CMS Price Transparency Data

Vaginal delivery (full package)

Facility: Doctors Hosptal at Renaissance

Billing Code: 59400 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59400
Insurance Median: $3,390
Cash Discount Price: $11,198
vs. Medicare Baseline: 1.53x Medicare

The contracted insurance negotiated median rate for a Vaginal delivery (full package) at Doctors Hosptal at Renaissance is $3,390. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $11,198. Compared to the federal Medicare reimbursement reference rate of $2,214.42, this hospital’s rate is 1.53x the Medicare baseline. Located in 5501 South McColl, Edinburg, TX.

Cash / Self-Pay

$11,198

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,390

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: $11,198 (506%)

Insurance Median: $3,390 (153%)

Cash: $11,198 (506% of Medicare)

Ins. Median: $3,390 (153% 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	$1,657	75%
Humana	$2,288	103%
Blue Cross Blue Shield	$2,334 - $4,290	105%
Molina	$2,403 - $2,860	109%
Superior	$2,403 - $2,860	109%
Wellcare	$2,403	109%
Aetna	$3,919 - $5,039	177%
Cl Frates	$4,479	202%
Healthsmart	$5,039	228%

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 $11,198.
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 Doctors Hosptal at Renaissance 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.