CMS Price Transparency Data

Vaginal delivery (full package)

Facility: M Health Fairview University of Mn Medical Center

Billing Code: 59400 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59400
Insurance Median: $3,906
Cash Discount Price: $3,646
vs. Medicare Baseline: 1.76x Medicare

The contracted insurance negotiated median rate for a Vaginal delivery (full package) at M Health Fairview University of Mn Medical Center is $3,906. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,646. Compared to the federal Medicare reimbursement reference rate of $2,214.42, this hospital’s rate is 1.76x the Medicare baseline. Located in 2450 Riverside Avenue, Minneapolis, MN.

Cash / Self-Pay

$3,646

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,906

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: $3,646 (165%)

Insurance Median: $3,906 (176%)

Cash: $3,646 (165% of Medicare)

Ins. Median: $3,906 (176% 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
Medica	$671 - $7,727	30%
Cigna	$1,287 - $6,390	58%
Health Partners	$1,305 - $19,148	59%
Itasca Medical Care	$1,305 - $2,114	59%
Primewest	$1,305 - $2,114	59%
South Country Health Alliance	$1,305 - $2,114	59%
Ucare	$1,330 - $5,877	60%
Sanford Health Plan	$1,353 - $6,721	61%
Emerging Therapies	$1,471 - $7,303	66%
Hennepin Health	$1,475	67%
Humana	$1,494 - $7,417	67%
UnitedHealthcare	$1,494 - $7,417	67%
Blue Cross Blue Shield	$1,512 - $11,996	68%
Aetna	$1,562 - $7,759	71%
Security Health Plan	$1,677 - $8,330	76%
Interlink	$1,723 - $8,558	78%
America'S Ppo	$1,746 - $9,014	79%
First Health	$1,884 - $9,357	85%
Multiplan	$1,953 - $9,699	88%
Private Healthcare Systems	$1,953 - $9,699	88%
Wisconsin Physician Services	$2,068 - $10,269	93%
Wellcare	$2,114	95%

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 $3,646.
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 M Health Fairview University of Mn 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.