CMS Price Transparency Data

Vaginal delivery (full package)

Facility: Greater Baltimore Medical Center

Billing Code: 59400 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59400
Insurance Median: $2,627
Cash Discount Price: $5,090
vs. Medicare Baseline: 1.19x Medicare

The contracted insurance negotiated median rate for a Vaginal delivery (full package) at Greater Baltimore Medical Center is $2,627. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,090. Compared to the federal Medicare reimbursement reference rate of $2,214.42, this hospital’s rate is 1.19x the Medicare baseline. Located in 6701 North Charles Street, Baltimore, MD.

Cash / Self-Pay

$5,090

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,627

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: $5,090 (230%)

Insurance Median: $2,627 (119%)

Cash: $5,090 (230% of Medicare)

Ins. Median: $2,627 (119% 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
Aetna	$2,055 - $2,410	93%
Carefirst Maryland Health Advantage Mca [264]	$2,627	119%
Carefirst [201]	$2,627 - $2,877	119%
Cfchp Mco [239]	$2,627	119%
Cigna	$2,627 - $3,084	119%
Communicare Advantage [300]	$2,627	119%
Humana	$2,627	119%
Johns Hopkins [213]	$2,627 - $3,520	119%
Keycare Advantage [299]	$2,627	119%
Medicare (plans)	$2,627	119%
Provider Partners Health Plan [298]	$2,627	119%
UnitedHealthcare	$2,627 - $2,808	119%
Carefirst Blue Choice Hmo [253]	$2,645	119%
Carefirst Administrator [252]	$2,877	130%
First Health Network [268]	$3,414	154%
Multiplan/Phcs [296]	$3,414	154%
Kaiser Permanente Hmo [231]	$3,703	167%
Usa Managed Care Organization [301]	$4,728	214%

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 $5,090.
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 Greater Baltimore Medical Center 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.