Vaginal delivery (full package)
Facility: Kearny County Hospital
Billing Code: 59400 (CPT)
- CPT Billing Code: 59400
- Insurance Median: $3,522
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.59x 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 |
|---|---|---|
| Meritain Health | $3,522 | 159% |
| Community Care Health Plan Of | $3,522 | 159% |
| Blue Cross Blue Shield | $3,522 | 159% |
| UnitedHealthcare | $3,522 | 159% |
| Point C | $3,522 | 159% |
Consumer Guidance & Cost Commentary
For the CPT code 59400, representing a vaginal delivery (full package) at Kearny County Hospital in Lakin, KS, the negotiated rate is $3,522.00 across all five listed payers, including Meritain Health, Community Care Health Plan Of, Blue Cross Blue Shield, UnitedHealthcare, and Point C. This facility is a Critical Access Hospital with government-local ownership. While the data does not provide specific cash or median paid figures for this service, it is important to note that cash-pay options can sometimes be more cost-effective for patients with high-deductible plans if the insurance negotiated rate exceeds the cash price. Patients are encouraged to directly contact the hospital to inquire about "self-pay" or "prompt-pay" discounts, which can range from 20% to 50% off the billed amount when paid in full upfront, bypassing the administrative costs associated with insurance claims processing.
When evaluating the cost of this procedure, it is crucial to compare rates against the Medicare benchmark rather than the facility's gross chargemaster list. The Medicare amount for this service is $2,214.42, which serves as a scientifically validated baseline for the true cost of delivery. Commercial negotiated rates often average between 200% and 300% of the Medicare rate, though fair pricing is typically defined as 120% to 150% of Medicare. Since the data provided does not include specific county or state average comparisons for this code, patients should verify their plan's allowed amount before scheduling to ensure they are aware of their financial responsibility. If a patient receives a bill that differs significantly from the negotiated rate or Medicare amount