CMS Price Transparency Data

Vaginal delivery (full package)

Facility: Lakewood Health System

Billing Code: 59400 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59400
Insurance Median: $2,104
Cash Discount Price: $2,752
vs. Medicare Baseline: 0.95x Medicare

The contracted insurance negotiated median rate for a Vaginal delivery (full package) at Lakewood Health System is $2,104. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,752. Compared to the federal Medicare reimbursement reference rate of $2,214.42, this hospital’s rate is 0.95x the Medicare baseline. Located in 49725 County Road 83, Staples, MN.

Cash / Self-Pay

$2,752

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,104

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: $2,752 (124%)

Insurance Median: $2,104 (95%)

Cash: $2,752 (124% of Medicare)

Ins. Median: $2,104 (95% 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
Ucare Msho/Special Needs	$1,221 - $1,828	55%
UnitedHealthcare	$1,388 - $3,950	63%
Blue Cross Blue Shield	$1,724 - $3,265	78%
Humana	$1,793 - $1,985	81%
Ucare Mcr Adv	$1,828 - $1,985	83%
Ucare Individual/Family - All Other Plans	$2,041 - $3,176	92%
Medica Choice Care	$2,166 - $3,810	98%
Medica Msho/Mcr Adv	$2,228	101%
Medica Choice/Focus/Ifb/Mhps - All Other Plans	$3,810	172%
Health Partners - All Plans	$4,172 - $5,552	188%
Preferred One Hmo	$4,216 - $4,496	190%
Preferred One Ppo - All Other Plans	$4,216 - $4,764	190%

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 $2,752.
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 Lakewood Health System 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.