Price AtlasInteractive atlas · All states · techysurgeon.comVaginal delivery: what insurers pay
Hospital stay for an uncomplicated vaginal delivery (MS-DRG 807). 59400 is the doctor's global obstetric fee (prenatal visits, delivery, postpartum care); 59409 delivery only. Commercial negotiated rates by hospital and market, next to Medicare for the same code.
Open the interactive explorerAll operations
CPT 59409: Vaginal Delivery
1262 hospitals in 79 markets. National Medicare rate $3,307, surgery center $1,738.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 11 | $3,088 | $3,690 | $3,860 | $2,961–$6,928 |
| Alaska (statewide) | 5 | $2,941 | $4,590 | $5,344 | $2,941–$10,101 |
| Arizona (statewide) | 10 | $4,403 | $5,056 | $5,681 | $1,954–$11,788 |
| Arkansas (statewide) | 11 | $2,676 | $3,057 | $3,694 | $2,557–$4,395 |
| Atlanta GA | 10 | $1,848 | $3,895 | $3,895 | $1,848–$6,179 |
| Austin TX | 13 | $2,398 | $5,125 | $5,269 | $2,398–$6,566 |
| Boston MA | 14 | $4,118 | $4,958 | $5,600 | $2,125–$10,645 |
| California (statewide) | 73 | $4,297 | $5,815 | $11,383 | $2,732–$18,276 |
| Charlotte NC | 6 | $3,780 | $3,780 | $3,780 | $3,729–$7,926 |
| Chicago IL | 8 | $3,352 | $4,313 | $5,245 | $2,385–$7,494 |
| Cleveland OH | 11 | $3,140 | $3,272 | $3,710 | $2,940–$6,125 |
| Colorado (statewide) | 17 | $3,655 | $4,439 | $6,024 | $2,604–$8,002 |
| Connecticut (statewide) | 2 | — | — | — | $4,923–$5,156 |
| Dallas-Fort Worth TX | 14 | $4,862 | $4,940 | $5,381 | $4,576–$7,894 |
| Delaware (statewide) | 1 | — | — | — | $8,797–$8,797 |
| Denver CO | 15 | $4,044 | $5,270 | $5,640 | $3,756–$6,062 |
| Detroit MI | 14 | $2,406 | $2,602 | $3,143 | $1,652–$5,812 |
| Florida (statewide) | 61 | $5,360 | $6,726 | $7,490 | $1,824–$10,148 |
| Georgia (statewide) | 46 | $1,932 | $3,594 | $5,884 | $1,632–$16,442 |
| Hawaii (statewide) | 3 | — | — | — | $3,958–$11,412 |
| Houston TX | 19 | $4,460 | $4,807 | $6,342 | $3,125–$7,316 |
| Idaho (statewide) | 14 | $3,488 | $6,157 | $8,076 | $1,954–$9,472 |
| Illinois (statewide) | 32 | $3,267 | $3,706 | $5,523 | $1,979–$11,200 |
| Indiana (statewide) | 32 | $4,282 | $5,184 | $6,314 | $1,729–$12,380 |
| Indianapolis IN | 1 | — | — | — | $2,263–$2,263 |
| Iowa (statewide) | 33 | $2,964 | $4,037 | $5,588 | $1,654–$7,809 |
| Kansas (statewide) | 22 | $2,900 | $3,826 | $4,142 | $1,505–$10,101 |
| Kentucky (statewide) | 18 | $2,580 | $3,813 | $4,684 | $1,781–$7,170 |
| Las Vegas NV | 2 | — | — | — | $3,141–$4,119 |
| Los Angeles CA | 18 | $5,819 | $6,014 | $7,511 | $4,806–$16,199 |
| Louisiana (statewide) | 19 | $3,076 | $3,485 | $4,020 | $1,617–$9,400 |
| Maine (statewide) | 17 | $13,028 | $14,628 | $15,125 | $3,194–$19,017 |
| Maryland (statewide) | 1 | — | — | — | $2,163–$2,163 |
| Massachusetts (statewide) | 9 | $2,902 | $4,414 | $5,114 | $2,532–$5,832 |
| Miami-Fort Lauderdale FL | 2 | — | — | — | $3,786–$5,936 |
| Michigan (statewide) | 28 | $1,706 | $2,650 | $3,370 | $1,652–$4,580 |
| Minneapolis-St. Paul MN | 7 | $4,204 | $4,250 | $4,384 | $3,280–$6,219 |
| Minnesota (statewide) | 14 | $4,250 | $8,407 | $9,968 | $1,702–$12,248 |
| Mississippi (statewide) | 20 | $2,359 | $4,131 | $5,132 | $1,643–$8,828 |
| Missouri (statewide) | 16 | $3,936 | $4,860 | $5,700 | $2,774–$6,886 |
| Montana (statewide) | 4 | — | — | — | $2,273–$9,226 |
| Nashville TN | 8 | $3,140 | $3,240 | $4,645 | $2,307–$6,662 |
| Nebraska (statewide) | 17 | $2,456 | $3,057 | $4,119 | $1,781–$6,353 |
| Nevada (statewide) | 6 | $3,315 | $3,318 | $3,919 | $2,910–$4,199 |
| New Hampshire (statewide) | 6 | $10,840 | $11,864 | $12,791 | $1,784–$14,496 |
| New Jersey (statewide) | 25 | $3,578 | $3,689 | $6,178 | $2,464–$10,924 |
| New Mexico (statewide) | 7 | $4,557 | $5,528 | $6,561 | $1,745–$9,323 |
| New York (statewide) | 31 | $3,030 | $3,555 | $5,723 | $2,177–$10,230 |
| New York City | 7 | $3,046 | $3,065 | $6,066 | $3,026–$7,984 |
| North Carolina (statewide) | 6 | $5,758 | $8,018 | $8,441 | $3,707–$9,044 |
| North Dakota (statewide) | 9 | $3,160 | $3,218 | $5,176 | $1,912–$7,143 |
| Ohio (statewide) | 41 | $3,216 | $6,012 | $7,566 | $1,984–$12,442 |
| Oklahoma (statewide) | 18 | $3,461 | $4,914 | $6,601 | $1,764–$10,924 |
| Oregon (statewide) | 15 | $4,822 | $7,270 | $10,041 | $2,557–$16,170 |
