Vaginal delivery (full package)
Facility: Goodland Regional Medical Center
Billing Code: 59400 (CPT)
- CPT Billing Code: 59400
- Insurance Median: $5,171
- Cash Discount Price: $5,171
- vs. Medicare Baseline: 2.34x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 234% of the Medicare baseline (a markup of 134%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 |
|---|---|---|
| Wppa | $4,883 - $5,170 | 221% |
| UnitedHealthcare | $5,170 | 233% |
Consumer Guidance & Cost Commentary
For a vaginal delivery (full package) at Goodland Regional Medical Center in Goodland, KS, the cash median price is $5,171.00, which is lower than the facility's gross charge of $5,745.00. While the facility is a Critical Access Hospital owned by the local government, patients should be aware that commercial insurance negotiated rates can sometimes exceed cash prices due to administrative overhead. In this case, the median negotiated rate is $5,171.00, matching the cash median, but patients with high-deductible plans may find paying out-of-pocket initially cheaper if their insurance allowed amount is higher than the cash price. It is always advisable to ask the hospital directly about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront fee reductions can bypass costly insurance billing cycles and administrative fees.
This procedure's pricing is benchmarked against Medicare, which sets a fixed reimbursement rate of $2,214.42 for this service. The commercial rates shown here are significantly higher than the Medicare amount, reflecting the standard markup for commercial insurance contracts. While the data indicates specific negotiated ranges for payers like Wppa and UnitedHealthcare, the most reliable way to understand the true cost is to compare the facility's rates directly to the Medicare baseline rather than the hospital's inflated chargemaster list. If you receive a bill that appears to include balance billing for out-of-network services at this in-network facility, you have the right to dispute the amount under federal protections, and you should request a full itemized audit to ensure no unbundled codes or services not rendered are included in your final invoice.