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Procedure price report · Forceps, vacuum, and breech delivery

Vaginal birth after a previous cesarean, delivery only

CPT 59612the billing code this page is about

Covers the vaginal delivery itself in a woman who had a cesarean in a past pregnancy, including episiotomy or forceps if used; prenatal and after-birth care are billed separately.

Hospitals typically charge $2,981 cash for this outpatient procedure — the median across 743 hospitals that filed a usable cash price; the average of the middle 60% is $3,048. Most fall between $1,576 and $5,287 (20th–80th percentile).

Hospitals
743
States
48
Filings dated
Jan 2024 – 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 743 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
$1,111$1,770$2,981$4,451$7,479

The most expensive tenth of hospitals charges at least 6.7× what the cheapest tenth charges ($1,111 vs $7,479).

How the prices are spread

$879 – $1,102: 31 hospitals$879$1,102 – $1,384: 36 hospitals$1,384 – $1,736: 75 hospitals$1,384$1,736 – $2,179: 101 hospitals$2,179 – $2,734: 70 hospitals$2,179$2,734 – $3,431: 63 hospitals$3,431 – $4,306: 139 hospitals$3,431$4,306 – $5,404: 48 hospitals$5,404 – $6,781: 56 hospitals$5,404$6,781 – $8,510: 50 hospitals$6,781median $2,981price bands are equal on a log scale
Hospitals per price band (669 of 743 — the bands cover the 5th to 95th percentile)
FromToHospitals
$879$1,10231
$1,102$1,38436
$1,384$1,73675
$1,736$2,179101
$2,179$2,73470
$2,734$3,43163
$3,431$4,306139
$4,306$5,40448
$5,404$6,78156
$6,781$8,51050

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,307
Median cash price$2,981
Cash as a multiple of Medicare0.90×

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 $2,981.

