Vaginal delivery (full package)
Facility: Labette Health
Billing Code: 59400 (CPT)
- CPT Billing Code: 59400
- Insurance Median: $2,226
- Cash Discount Price: $2,434
- vs. Medicare Baseline: 1.01x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Ambetter / Centene | $869 | 39% |
| Montgomery County | $1,147 - $2,659 | 52% |
| Medicaid / KanCare | $1,565 | 71% |
| Aetna | $2,021 | 91% |
| Kansas Superior Select | $2,191 | 99% |
| Multiplan | $2,955 | 133% |
| Choicecare (First Health Network) | $3,129 | 141% |
| Health Partners Of Kansas, Inc | $3,129 | 141% |
Consumer Guidance & Cost Commentary
For CPT code 59400, representing a vaginal delivery (full package) at Labette Health in Parsons, KS, the facility's cash median rate of $2,434.00 is notably higher than the Medicare benchmark of $2,214.42. While the facility is a government-owned local hospital, commercial negotiated rates vary significantly across payers, ranging from a low of $869 with Ambetter / Centene to a high of $3,129 with Choicecare (First Health Network) and Health Partners Of Kansas, Inc. These negotiated amounts generally exceed the cash price, illustrating that for patients with high-deductible plans, paying the cash rate directly can sometimes result in lower out-of-pocket costs compared to the insurance negotiated ceiling, provided the patient meets their deductible.
It is important to note that the facility's negotiated rates do not align with a single state or county average, as they are specific to each of the eight insurance plans listed. Patients should be aware that while the No Surprises Act protects against balance billing for out-of-network services at in-network facilities, unexpected charges can still occur if ancillary services are billed separately. To minimize costs, we recommend requesting a "self-pay" or "prompt-pay" discount before scheduling, which can offer a fee reduction of 20% to 50% for upfront payment. Additionally, always verify your specific plan's allowed amount and deductible status before receiving care, as relying solely on the negotiated rate without checking your financial responsibility could lead to higher bills than anticipated.