CMS Price Transparency Data

Vaginal delivery (full package)

Facility: Ste Genevieve County Memorial Hospital

Billing Code: 59400 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59400
Insurance Median: $1,849
Cash Discount Price: $2,266
vs. Medicare Baseline: 0.83x Medicare

The contracted insurance negotiated median rate for a Vaginal delivery (full package) at Ste Genevieve County Memorial Hospital is $1,849. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,266. Compared to the federal Medicare reimbursement reference rate of $2,214.42, this hospital’s rate is 0.83x the Medicare baseline. Located in Hwys 61 & 32, Sainte Genevieve, MO.

Cash / Self-Pay

$2,266

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,849

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: $2,266 (102%)

Insurance Median: $1,849 (83%)

Cash: $2,266 (102% of Medicare)

Ins. Median: $1,849 (83% 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
UnitedHealthcare	$452	20%
Blue Cross Blue Shield	$1,133	51%
Medicare (plans)	$1,133	51%
Va	$1,133	51%
Aetna	$1,156 - $3,490	52%
Allwell	$1,156	52%
Pphp	$1,303	59%
Ambetter / Centene	$1,416	64%
Healthy_Blue	$1,849	83%
Medicaid / KanCare	$1,849	83%
Uhc_Community	$1,849	83%
Homestate	$1,886	85%
Meritain	$3,490	158%
Multiplan/Phcs	$3,852	174%
Healthlink_Compmanagement	$4,033	182%
Healthlink_Hmo	$4,033	182%
Healthlink_Ppo	$4,033	182%

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 $2,266.
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 Ste Genevieve County Memorial Hospital 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.