CMS Price Transparency Data

Vaginal delivery (full package)

Facility: Great Plains Health

Billing Code: 59400 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59400
Insurance Median: $25,657
Cash Discount Price: $16,733
vs. Medicare Baseline: 11.59x Medicare

The contracted insurance negotiated median rate for a Vaginal delivery (full package) at Great Plains Health is $25,657. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $16,733. Compared to the federal Medicare reimbursement reference rate of $2,214.42, this hospital’s rate is 11.59x the Medicare baseline. Located in 601 West Leota St, North Platte, NE.

Cash / Self-Pay

$16,733

Average discount available for prompt cash payment at this facility.

Insurance Median

$25,657

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: $16,733 (756%)

Insurance Median: $25,657 (1159%)

Cash: $16,733 (756% of Medicare)

Ins. Median: $25,657 (1159% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1159% of the Medicare baseline (a markup of 1059%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Nebraska Total Care	$2,121	96%
Molina	$2,314	104%
Blue Cross Blue Shield	$4,605 - $24,681	208%
Midlands Choice	$5,392 - $25,936	243%
Ambetter / Centene	$9,640 - $25,657	435%
Midwest Network Alliance	$23,473 - $24,310	1060%
Medica	$25,657	1159%
Oscar Health	$25,936	1171%
Coventry	$26,215 - $26,494	1184%
Geha	$26,215	1184%
Mutual Of Omaha	$26,494	1196%
UnitedHealthcare	$26,494	1196%

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 $16,733.
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 Great Plains Health 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.