CMS Price Transparency Data

Vaginal delivery (full package)

Facility: Ochsner Medical Center Acute

Billing Code: 59400 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59400
Insurance Median: $2,818
Cash Discount Price: $785
vs. Medicare Baseline: 1.27x Medicare

The contracted insurance negotiated median rate for a Vaginal delivery (full package) at Ochsner Medical Center Acute is $2,818. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $785. Compared to the federal Medicare reimbursement reference rate of $2,214.42, this hospital’s rate is 1.27x the Medicare baseline. Located in 1516 Jefferson Hwy, New Orleans, LA.

Cash / Self-Pay

$785

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,818

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$2,214.42

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $2,214.42 (100%)

Cash / Self-Pay: $785 (35%)

Insurance Median: $2,818 (127%)

Cash: $785 (35% of Medicare)

Ins. Median: $2,818 (127% of 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
UnitedHealthcare	$591 - $652	27%
Aetna	$1,784 - $1,933	81%
Blue Cross Blue Shield	$1,784	81%
Cigna	$2,329	105%
First Health Network	$2,675	121%
Louisiana Workers' Compensation Corporation (Lwcc)	$2,675	121%
Mississippi Physicians Care Network	$2,675	121%
Healthcomp & Personify Health (Formerly Gilsbar)	$2,818	127%
Claritev D/B/A Multiplan/Phcs/American Life Care	$2,854	129%
Zelis	$2,854	129%
Employers Health Network (Ehn)	$3,032	137%
Prime Health Services Ppo	$3,032	137%
Usa Managed Care Network	$3,032	137%
Behavioral Health Systems	$3,210	145%
Evolutions Healthcare	$3,210	145%
Galaxy Health Network Ppo	$3,210	145%
Galaxy Health Network Wc	$3,210	145%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $785.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 59400.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Ochsner Medical Center Acute is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 59400.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.