CMS Price Transparency Data

Vaginal delivery (full package)

Facility: Schuylkill Medical Center - South Jackson Street

Billing Code: 59400 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59400
Insurance Median: $2,419
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.09x Medicare

The contracted insurance negotiated median rate for a Vaginal delivery (full package) at Schuylkill Medical Center - South Jackson Street is $2,419. 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 1.09x the Medicare baseline. Located in 420 South Jackson Street, Pottsville, PA.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,419

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: $2,419 (109%)

Ins. Median: $2,419 (109% 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	$1,018 - $2,270	46%
Geisinger	$1,039 - $5,525	47%
Highmark Blue Shield	$1,039 - $7,178	47%
Amerihealth	$1,049 - $2,338	47%
Cigna	$1,049 - $2,338	47%
UnitedHealthcare	$1,059 - $2,450	48%
Aetna	$1,069 - $12,591	48%
Jefferson Health Partners	$1,069 - $4,540	48%
Devoted Health	$1,079 - $2,406	49%
Humana	$1,079 - $2,406	49%
Upmc	$1,079 - $11,056	49%
Gateway	$1,089 - $2,429	49%
Emblem	$1,100 - $10,125	50%
Pa Health & Wellness (Allwell)	$1,120 - $2,497	51%
Amerihealth Caritas	$2,329 - $2,387	105%
Highmark Wholecare/Gateway	$2,572 - $2,637	116%
Pa Health & Wellness	$2,734 - $2,803	123%
Ambetter / Centene	$3,088 - $6,886	139%
Valley Preferred	$5,938 - $13,239	268%

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 Schuylkill Medical Center - South Jackson Street 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.