CMS Price Transparency Data

Vaginal delivery (full package)

Facility: Columbia Memorial Hospital

Billing Code: 59400 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59400
Insurance Median: $2,666
Cash Discount Price: $4,473
vs. Medicare Baseline: 1.20x Medicare

The contracted insurance negotiated median rate for a Vaginal delivery (full package) at Columbia Memorial Hospital is $2,666. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,473. Compared to the federal Medicare reimbursement reference rate of $2,214.42, this hospital’s rate is 1.20x the Medicare baseline. Located in 71 Prospect Avenue, Hudson, NY.

Cash / Self-Pay

$4,473

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,666

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: $4,473 (202%)

Insurance Median: $2,666 (120%)

Cash: $4,473 (202% of Medicare)

Ins. Median: $2,666 (120% 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
Medicaid / KanCare	$1,738 - $2,380	78%
Mvp	$1,810 - $4,997	82%
Medicare (plans)	$1,940 - $2,586	88%
UnitedHealthcare	$1,940 - $3,104	88%
Blue Cross Blue Shield	$2,198 - $4,402	99%
Tricare	$2,198 - $2,586	99%
Blue Shield Highmark	$2,206 - $2,785	100%
Fidelis	$2,380 - $5,354	107%
Cdphp	$2,402 - $5,354	108%
Hamaspik	$2,418 - $3,236	109%
Aetna	$2,664 - $4,009	120%
Cigna	$2,850	129%
Emblem Health Ghi	$3,543	160%

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 $4,473.
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 Columbia 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.