CMS Price Transparency Data

Vaginal delivery (full package)

Facility: Baylor Scott & White Medical Center - Buda

Billing Code: 59400 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59400
Insurance Median: $2,527
Cash Discount Price: $2,757
vs. Medicare Baseline: 1.14x Medicare

The contracted insurance negotiated median rate for a Vaginal delivery (full package) at Baylor Scott & White Medical Center - Buda is $2,527. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,757. Compared to the federal Medicare reimbursement reference rate of $2,214.42, this hospital’s rate is 1.14x the Medicare baseline. Located in 5330 Overpass Road Suite 110, Buda, TX.

Cash / Self-Pay

$2,757

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,527

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: $2,757 (125%)

Insurance Median: $2,527 (114%)

Cash: $2,757 (125% of Medicare)

Ins. Median: $2,527 (114% 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
Superior Health Plan	$827	37%
Baylor Scott & White Health Plan	$1,672 - $1,967	76%
Cigna	$2,183 - $2,546	99%
UnitedHealthcare	$2,265	102%
Aetna	$2,527	114%
Midcoast	$2,527	114%
Quiktrip	$2,527	114%
University Of Mary Hardin-Baylor	$2,665	120%
Curative	$2,987	135%
First Health	$3,216	145%
Humana	$3,216 - $7,006	145%
Private Health Care System	$3,446	156%
Triwest	$3,446	156%

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 $2,757.
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 Baylor Scott & White Medical Center - Buda 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.