CMS Price Transparency Data

Vaginal delivery (full package)

Facility: Astria Toppenish Hospital

Billing Code: 59400 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$2,977

about 1.3× the $2,214 Medicare rate · typically $1,915–$5,220

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,995

Below the fair price — a good deal

about $982 under the fair price · 0.9× Medicare

Medicare pays $2,214 Fair price $2,977 This hospital $1,995 Cash price $2,873 Hospital's list price $4,420

How we calculate the fair BaseRate →

How this hospital compares to other WA hospitals

One of the lower prices — 7 of 8 other WA hospitals charge more for the same procedure.

Cheapest $952 Priciest $3,185

Black dot = this hospital, among the 9 WA hospitals with a price for this procedure. Full list below.

A fair price for a Vaginal delivery (full package) is about $2,977 (about 1.3× the $2,214 Medicare rate). Astria Toppenish Hospital charges insurers about $1,995, or about $2,873 in cash — below the fair price — a good deal. Located in Toppenish, WA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana✓ Kaiser Permanente Cigna

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$1,956 - $3,651	88%
Blue Cross Blue Shieldmajor	$1,666	75%
Aetnamajor	$2,210 - $3,890	100%
Humanamajor	$4,420	200%
Kaiser Permanentemajor	$2,734	123%
Ambetter (Centene)	$1,956	88%
Molina	$1,995 - $2,543	90%
+ 5 smaller / regional plans	$2,785 - $4,420

Government programs also on file: Medicare, Medicaid.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 2,873), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 59400.

Insurance Before you use insurance

Call your insurance company to confirm Astria Toppenish Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 59400.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Astria Toppenish Hospital

Compare: Vaginal delivery (full package) at other WA hospitals

Valley Medical Center · Renton $952
Olympic Medical Center · Port Angeles $2,190
Pullman Regional Hospital · Pullman $2,456
Newport Community Hospital · Newport $2,507
Jefferson Healthcare · Port Townsend $2,528
Virginia Mason Medical Center · Seattle $2,542
Prosser Memorial Hospital · Prosser $2,683
Kittitas Valley Community Hospital · Ellensburg $3,185

Insurance negotiated median for the same procedure, sorted lowest first.