CMS Price Transparency Data

Vaginal delivery (full package)

Facility: Sunrise Hospital and Medical Center

Billing Code: 59400 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59400
Insurance Median: $2,468
Cash Discount Price: $8,489
vs. Medicare Baseline: 1.11x Medicare

The contracted insurance negotiated median rate for a Vaginal delivery (full package) at Sunrise Hospital and Medical Center is $2,468. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,489. Compared to the federal Medicare reimbursement reference rate of $2,214.42, this hospital’s rate is 1.11x the Medicare baseline. Located in 3186 S Maryland Pkwy, Las Vegas, NV.

Cash / Self-Pay

$8,489

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,468

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: $8,489 (383%)

Insurance Median: $2,468 (111%)

Cash: $8,489 (383% of Medicare)

Ins. Median: $2,468 (111% 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
Humana	$1,190 - $2,468	54%
Culinary Health Fund	$1,499 - $3,457	68%
Amerigroup	$1,693 - $2,145	76%
Health Plan Nevada	$1,693 - $2,252	76%
Molina	$1,778 - $2,365	80%
Silver Summit	$1,778 - $2,881	80%
Community Care Health	$2,031 - $2,032	92%
Molina Healthcare	$2,031 - $2,113	92%
Sierra Hpn	$2,031 - $2,032	92%
Caresource	$2,113	95%
Blue Cross Blue Shield	$2,252 - $4,700	102%
Healthcare Partners Of Nv	$2,259 - $3,090	102%
Aetna	$2,305 - $2,686	104%
Alignment Health Plan	$2,305	104%
United	$2,377 - $3,002	107%
Caremore	$2,420	109%
Ambetter / Centene	$2,626	119%
Hometown Health Providers	$2,650 - $4,160	120%
Cigna	$3,056 - $6,461	138%
Sierra	$3,073 - $3,300	139%
Multiplan	$3,090	140%
Select Health	$3,404 - $5,554	154%
Health Services Coalition	$4,260	192%
Legacy Provider Network	$4,972	225%
Corvel	$5,248	237%
Comp-Med Workers Comp	$5,358	242%
Olympus Medsave Usa	$5,524	249%

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 $8,489.
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 Sunrise Hospital and Medical Center 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.