Alaska: 7 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 7 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 9 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 9 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $2,988 across 20 hospitalsWA$2,988Idaho: median $7,460 across 11 hospitalsID$7,460Montana: 6 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 4 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $2,802 across 35 hospitalsMN$2,802Illinois: median $1,839 across 23 hospitalsIL$1,839Wisconsin: median $3,545 across 34 hospitalsWI$3,545Michigan: median $2,342 across 35 hospitalsMI$2,342New York: median $2,837 across 44 hospitalsNY$2,837Massachusetts: median $3,575 across 20 hospitalsMA$3,575Oregon: median $2,110 across 24 hospitalsOR$2,110Nevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 7 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 7 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $1,839 across 26 hospitalsIA$1,839Indiana: median $1,111 across 14 hospitalsIN$1,111Ohio: median $4,183 across 29 hospitalsOH$4,183Pennsylvania: median $3,728 across 19 hospitalsPA$3,728New Jersey: median $4,350 across 32 hospitalsNJ$4,350Connecticut: 2 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $3,605 across 54 hospitalsCA$3,605Utah: no hospital in the corpus filed a usable priceUTColorado: median $2,268 across 15 hospitalsCO$2,268Nebraska: 9 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $1,936 across 15 hospitalsMO$1,936Kentucky: 9 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $3,205 across 11 hospitalsWV$3,205Virginia: 7 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 7 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 5 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 3 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 9 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 6 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $1,869 across 18 hospitalsTN$1,869North Carolina: 2 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 5 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,450 across 15 hospitalsOK$1,450Louisiana: 3 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: median $1,869 across 17 hospitalsMS$1,869Alabama: 3 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 9 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 5 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $3,844 across 57 hospitalsTX$3,844Florida: median $4,926 across 30 hospitalsFL$4,926
Cash price by state, most expensive first. National median $2,981. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Idaho ID11$7,460+150%$1,605 – $8,592
Florida FL30$4,926+65%$4,044 – $6,729
New Jersey NJ32$4,350+46%$3,522 – $6,169
Ohio OH29$4,183+40%$1,866 – $8,267
Texas TX57$3,844+29%$3,759 – $4,170
Pennsylvania PA19$3,728+25%$1,636 – $5,991
California CA54$3,605+21%$2,202 – $8,002
Massachusetts MA20$3,575+20%$2,124 – $9,249
Wisconsin WI34$3,545+19%$1,980 – $5,927
West Virginia WV11$3,205+7%$2,981 – $3,722
Washington WA20$2,9880%$1,832 – $6,250
New York NY44$2,837−5%$1,487 – $3,842
Minnesota MN35$2,802−6%$1,918 – $4,135
Michigan MI35$2,342−21%$1,153 – $3,111
Colorado CO15$2,268−24%$1,933 – $3,794
Oregon OR24$2,110−29%$1,652 – $6,383
Missouri MO15$1,936−35%$1,154 – $3,400
Mississippi MS17$1,869−37%$1,223 – $3,200
Tennessee TN18$1,869−37%$951 – $2,063
Iowa IA26$1,839−38%$1,412 – $2,187
Illinois IL23$1,839−38%$1,111 – $3,919
Oklahoma OK15$1,450−51%$1,450 – $2,919
Indiana IN14$1,111−63%$1,052 – $2,171
Georgia GA9not enough hospitals filed a usable price
Kansas KS9not enough hospitals filed a usable price
Kentucky KY9not enough hospitals filed a usable price
Nebraska NE9not enough hospitals filed a usable price
New Hampshire NH9not enough hospitals filed a usable price
Vermont VT9not enough hospitals filed a usable price
Alaska AK7not enough hospitals filed a usable price
Maryland MD7not enough hospitals filed a usable price
Maine ME7not enough hospitals filed a usable price
South Dakota SD7not enough hospitals filed a usable price
Virginia VA7not enough hospitals filed a usable price
Wyoming WY7not enough hospitals filed a usable price
Arkansas AR6not enough hospitals filed a usable price
Montana MT6not enough hospitals filed a usable price
Arizona AZ5not enough hospitals filed a usable price
Hawaii HI5not enough hospitals filed a usable price
South Carolina SC5not enough hospitals filed a usable price
North Dakota ND4not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Louisiana LA3not enough hospitals filed a usable price
New Mexico NM3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Connecticut CT2not enough hospitals filed a usable price
Delaware DE2not enough hospitals filed a usable price
North Carolina NC2not 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 $2,981.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care535$3,271$1,522 – $5,741
Children’s10fewer than 20 hospitals
Critical access196$2,362$1,640 – $3,974
Ownership
For-profit47$2,837$1,111 – $4,926
Government135$2,336$1,417 – $4,592
Non-profit559$3,160$1,630 – $5,700
System affiliation
Part of a system594$3,339$1,636 – $5,688
Independent149$2,157$1,480 – $3,972

Cash price vs list price

Median list price (chargemaster)$4,374
Median cash price$2,981
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

526 hospitals filed a usable inpatient cash price for this code. The median is $2,759 and the average of the middle 60% is $2,942; most fall between $1,450 and $5,688.

Cash price percentiles, inpatient, across 526 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
$1,075$1,652$2,759$4,926$8,002

The most expensive tenth of hospitals charges at least 7.4× what the cheapest tenth charges ($1,075 vs $8,002).

Of the 589 hospitals that filed this code inpatient, 526 gave a usable cash price; 34 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 29 a list price only.

How complete is this

743 of the 3,956 hospitals with a price file in our corpus (19%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 835 hospitals that filed this code at all gave us
Usable cash price — counted743
Cash price carrying a plausibility flag — shown on the compare tool, excluded here62
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded28
Hospitals that filed this code835

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 Vaginal Delivery After Cesarean Delivery.

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 birth after a previous cesarean, delivery only (CPT 59612) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-59612-vaginal-birth-after-a-previous-cesarean-delivery-only