CMS Price Transparency Data

Vaginal delivery (full package)

Facility: Jefferson Healthcare

Billing Code: 59400 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59400
Insurance Median: $2,550
Cash Discount Price: $6,480
vs. Medicare Baseline: 1.15x Medicare

The contracted insurance negotiated median rate for a Vaginal delivery (full package) at Jefferson Healthcare is $2,550. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,480. Compared to the federal Medicare reimbursement reference rate of $2,214.42, this hospital’s rate is 1.15x the Medicare baseline. Located in 834 Sheridan Street, Port Townsend, WA.

Cash / Self-Pay

$6,480

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,550

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: $6,480 (293%)

Insurance Median: $2,550 (115%)

Cash: $6,480 (293% of Medicare)

Ins. Median: $2,550 (115% 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
Tricare	$2,180	98%
Chpw Mcr Adv	$2,354	106%
Chpw Mcaid	$2,478	112%
Molina Mcaid	$2,478	112%
Aetna	$2,507 - $2,642	113%
Medicare (plans)	$2,507	113%
Molina Mcr Adv	$2,507	113%
Amerigroup Mcaid-All Plans	$2,550	115%
Molina Marketplace-All Other Plans	$2,725	123%
Chpw Commercial-All Other Plans	$3,269	148%
Coord Care Comm/Exchge-All Other Plans	$3,487	157%
Regence-All Other Plans	$6,075	274%
Premera-All Plans	$6,885	311%
Cigna	$7,290	329%

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 $6,480.
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 Jefferson Healthcare 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.