| Pennsylvania (statewide) | 32 | $3,888 | $5,615 | $7,884 | $1,627–$14,315 |
| Philadelphia PA | 10 | $3,008 | $3,340 | $6,374 | $2,810–$7,095 |
| Phoenix AZ | 8 | $3,691 | $3,710 | $3,998 | $3,691–$4,802 |
| Pittsburgh PA | 11 | $4,882 | $5,418 | $6,808 | $4,064–$8,849 |
| Portland OR | 9 | $11,261 | $11,261 | $11,960 | $10,558–$11,960 |
| Rhode Island (statewide) | 6 | $3,946 | $5,208 | $6,291 | $3,549–$6,979 |
| Richmond VA | 3 | — | — | — | $5,632–$6,884 |
| Rio Grande Valley TX | 4 | — | — | — | $2,684–$5,830 |
| Salt Lake City UT | 9 | $2,174 | $2,174 | $2,174 | $2,170–$2,482 |
| San Antonio TX | 3 | — | — | — | $4,105–$4,807 |
| San Diego CA | 7 | $7,228 | $7,286 | $7,286 | $5,829–$7,677 |
| San Francisco Bay Area CA | 6 | $5,633 | $6,230 | $7,194 | $4,571–$22,093 |
| Seattle-Tacoma WA | 16 | $8,351 | $8,659 | $11,461 | $7,271–$11,680 |
| South Carolina (statewide) | 30 | $5,866 | $7,500 | $9,627 | $2,344–$13,486 |
| South Dakota (statewide) | 4 | — | — | — | $3,886–$6,455 |
| St. Louis MO | 6 | $3,040 | $3,234 | $6,772 | $2,975–$10,365 |
| Tampa FL | 6 | $6,194 | $8,586 | $8,586 | $5,195–$8,586 |
| Tennessee (statewide) | 30 | $2,174 | $3,021 | $3,132 | $1,972–$6,258 |
| Texas (statewide) | 83 | $3,386 | $4,576 | $5,381 | $1,676–$10,230 |
| Utah (statewide) | 7 | $2,108 | $2,444 | $2,702 | $2,043–$2,846 |
| Virginia (statewide) | 25 | $5,978 | $9,206 | $11,600 | $3,099–$15,862 |
| Washington (statewide) | 16 | $6,585 | $8,464 | $9,494 | $2,846–$17,237 |
| Washington DC | 11 | $4,562 | $5,180 | $5,516 | $3,688–$5,516 |
| West Virginia (statewide) | 10 | $4,543 | $5,408 | $9,385 | $2,583–$21,551 |
| Wisconsin (statewide) | 41 | $4,506 | $6,770 | $7,546 | $1,634–$12,836 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Ellsworth County Medical Center | Kansas (statewide) | $1,505 | 0.5× | 3 | 2026-08-04 |
| Sabetha Community Hospital | Kansas (statewide) | $1,515 | 0.5× | 2 | 2026-08-04 |
| Madison Parish Hospital | Louisiana (statewide) | $1,617 | 0.6× | 1 | 2026-05-19 |
| Lower Bucks Hospital | Pennsylvania (statewide) | $1,627 | 0.5× | 6 | 2026-09-01 |
| Emanuel Medical Center | Georgia (statewide) | $1,632 | 0.6× | 1 | 2026-02-25 |
| Black River Memorial Hospital | Wisconsin (statewide) | $1,634 | 0.5× | 1 | 2026-01-08 |
| Thedacare Medical Center - Wild Rose Inc | Wisconsin (statewide) | $1,642 | 0.5× | 1 | 2026-08-08 |
| Ochsner Rush Hospital | Mississippi (statewide) | $1,643 | 0.6× | 4 | 2026-04-01 |
| Ochsner Watkins Hospital | Mississippi (statewide) | $1,643 | 0.6× | 4 | 2026-04-01 |
| Ochsner Laird Hospital | Mississippi (statewide) | $1,643 | 0.6× | 4 | 2026-04-01 |
| Ochsner Stennis Memorial Hospital | Mississippi (statewide) | $1,643 | 0.6× | 4 | 2026-04-01 |
| Henry Ford Health -St John Hospital | Detroit MI | $1,652 | 0.5× | 1 | 2026-01-01 |
| Northern Light Mayo Hospital | Maine (statewide) | $15,930 | 5.0× | 2 | 2026-03-30 |
| Bay Area Hospital | Oregon (statewide) | $16,170 | 4.5× | 1 | 2026-02-23 |
| Cedars-Sinai Medical Center | Los Angeles CA | $16,199 | 3.9× | 2 | 2025-11-26 |
| Northeast Georgia Medical Center, Inc | Georgia (statewide) | $16,442 | 5.3× | 1 | 2026-04-01 |
| Northeast Georgia Medical Center Habersham | Georgia (statewide) | $16,442 | 5.8× | 1 | 2026-04-01 |
| Northeast Georgia Medical Center Barrow | Georgia (statewide) | $16,442 | 5.1× | 1 | 2026-04-01 |
| Northeast Georgia Medical Center Lumpkin | Georgia (statewide) | $16,442 | 5.1× | 1 | 2026-04-01 |
| Mary Bridge Children'S Hospital | Washington (statewide) | $17,237 | 4.6× | 6 | 2026-08-27 |
| University Of California Davis Medical Center | California (statewide) | $18,276 | 4.3× | 2 | 2026-04-01 |
| Mainehealth Lincoln Hospital | Maine (statewide) | $19,017 | 6.0× | 1 | 2025-09-09 |
| Logan Regional Medical Center | West Virginia (statewide) | $21,551 | 6.9× | 1 | 2026-04-01 |
| Stanford Health Care | San Francisco Bay Area CA | $22,093 | 4.6× | 4 | 2026-04-01 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
MS-DRG 807: Vaginal Delivery Without Sterilization Or D&C Without Cc/McC
1495 hospitals in 82 markets. National Medicare rate $4,906.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 24 | $4,928 | $6,026 | $7,228 | $2,867–$13,002 |
