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Procedure price report · Forceps, vacuum, and breech delivery

Vaginal delivery only, without prenatal or after care

CPT 59409the billing code this page is about

Covers the vaginal birth itself, including routine hospital care during labor, but not prenatal visits or care after the birth.

Hospitals typically charge $2,449 cash for this outpatient procedure — the median across 2,065 hospitals that filed a usable cash price; the average of the middle 60% is $2,650. Most fall between $1,318 and $4,614 (20th–80th percentile).

Hospitals
2,065
States
50
Filings dated
Aug 2022 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 2,065 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$893$1,480$2,449$4,146$6,829

The most expensive tenth of hospitals charges at least 7.6× what the cheapest tenth charges ($893 vs $6,829).

How the prices are spread

$516 – $691: 36 hospitals$516$691 – $926: 82 hospitals$926 – $1,242: 147 hospitals$926$1,242 – $1,665: 274 hospitals$1,665 – $2,231: 292 hospitals$1,665$2,231 – $2,991: 276 hospitals$2,991 – $4,009: 293 hospitals$2,991$4,009 – $5,374: 255 hospitals$5,374 – $7,203: 119 hospitals$5,374$7,203 – $9,655: 91 hospitals$7,203median $2,449price bands are equal on a log scale
Hospitals per price band (1,865 of 2,065 — the bands cover the 5th to 95th percentile)
FromToHospitals
$516$69136
$691$92682
$926$1,242147
$1,242$1,665274
$1,665$2,231292
$2,231$2,991276
$2,991$4,009293
$4,009$5,374255
$5,374$7,203119
$7,203$9,65591

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,307
Median cash price$2,449
Cash as a multiple of Medicare0.74×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $2,449.

