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Procedure price report · Other procedures to assist delivery

Turning the baby head-down from outside the belly

CPT 59412the billing code this page is about

Hand pressure on the mother's abdomen to rotate the baby into a head-down position before delivery; billed in addition to the delivery itself.

Hospitals typically charge $2,155 cash for this outpatient procedure — the median across 1,971 hospitals that filed a usable cash price; the average of the middle 60% is $2,250. Most fall between $770 and $4,122 (20th–80th percentile).

Hospitals
1,971
States
50
Filings dated
Dec 2023 – 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 1,971 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
$286$944$2,155$3,747$5,842

The most expensive tenth of hospitals charges at least 20× what the cheapest tenth charges ($286 vs $5,842).

How the prices are spread

$193 – $280: 96 hospitals$193$280 – $405: 69 hospitals$405 – $585: 72 hospitals$405$585 – $847: 104 hospitals$847 – $1,226: 154 hospitals$847$1,226 – $1,774: 240 hospitals$1,774 – $2,567: 280 hospitals$1,774$2,567 – $3,714: 345 hospitals$3,714 – $5,375: 278 hospitals$3,714$5,375 – $7,778: 137 hospitals$5,375median $2,155price bands are equal on a log scale
Hospitals per price band (1,775 of 1,971 — the bands cover the 5th to 95th percentile)
FromToHospitals
$193$28096
$280$40569
$405$58572
$585$847104
$847$1,226154
$1,226$1,774240
$1,774$2,567280
$2,567$3,714345
$3,714$5,375278
$5,375$7,778137

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,307
Median cash price$2,155
Cash as a multiple of Medicare0.65×

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 $2,155.

