CMS Price Transparency Data

Vaginal delivery (full package)

Facility: Bay Area Hospital

Billing Code: 59400 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59400
Insurance Median: $4,615
Cash Discount Price: $5,168
vs. Medicare Baseline: 2.08x Medicare

The contracted insurance negotiated median rate for a Vaginal delivery (full package) at Bay Area Hospital is $4,615. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,168. Compared to the federal Medicare reimbursement reference rate of $2,214.42, this hospital’s rate is 2.08x the Medicare baseline. Located in 1775 Thompson Road, Coos Bay, OR.

Cash / Self-Pay

$5,168

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,615

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: $5,168 (233%)

Insurance Median: $4,615 (208%)

Cash: $5,168 (233% of Medicare)

Ins. Median: $4,615 (208% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 208% of the Medicare baseline (a markup of 108%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Healthnet Mcr Adv	$2,318	105%
Moda Hlth Mcr Adv	$2,318	105%
Southwest Oregon Ipa - All Plans	$2,920	132%
Nasomah Hlth Grp - All Plans	$4,134	187%
Blue Cross Blue Shield	$4,252	192%
Providence - All Other Plans	$4,307	194%
Providence Pebb	$4,307	194%
Pacificsource - All Plans	$4,922	222%
Ods Ppo/Pos - All Plans	$5,045	228%
Moda Beacon - All Other Plans	$5,690	257%
Moda Connexus/Synergy	$6,322	285%
Healthnet Comm- All Other Plans	$6,546	296%
Healthnet Mcaid	$6,890	311%
Prov Behav Hlth	$8,612	389%

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 $5,168.
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 Bay Area 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.