Vaginal delivery (full package)
Facility: Overland Park Reg Med Ctr
Billing Code: 59400 (CPT)
- CPT Billing Code: 59400
- Insurance Median: $3,738
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.69x 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 |
|---|---|---|
| Universal Healthcare | $1,995 | 90% |
| Nhc Advantage | $2,550 | 115% |
| Aetna | $3,654 - $7,365 | 165% |
| Humana | $3,738 - $4,643 | 169% |
Consumer Guidance & Cost Commentary
For the CPT code 59400, "Vaginal delivery (full package)," the facility Overland Park Reg Med Ctr in Overland Park, KS, has a median negotiated rate of $3,738.00 across four payers. This rate is significantly higher than the Medicare benchmark of $2,214.42, reflecting a markup of 1.7 times the federal baseline. While the facility offers a proprietary ownership structure, the data indicates that cash-pay options are not currently listed for this service. However, patients should be aware that cash-pay rates can sometimes be lower than insurance negotiated rates, particularly for those with high-deductible plans, and they should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling to avoid unexpected costs.
The pricing landscape for this procedure varies by insurer, with Universal Healthcare and NHC Advantage showing a single fixed rate of $1,995 and $2,550 respectively, while Aetna and Humana offer ranges up to $7,365 and $4,643. Although specific county or state average comparisons are not provided in the available data, the presence of a 1.7x Medicare markup suggests that the facility's commercial rates exceed the federal cost baseline. To ensure financial clarity, patients should request a full itemized billing audit prior to payment, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. Additionally, if a balance bill arises from out-of-network ancillary services, the No Surprises Act may protect patients from paying the difference between the provider's full rate and the insurance allowed amount for