CMS Price Transparency Data

Vaginal delivery (full package)

Facility: Wyandotte Hospital and Medical Center

Billing Code: 59400 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59400
Insurance Median: $2,581
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.17x Medicare

The contracted insurance negotiated median rate for a Vaginal delivery (full package) at Wyandotte Hospital and Medical Center is $2,581. 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 1.17x the Medicare baseline. Located in 2333 Biddle Ave, Wyandotte, MI.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,581

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: $2,581 (117%)

Ins. Median: $2,581 (117% 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	$1,383 - $2,581	62%
Hap	$1,383 - $4,247	62%
Mclaren	$1,383	62%
Meridian Health Plan Of Mi	$1,383	62%
Priority Health	$1,383 - $2,692	62%
Molina	$1,494 - $2,839	67%
Humana	$2,084 - $3,433	94%
Cofinity	$2,150	97%
Amerihealth Michigan	$2,221 - $2,529	100%
Hap Caresource	$2,221	100%
Mclaren Health Plan Inc.	$2,221 - $2,581	100%
Meridian	$2,221 - $2,581	100%
Priority	$2,332 - $2,581	105%
Pace Se Mi	$2,452	111%
Bcn	$2,581 - $3,242	117%
Blue Cross Blue Shield	$2,581 - $12,140	117%
Cca Health Mi	$2,581	117%
Health Alliance Plan Of Michigan	$2,581	117%
Mount Carmel Health Plan	$2,581	117%
United Behavioral Health, Inc.	$2,581	117%
UnitedHealthcare	$2,581 - $2,640	117%
Wellcare Ma	$2,581	117%
Wellcare	$2,607	118%
Cigna	$3,233	146%
Vitalcore Physicians Group Of Mi	$3,355	152%
Cofinity Group Health	$4,405	199%

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 $X.
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 Wyandotte Hospital and 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.