CMS Price Transparency Data

Vaginal delivery (full package)

Facility: Montefiore Mount Vernon Hospital

Billing Code: 59400 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$3,026

about 1.4× the $2,214 Medicare rate · typically $2,290–$4,523

modeled estimate · not a bill or quote

What this hospital charges insurers

$2,164

Below the fair price — a good deal

about $862 under the fair price · 1.0× Medicare

Medicare pays $2,214 Fair price $3,026 This hospital $2,164

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

Highest price of the 9 NY hospitals we have prices for — worth calling around.

Cheapest $1,074 Priciest $2,164

Black dot = this hospital, among the 9 NY hospitals with a price for this procedure. Full list below.

A fair price for a Vaginal delivery (full package) is about $3,026 (about 1.4× the $2,214 Medicare rate). Montefiore Mount Vernon Hospital charges insurers about $2,164 — below the fair price — a good deal. Located in Mount Vernon, NY.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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	$2,154 - $2,452	97%
Blue Cross Blue Shieldmajor	$2,154 - $4,846	97%
Fidelis Care	$2,154 - $3,769	97%
Molina	$2,154 - $4,846	97%
MVP Health Care	$2,154 - $6,666	97%
Oscar Health	$3,549 - $7,276	160%
SelectHealth	$2,477	112%
WellCare	$2,175 - $2,197	98%
+ 7 smaller / regional plans	$1,788 - $18,107

Government programs also on file: Medicaid.

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, 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 Montefiore Mount Vernon Hospital 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 Montefiore Mount Vernon Hospital

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

Samaritan Hospital of Troy, New York · Troy $1,074
St Peter's Hospital · Albany $1,097
Montefiore St Luke's Cornwall · Newburgh $1,690
Olean General Hospital · Olean $2,057
St James Hospital · Hornell $2,066
Samaritan Medical Center · Watertown $2,120
Sisters of Charity Hospital · Buffalo $2,122
Ira Davenport Memorial Hospital · Bath $2,131

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