| Alaska (statewide) | 4 | — | — | — | $6,097–$21,069 |
| Arizona (statewide) | 28 | $6,822 | $7,211 | $8,414 | $3,841–$11,904 |
| Arkansas (statewide) | 9 | $4,644 | $5,383 | $6,134 | $3,247–$6,857 |
| Atlanta GA | 9 | $11,499 | $11,499 | $12,171 | $9,892–$18,760 |
| Austin TX | 13 | $5,954 | $6,618 | $7,748 | $5,768–$8,048 |
| Boston MA | 12 | $5,865 | $6,236 | $7,665 | $5,065–$13,988 |
| California (statewide) | 52 | $7,396 | $8,918 | $11,878 | $5,102–$37,849 |
| Charlotte NC | 8 | $8,220 | $8,220 | $9,263 | $7,563–$9,263 |
| Chicago IL | 9 | $7,747 | $8,894 | $10,774 | $6,052–$12,540 |
| Cleveland OH | 11 | $7,752 | $7,845 | $8,381 | $7,377–$9,328 |
| Colorado (statewide) | 16 | $6,763 | $7,512 | $8,351 | $4,131–$17,899 |
| Columbus OH | 2 | — | — | — | $7,277–$18,067 |
| Connecticut (statewide) | 6 | $12,342 | $13,082 | $13,666 | $9,929–$14,475 |
| Dallas-Fort Worth TX | 15 | $7,084 | $7,532 | $8,038 | $6,294–$11,365 |
| Delaware (statewide) | 2 | — | — | — | $7,968–$11,511 |
| Denver CO | 15 | $6,955 | $7,354 | $8,716 | $4,715–$11,543 |
| Detroit MI | 16 | $7,597 | $8,692 | $9,235 | $5,057–$11,575 |
| Florida (statewide) | 91 | $7,934 | $8,990 | $13,006 | $4,758–$20,251 |
| Georgia (statewide) | 38 | $8,988 | $10,904 | $16,123 | $6,206–$23,235 |
| Hawaii (statewide) | 11 | $9,125 | $10,304 | $13,960 | $7,952–$15,235 |
| Houston TX | 19 | $7,812 | $8,548 | $10,010 | $4,929–$22,933 |
| Idaho (statewide) | 15 | $7,842 | $9,490 | $11,440 | $4,978–$12,740 |
| Illinois (statewide) | 38 | $6,470 | $7,426 | $8,435 | $4,538–$13,155 |
| Indiana (statewide) | 50 | $8,582 | $11,000 | $14,236 | $4,414–$15,894 |
| Indianapolis IN | 6 | $13,958 | $14,866 | $15,212 | $12,341–$15,283 |
| Iowa (statewide) | 22 | $6,659 | $7,286 | $8,782 | $5,467–$12,880 |
| Kansas (statewide) | 25 | $5,315 | $6,158 | $8,464 | $2,669–$21,069 |
| Kentucky (statewide) | 34 | $5,884 | $6,582 | $8,745 | $3,546–$9,948 |
| Las Vegas NV | 1 | — | — | — | $6,870–$6,870 |
| Los Angeles CA | 18 | $11,102 | $11,688 | $12,101 | $9,017–$14,833 |
| Louisiana (statewide) | 24 | $3,906 | $4,884 | $6,150 | $2,870–$7,941 |
| Maine (statewide) | 12 | $12,579 | $20,385 | $20,385 | $5,198–$20,385 |
| Massachusetts (statewide) | 9 | $5,164 | $7,945 | $8,367 | $4,806–$13,363 |
| Miami-Fort Lauderdale FL | 4 | — | — | — | $6,828–$11,478 |
| Michigan (statewide) | 40 | $6,830 | $7,980 | $9,185 | $3,251–$14,023 |
| Minneapolis-St. Paul MN | 15 | $8,250 | $9,005 | $9,826 | $6,711–$10,104 |
| Minnesota (statewide) | 21 | $8,603 | $8,686 | $10,073 | $5,839–$14,585 |
| Mississippi (statewide) | 23 | $4,122 | $5,316 | $6,884 | $3,494–$11,621 |
| Missouri (statewide) | 31 | $4,711 | $6,745 | $8,220 | $3,474–$11,371 |
| Montana (statewide) | 7 | $6,761 | $11,664 | $14,267 | $3,042–$21,331 |
| Nashville TN | 8 | $6,934 | $7,724 | $9,552 | $6,333–$12,236 |
| Nebraska (statewide) | 14 | $7,642 | $9,589 | $10,082 | $6,575–$21,072 |
| Nevada (statewide) | 5 | $8,711 | $10,475 | $13,390 | $7,176–$13,850 |
| New Hampshire (statewide) | 8 | $6,409 | $8,606 | $11,083 | $5,109–$15,857 |
| New Jersey (statewide) | 21 | $10,707 | $12,412 | $14,088 | $7,117–$19,411 |
| New Mexico (statewide) | 11 | $5,028 | $6,862 | $10,180 | $3,010–$19,188 |
| New York (statewide) | 47 | $7,463 | $8,525 | $10,840 | $4,891–$20,296 |
| New York City | 8 | $12,317 | $12,625 | $14,938 | $5,678–$21,916 |
| North Carolina (statewide) | 33 | $6,054 | $7,006 | $9,263 | $3,329–$23,320 |
| North Dakota (statewide) | 7 | $7,884 | $8,151 | $8,741 | $6,582–$12,075 |
| Ohio (statewide) | 46 | $7,494 | $9,162 | $12,120 | $4,331–$17,333 |
| Oklahoma (statewide) | 16 | $6,207 | $7,068 | $8,411 | $5,025–$11,835 |
| Oregon (statewide) | 13 | $10,902 | $12,530 | $13,727 | $6,015–$17,333 |
| Pennsylvania (statewide) | 60 | $6,872 | $9,409 | $11,575 | $4,444–$15,982 |
| Philadelphia PA | 11 | $11,552 | $12,660 | $13,954 | $10,558–$19,411 |
| Phoenix AZ | 11 | $8,382 | $9,514 | $9,876 | $7,049–$10,429 |
| Pittsburgh PA | 7 | $7,076 | $7,603 | $7,834 | $6,558–$8,114 |
| Portland OR | 9 | $14,543 | $15,424 | $16,422 | $13,361–$17,329 |
| Research Triangle NC | 9 | $5,955 | $6,465 | $7,121 | $4,738–$7,775 |
| Rhode Island (statewide) | 6 | $9,094 | $11,730 | $13,884 | $7,393–$14,598 |
