CMS Price Transparency Data

Vaginal delivery (full package)

Facility: Perham Health

Billing Code: 59400 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59400
Insurance Median: $149
Cash Discount Price: $208
vs. Medicare Baseline: 0.07x Medicare

The contracted insurance negotiated median rate for a Vaginal delivery (full package) at Perham Health is $149. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $208. Compared to the federal Medicare reimbursement reference rate of $2,214.42, this hospital’s rate is 0.07x the Medicare baseline. Located in 1000 Coney Street West, Perham, MN.

Cash / Self-Pay

$208

Average discount available for prompt cash payment at this facility.

Insurance Median

$149

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: $208 (9%)

Insurance Median: $149 (7%)

Cash: $208 (9% of Medicare)

Ins. Median: $149 (7% 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 Mcaid Mn Care	$223 - $2,285	10%
Preferred One (Ppo)	$223 - $5,307	10%
Sanford Health Plan-All Plans	$223 - $5,307	10%
UnitedHealthcare	$225 - $4,870	10%
Medicare (plans)	$230 - $2,360	10%
Medica Commercial-All Other Plans	$234 - $4,570	11%
Health Partners-All Plans	$236 - $5,119	11%
Medica Mn (Msho)	$237 - $2,572	11%
Ucare Individual And Family Plan-All Other Plans	$238 - $2,585	11%
Preferred One (Pchp, Pic, Pas)-All Other Plans	$240 - $4,682	11%
Blue Cross Blue Shield	$244 - $4,224	11%
Health Partners Minnesota Care	$288 - $3,122	13%
Health Partners Mcr Adv	$936 - $2,123	42%
Humana	$936 - $2,123	42%
Medica Mcr Adv	$936 - $2,123	42%
Ucare Mn Senior Health Options	$936 - $2,123	42%
Ucare Mn Special Needs Basic Care Dual	$983 - $2,229	44%
Ucare Mn Medical Assistance	$991 - $2,247	45%
Ucare Mn Minnesota Care	$991 - $2,247	45%
Ucare Mn Senior Care Plus	$991 - $2,247	45%
Ucare Mn Special Needs Basic Care	$991 - $2,247	45%
Medicaid / KanCare	$993 - $2,251	45%

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 $208.
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 Perham Health 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.