CMS Price Transparency Data

Vaginal delivery (full package)

Facility: Univ. of Vermont - Fletcher Allen Health Care

Billing Code: 59400 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59400
Insurance Median: $2,522
Cash Discount Price: $9,623
vs. Medicare Baseline: 1.14x Medicare

The contracted insurance negotiated median rate for a Vaginal delivery (full package) at Univ. of Vermont - Fletcher Allen Health Care is $2,522. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9,623. Compared to the federal Medicare reimbursement reference rate of $2,214.42, this hospital’s rate is 1.14x the Medicare baseline. Located in 111 Colchester Ave, Burlington, VT.

Cash / Self-Pay

$9,623

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,522

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: $9,623 (435%)

Insurance Median: $2,522 (114%)

Cash: $9,623 (435% of Medicare)

Ins. Median: $2,522 (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
Blue Cross Blue Shield	$1,721 - $8,363	78%
Mvp	$1,864 - $8,363	84%
Aetna	$2,193	99%
Capital District Physicians' Health Plan	$2,193 - $4,342	99%
Humana	$2,193	99%
Martins Point	$2,193	99%
St. Regis	$2,193	99%
UnitedHealthcare	$2,193 - $10,265	99%
Veterans Affairs Community Care Network	$2,193	99%
Fidelis Care	$2,522	114%
Wellpath	$3,070 - $5,293	139%
Ebpa	$7,410	335%
Harvard Pilgrim	$7,698	348%
Magnacare	$7,698	348%
Coventry	$8,180	369%
Cigna	$8,363	378%
Nppn	$8,661	391%

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 $9,623.
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 Univ. of Vermont - Fletcher Allen Health Care 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.