CMS Price Transparency Data

Vaginal delivery (full package)

Facility: Memorial Hospital of Lafayette County

Billing Code: 59400 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$2,273

about 1.0× the $2,214 Medicare rate · typically $1,488–$4,746

modeled estimate · not a bill or quote

What this hospital charges insurers

$2,450

About the fair price

about $177 over the fair price · 1.1× Medicare

Medicare pays $2,214 Fair price $2,273 This hospital $2,450

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

Highest price of the 9 WI hospitals we have prices for — worth calling around.

Cheapest $1,032 Priciest $2,450

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 $2,273 (about 1.0× the $2,214 Medicare rate). Memorial Hospital of Lafayette County charges insurers about $2,450 — about the fair price. Located in Darlington, 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	$1,149 - $3,196	52%
Blue Cross Blue Shieldmajor	$1,149 - $2,450	52%
Aetnamajor	$2,450	111%
Humanamajor	$2,450	111%
Dean Health Plan	$1,149 - $6,525	52%
Quartz	$1,149 - $2,450	52%
+ 2 smaller / regional plans	$1,149 - $2,450

Government programs also on file: 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, 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 Memorial Hospital of Lafayette County 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 Memorial Hospital of Lafayette County

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
St Josephs Community Hospital West Bend · West Bend $2,102
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

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