CMS Price Transparency Data

Vaginal delivery (full package)

Facility: Queens Hospital Center

Billing Code: 59400 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 59400
  • Insurance Median: $2,746
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.24x Medicare
The contracted insurance negotiated median rate for a Vaginal delivery (full package) at Queens Hospital Center is $2,746. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $2,214.42, this hospital’s rate is 1.24x the Medicare baseline. Located in 82-68 164Th Street, Jamaica, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,746

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%)
Insurance Median: $2,746 (124%)
Ins. Median: $2,746 (124% 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.

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
Healthfirst $1,373 - $5,398 62%
United $1,481 - $2,178 67%
Metroplus $2,184 - $3,570 99%
Blue Cross Blue Shield $2,399 - $7,499 108%
Carelon $2,399 108%
Fidelis $2,399 - $5,398 108%
Senior Whole Health $2,399 108%
United Behavioral Health $2,399 - $2,639 108%
Affinity $2,417 - $5,398 109%
Carelon (Amida Care) $2,447 111%
Vnsny $2,447 111%
Aetna $2,473 - $4,080 112%
Amidacare $2,746 124%
Centerlight $2,746 124%
Elderplan $2,746 124%
Emblem $2,746 - $3,239 124%
Centers Plan For Healthy Living $2,856 129%
Hamaspik $2,883 130%
Wellcare $2,966 134%
Local 1199 $3,000 135%
Oscar $3,433 - $4,119 155%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 82-68 164Th Street, Jamaica, NY 11432
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals