CMS Price Transparency Data

Vaginal delivery (full package)

Facility: Harrison County Hospital

Billing Code: 59400 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59400
Insurance Median: $2,017
Cash Discount Price: $1,807
vs. Medicare Baseline: 0.91x Medicare

The contracted insurance negotiated median rate for a Vaginal delivery (full package) at Harrison County Hospital is $2,017. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,807. Compared to the federal Medicare reimbursement reference rate of $2,214.42, this hospital’s rate is 0.91x the Medicare baseline. Located in 245 Atwood Street, Corydon, IN.

Cash / Self-Pay

$1,807

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,017

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: $1,807 (82%)

Insurance Median: $2,017 (91%)

Cash: $1,807 (82% of Medicare)

Ins. Median: $2,017 (91% 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
Aetna	$1,559 - $2,123	70%
Cigna	$1,810	82%
Sagamore-All Plans	$1,810	82%
Tricare	$1,829	83%
UnitedHealthcare	$1,888 - $2,123	85%
Blue Cross Blue Shield	$1,988 - $2,123	90%
Buckeye Exchange-All Plans	$1,988	90%
Caresource Mcaid Hip	$1,988	90%
Caresource Mcr Adv	$1,988	90%
Mdwise Mcaid Hip	$1,988	90%
Mhs Exchange-All Other Plans	$1,988	90%
Mhs Mcaid Hip	$1,988	90%
Passport Mcr Adv	$1,988	90%
Mhs Mcr Adv	$2,008	91%
Communicare Adv-All Plans	$2,028	92%
Caresource Exchange-All Other Plans	$2,087	94%
Caresource Mcaid Hhw	$2,123	96%
Mdwise Mcaid Hhw/Hcc - All Other Plans	$2,123	96%
Mhs Mcaid Hhw/Hcc	$2,123	96%
Passport Mcaid-All Other Plans	$2,123	96%
Beech Street Comm-All Plans	$2,559	116%
First Health-All Plans	$2,559	116%
Siho Exchange	$2,584	117%
Siho One Southern	$2,584	117%
Siho Ppo/Hmo - All Other Plans	$2,584	117%
Encore Encircle	$2,684	121%
Encore Ppo - All Other Plans	$2,684	121%
Multiplan-All Plans	$2,710	122%

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 $1,807.
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 Harrison County 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.