Alaska: median $4,039 across 13 hospitalsAK$4,039Maine: median $1,877 across 18 hospitalsME$1,877Vermont: median $2,071 across 10 hospitalsVT$2,071New Hampshire: median $1,388 across 14 hospitalsNH$1,388Washington: median $2,767 across 65 hospitalsWA$2,767Idaho: median $2,548 across 16 hospitalsID$2,548Montana: median $1,530 across 23 hospitalsMT$1,530North Dakota: median $2,822 across 21 hospitalsND$2,822Minnesota: median $2,094 across 64 hospitalsMN$2,094Illinois: median $2,576 across 97 hospitalsIL$2,576Wisconsin: median $2,359 across 65 hospitalsWI$2,359Michigan: median $2,398 across 64 hospitalsMI$2,398New York: median $3,307 across 74 hospitalsNY$3,307Massachusetts: median $3,436 across 38 hospitalsMA$3,436Oregon: median $1,969 across 44 hospitalsOR$1,969Nevada: median $2,902 across 14 hospitalsNV$2,902Wyoming: median $1,984 across 12 hospitalsWY$1,984South Dakota: median $2,028 across 20 hospitalsSD$2,028Iowa: median $1,710 across 69 hospitalsIA$1,710Indiana: median $1,679 across 50 hospitalsIN$1,679Ohio: median $3,597 across 69 hospitalsOH$3,597Pennsylvania: median $3,704 across 86 hospitalsPA$3,704New Jersey: median $4,243 across 45 hospitalsNJ$4,243Connecticut: median $4,592 across 16 hospitalsCT$4,592Rhode Island: 7 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $4,394 across 110 hospitalsCA$4,394Utah: 3 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $2,268 across 41 hospitalsCO$2,268Nebraska: median $1,521 across 41 hospitalsNE$1,521Missouri: median $1,605 across 54 hospitalsMO$1,605Kentucky: median $1,960 across 36 hospitalsKY$1,960West Virginia: median $3,101 across 27 hospitalsWV$3,101Virginia: median $2,101 across 52 hospitalsVA$2,101Maryland: 8 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 6 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $2,604 across 20 hospitalsAZ$2,604New Mexico: median $2,573 across 18 hospitalsNM$2,573Kansas: median $1,778 across 50 hospitalsKS$1,778Arkansas: median $1,313 across 17 hospitalsAR$1,313Tennessee: median $835 across 34 hospitalsTN$835North Carolina: median $3,342 across 49 hospitalsNC$3,342South Carolina: median $4,206 across 42 hospitalsSC$4,206Oklahoma: median $1,414 across 50 hospitalsOK$1,414Louisiana: median $1,954 across 29 hospitalsLA$1,954Mississippi: median $1,332 across 38 hospitalsMS$1,332Alabama: median $2,543 across 24 hospitalsAL$2,543Georgia: median $1,831 across 71 hospitalsGA$1,831Hawaii: median $1,435 across 10 hospitalsHI$1,435Texas: median $2,717 across 134 hospitalsTX$2,717Florida: median $4,131 across 87 hospitalsFL$4,131
Cash price by state, most expensive first. National median $2,449. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Connecticut CT16$4,592+88%$1,367 – $6,250
California CA110$4,394+79%$2,202 – $10,002
New Jersey NJ45$4,243+73%$3,689 – $6,839
South Carolina SC42$4,206+72%$1,998 – $5,068
Florida FL87$4,131+69%$2,304 – $6,829
Alaska AK13$4,039+65%$2,603 – $5,082
Pennsylvania PA86$3,704+51%$1,264 – $4,698
Ohio OH69$3,597+47%$2,037 – $8,267
Massachusetts MA38$3,436+40%$1,173 – $6,876
North Carolina NC49$3,342+36%$1,832 – $5,288
New York NY74$3,307+35%$1,207 – $6,879
West Virginia WV27$3,101+27%$1,402 – $4,709
Nevada NV14$2,902+19%$958 – $6,371
North Dakota ND21$2,822+15%$1,866 – $4,970
Washington WA65$2,767+13%$1,691 – $4,036
Texas TX134$2,717+11%$1,873 – $4,161
Arizona AZ20$2,604+6%$907 – $9,655
Illinois IL97$2,576+5%$1,352 – $4,426
New Mexico NM18$2,573+5%$1,357 – $6,217
Idaho ID16$2,548+4%$1,423 – $8,592
Alabama AL24$2,543+4%$1,091 – $3,750
Michigan MI64$2,398−2%$1,623 – $4,451
Wisconsin WI65$2,359−4%$1,597 – $3,430
Colorado CO41$2,268−7%$1,477 – $5,516
Virginia VA52$2,101−14%$1,178 – $4,491
Minnesota MN64$2,094−14%$1,397 – $2,795
Vermont VT10$2,071−15%$1,216 – $3,304
South Dakota SD20$2,028−17%$1,317 – $3,371
Wyoming WY12$1,984−19%$1,041 – $2,514
Oregon OR44$1,969−20%$1,458 – $3,016
Kentucky KY36$1,960−20%$1,303 – $3,753
Louisiana LA29$1,954−20%$1,019 – $3,737
Maine ME18$1,877−23%$1,411 – $2,494
Georgia GA71$1,831−25%$1,448 – $5,171
Kansas KS50$1,778−27%$1,100 – $2,963
Iowa IA69$1,710−30%$910 – $2,467
Indiana IN50$1,679−31%$850 – $2,850
Missouri MO54$1,605−34%$919 – $2,901
Montana MT23$1,530−38%$1,125 – $2,571
Nebraska NE41$1,521−38%$1,157 – $2,607
Hawaii HI10$1,435−41%$787 – $2,598
Oklahoma OK50$1,414−42%$673 – $3,996
New Hampshire NH14$1,388−43%$905 – $2,020
Mississippi MS38$1,332−46%$846 – $1,849
Arkansas AR17$1,313−46%$348 – $1,678
Tennessee TN34$835−66%$465 – $1,663
Maryland MD8not enough hospitals filed a usable price
Rhode Island RI7not enough hospitals filed a usable price
Delaware DE6not enough hospitals filed a usable price
Utah UT3not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $2,449.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,404$2,837$1,367 – $5,171
Children’s26$3,642$2,767 – $9,613
Critical access631$1,980$1,240 – $3,320
Ownership
For-profit162$3,317$1,622 – $6,829
Government441$2,066$1,207 – $3,763
Non-profit1,458$2,474$1,338 – $4,700
System affiliation
Part of a system1,649$2,599$1,331 – $4,760
Independent416$2,110$1,271 – $3,737

Cash price vs list price

Median list price (chargemaster)$3,955
Median cash price$2,449
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

1,536 hospitals filed a usable inpatient cash price for this code. The median is $2,643 and the average of the middle 60% is $2,792; most fall between $1,367 and $4,985.

Cash price percentiles, inpatient, across 1,536 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$950$1,530$2,643$4,352$7,692

The most expensive tenth of hospitals charges at least 8.1× what the cheapest tenth charges ($950 vs $7,692).

Of the 1,666 hospitals that filed this code inpatient, 1,536 gave a usable cash price; 53 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 77 a list price only.

How complete is this

2,065 of the 3,956 hospitals with a price file in our corpus (52%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,234 hospitals that filed this code at all gave us
Usable cash price — counted2,065
Cash price carrying a plausibility flag — shown on the compare tool, excluded here87
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded82
Hospitals that filed this code2,234

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Forceps, vacuum, and breech delivery family.

Hospitals file this code under descriptions such as PR Obstetrical Care,Vag Deliv Only.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Vaginal delivery only, without prenatal or after care (CPT 59409) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-59409-vaginal-delivery-only-without-prenatal-or-after-care