CMS Price Transparency Data

Vaginal delivery (full package)

Facility: The University of Vermont Health Network-Alice Hy

Billing Code: 59400 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59400
Insurance Median: $2,323
Cash Discount Price: $7,135
vs. Medicare Baseline: 1.05x Medicare

The contracted insurance negotiated median rate for a Vaginal delivery (full package) at The University of Vermont Health Network-Alice Hy is $2,323. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,135. Compared to the federal Medicare reimbursement reference rate of $2,214.42, this hospital’s rate is 1.05x the Medicare baseline. Located in 133 Park Street, Po Box 729, Malone, NY.

Cash / Self-Pay

$7,135

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,323

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: $7,135 (322%)

Insurance Median: $2,323 (105%)

Cash: $7,135 (322% of Medicare)

Ins. Median: $2,323 (105% 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
Blue Cross Blue Shield	$1,721 - $2,828	78%
Fidelis Care	$1,892 - $2,560	85%
Humana	$1,892	85%
Mvp	$1,892 - $4,539	85%
Capital District Physicians' Health Plan	$1,981 - $3,623	89%
Aetna	$2,226 - $3,454	101%
UnitedHealthcare	$2,226 - $5,343	101%
Veterans Affairs Community Care Network	$2,226	101%
Martins Point	$2,239	101%
Choicecare	$2,309 - $3,001	104%
St. Regis	$4,051	183%
Magnacare	$5,708	258%
Highmark Blueshield	$6,992	316%

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 $7,135.
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 The University of Vermont Health Network-Alice Hy 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.