CMS Price Transparency Data

Vaginal delivery (full package)

Facility: Upland Hills Health

Billing Code: 59400 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 59400
  • Insurance Median: $4,165
  • Cash Discount Price: $5,173
  • vs. Medicare Baseline: 1.88x Medicare
The contracted insurance negotiated median rate for a Vaginal delivery (full package) at Upland Hills Health is $4,165. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,173. Compared to the federal Medicare reimbursement reference rate of $2,214.42, this hospital’s rate is 1.88x the Medicare baseline. Located in 800 Compassion Way, Dodgeville, WI.
Cash / Self-Pay
$5,173

Average discount available for prompt cash payment at this facility.

Insurance Median
$4,165

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: $5,173 (234%)
Insurance Median: $4,165 (188%)
Cash: $5,173 (234% of Medicare)
Ins. Median: $4,165 (188% 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.

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
Blue Cross Blue Shield $1,715 - $7,856 77%
Humana $1,715 - $8,622 77%
Icare $1,715 - $2,682 77%
Medical Associates $1,715 - $7,185 77%
Mhs $1,715 - $3,215 77%
Security Health Plan $1,715 - $2,682 77%
UnitedHealthcare $2,131 - $2,828 96%
Ghc Of Eau Claire $3,215 145%
Ghc Of Sc Wi $3,215 - $6,515 145%
Alliance $3,462 - $10,187 156%
Wps $3,736 - $6,026 169%
Dean Health Plan $4,010 - $6,663 181%
Quartz $4,226 - $6,610 191%
Cigna $4,569 - $7,990 206%
Multiplan $5,390 - $8,431 243%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 800 Compassion Way, Dodgeville, WI 53533
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals