CMS Price Transparency Data

Vaginal delivery (full package)

Facility: The University Hospital

Billing Code: 59400 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59400
Insurance Median: $3,242
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.46x Medicare

The contracted insurance negotiated median rate for a Vaginal delivery (full package) at The University Hospital is $3,242. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $2,214.42, this hospital’s rate is 1.46x the Medicare baseline. Located in 150 Bergen St, Newark, NJ.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,242

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%)

Insurance Median: $3,242 (146%)

Ins. Median: $3,242 (146% 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
Horizon	$1,331 - $3,242	60%
Aetna	$2,487 - $3,219	112%
Fidelis	$2,487	112%
UnitedHealthcare	$2,487	112%
Wellpoint	$2,536	115%
Amerihealth	$5,506	249%
First Health	$5,929	268%
Americare	$6,353	287%
Qualcare	$6,353	287%
Correctional Medical Services	$6,776	306%
Multiplan	$6,776	306%
First Trenton	$7,623	344%
Managed Care Inc	$7,623	344%
Consumer Health Network	$8,047	363%
Three Rivers	$8,047	363%

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 $X.
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 The University 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.