Vaginal delivery (full package)
Facility: Republic County Hospital
Billing Code: 59400 (CPT)
- CPT Billing Code: 59400
- Insurance Median: $3,023
- Cash Discount Price: $2,464
- vs. Medicare Baseline: 1.37x 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 |
|---|---|---|
| Rural Carriers-All Plans | $2,793 | 126% |
| Meritain-All Plans | $2,957 | 134% |
| Aetna | $2,957 | 134% |
| UnitedHealthcare | $3,023 | 137% |
| First Health-All Plans | $3,121 | 141% |
| Midlands Choice-All Plans | $3,121 | 141% |
| Cigna | $3,121 | 141% |
Consumer Guidance & Cost Commentary
For a vaginal delivery at Republic County Hospital in Belleville, KS, the facility's cash median rate of $2,464 is lower than the negotiated rates paid by major insurers, which range from $2,793 to $3,121 depending on the plan. While commercial payers like Rural Carriers and Meritain have a fixed allowed amount of $2,793, other carriers such as UnitedHealthcare and First Health negotiate higher rates up to $3,121. It is important to note that for patients with high-deductible plans who have not yet met their out-of-pocket maximum, paying the cash price directly could result in lower total costs compared to the insurance negotiated rate, provided the patient can afford the upfront payment. Additionally, patients should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these incentives can further reduce the final balance.
When evaluating the cost of this service, it is crucial to compare rates against the Medicare benchmark rather than the hospital's gross charge, which often inflates the perceived savings. The Medicare amount for this procedure is $2,214.42, and the facility's cash rate of $2,464 represents a markup of approximately 120% over the Medicare rate, which aligns with the range considered fair pricing. Although the data does not provide specific county or state average comparisons for this code, the facility's pricing structure demonstrates how commercial negotiated rates can exceed both cash prices and Medicare benchmarks due to administrative overhead and contract dynamics. To ensure you are receiving the most accurate and transparent pricing, always request a full itemized bill that lists every CPT code and service rendered