| Richmond VA | 7 | $10,305 | $11,277 | $12,358 | $9,931–$13,410 |
| Rio Grande Valley TX | 6 | $8,250 | $9,148 | $9,879 | $7,079–$11,053 |
| Salt Lake City UT | 9 | $7,723 | $7,723 | $7,723 | $7,723–$7,723 |
| San Antonio TX | 3 | — | — | — | $8,479–$22,022 |
| San Diego CA | 6 | $8,608 | $9,546 | $11,361 | $8,387–$12,140 |
| San Francisco Bay Area CA | 2 | — | — | — | $8,582–$11,970 |
| Seattle-Tacoma WA | 16 | $12,641 | $13,414 | $14,290 | $11,725–$18,082 |
| South Carolina (statewide) | 28 | $8,159 | $10,114 | $13,650 | $3,475–$20,432 |
| South Dakota (statewide) | 4 | — | — | — | $7,416–$9,549 |
| St. Louis MO | 1 | — | — | — | $7,966–$7,966 |
| Tampa FL | 11 | $12,856 | $12,882 | $13,918 | $10,423–$14,953 |
| Tennessee (statewide) | 33 | $5,939 | $6,493 | $8,650 | $4,746–$12,236 |
| Texas (statewide) | 84 | $6,320 | $8,180 | $10,250 | $4,328–$21,681 |
| Utah (statewide) | 14 | $7,723 | $7,723 | $7,723 | $4,946–$9,967 |
| Vermont (statewide) | 4 | — | — | — | $4,245–$17,612 |
| Virginia (statewide) | 26 | $8,622 | $11,599 | $13,405 | $4,132–$16,768 |
| Washington (statewide) | 13 | $11,348 | $11,970 | $12,890 | $5,366–$27,027 |
| Washington DC | 11 | $9,961 | $9,999 | $10,440 | $7,671–$12,052 |
| West Virginia (statewide) | 9 | $8,256 | $10,107 | $10,756 | $6,022–$16,239 |
| Wisconsin (statewide) | 52 | $8,314 | $8,721 | $10,962 | $5,672–$14,705 |
| Wyoming (statewide) | 1 | — | — | — | $14,539–$14,539 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Mcpherson Hospital Inc | Kansas (statewide) | $2,669 | 0.6× | 3 | 2026-06-08 |
| Usa Health Children'S & Women'S Hospital | Alabama (statewide) | $2,867 | 0.7× | 1 | 2026-04-30 |
| Springhill Medical Center | Louisiana (statewide) | $2,870 | 0.7× | 1 | 2026-04-02 |
| Stormont Vail Health Flint Hills, Llc | Kansas (statewide) | $2,983 | 0.7× | 3 | 2025-12-19 |
| Los Alamos Medical Center | New Mexico (statewide) | $3,010 | 0.6× | 3 | 2026-07-10 |
| Mccone County Health Center | Montana (statewide) | $3,042 | 0.6× | 1 | 2026-01-01 |
| Ochsner Abrom Kaplan Memorial Hospital | Louisiana (statewide) | $3,078 | 0.7× | 2 | 2026-04-01 |
| Ochsner St Martin Hospital | Louisiana (statewide) | $3,177 | 0.7× | 2 | 2026-04-01 |
| Ochsner Lsu Health Monroe | Louisiana (statewide) | $3,204 | 0.7× | 9 | 2026-04-01 |
| Ochsner St Mary | Louisiana (statewide) | $3,206 | 0.7× | 6 | 2026-04-01 |
| Dardanelle Regional Medical Center | Arkansas (statewide) | $3,247 | 0.8× | 3 | 2026-08-17 |
| Mclaren Thumb Region | Michigan (statewide) | $3,251 | 0.7× | 1 | 2025-12-31 |
| Chi Health St Francis | Nebraska (statewide) | $21,072 | 4.2× | 6 | 2026-02-28 |
| Providence St Joseph Medical Center | Montana (statewide) | $21,331 | 4.3× | 1 | 2026-04-01 |
| St Joseph Medical Center | Texas (statewide) | $21,681 | 4.5× | 11 | 2026-09-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $21,916 | 3.6× | 9 | 2026-01-01 |
| University Health System | San Antonio TX | $22,022 | 4.6× | 13 | 2025-10-14 |
| Memorial Hermann-Texas Medical Center | Houston TX | $22,933 | 4.8× | 1 | 2026-04-01 |
| Sgmc Berrien Campus | Georgia (statewide) | $23,235 | 5.6× | 1 | 2026-03-25 |
| Cape Fear Valley Hoke Hospital | North Carolina (statewide) | $23,320 | 4.9× | 1 | 2026-03-30 |
| Providence Centralia Hospital | Washington (statewide) | $27,027 | 5.0× | 2 | 2026-04-01 |
| Riverside University Health System-Medical Center | California (statewide) | $28,601 | 4.5× | 1 | 2026-03-30 |
| Lac/Harbor-Ucla Med Center | California (statewide) | $35,097 | 5.6× | 1 | 2026-03-12 |
| Lac/Olive View-Ucla Medical Center | California (statewide) | $37,849 | 6.0× | 1 | 2026-03-12 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
MS-DRG 806: Vaginal Delivery Without Sterilization Or D&C With Cc
1491 hospitals in 82 markets. National Medicare rate $5,487.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 24 | $5,105 | $6,450 | $7,616 | $3,154–$14,030 |
| Alaska (statewide) | 4 | — | — | — | $6,819–$23,922 |
| Arizona (statewide) | 28 | $7,407 | $8,484 | $9,624 | $4,571–$13,516 |
| Arkansas (statewide) | 9 | $5,575 | $6,112 | $6,965 | $3,247–$7,742 |
| Atlanta GA | 9 | $12,321 | $13,056 | $13,056 | $10,486–$21,300 |
| Austin TX | 13 | $5,768 | $7,401 | $8,034 | $5,768–$8,540 |
