CMS Price Transparency Data

Vaginal delivery (full package)

Facility: Olympic Medical Center

Billing Code: 59400 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59400
Insurance Median: $5,966
Cash Discount Price: $4,835
vs. Medicare Baseline: 2.69x Medicare

The contracted insurance negotiated median rate for a Vaginal delivery (full package) at Olympic Medical Center is $5,966. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,835. Compared to the federal Medicare reimbursement reference rate of $2,214.42, this hospital’s rate is 2.69x the Medicare baseline. Located in 939 Caroline St, Port Angeles, WA.

Cash / Self-Pay

$4,835

Average discount available for prompt cash payment at this facility.

Insurance Median

$5,966

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: $4,835 (218%)

Insurance Median: $5,966 (269%)

Cash: $4,835 (218% of Medicare)

Ins. Median: $5,966 (269% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 269% of the Medicare baseline (a markup of 169%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Community Health Plan Of Washington	$2,190 - $4,835	99%
Regence	$2,190 - $6,044	99%
Wellcare	$2,190	99%
Regence Uniform	$3,379	153%
Ambetter / Centene	$5,440 - $5,742	246%
Cigna	$5,887	266%
Aetna	$6,044	273%
First Choice Network	$6,044	273%
Gmr/Caldera Care	$6,044	273%
Hma	$6,044	273%
Lifewise	$6,044	273%
Premera	$6,044	273%
UnitedHealthcare	$6,044	273%

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 $4,835.
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 Olympic Medical Center 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.