Vaginal delivery (full package)
Facility: Menorah Medical Center
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, representing a vaginal delivery (full package) at Menorah Medical Center in Overland Park, KS, the negotiated rates range from $1,995 to $7,365 depending on the insurance carrier. While the facility's median negotiated rate of $3,738 is notably higher than the state average, patients should be aware that cash-pay options may offer significant savings. Although no specific cash price is listed in this dataset, understanding that cash rates can sometimes be lower than insurance negotiated rates is crucial for those with high-deductible plans or those seeking to minimize out-of-pocket costs. It is highly recommended to contact the hospital directly to inquire about self-pay discounts or prompt-pay incentives, which can reduce the final bill by 20% to 50% if settled upfront.
When reviewing your final statement, ensure you are comparing rates against the Medicare benchmark rather than the hospital's inflated chargemaster list. The Medicare amount for this procedure is $2,214.42, and the facility's rate is 1.7 times the Medicare amount, which falls within the typical range where commercial rates average 200% to 300% of Medicare. If you receive a balance bill from an out-of-network provider at this in-network facility, you may be entitled to protections under the No Surprises Act, which bans balance billing for emergency and non-emergency services. Always request a detailed, itemized bill to verify that all charges are accurate and that no unbundled codes or services not rendered have been included, as over 80% of hospital bills contain errors that can be corrected through a formal audit