

Ins. Median: $2,345 (106% 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
Blue Cross Blue Shield	$1,840 - $2,263	83%
Medicaid / KanCare	$1,840	83%
Meridiancare (Il)	$1,840	83%
Meridianhealth (Il)	$1,840	83%
Aetna	$2,123 - $3,550	96%
Caresource Just For Me	$2,123	96%
Medicare (plans)	$2,123	96%
Meridiancomplete (Il)	$2,123	96%
Mytruadvantage	$2,123	96%
UnitedHealthcare	$2,123 - $3,667	96%
Va Ccn	$2,123	96%
Caresource	$2,152	97%
Mdwise Plans	$2,152	97%
Mhs	$2,152	97%
Ky Racing Health & Welfare Fund	$2,345	106%
Self-Pay	$2,345	106%
Ambetter / Centene	$2,654	120%
Caresource In Marketplace	$2,760	125%
Alliance Coal	$2,972	134%
Claimdoc	$2,972	134%
Hopetrust	$3,184	144%
Hstechnology	$3,184	144%
Encircle/Encore Combined	$3,392	153%
Encircle/Encore Prime	$3,392	153%
Noncontracted	$3,397	153%
Deaconess Onecare	$3,503	158%
Cigna	$3,550	160%
First Health	$3,550	160%
Healthlink Hmo	$3,550	160%
Healthlink Ppo	$3,550	160%
Sagamore (Ppo, Oap-Open Access Plus, Epo, Choice Fund Oap+)	$3,550	160%
Chambercare	$4,020	182%
Gibson County Sheriff	$5,695	257%
Integrated Health	$6,030	272%
Principal Health Care	$6,030	272%

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 Gibson General 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.