Price AtlasInteractive atlas · All states · techysurgeon.comVaginal birth after C-section (VBAC): what insurers pay
Global obstetric care for a vaginal delivery after a prior cesarean (59610); 59612 delivery only. Commercial negotiated rates by hospital and market, next to Medicare for the same code.
Open the interactive explorerAll operations
CPT 59612: Vaginal Birth After C-Section (Vbac)
960 hospitals in 75 markets. National Medicare rate $3,307, surgery center $1,738.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 6 | $3,604 | $4,065 | $5,302 | $2,998–$6,928 |
| Alaska (statewide) | 4 | — | — | — | $1,840–$14,079 |
| Arizona (statewide) | 6 | $2,398 | $3,978 | $7,585 | $1,950–$11,788 |
| Arkansas (statewide) | 5 | $2,647 | $3,625 | $4,395 | $2,418–$5,000 |
| Atlanta GA | 6 | $4,455 | $4,455 | $5,748 | $4,455–$6,179 |
| Austin TX | 13 | $2,398 | $5,125 | $5,269 | $2,398–$6,566 |
| Boston MA | 12 | $3,916 | $4,507 | $5,066 | $3,445–$5,932 |
| California (statewide) | 49 | $5,775 | $9,381 | $12,031 | $3,497–$17,412 |
| Charlotte NC | 5 | $3,780 | $3,780 | $3,780 | $3,729–$3,780 |
| Chicago IL | 9 | $3,404 | $4,774 | $7,295 | $2,385–$7,494 |
| Cleveland OH | 10 | $3,460 | $4,105 | $4,809 | $3,216–$5,635 |
| Colorado (statewide) | 14 | $3,729 | $5,008 | $7,051 | $2,122–$8,002 |
| Connecticut (statewide) | 1 | — | — | — | $5,370–$5,370 |
| Dallas-Fort Worth TX | 14 | $4,862 | $4,866 | $6,234 | $4,576–$10,357 |
| Denver CO | 15 | $3,916 | $5,583 | $6,381 | $3,501–$7,274 |
| Detroit MI | 14 | $2,436 | $2,660 | $3,172 | $1,774–$5,812 |
| Florida (statewide) | 57 | $5,360 | $6,726 | $7,480 | $1,824–$10,148 |
| Georgia (statewide) | 25 | $3,895 | $5,400 | $6,179 | $2,092–$16,442 |
| Hawaii (statewide) | 2 | — | — | — | $3,958–$4,146 |
| Houston TX | 19 | $4,557 | $4,807 | $6,342 | $4,342–$7,316 |
| Idaho (statewide) | 12 | $4,102 | $7,354 | $8,076 | $1,614–$9,472 |
| Illinois (statewide) | 26 | $3,957 | $5,044 | $7,295 | $1,815–$9,446 |
| Indiana (statewide) | 23 | $4,650 | $5,577 | $6,540 | $3,166–$11,541 |
| Iowa (statewide) | 18 | $4,247 | $5,552 | $6,190 | $1,580–$8,645 |
| Kansas (statewide) | 8 | $3,583 | $4,672 | $5,586 | $1,614–$11,200 |
| Kentucky (statewide) | 12 | $4,252 | $5,618 | $6,046 | $2,152–$7,730 |
| Las Vegas NV | 2 | — | — | — | $3,141–$3,685 |
| Los Angeles CA | 17 | $5,728 | $6,122 | $8,492 | $5,080–$18,056 |
| Louisiana (statewide) | 23 | $2,988 | $3,485 | $4,040 | $1,785–$9,400 |
| Maine (statewide) | 15 | $13,028 | $14,943 | $15,125 | $7,964–$19,017 |
| Massachusetts (statewide) | 4 | — | — | — | $2,532–$4,414 |
| Miami-Fort Lauderdale FL | 1 | — | — | — | $5,936–$5,936 |
| Michigan (statewide) | 26 | $1,791 | $3,060 | $3,370 | $1,774–$4,115 |
| Minneapolis-St. Paul MN | 6 | $4,250 | $4,250 | $4,451 | $4,159–$6,844 |
| Minnesota (statewide) | 12 | $6,472 | $8,478 | $10,307 | $1,709–$12,248 |
| Mississippi (statewide) | 13 | $3,807 | $3,885 | $4,342 | $2,423–$8,828 |
| Missouri (statewide) | 10 | $4,520 | $6,308 | $6,358 | $2,774–$6,886 |
| Montana (statewide) | 3 | — | — | — | $6,253–$9,226 |
| Nashville TN | 8 | $3,880 | $4,082 | $4,261 | $2,307–$5,045 |
| Nebraska (statewide) | 14 | $4,046 | $7,635 | $8,645 | $1,712–$18,020 |
| Nevada (statewide) | 4 | — | — | — | $2,546–$6,178 |
| New Hampshire (statewide) | 6 | $10,914 | $12,091 | $14,057 | $3,584–$14,496 |
| New Jersey (statewide) | 13 | $3,519 | $5,672 | $6,615 | $3,068–$11,208 |
| New Mexico (statewide) | 5 | $4,747 | $6,378 | $6,744 | $3,355–$9,323 |
| New York (statewide) | 27 | $3,458 | $4,716 | $6,678 | $2,177–$10,230 |
| New York City | 6 | $3,442 | $3,464 | $4,960 | $3,425–$6,602 |
| North Carolina (statewide) | 2 | — | — | — | $3,928–$8,582 |
| North Dakota (statewide) | 7 | $3,705 | $5,500 | $6,332 | $1,973–$7,705 |
| Ohio (statewide) | 38 | $3,611 | $6,390 | $8,612 | $2,149–$12,442 |
| Oklahoma (statewide) | 12 | $1,736 | $5,372 | $6,886 | $1,611–$10,924 |
| Oregon (statewide) | 10 | $7,406 | $8,142 | $10,626 | $1,838–$14,400 |
| Pennsylvania (statewide) | 13 | $3,980 | $5,974 | $10,818 | $3,252–$14,315 |
| Philadelphia PA | 10 | $4,330 | $5,423 | $6,621 | $3,316–$11,208 |
