CMS Price Transparency Data

Vaginal delivery (full package)

Facility: Maimonides Medical Center

Billing Code: 59400 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59400
Insurance Median: $4,205
Cash Discount Price: $7,245
vs. Medicare Baseline: 1.90x Medicare

The contracted insurance negotiated median rate for a Vaginal delivery (full package) at Maimonides Medical Center is $4,205. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,245. Compared to the federal Medicare reimbursement reference rate of $2,214.42, this hospital’s rate is 1.90x the Medicare baseline. Located in 4802 Tenth Avenue, Brooklyn, NY.

Cash / Self-Pay

$7,245

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,205

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: $7,245 (327%)

Insurance Median: $4,205 (190%)

Cash: $7,245 (327% of Medicare)

Ins. Median: $4,205 (190% 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
Emblem Health - Hip	$1,738 - $5,503	78%
Oxford Liberty	$1,853 - $4,211	84%
United Community Plan	$2,010	91%
UnitedHealthcare	$2,010 - $5,334	91%
Oxford Health Plan	$2,124 - $4,826	96%
Molina	$2,226 - $2,896	101%
Metroplus	$2,785 - $2,875	126%
Blue Cross Blue Shield	$2,990 - $5,833	135%
Local 1199	$3,000	135%
Aetna	$3,651 - $5,486	165%
Fidelis	$4,100 - $4,200	185%
Cigna	$4,490 - $5,204	203%
Emblem Health - Ghi	$5,329 - $5,504	241%

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 $7,245.
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 Maimonides 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.