CMS Price Transparency Data

Vaginal delivery (full package)

Facility: Hiawatha Community Hospital

Billing Code: 59400 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$3,046

about 1.4× the $2,214 Medicare rate · typically $1,600–$3,834

modeled estimate · not a bill or quote

Medicare pays $2,214 Fair price $3,046 Cash price $4,300 Hospital's list price $4,300

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana UnitedHealthcareKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
Blue Cross Blue Shieldmajor	$3,411 - $4,127	154%
Aetnamajor	$257 - $3,705	12%
Cignamajor	$3,812 - $4,357	172%
Humanamajor	$257	12%
Ambetter (Centene)	$270	12%
Oscar Health	$3,010 - $3,440	136%
+ 4 smaller / regional plans	$3,010 - $4,586

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 4,300), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 59400.

Insurance Before you use insurance

Call your insurance company to confirm Hiawatha Community Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 59400.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Hiawatha Community Hospital

Compare: Vaginal delivery (full package) at other KS hospitals

Hospital District #1 of Rice County · Lyons $1,751
Ascension Via Christi Hospital Manhattan, Inc · Manhattan $1,821
Wamego Health Center · Wamego $1,821
Clay County Medical Center · Clay Center $1,885
Great Plains of Sabetha · Sabetha $1,930
Sck Health · Arkansas City $1,949
McPherson Hospital · McPherson $1,980
Holton Community Hospital · Holton $1,980

Insurance negotiated median for the same procedure, sorted lowest first.