CMS Price Transparency Data

Vaginal delivery (full package)

Facility: St Josephs Community Hospital West Bend

Billing Code: 59400 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$3,822

about 1.7× the $2,214 Medicare rate · typically $2,106–$10,320

modeled estimate · not a bill or quote

What this hospital charges insurers

$2,102

Below the fair price — a good deal

about $1,720 under the fair price · 0.9× Medicare

Medicare pays $2,214 Fair price $3,822 This hospital $2,102

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

A typical price — 1 charge more and 3 charge less, among the 9 WI hospitals compared.

Cheapest $1,032 Priciest $2,131

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

A fair price for a Vaginal delivery (full package) is about $3,822 (about 1.7× the $2,214 Medicare rate). St Josephs Community Hospital West Bend charges insurers about $2,102 — below the fair price — a good deal. Located in West Bend, WI.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser Permanente

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	$2,102	95%
Blue Cross Blue Shieldmajor	$2,102 - $8,549	95%
Aetnamajor	$2,144	97%
Humanamajor	$2,102	95%
HealthPartners	$2,102	95%
Molina	$2,102	95%
Security Health Plan	$2,102	95%
+ 5 smaller / regional plans	$2,102 - $2,165

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, 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 St Josephs Community Hospital West Bend 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 St Josephs Community Hospital West Bend

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

Gundersen Lutheran Medical Center · La Crosse $1,032
Black River Memorial Hospital · Black River Falls $1,034
Richland Hospital · Richland Center $1,945
Community Memorial Hospital · Menomonee Falls $2,102
Holy Family Memorial · Manitowoc $2,102
Froedtert Memorial Lutheran Hospital · Milwaukee $2,102
Froedtert Community Hospital · New Berlin $2,102
Sauk Prairie Hospital · Prairie Du Sac $2,131

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