CMS Price Transparency Data

Vaginal delivery (full package)

Facility: Salem Memorial District Hospital

Billing Code: 59400 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 59400
  • Insurance Median: $342
  • Cash Discount Price: $411
  • vs. Medicare Baseline: 0.15x Medicare
The contracted insurance negotiated median rate for a Vaginal delivery (full package) at Salem Memorial District Hospital is $342. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $411. Compared to the federal Medicare reimbursement reference rate of $2,214.42, this hospital’s rate is 0.15x the Medicare baseline. Located in Po Box 774, Salem, MO.
Cash / Self-Pay
$411

Average discount available for prompt cash payment at this facility.

Insurance Median
$342

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: $411 (19%)
Insurance Median: $342 (15%)
Cash: $411 (19% of Medicare)
Ins. Median: $342 (15% 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.

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
Aetna $342 - $905 15%
Ambetter / Centene $342 15%
Blue Cross Blue Shield $342 - $956 15%
Humana $342 - $855 15%
Tricare $342 15%
Triwest $342 15%
UnitedHealthcare $342 - $575 15%
Veteran'S Affairs $342 15%
Healthlink $654 30%
Cigna $712 32%
First Health $805 36%
Mercy - C.B. Management Company/Joplin Supply Company $805 36%
Mercy - City Of Springfield $805 36%
Mercy - Clayco $805 36%
Mercy - Commerce Bank $805 36%
Mercy - Diversified Plastics $805 36%
Mercy - Employers Benefit Alliance $805 36%
Mercy - Evolutions $805 36%
Mercy - Fabick Cat $805 36%
Mercy - Firsthealth Network $805 36%
Mercy - Health Management Network $805 36%
Mercy - Health Systems Inc $805 36%
Mercy - Liberty Utilities/Empire District Electric $805 36%
Mercy - Life Church $805 36%
Mercy - Missouri State University $805 36%
Mercy - Prime Health Services $805 36%
Mercy - Quiktrip Corporation $805 36%
Mercy - Shinesolar $805 36%
Mercy - Springfield Public Schools $805 36%
Mercy - Springfield Remanufacturing $805 36%
Mercy - Sumnerone $805 36%
Mercy - Trailiner $805 36%
Mercy - Walmart Mercy Accountable Care Plan $805 36%
Mercy-American Healthcare Alliance $805 36%
Phcs $805 - $855 36%
Mercy - Compresults $905 41%
Mercy - Corvel Corporation $905 41%
Mercy - Novasys $905 41%
Mercy - Scurlock Industries $905 41%
Mercy - Usa Managed Care Organization $905 41%
Right Choice-Alliance $956 43%
Right Choice-Regular $976 44%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: Po Box 774, Salem, MO 65560
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals