Vaginal delivery (full package)
Facility: Ascension Via Christi Hospital Manhattan, Inc
Billing Code: 59400 (CPT)
- CPT Billing Code: 59400
- Insurance Median: $1,821
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.82x 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 |
|---|---|---|
| UnitedHealthcare | $1,751 | 79% |
| Medicaid / KanCare | $1,821 - $1,839 | 82% |
| Aetna | $1,821 | 82% |
| Providrs Care | $2,857 | 129% |
Consumer Guidance & Cost Commentary
For the CPT code 59400, representing a vaginal delivery (full package) at Ascension Via Christi Hospital Manhattan, Inc, the negotiated rates vary significantly by payer. The lowest negotiated amount is $1,751 from UnitedHealthcare, while the highest is $2,857 from Providrs Care. These commercial rates are notably higher than the Medicare benchmark of $2,214.42, which serves as the federal baseline for "true cost" calculation. While the facility's median negotiated rate of $1,821 is lower than the highest commercial rate, it remains above the Medicare amount, illustrating that commercial contracts often include administrative overhead that inflates the baseline price compared to the government's cost-based standard.
Patients should be aware that cash-pay options may offer a lower total cost than insurance claims, particularly for those with high-deductible plans where the insurance allowed amount exceeds the cash price. Although the data does not list a specific cash median, patients are encouraged to contact the hospital directly to inquire about self-pay or prompt-pay discounts, which can range from 20% to 50% off the billed amount. Additionally, if a patient receives care from an out-of-network provider at this in-network facility, they should be cautious of balance billing, as the No Surprises Act generally protects against unexpected charges for emergency services and non-emergency care from out-of-network providers at in-network hospitals.