CMS Price Transparency Data

Vaginal delivery (full package)

Facility: North Memorial Health Hospital

Billing Code: 59400 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59400
Insurance Median: $2,633
Cash Discount Price: $6,426
vs. Medicare Baseline: 1.19x Medicare

The contracted insurance negotiated median rate for a Vaginal delivery (full package) at North Memorial Health Hospital is $2,633. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,426. Compared to the federal Medicare reimbursement reference rate of $2,214.42, this hospital’s rate is 1.19x the Medicare baseline. Located in 3300 Oakdale North, Robbinsdale, MN.

Cash / Self-Pay

$6,426

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,633

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: $6,426 (290%)

Insurance Median: $2,633 (119%)

Cash: $6,426 (290% of Medicare)

Ins. Median: $2,633 (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
Health Partners [1061]	$1,388 - $9,319	63%
Medicaid / KanCare	$1,388	63%
Blue Cross Blue Shield	$1,402 - $9,959	63%
Medica [1086]	$1,413 - $9,033	64%
Hennepin Health [1096]	$1,527 - $1,554	69%
Ucare [1148]	$1,665 - $4,240	75%
Medicare (plans)	$2,356	106%
UnitedHealthcare	$2,426 - $7,750	110%
Aetna	$2,627	119%
Humana	$2,638	119%
America'S Ppo [1010]	$3,721 - $3,959	168%
Cigna	$9,692	438%

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 $6,426.
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 North Memorial Health Hospital 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.