CMS Price Transparency Data

Vaginal delivery (full package)

Facility: Citizens Memorial Hospital

Billing Code: 59400 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$2,728

about 1.2× the $2,214 Medicare rate · typically $2,110–$2,728

modeled estimate · not a bill or quote

What this hospital charges insurers

$2,119

Below the fair price — a good deal

about $609 under the fair price · 1.0× Medicare

Medicare pays $2,214 Fair price $2,728 This hospital $2,119 Cash price $2,866 Hospital's list price $3,583

How we calculate the fair BaseRate →

How this hospital compares to other MO hospitals

Lowest price of the 9 MO hospitals we have prices for — a strong deal.

Cheapest $2,119 Priciest $2,585

Black dot = this hospital, among the 9 MO hospitals with a price for this procedure. Full list below.

A fair price for a Vaginal delivery (full package) is about $2,728 (about 1.2× the $2,214 Medicare rate). Citizens Memorial Hospital charges insurers about $2,119, or about $2,866 in cash — below the fair price — a good deal. Located in Bolivar, MO.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$2,119	96%
Blue Cross Blue Shieldmajor	$2,140	97%
Aetnamajor	$2,119	96%
Humanamajor	$2,119	96%
Ambetter (Centene)	$2,892	131%
Health Net	$2,119	96%
WellCare	$2,182	99%
+ 3 smaller / regional plans	$2,119 - $2,225

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 2,866), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 59400.

Insurance Before you use insurance

Call your insurance company to confirm Citizens Memorial Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 59400.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Citizens Memorial Hospital

Compare: Vaginal delivery (full package) at other MO hospitals

Insurance negotiated median for the same procedure, sorted lowest first.