CMS Price Transparency Data

Vaginal delivery (full package)

Facility: Alice Peck Day Memorial Hospital

Billing Code: 59400 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59400
Insurance Median: $3,726
Cash Discount Price: $2,622
vs. Medicare Baseline: 1.68x Medicare

The contracted insurance negotiated median rate for a Vaginal delivery (full package) at Alice Peck Day Memorial Hospital is $3,726. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,622. Compared to the federal Medicare reimbursement reference rate of $2,214.42, this hospital’s rate is 1.68x the Medicare baseline. Located in 10 Alice Peck Day Drive, Lebanon, NH.

Cash / Self-Pay

$2,622

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,726

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: $2,622 (118%)

Insurance Median: $3,726 (168%)

Cash: $2,622 (118% of Medicare)

Ins. Median: $3,726 (168% 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
Ambetter / Centene	$1,200	54%
Nh Healthy Families	$1,248	56%
Medicaid / KanCare	$2,233	101%
Blue Cross Blue Shield	$2,405 - $4,329	109%
Harvard Pilgrim	$3,025 - $4,217	137%
UnitedHealthcare	$3,502	158%
Tufts	$3,567	161%
Cigna	$3,726 - $3,979	168%
Commercial Generic	$3,726	168%
Connecticut General	$3,726	168%
Klais	$3,760	170%
Wellpoint	$3,823	173%
Aetna	$4,378	198%
Mvp	$4,426	200%
Coventry Health	$4,621	209%
Coventry Health Wc	$4,621	209%
Humana	$5,059	228%

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 $2,622.
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 Alice Peck Day 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.