Alaska: median $1,726 across 14 hospitalsAK$1,726Maine: median $336 across 14 hospitalsME$336Vermont: 9 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $407 across 16 hospitalsNH$407Washington: median $1,879 across 55 hospitalsWA$1,879Idaho: median $2,940 across 16 hospitalsID$2,940Montana: median $271 across 12 hospitalsMT$271North Dakota: median $2,234 across 11 hospitalsND$2,234Minnesota: median $1,277 across 72 hospitalsMN$1,277Illinois: median $2,005 across 81 hospitalsIL$2,005Wisconsin: median $839 across 80 hospitalsWI$839Michigan: median $2,071 across 67 hospitalsMI$2,071New York: median $3,763 across 69 hospitalsNY$3,763Massachusetts: median $3,515 across 35 hospitalsMA$3,515Oregon: median $1,951 across 45 hospitalsOR$1,951Nevada: median $467 across 10 hospitalsNV$467Wyoming: median $630 across 13 hospitalsWY$630South Dakota: median $3,618 across 12 hospitalsSD$3,618Iowa: median $1,149 across 50 hospitalsIA$1,149Indiana: median $1,139 across 53 hospitalsIN$1,139Ohio: median $2,362 across 99 hospitalsOH$2,362Pennsylvania: median $2,583 across 71 hospitalsPA$2,583New Jersey: median $3,986 across 50 hospitalsNJ$3,986Connecticut: median $5,119 across 15 hospitalsCT$5,119Rhode Island: 3 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $2,590 across 151 hospitalsCA$2,590Utah: median $1,725 across 30 hospitalsUT$1,725Colorado: median $1,465 across 48 hospitalsCO$1,465Nebraska: median $1,940 across 37 hospitalsNE$1,940Missouri: median $2,312 across 43 hospitalsMO$2,312Kentucky: median $2,062 across 28 hospitalsKY$2,062West Virginia: median $3,721 across 15 hospitalsWV$3,721Virginia: median $1,868 across 42 hospitalsVA$1,868Maryland: median $1,810 across 16 hospitalsMD$1,810Delaware: 5 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $1,961 across 32 hospitalsAZ$1,961New Mexico: median $1,758 across 18 hospitalsNM$1,758Kansas: median $947 across 25 hospitalsKS$947Arkansas: median $1,734 across 12 hospitalsAR$1,734Tennessee: median $863 across 39 hospitalsTN$863North Carolina: median $1,944 across 60 hospitalsNC$1,944South Carolina: median $4,210 across 36 hospitalsSC$4,210Oklahoma: median $1,743 across 36 hospitalsOK$1,743Louisiana: median $1,533 across 30 hospitalsLA$1,533Mississippi: median $1,938 across 22 hospitalsMS$1,938Alabama: median $1,715 across 24 hospitalsAL$1,715Georgia: median $1,661 across 58 hospitalsGA$1,661Hawaii: 7 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $2,778 across 120 hospitalsTX$2,778Florida: median $4,135 across 65 hospitalsFL$4,135
Cash price by state, most expensive first. National median $2,155. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Connecticut CT15$5,119+138%$1,418 – $10,107
South Carolina SC36$4,210+95%$1,800 – $5,303
Florida FL65$4,135+92%$2,629 – $7,298
New Jersey NJ50$3,986+85%$2,643 – $5,419
New York NY69$3,763+75%$944 – $7,231
West Virginia WV15$3,721+73%$308 – $4,135
South Dakota SD12$3,618+68%$2,653 – $6,706
Massachusetts MA35$3,515+63%$1,606 – $6,533
Idaho ID16$2,940+36%$1,380 – $6,137
Texas TX120$2,778+29%$1,149 – $3,327
California CA151$2,590+20%$1,561 – $4,446
Pennsylvania PA71$2,583+20%$1,101 – $5,430
Ohio OH99$2,362+10%$1,266 – $5,842
Missouri MO43$2,312+7%$684 – $2,855
North Dakota ND11$2,234+4%$236 – $3,419
Michigan MI67$2,071−4%$568 – $4,062
Kentucky KY28$2,062−4%$373 – $9,740
Illinois IL81$2,005−7%$779 – $4,006
Arizona AZ32$1,961−9%$1,303 – $4,603
Oregon OR45$1,951−9%$247 – $6,383
North Carolina NC60$1,944−10%$615 – $3,734
Nebraska NE37$1,940−10%$428 – $2,276
Mississippi MS22$1,938−10%$1,139 – $2,819
Washington WA55$1,879−13%$366 – $4,526
Virginia VA42$1,868−13%$863 – $3,936
Maryland MD16$1,810−16%$1,535 – $2,826
New Mexico NM18$1,758−18%$1,003 – $3,783
Oklahoma OK36$1,743−19%$228 – $3,173
Arkansas AR12$1,734−20%$858 – $1,805
Alaska AK14$1,726−20%$486 – $5,422
Utah UT30$1,725−20%$1,380 – $2,295
Alabama AL24$1,715−20%$914 – $4,552
Georgia GA58$1,661−23%$1,364 – $4,339
Louisiana LA30$1,533−29%$949 – $1,933
Colorado CO48$1,465−32%$521 – $3,947
Minnesota MN72$1,277−41%$523 – $2,688
Iowa IA50$1,149−47%$247 – $2,005
Indiana IN53$1,139−47%$429 – $2,926
Kansas KS25$947−56%$187 – $2,855
Tennessee TN39$863−60%$740 – $2,916
Wisconsin WI80$839−61%$377 – $1,783
Wyoming WY13$630−71%$267 – $1,108
Nevada NV10$467−78%$360 – $2,226
New Hampshire NH16$407−81%$123 – $1,146
Maine ME14$336−84%$204 – $3,727
Montana MT12$271−87%$196 – $2,366
Vermont VT9not enough hospitals filed a usable price
Hawaii HI7not enough hospitals filed a usable price
Delaware DE5not enough hospitals filed a usable price
Rhode Island RI3not 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 $2,155.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,601$2,373$976 – $4,286
Children’s17fewer than 20 hospitals
Critical access346$862$251 – $3,084
Ownership
For-profit167$2,658$1,121 – $4,603
Government308$1,539$314 – $3,763
Non-profit1,489$2,216$845 – $4,158
System affiliation
Part of a system1,664$2,295$861 – $4,241
Independent307$1,523$260 – $3,602

Cash price vs list price

Median list price (chargemaster)$3,729
Median cash price$2,155
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. 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

1,547 hospitals filed a usable inpatient cash price for this code. The median is $2,165 and the average of the middle 60% is $2,274; most fall between $861 and $4,173.

Cash price percentiles, inpatient, across 1,547 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
$343$1,052$2,165$3,736$5,910

The most expensive tenth of hospitals charges at least 17× what the cheapest tenth charges ($343 vs $5,910).

Of the 1,668 hospitals that filed this code inpatient, 1,547 gave a usable cash price; 57 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 64 a list price only.

How complete is this

1,971 of the 3,956 hospitals with a price file in our corpus (50%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,155 hospitals that filed this code at all gave us
Usable cash price — counted1,971
Cash price carrying a plausibility flag — shown on the compare tool, excluded here96
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded3
A list price only, no cash figure — excluded85
Hospitals that filed this code2,155

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 Other procedures to assist delivery family.

Hospitals file this code under descriptions such as External Cephalic Version W/WO Tocolysis.

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, “Turning the baby head-down from outside the belly (CPT 59412) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-59412-turning-the-baby-head-down-from-outside-the-belly