CMS Price Transparency Data

Vaginal delivery (full package)

Facility: Memorial Medical Center

Billing Code: 59400 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 59400
  • Insurance Median: $3,263
  • Cash Discount Price: $3,008
  • vs. Medicare Baseline: 1.47x Medicare
The contracted insurance negotiated median rate for a Vaginal delivery (full package) at Memorial Medical Center is $3,263. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,008. Compared to the federal Medicare reimbursement reference rate of $2,214.42, this hospital’s rate is 1.47x the Medicare baseline. Located in 701 N Virginia St, Port Lavaca, TX.
Cash / Self-Pay
$3,008

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,263

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: $3,008 (136%)
Insurance Median: $3,263 (147%)
Cash: $3,008 (136% of Medicare)
Ins. Median: $3,263 (147% 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.

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
Universal American Snp $227 - $2,256 10%
Ambetter / Centene $259 - $1,384 12%
Aetna $1,851 - $3,461 84%
Blue Cross Blue Shield $1,954 - $3,461 88%
Amerigroup Chip $2,076 - $4,326 94%
Amerigroup Star $2,076 - $4,326 94%
Amerigroup Star Kids $2,076 - $4,326 94%
Amerigroup Star Plus $2,076 - $4,326 94%
Comm Health Chip $2,076 - $4,326 94%
Comm Health Perinatal-All Other Plans $2,076 - $4,326 94%
Molina Chip/Star-All Plans $2,076 - $4,326 94%
Scott & White Chip/Star-All Plans $2,076 - $4,326 94%
Superior Chip/Star $2,076 - $4,326 94%
Texas Childrens Hp - All Plans $2,076 - $4,326 94%
Triwest Va Pccc-All Plans $2,105 95%
Healthcare Highways-All Plans $2,121 - $3,461 96%
Amerigroup Mcr Adv-All Other Plans $2,148 97%
Care Improvement Plus - All Other Plans $2,148 97%
Care Improvement Plus Mcr $2,148 97%
Superior Allwell Mcr Adv-All Other Plans $2,148 97%
UnitedHealthcare $2,148 - $4,326 97%
Universal American Mcr-All Other Plans $2,148 97%
Comm Health Mcaid Hmo $2,180 - $4,542 98%
Comm Health Star $2,180 - $4,542 98%
Prime Healthcare Services-All Plans $2,284 - $3,028 103%
Capstar Health Network-All Plans $2,419 - $3,461 109%
Cigna $2,419 109%
Humana $2,610 - $3,461 118%
Coventry First Hlth Hmo Ppo-All Other Plans $2,685 - $3,461 121%
Coventry First Hlth Mcr Adv $2,685 121%
Corvel Work Comp-All Plans $2,774 - $3,677 125%
Independent Med Sys Ppo-All Plans $2,774 - $3,677 125%
Multiplan Mcr Adv $2,774 - $3,677 125%
Multiplan Phcs Ppo-All Other Plans $2,774 - $3,677 125%
Provider Select Ppo-All Plans $2,774 - $3,677 125%
Three Rivers Ppo-All Plans $2,774 - $3,677 125%
Usa Mso - All Plans $2,774 - $3,677 125%
Galaxy Health Network-All Plans $3,115 - $3,677 141%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 701 N Virginia St, Port Lavaca, TX 77979
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals