CMS Price Transparency Data

Vaginal delivery (full package)

Facility: Barrett Hospital & Healthcare

Billing Code: 59400 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59400
Insurance Median: $3,692
Cash Discount Price: $4,476
vs. Medicare Baseline: 1.67x Medicare

The contracted insurance negotiated median rate for a Vaginal delivery (full package) at Barrett Hospital & Healthcare is $3,692. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,476. Compared to the federal Medicare reimbursement reference rate of $2,214.42, this hospital’s rate is 1.67x the Medicare baseline. Located in 600 Mt Hwy 91 S, Dillon, MT.

Cash / Self-Pay

$4,476

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,692

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: $4,476 (202%)

Insurance Median: $3,692 (167%)

Cash: $4,476 (202% of Medicare)

Ins. Median: $3,692 (167% 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
Humana	$2,214	100%
UnitedHealthcare	$2,214 - $3,496	100%
Montana Health Coop - All Plans	$3,443	155%
First Choice - All Plans	$3,590	162%
Ebms - All Plans	$3,661	165%
Interwest Health Ppo - All Other Plans	$3,692	167%
Pacific Source - All Plans	$3,692	167%
Interwest Health Ppo Direct	$3,770	170%
Allegiance - All Plans	$3,838	173%
Blue Cross Blue Shield	$3,838	173%
Interwest Health Traditional	$4,061	183%

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 $4,476.
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 Barrett Hospital & Healthcare 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.