CMS Price Transparency Data

Vaginal delivery (full package)

Facility: San Juan Regional Medical Center Inc

Billing Code: 59400 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$3,446

about 1.6× the $2,214 Medicare rate · typically $2,362–$5,915

modeled estimate · not a bill or quote

Medicare pays $2,214 Fair price $3,446 Cash price $2,977 Hospital's list price $5,953

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Aetna✓ Cigna✓ Humana Blue Cross Blue ShieldKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$4,536 - $7,739	205%
Aetnamajor	$5,358	242%
Cignamajor	$4,636	209%
Humanamajor	$2,457 - $4,762	111%
Health Net	$4,762	215%
Presbyterian	$2,345 - $8,084	106%
+ 7 smaller / regional plans	$3,869 - $25,955

Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 2,977), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 59400.

Insurance Before you use insurance

Call your insurance company to confirm San Juan Regional Medical Center Inc is in-network.
Ask your insurer whether prior approval is required for CPT code 59400.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at San Juan Regional Medical Center Inc

Compare: Vaginal delivery (full package) at other NM hospitals

Presbyterian Hospital · Albuquerque $5,623
Dr Dan C Trigg Memorial Hospital · Tucumcari $8,894
Lincoln County Medical Center · Ruidoso $8,894
Christus St Vincent Regional Medical Center · Santa Fe $10,053

Insurance negotiated median for the same procedure, sorted lowest first.