CMS Price Transparency Data

Vaginal delivery (full package)

Facility: Mary Lanning Healthcare

Billing Code: 59400 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59400
Insurance Median: $2,773
Cash Discount Price: $5,095
vs. Medicare Baseline: 1.25x Medicare

The contracted insurance negotiated median rate for a Vaginal delivery (full package) at Mary Lanning Healthcare is $2,773. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,095. Compared to the federal Medicare reimbursement reference rate of $2,214.42, this hospital’s rate is 1.25x the Medicare baseline. Located in 715 N St Joseph Ave, Hastings, NE.

Cash / Self-Pay

$5,095

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,773

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: $5,095 (230%)

Insurance Median: $2,773 (125%)

Cash: $5,095 (230% of Medicare)

Ins. Median: $2,773 (125% 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
Tricare	$1,830	83%
Aetna	$1,947 - $2,117	88%
Blue Cross Blue Shield	$1,947 - $3,622	88%
Medica Mcr Adv	$1,947	88%
Ne Total Care Mcr Adv	$1,947	88%
UnitedHealthcare	$1,947 - $2,529	88%
Va Ccn - All Plans	$1,947	88%
Consociate Inc-All Plans	$3,018	136%
Ambetter / Centene	$3,213	145%
Medica-All Other Plans	$3,408	154%
Midlands Choice-All Plans	$3,503	158%
Nhn/Mna-All Plans	$3,700	167%
Workers Compensation-All Plans	$4,880	220%
Multiplan-All Plans	$5,095	230%
Provider Network Of America-All Plans	$5,095	230%

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 $5,095.
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 Mary Lanning 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.