Vaginal delivery (full package) cost
What a vaginal delivery (full package) costs across the U.S. — and the fair price to aim for.
Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Cash-Arbitrage Bifurcated Pricer
Englewood Hospital and Medical Center maintains elevated commercial insurance contracts (1.24× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 90% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.94× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 90% of shoppable procedures (99/100 Cash Honesty)
- 4-Star CMS clinical rating with 78% patient recommendation (66/100 safety score)
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (30.1% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.6× markup over Medicare rates
- Commercial insurance median sits at 1.05× Fair BaseRate (1.3× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Specialty infusion drugs (J-codes) average 2.6× Medicare — verify per-unit billing on itemized statements
- Unnegotiated chargemaster list prices average 17.9× Medicare (14¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
National State Price Index Heatmap · Vaginal delivery (full package)
State commercial price index vs. U.S. median (1.00×) and average Medicare multiple across all 53 priced states & territories
Across 1,301 hospitals in 51 states, a vaginal delivery (full package) has a fair BaseRate of $2,940 and typically costs $1,980–$6,207. The cheapest state is KS; the priciest is NM.
Cheapest hospitals for a vaginal delivery (full package)
- Englewood Hospital and Medical Center · Englewood, NJ $813
- University of Ks Hlth System Great Bend Campus · Great Bend, KS $841
- Mercyone North Iowa Medical Center · Mason City, IA $955
- Mercyone Des Moines Medical Center · Des Moines, IA $955
- Mercyone Clinton Medical Center · Clinton, IA $955
- Mercyone Waterloo Medical Center · Waterloo, IA $955
- Saint Alphonsus Regional Medical Center · Boise, ID $970
- Saint Alphonsus Medical Center - Nampa · Nampa, ID $970
- Robert Wood Johnson University Hospital at Rahway · Rahway, NJ $984
- Saint Joseph Regional Medical Center · Mishawaka, IN $994
- Palestine Regional Medical Center · Palestine, TX $1,013
- Rehoboth McKinley Christian Health Care Services · Gallup, NM $1,025
- Black River Memorial Hospital · Black River Falls, WI $1,034
- Kenmore Mercy Hospital · Kenmore, NY $1,044
- Gundersen Lutheran Medical Center · La Crosse, WI $1,060
Vaginal delivery (full package) cost by state
Audit a Bill or Quote at U.S. Hospital Benchmark (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $2,335
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $2,335).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask U.S. Hospital Benchmark's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $2,940 Fair BaseRate ($1,705 Medicare)
Your bill ($6,432) is $3,492 above the denoised Fair BaseRate ($2,940) and 3.8× the $1,705 Medicare rate.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Inpatient MS-DRG vs. Outpatient CPT Care-Setting Savings
Clinical Scope Note:Inpatient MS-DRG reflects a multi-day hospital admission (room, nursing, higher clinical acuity); outpatient CPT reflects the outpatient facility fee for clinically eligible low-acuity patients and excludes separate surgeon and anesthesia professional fees.