CMS Price Transparency Data

Vaginal delivery (full package)

Facility: Blount Memorial Hospital

Billing Code: 59400 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59400
Insurance Median: $2,473
Cash Discount Price: $1,117
vs. Medicare Baseline: 1.12x Medicare

The contracted insurance negotiated median rate for a Vaginal delivery (full package) at Blount Memorial Hospital is $2,473. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,117. Compared to the federal Medicare reimbursement reference rate of $2,214.42, this hospital’s rate is 1.12x the Medicare baseline. Located in 907 E Lamar Alexander Parkway, Maryville, TN.

Cash / Self-Pay

$1,117

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,473

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: $1,117 (50%)

Insurance Median: $2,473 (112%)

Cash: $1,117 (50% of Medicare)

Ins. Median: $2,473 (112% 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
Medicaid / KanCare	$555 - $1,839	25%
UnitedHealthcare	$555	25%
Prisma Health Seniorcare Pace - Midlands [5400]	$836	38%
Prisma Health Seniorcare Pace-Upstate [5200]	$836	38%
Promise Health Plan Contracted [2401]	$1,261 - $2,162	57%
Cigna	$1,356 - $2,473	61%
Orangeburg Senior Helping Center Pace [5401]	$1,442	65%
Bob Jones Univ-Pai [821]	$2,162	98%
Mvp Health Care [3037]	$2,473	112%
Preferred Administrators Contracted [2839]	$2,523	114%
Medcost [2940]	$2,667 - $2,991	120%
Atlantic Packaging Contracted [4833]	$2,703	122%
Aps Healthcare System [2981]	$2,883	130%
Multiplan/Phcs Contracted [2950]	$3,208	145%
Aetna	$3,244	146%
Meritain Health Contracted [2200]	$3,244	146%
Nippon [2300]	$3,244	146%
Vsp Vision Care [2986]	$3,244	146%
First Health Contracted [2952]	$3,352	151%
Furman Int/Allen University Student [2951]	$3,352	151%
Quiktrip-First Health [3067]	$3,352	151%

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 $1,117.
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 Blount Memorial 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.