CMS Price Transparency Data

Vaginal delivery (full package)

Facility: Magee Womens Hospital of UPMC Health System

Billing Code: 59400 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59400
Insurance Median: $3,166
Cash Discount Price: $4,748
vs. Medicare Baseline: 1.43x Medicare

The contracted insurance negotiated median rate for a Vaginal delivery (full package) at Magee Womens Hospital of UPMC Health System is $3,166. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,748. Compared to the federal Medicare reimbursement reference rate of $2,214.42, this hospital’s rate is 1.43x the Medicare baseline. Located in 300 Halket Street, Pittsburgh, PA.

Cash / Self-Pay

$4,748

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,166

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: $4,748 (214%)

Insurance Median: $3,166 (143%)

Cash: $4,748 (214% of Medicare)

Ins. Median: $3,166 (143% 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
UnitedHealthcare	$1,965 - $2,284	89%
Upmc Health Plan	$1,965 - $2,679	89%
Aetna	$2,164 - $4,194	98%
Highmark Wholecare (Prev Gateway)	$2,649 - $3,957	120%
Geisinger	$2,780 - $3,232	126%
Amerihealth Caritas	$2,826 - $3,285	128%
Blue Cross Blue Shield	$2,947 - $17,127	133%
Upmc Work Partners	$2,981	135%
Pa Health & Wellness	$3,044 - $3,538	137%
Cigna	$3,166 - $4,194	143%
Intergroup	$3,957	179%
Coventry/First Health	$5,540	250%
Preferred Healthcare System	$6,331	286%
Humana	$6,727	304%
Private Health Care Systems	$6,727	304%
Multiplan	$7,281	329%

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 $4,748.
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 Magee Womens Hospital of UPMC Health System 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.