CMS Price Transparency Data

Vaginal delivery (full package)

Facility: Mid-Columbia Medical Center

Billing Code: 59400 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59400
Insurance Median: $2,636
Cash Discount Price: $3,714
vs. Medicare Baseline: 1.19x Medicare

The contracted insurance negotiated median rate for a Vaginal delivery (full package) at Mid-Columbia Medical Center is $2,636. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,714. Compared to the federal Medicare reimbursement reference rate of $2,214.42, this hospital’s rate is 1.19x the Medicare baseline. Located in 1700 E 19Th Street, The Dalles, OR.

Cash / Self-Pay

$3,714

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,636

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: $3,714 (168%)

Insurance Median: $2,636 (119%)

Cash: $3,714 (168% of Medicare)

Ins. Median: $2,636 (119% 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	$2,107 - $4,733	95%
Community Hp Mcr Adv - All Plans	$2,107	95%
Molina Mcr Adv	$2,107	95%
Tricare	$2,107	95%
Va Ccn Triwest - All Plans	$2,107	95%
Healthnet Mcr Adv	$2,150	97%
Humana	$2,171	98%
Moda Mcr Adv	$2,171	98%
Devoted Mcr Adv - All Plans	$2,276	103%
Employee Health Plan - All Plans	$2,318	105%
Molina - All Other Plans	$2,318	105%
Healthnet - All Other Plans	$2,953	133%
Cigna	$3,530	159%
Multiplan/Phcs - All Plans	$3,583	162%
Coventry - All Plans	$3,815	172%
First Choice - All Plans	$3,876	175%
Aetna	$4,004	181%
Molina Mcaid	$4,024	182%
Providence Ppo - All Plans	$4,061	183%
Moda Health Plan - All Other Plans	$4,254	192%
Amerigroup Mcaid - All Plans	$7,738	349%
Coordinated Care Mcaid - All Plans	$7,738	349%

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 $3,714.
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 Mid-Columbia 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.