| Boston MA | 13 | $6,429 | $6,974 | $8,038 | $5,664–$15,643 |
| California (statewide) | 52 | $8,290 | $9,860 | $13,362 | $5,102–$41,495 |
| Charlotte NC | 8 | $8,220 | $8,339 | $9,263 | $8,220–$9,263 |
| Chicago IL | 10 | $8,831 | $10,061 | $12,060 | $6,872–$14,024 |
| Cleveland OH | 11 | $8,019 | $8,149 | $8,910 | $7,377–$10,432 |
| Colorado (statewide) | 16 | $6,763 | $8,094 | $9,224 | $4,620–$20,018 |
| Columbus OH | 2 | — | — | — | $7,277–$20,205 |
| Connecticut (statewide) | 6 | $12,457 | $13,536 | $13,778 | $9,929–$15,332 |
| Dallas-Fort Worth TX | 15 | $7,614 | $8,028 | $8,678 | $7,039–$12,302 |
| Delaware (statewide) | 2 | — | — | — | $9,174–$13,498 |
| Denver CO | 15 | $7,471 | $7,716 | $9,184 | $5,274–$11,940 |
| Detroit MI | 16 | $8,312 | $9,766 | $10,328 | $6,348–$13,027 |
| Florida (statewide) | 91 | $8,589 | $9,770 | $14,671 | $5,402–$22,648 |
| Georgia (statewide) | 38 | $10,198 | $11,783 | $18,307 | $7,298–$23,997 |
| Hawaii (statewide) | 11 | $10,121 | $12,764 | $15,356 | $8,835–$16,502 |
| Houston TX | 19 | $8,474 | $9,603 | $10,590 | $5,492–$24,315 |
| Idaho (statewide) | 15 | $8,284 | $10,468 | $12,584 | $7,290–$14,484 |
| Illinois (statewide) | 39 | $7,154 | $7,951 | $9,358 | $5,075–$14,464 |
| Indiana (statewide) | 50 | $9,452 | $12,021 | $14,732 | $4,414–$16,482 |
| Indianapolis IN | 6 | $14,034 | $14,866 | $16,569 | $13,700–$17,092 |
| Iowa (statewide) | 22 | $6,973 | $8,012 | $10,164 | $6,194–$13,982 |
| Kansas (statewide) | 23 | $7,023 | $7,787 | $9,665 | $3,152–$23,922 |
| Kentucky (statewide) | 33 | $6,361 | $7,288 | $9,821 | $4,396–$11,295 |
| Las Vegas NV | 1 | — | — | — | $6,870–$6,870 |
| Los Angeles CA | 18 | $12,386 | $13,199 | $13,760 | $9,360–$16,842 |
| Louisiana (statewide) | 24 | $4,510 | $5,908 | $6,756 | $3,333–$8,652 |
| Maine (statewide) | 12 | $14,283 | $22,798 | $22,798 | $5,813–$22,798 |
| Massachusetts (statewide) | 9 | $5,376 | $7,945 | $9,357 | $4,909–$13,658 |
| Miami-Fort Lauderdale FL | 4 | — | — | — | $7,636–$11,478 |
| Michigan (statewide) | 37 | $7,990 | $9,097 | $10,328 | $3,251–$15,683 |
| Minneapolis-St. Paul MN | 15 | $8,758 | $9,797 | $10,032 | $7,044–$11,299 |
| Minnesota (statewide) | 21 | $9,622 | $9,797 | $10,578 | $6,530–$16,560 |
| Mississippi (statewide) | 23 | $4,648 | $5,316 | $7,780 | $3,671–$11,735 |
| Missouri (statewide) | 31 | $5,212 | $7,888 | $9,325 | $3,474–$12,440 |
| Montana (statewide) | 7 | $7,688 | $12,954 | $15,867 | $3,454–$23,574 |
| Nashville TN | 8 | $7,469 | $8,461 | $10,906 | $6,808–$13,893 |
| Nebraska (statewide) | 14 | $8,595 | $9,950 | $10,082 | $6,575–$17,147 |
| Nevada (statewide) | 5 | $9,544 | $11,460 | $14,975 | $8,148–$15,284 |
| New Hampshire (statewide) | 8 | $7,128 | $9,772 | $12,444 | $5,788–$17,734 |
| New Jersey (statewide) | 21 | $11,362 | $13,721 | $15,526 | $7,117–$20,485 |
| New Mexico (statewide) | 11 | $6,658 | $7,636 | $11,558 | $5,077–$21,786 |
| New York (statewide) | 47 | $8,206 | $9,425 | $11,774 | $5,470–$22,699 |
| New York City | 8 | $13,789 | $14,119 | $16,707 | $6,448–$23,076 |
| North Carolina (statewide) | 33 | $6,275 | $7,291 | $9,511 | $3,329–$24,800 |
| North Dakota (statewide) | 7 | $8,873 | $9,196 | $9,810 | $7,474–$13,710 |
| Ohio (statewide) | 45 | $7,162 | $10,693 | $13,189 | $4,368–$19,586 |
| Oklahoma (statewide) | 16 | $6,767 | $7,872 | $9,308 | $5,706–$13,438 |
| Oregon (statewide) | 13 | $12,346 | $14,299 | $15,456 | $6,727–$19,586 |
| Pennsylvania (statewide) | 60 | $7,760 | $10,091 | $12,493 | $5,091–$16,932 |
| Philadelphia PA | 11 | $13,326 | $14,079 | $15,875 | $11,680–$20,485 |
| Phoenix AZ | 11 | $9,634 | $10,640 | $11,124 | $8,277–$11,842 |
| Pittsburgh PA | 7 | $8,104 | $8,718 | $8,976 | $7,334–$9,297 |
| Portland OR | 9 | $16,160 | $17,136 | $18,373 | $14,910–$19,371 |
| Research Triangle NC | 9 | $6,419 | $6,465 | $8,161 | $4,777–$8,449 |
| Rhode Island (statewide) | 6 | $8,940 | $12,827 | $15,526 | $7,783–$16,326 |
| Richmond VA | 7 | $10,558 | $10,933 | $12,261 | $9,931–$14,338 |
| Rio Grande Valley TX | 6 | $8,924 | $9,631 | $10,470 | $7,917–$11,941 |
| Salt Lake City UT | 9 | $7,723 | $7,723 | $7,723 | $7,723–$7,723 |
| San Antonio TX | 3 | — | — | — | $8,479–$22,878 |
| San Diego CA | 6 | $9,266 | $9,826 | $12,468 | $9,265–$13,390 |
