Vaginal delivery (full package)
Facility: Ascension Via Christi Rehabilitation Hospital Inc
Billing Code: 59400 (CPT)
- CPT Billing Code: 59400
- Insurance Median: $5,523
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 2.49x 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 249% of the Medicare baseline (a markup of 149%). 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 |
|---|---|---|
| Aetna | $5,523 | 249% |
Consumer Guidance & Cost Commentary
For this vaginal delivery procedure at Ascension Via Christi Rehabilitation Hospital Inc in Wichita, KS, the facility's negotiated rate is $5,523.00, which is significantly higher than the Medicare benchmark of $2,214.42. While commercial insurance contracts often result in higher costs due to administrative overhead and network tiering, patients should be aware that cash-pay options can sometimes be more economical. If you have a high-deductible plan where your out-of-pocket costs exceed the cash price, paying directly for the service might reduce your total financial burden. It is essential to contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can offer immediate fee reductions for upfront payment.
Because the data indicates a single payer with a uniform range, there is no variation in the negotiated amount for this specific service. However, it is important to understand that commercial rates are frequently inflated by administrative costs and contract dynamics, often reaching 200% to 300% of the Medicare baseline. To ensure you are not overcharged, you should request a full itemized bill before finalizing payment, as summary invoices may obscure individual charges or unbundled services. If you receive a balance bill for out-of-network ancillary services, you have the right to dispute it under the No Surprises Act, and you should avoid signing away your rights to negotiate without fully understanding the terms.