CMS Price Transparency Data

Vaginal delivery (full package)

Facility: Strong Memorial Hospital

Billing Code: 59400 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59400
Insurance Median: $3,123
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.41x Medicare

The contracted insurance negotiated median rate for a Vaginal delivery (full package) at Strong Memorial Hospital is $3,123. 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 1.41x the Medicare baseline. Located in 601 Elmwood Ave, Rochester, NY.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,123

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: $3,123 (141%)

Ins. Median: $3,123 (141% 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	$1,477 - $2,560	67%
Medicare (plans)	$1,786 - $2,610	81%
Aetna	$1,892 - $6,118	85%
Excellus Bc/Bs [2201]	$1,892 - $4,162	85%
Highmark Bc/Bs Of Western Ny [5143]	$2,052 - $2,414	93%
Excellus Bc/Bs [2201], Bc/Bs Out Of Area [2401]	$2,146 - $7,740	97%
Elderplan [1316]	$2,226	101%
Icircle [1728]	$2,226	101%
Martins Point [1205]	$2,226	101%
Nascentia [1729]	$2,226	101%
UnitedHealthcare	$2,226 - $5,341	101%
Humana	$2,248 - $2,582	102%
Fidelis [5155]	$2,693 - $3,005	122%
Independent Health [5156]	$3,123 - $3,776	141%
Mvp [2900]	$4,094 - $10,976	185%
Cigna	$5,354 - $10,976	242%
Capital District Physicians Health Plan (Cdphp) [5149]	$5,817 - $7,780	263%

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 $X.
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 Strong 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.