| San Francisco Bay Area CA | 2 | — | — | — | $9,542–$13,592 |
| Seattle-Tacoma WA | 16 | $14,213 | $15,267 | $16,145 | $12,706–$20,495 |
| South Carolina (statewide) | 28 | $7,800 | $10,263 | $11,803 | $3,589–$22,850 |
| South Dakota (statewide) | 4 | — | — | — | $8,294–$10,842 |
| St. Louis MO | 1 | — | — | — | $11,757–$11,757 |
| Tampa FL | 11 | $14,488 | $14,626 | $15,565 | $11,657–$16,723 |
| Tennessee (statewide) | 33 | $6,252 | $7,056 | $9,549 | $4,746–$13,893 |
| Texas (statewide) | 85 | $7,072 | $8,895 | $10,250 | $4,786–$22,365 |
| Utah (statewide) | 14 | $7,723 | $7,723 | $7,723 | $5,531–$11,015 |
| Vermont (statewide) | 4 | — | — | — | $4,245–$19,997 |
| Virginia (statewide) | 26 | $8,714 | $13,075 | $14,991 | $4,132–$18,753 |
| Washington (statewide) | 13 | $12,938 | $13,402 | $14,580 | $6,064–$30,744 |
| Washington DC | 11 | $10,654 | $11,010 | $11,371 | $7,671–$13,479 |
| West Virginia (statewide) | 9 | $9,805 | $11,126 | $12,267 | $6,971–$18,161 |
| Wisconsin (statewide) | 51 | $8,520 | $8,721 | $11,232 | $5,672–$16,446 |
| Wyoming (statewide) | 1 | — | — | — | $16,592–$16,592 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Stormont Vail Health Flint Hills, Llc | Kansas (statewide) | $3,152 | 0.6× | 3 | 2025-12-19 |
| Usa Health Children'S & Women'S Hospital | Alabama (statewide) | $3,154 | 0.7× | 1 | 2026-04-30 |
| Dardanelle Regional Medical Center | Arkansas (statewide) | $3,247 | 0.7× | 3 | 2026-08-17 |
| Mclaren Thumb Region | Michigan (statewide) | $3,251 | 0.6× | 1 | 2025-12-31 |
| Maria Parham Medical Center | North Carolina (statewide) | $3,329 | 0.7× | 3 | 2026-07-30 |
| Ochsner St Mary | Louisiana (statewide) | $3,333 | 0.7× | 5 | 2026-04-01 |
| Frye Regional Medical Center | North Carolina (statewide) | $3,372 | 0.7× | 1 | 2026-07-08 |
| Mccone County Health Center | Montana (statewide) | $3,454 | 0.6× | 1 | 2026-01-01 |
| Ochsner Abrom Kaplan Memorial Hospital | Louisiana (statewide) | $3,465 | 0.7× | 1 | 2026-04-01 |
| Citizens Memorial Hospital | Missouri (statewide) | $3,474 | 0.7× | 1 | 2026-03-25 |
| Musc Health Marion Medical Center | South Carolina (statewide) | $3,589 | 0.7× | 1 | 2026-04-01 |
| National Park Medical Center | Arkansas (statewide) | $3,639 | 0.7× | 1 | 2026-07-17 |
| University Health System | San Antonio TX | $22,878 | 4.2× | 13 | 2025-10-14 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $23,076 | 3.4× | 9 | 2026-01-01 |
| Providence St Joseph Medical Center | Montana (statewide) | $23,574 | 4.3× | 1 | 2026-04-01 |
| Providence Alaska Medical Center | Alaska (statewide) | $23,922 | 4.0× | 4 | 2026-04-01 |
| Providence Medical Center | Kansas (statewide) | $23,922 | 4.7× | 4 | 2026-04-01 |
| Sgmc Berrien Campus | Georgia (statewide) | $23,997 | 5.1× | 1 | 2026-03-25 |
| Memorial Hermann-Texas Medical Center | Houston TX | $24,315 | 4.5× | 1 | 2026-04-01 |
| Cape Fear Valley Hoke Hospital | North Carolina (statewide) | $24,800 | 4.6× | 1 | 2026-03-30 |
| Providence Centralia Hospital | Washington (statewide) | $30,744 | 5.1× | 2 | 2026-04-01 |
| Riverside University Health System-Medical Center | California (statewide) | $32,461 | 4.6× | 1 | 2026-03-30 |
| Lac/Harbor-Ucla Med Center | California (statewide) | $39,395 | 5.6× | 1 | 2026-03-12 |
| Lac/Olive View-Ucla Medical Center | California (statewide) | $41,495 | 5.9× | 1 | 2026-03-12 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
MS-DRG 805: Vaginal Delivery Without Sterilization Or D&C With McC
1455 hospitals in 82 markets. National Medicare rate $7,853.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 22 | $7,090 | $8,982 | $10,810 | $5,343–$17,296 |
| Alaska (statewide) | 4 | — | — | — | $9,728–$32,996 |
| Arizona (statewide) | 28 | $9,948 | $10,590 | $13,852 | $7,454–$18,642 |
| Arkansas (statewide) | 8 | $7,660 | $8,666 | $9,842 | $4,656–$10,555 |
| Atlanta GA | 8 | $17,138 | $18,008 | $20,850 | $12,906–$29,378 |
| Austin TX | 13 | $6,807 | $9,276 | $9,922 | $6,320–$10,812 |
| Boston MA | 12 | $8,988 | $9,983 | $11,993 | $6,508–$16,212 |
| California (statewide) | 52 | $11,293 | $12,770 | $17,042 | $6,702–$52,198 |
| Charlotte NC | 8 | $8,220 | $8,742 | $9,263 | $8,220–$12,214 |
| Chicago IL | 9 | $12,132 | $13,929 | $16,872 | $9,478–$20,073 |
| Cleveland OH | 11 | $8,961 | $9,193 | $10,105 | $7,885–$14,932 |
| Colorado (statewide) | 16 | $7,320 | $10,846 | $11,772 | $6,612–$28,652 |
| Columbus OH | 2 | — | — | — | $7,277–$15,796 |
| Connecticut (statewide) | 6 | $12,457 | $13,536 | $13,778 | $9,929–$16,525 |
| Dallas-Fort Worth TX | 15 | $9,886 | $10,250 | $10,983 | $7,532–$16,124 |
| Delaware (statewide) | 2 | — | — | — | $11,568–$14,988 |
| Denver CO | 15 | $9,620 | $10,643 | $11,196 | $7,548–$16,348 |
| Detroit MI | 15 | $10,536 | $13,665 | $14,783 | $7,563–$16,616 |
| Florida (statewide) | 91 | $10,824 | $11,770 | $20,234 | $6,593–$32,416 |
| Georgia (statewide) | 40 | $11,130 | $14,872 | $25,250 | $9,316–$29,378 |
| Hawaii (statewide) | 11 | $10,121 | $12,764 | $17,360 | $8,835–$21,508 |
| Houston TX | 19 | $9,680 | $10,707 | $12,296 | $7,575–$29,949 |
| Idaho (statewide) | 15 | $11,205 | $15,268 | $16,016 | $9,274–$17,317 |
| Illinois (statewide) | 37 | $9,222 | $10,967 | $12,370 | $6,528–$20,182 |
| Indiana (statewide) | 49 | $13,386 | $14,732 | $18,134 | $7,335–$23,591 |
| Indianapolis IN | 6 | $14,799 | $17,378 | $23,287 | $13,700–$24,464 |
| Iowa (statewide) | 21 | $9,438 | $10,878 | $12,280 | $8,505–$17,481 |
| Kansas (statewide) | 22 | $8,550 | $10,811 | $13,976 | $6,552–$32,996 |
| Kentucky (statewide) | 32 | $8,137 | $9,964 | $12,788 | $6,056–$17,028 |
| Las Vegas NV | 1 | — | — | — | $6,870–$6,870 |
| Los Angeles CA | 18 | $16,835 | $18,278 | $19,182 | $9,964–$23,742 |
| Louisiana (statewide) | 21 | $6,717 | $8,435 | $9,604 | $4,658–$12,176 |
| Maine (statewide) | 12 | $19,699 | $32,631 | $32,631 | $8,321–$32,631 |
| Massachusetts (statewide) | 9 | $10,662 | $12,750 | $13,658 | $7,694–$14,729 |
| Miami-Fort Lauderdale FL | 4 | — | — | — | $10,872–$11,780 |
| Michigan (statewide) | 36 | $10,085 | $12,218 | $14,135 | $6,867–$22,447 |
| Minneapolis-St. Paul MN | 15 | $10,613 | $12,632 | $14,022 | $7,766–$16,173 |
| Minnesota (statewide) | 21 | $12,195 | $13,771 | $14,022 | $8,521–$22,841 |
| Mississippi (statewide) | 20 | $5,568 | $6,483 | $11,826 | $4,095–$16,185 |
| Missouri (statewide) | 26 | $8,720 | $10,300 | $12,582 | $5,070–$16,796 |
| Montana (statewide) | 7 | $11,004 | $18,206 | $21,654 | $4,764–$33,973 |
| Nashville TN | 8 | $9,719 | $11,079 | $14,010 | $8,934–$19,162 |
| Nebraska (statewide) | 14 | $9,884 | $10,082 | $11,788 | $6,688–$21,128 |
| Nevada (statewide) | 5 | $13,182 | $15,478 | $21,128 | $11,237–$21,434 |
| New Hampshire (statewide) | 8 | $10,676 | $13,478 | $17,640 | $7,050–$25,383 |
| New Jersey (statewide) | 21 | $12,884 | $19,346 | $22,100 | $7,117–$24,810 |
| New Mexico (statewide) | 10 | $8,779 | $11,536 | $15,961 | $7,003–$30,050 |
| New York (statewide) | 47 | $10,757 | $12,979 | $15,447 | $7,830–$32,489 |
| New York City | 8 | $15,447 | $15,447 | $18,657 | $8,894–$31,260 |
| North Carolina (statewide) | 32 | $7,586 | $8,957 | $9,533 | $6,101–$30,830 |
| North Dakota (statewide) | 7 | $11,802 | $13,048 | $13,924 | $10,308–$18,910 |
| Ohio (statewide) | 45 | $9,373 | $13,459 | $18,812 | $4,368–$27,338 |
| Oklahoma (statewide) | 15 | $9,341 | $11,039 | $12,815 | $7,117–$18,533 |
| Oregon (statewide) | 13 | $16,069 | $18,758 | $20,954 | $9,628–$27,338 |
| Pennsylvania (statewide) | 59 | $9,612 | $12,816 | $15,826 | $7,198–$19,755 |
| Philadelphia PA | 11 | $16,458 | $17,794 | $20,406 | $15,192–$24,764 |
| Phoenix AZ | 11 | $12,910 | $15,229 | $16,092 | $10,590–$16,730 |
| Pittsburgh PA | 7 | $10,402 | $10,744 | $11,088 | $9,935–$11,722 |
| Portland OR | 9 | $22,332 | $23,512 | $25,225 | $20,521–$26,556 |
| Research Triangle NC | 9 | $6,465 | $7,331 | $7,740 | $4,777–$8,449 |
| Rhode Island (statewide) | 6 | $13,372 | $17,042 | $22,223 | $9,372–$23,368 |
| Richmond VA | 7 | $10,701 | $11,148 | $11,480 | $10,241–$18,106 |
| Rio Grande Valley TX | 6 | $12,052 | $12,403 | $13,356 | $11,266–$15,558 |
| Salt Lake City UT | 9 | $12,690 | $12,690 | $12,690 | $12,564–$12,690 |
| San Antonio TX | 3 | — | — | — | $8,851–$30,660 |
| San Diego CA | 6 | $11,233 | $13,412 | $17,310 | $10,023–$18,485 |
| San Francisco Bay Area CA | 2 | — | — | — | $13,457–$18,747 |
| Seattle-Tacoma WA | 16 | $19,289 | $20,964 | $22,450 | $13,400–$27,882 |
| South Carolina (statewide) | 28 | $8,818 | $11,128 | $18,428 | $6,556–$32,706 |
