CMS Price Transparency Data

Vaginal delivery (full package)

Facility: Munson Healthcare Cadillac Hospital

Billing Code: 59400 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 59400
  • Insurance Median: $2,205
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a Vaginal delivery (full package) at Munson Healthcare Cadillac Hospital is $2,205. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $2,214.42, this hospital’s rate is 1.00x the Medicare baseline. Located in 400 Hobart St, Cadillac, MI.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,205

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%)
Insurance Median: $2,205 (100%)
Ins. Median: $2,205 (100% 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.

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
Blue Cross Blue Shield $641 - $8,113 29%
Mclaren Health Plan $1,153 - $2,221 52%
Meridian $1,153 - $2,221 52%
Molina $1,153 - $2,382 52%
Priority Health $1,153 - $3,423 52%
UnitedHealthcare $1,153 - $2,626 52%
American Health Associates $2,205 100%
Autumnwood Of Mcbain Skilled Nursing $2,205 100%
Blue Care Network $2,205 100%
Hap (Health Alliance Plan) $2,205 - $3,308 100%
Humana $2,205 100%
Medicare (plans) $2,205 100%
Michigan Amish Medical Board $2,205 100%
Promedica $2,205 100%
Samaritas Senior Living Skilled Nursing $2,205 100%
Wellcare (Meridian) $2,205 100%
Cigna $2,471 - $3,423 112%
Aetna $3,080 139%
Cofinity $3,080 139%
Provider Network Of America Group Health $3,087 139%
Asr/Physicians Care $3,308 149%
Employee Benefits Logistics $3,748 - $3,749 169%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 400 Hobart St, Cadillac, MI 49601
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals