CMS Price Transparency Data

Vaginal delivery (full package)

Facility: Wellspan York Hospital

Billing Code: 59400 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59400
Insurance Median: $2,997
Cash Discount Price: $2,675
vs. Medicare Baseline: 1.35x Medicare

The contracted insurance negotiated median rate for a Vaginal delivery (full package) at Wellspan York Hospital is $2,997. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,675. Compared to the federal Medicare reimbursement reference rate of $2,214.42, this hospital’s rate is 1.35x the Medicare baseline. Located in 1001 South George Street, York, PA.

Cash / Self-Pay

$2,675

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,997

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: $2,675 (121%)

Insurance Median: $2,997 (135%)

Cash: $2,675 (121% of Medicare)

Ins. Median: $2,997 (135% 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
Aetna	$602 - $3,046	27%
Medicaid / KanCare	$1,338 - $3,973	60%
Blue_Cross	$1,905 - $2,721	86%
Johns_Hopkins_Healthcare_Plan	$2,270 - $3,177	103%
Medicare (plans)	$2,270 - $2,452	103%
First_Health_Network	$2,899 - $3,046	131%
Cigna	$2,985 - $3,034	135%
Phc	$3,010	136%
Wellspan_Capital_Blue_Cross	$3,076	139%
Geisinger	$3,177	143%
Upmc	$3,177	143%
Highmark	$3,405 - $13,995	154%

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 $2,675.
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 Wellspan York 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.