| South Dakota (statewide) | 4 | — | — | — | $11,871–$14,954 |
| St. Louis MO | 1 | — | — | — | $16,216–$16,216 |
| Tampa FL | 11 | $20,173 | $20,173 | $22,278 | $16,257–$23,936 |
| Tennessee (statewide) | 33 | $8,006 | $9,203 | $12,903 | $6,236–$19,162 |
| Texas (statewide) | 85 | $9,548 | $10,250 | $12,832 | $6,286–$25,945 |
| Utah (statewide) | 6 | $13,486 | $16,532 | $17,712 | $7,672–$17,886 |
| Vermont (statewide) | 3 | — | — | — | $7,905–$27,580 |
| Virginia (statewide) | 25 | $10,326 | $18,892 | $21,383 | $7,005–$26,841 |
| Washington (statewide) | 13 | $15,637 | $18,448 | $19,515 | $8,286–$42,078 |
| Washington DC | 11 | $10,852 | $11,371 | $11,488 | $9,021–$19,292 |
| West Virginia (statewide) | 10 | $4,920 | $5,235 | $12,174 | $4,755–$25,994 |
| Wisconsin (statewide) | 51 | $8,721 | $9,114 | $13,771 | $5,672–$23,538 |
| Wyoming (statewide) | 1 | — | — | — | $22,402–$22,402 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Ochsner Watkins Hospital | Mississippi (statewide) | $4,095 | 0.6× | 1 | 2026-04-01 |
| Ochsner Laird Hospital | Mississippi (statewide) | $4,095 | 0.6× | 1 | 2026-04-01 |
| Ochsner Stennis Memorial Hospital | Mississippi (statewide) | $4,095 | 0.6× | 1 | 2026-04-01 |
| University Hospitals Samaritan Medical Center | Ohio (statewide) | $4,368 | 0.6× | 1 | 2026-07-14 |
| National Park Medical Center | Arkansas (statewide) | $4,656 | 0.6× | 1 | 2026-07-17 |
| Ochsner Lsu Health Shreveport | Louisiana (statewide) | $4,658 | 0.7× | 3 | 2026-04-01 |
| Ochsner Lsu Health Shreveport-St Mary Medical Cent | Louisiana (statewide) | $4,658 | 0.7× | 4 | 2026-04-01 |
| Weirton Medical Center, Inc | West Virginia (statewide) | $4,755 | 0.7× | 2 | 2026-07-10 |
| Mccone County Health Center | Montana (statewide) | $4,764 | 0.6× | 1 | 2026-01-01 |
| Reynolds Memorial Hospital, Inc | West Virginia (statewide) | $4,772 | 0.7× | 3 | 2026-07-09 |
| North Carolina Specialty Hospital | Research Triangle NC | $4,777 | 0.6× | 1 | 2026-02-25 |
| Thomas Memorial Hospital | West Virginia (statewide) | $4,914 | 0.7× | 3 | 2026-07-10 |
| Northern Light Eastern Maine Medical Center | Maine (statewide) | $32,631 | 4.3× | 3 | 2026-02-03 |
| Northern Light C A Dean Hospital | Maine (statewide) | $32,631 | 4.3× | 3 | 2026-03-30 |
| Northern Light Mayo Hospital | Maine (statewide) | $32,631 | 4.3× | 3 | 2026-03-30 |
| Northern Light Sebasticook Valley Hospital | Maine (statewide) | $32,631 | 4.3× | 3 | 2026-03-30 |
| Cherokee Medical Center | South Carolina (statewide) | $32,706 | 4.6× | 4 | 2026-04-01 |
| Providence Alaska Medical Center | Alaska (statewide) | $32,996 | 3.8× | 4 | 2026-04-01 |
| Providence Medical Center | Kansas (statewide) | $32,996 | 4.5× | 4 | 2026-04-01 |
| Providence St Joseph Medical Center | Montana (statewide) | $33,973 | 4.3× | 1 | 2026-04-01 |
| Riverside University Health System-Medical Center | California (statewide) | $39,690 | 3.9× | 1 | 2026-03-30 |
| Providence Centralia Hospital | Washington (statewide) | $42,078 | 4.9× | 2 | 2026-04-01 |
| Lac/Harbor-Ucla Med Center | California (statewide) | $52,104 | 5.2× | 1 | 2026-03-12 |
| Lac/Olive View-Ucla Medical Center | California (statewide) | $52,198 | 5.2× | 1 | 2026-03-12 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
Questions
How much do commercial insurers pay hospitals for vaginal delivery?
Across 1262 hospitals in 79 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 59409, hospital outpatient is $4,825, 1.4× the same hospital's local Medicare base rate. The middle half of hospitals runs $3,241 to $6,850. Figures are each hospital's median across insurers, from its federal price-transparency file.
What does Medicare pay for vaginal delivery?
Medicare's national hospital outpatient rate for CPT 59409 is $3,307 and its surgery-center rate is $1,738, before local wage adjustment.
Which hospitals post the lowest and highest commercial rates for vaginal delivery?
Lowest medians: Ellsworth County Medical Center ($1,505), Sabetha Community Hospital ($1,515), Madison Parish Hospital ($1,617). Highest: Stanford Health Care ($22,093), Logan Regional Medical Center ($21,551), Mainehealth Lincoln Hospital ($19,017). Coverage: every hospital whose price file we could read.