| Phoenix AZ | 8 | $3,691 | $3,710 | $3,998 | $3,691–$4,802 |
| Pittsburgh PA | 5 | $5,032 | $5,176 | $5,334 | $3,660–$5,906 |
| Portland OR | 9 | $11,960 | $12,290 | $13,320 | $11,960–$13,320 |
| Rhode Island (statewide) | 3 | — | — | — | $6,070–$7,612 |
| Richmond VA | 3 | — | — | — | $5,632–$6,884 |
| Rio Grande Valley TX | 3 | — | — | — | $4,661–$5,830 |
| Salt Lake City UT | 9 | $3,107 | $3,138 | $3,138 | $2,846–$3,138 |
| San Antonio TX | 3 | — | — | — | $3,882–$4,807 |
| San Diego CA | 2 | — | — | — | $7,170–$7,677 |
| San Francisco Bay Area CA | 6 | $5,950 | $6,702 | $8,181 | $5,714–$22,846 |
| Seattle-Tacoma WA | 16 | $8,502 | $8,792 | $11,046 | $8,345–$12,386 |
| South Carolina (statewide) | 18 | $7,258 | $9,790 | $12,844 | $3,392–$14,418 |
| South Dakota (statewide) | 4 | — | — | — | $3,886–$6,455 |
| Tampa FL | 6 | $8,481 | $8,481 | $8,481 | $5,195–$10,426 |
| Tennessee (statewide) | 21 | $3,141 | $3,497 | $4,329 | $2,567–$5,342 |
| Texas (statewide) | 76 | $3,619 | $4,720 | $5,684 | $1,892–$10,230 |
| Utah (statewide) | 6 | $2,846 | $2,902 | $2,958 | $2,799–$3,138 |
| Virginia (statewide) | 18 | $7,710 | $9,946 | $11,443 | $5,620–$13,755 |
| Washington (statewide) | 11 | $8,458 | $9,310 | $11,318 | $3,189–$16,683 |
| Washington DC | 4 | — | — | — | $4,746–$8,208 |
| West Virginia (statewide) | 3 | — | — | — | $3,529–$21,551 |
| Wisconsin (statewide) | 34 | $5,828 | $6,850 | $6,850 | $1,580–$12,836 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Cass County Memorial Hospital | Iowa (statewide) | $1,580 | 0.5× | 3 | 2026-06-01 |
| Black River Memorial Hospital | Wisconsin (statewide) | $1,580 | 0.5× | 1 | 2026-01-08 |
| Ascension St John Medical Center | Oklahoma (statewide) | $1,611 | 0.5× | 1 | 2026-01-01 |
| Ascension St John Owasso | Oklahoma (statewide) | $1,611 | 0.5× | 1 | 2026-01-01 |
| Ascension St John Sapulpa | Oklahoma (statewide) | $1,611 | 0.5× | 1 | 2026-01-01 |
| Clearwater Valley Hospital & Clinics | Idaho (statewide) | $1,614 | 0.5× | 2 | 2026-07-17 |
| Hospital District #1 Of Rice County | Kansas (statewide) | $1,614 | 0.5× | 4 | 2026-08-14 |
| Boone County Hospital | Iowa (statewide) | $1,622 | 0.5× | 3 | 2026-07-27 |
| Iowa Specialty Hospital - Clarion | Iowa (statewide) | $1,684 | 0.5× | 1 | 2026-06-11 |
| Lakewood Health System | Minnesota (statewide) | $1,709 | 0.5× | 3 | 2026-09-11 |
| Memorial Hospital | Nebraska (statewide) | $1,712 | 0.5× | 1 | 2026-07-15 |
| Henry Ford Health -St John Hospital | Detroit MI | $1,774 | 0.6× | 1 | 2026-01-01 |
| Mary Bridge Children'S Hospital | Washington (statewide) | $16,337 | 4.3× | 5 | 2026-08-27 |
| 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 |
| Providence Centralia Hospital | Washington (statewide) | $16,683 | 4.6× | 4 | 2026-04-01 |
| University Of California Davis Medical Center | California (statewide) | $17,412 | 4.1× | 2 | 2026-04-01 |
| Chi Health St Francis | Nebraska (statewide) | $18,020 | 5.4× | 6 | 2026-02-28 |
| Cedars-Sinai Medical Center | Los Angeles CA | $18,056 | 4.3× | 3 | 2025-11-26 |
| 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 | $22,846 | 4.8× | 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.
Questions
How much do commercial insurers pay hospitals for vaginal birth after c-section (vbac)?
Across 960 hospitals in 75 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 59612, hospital outpatient is $5,422, 1.6× the same hospital's local Medicare base rate. The middle half of hospitals runs $3,741 to $7,499. Figures are each hospital's median across insurers, from its federal price-transparency file.
What does Medicare pay for vaginal birth after c-section (vbac)?
Medicare's national hospital outpatient rate for CPT 59612 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 birth after c-section (vbac)?
Lowest medians: Cass County Memorial Hospital ($1,580), Black River Memorial Hospital ($1,580), Ascension St John Medical Center ($1,611). Highest: Stanford Health Care ($22,846), Logan Regional Medical Center ($21,551), Mainehealth Lincoln Hospital ($19,017). Coverage: every hospital whose price file we could read.