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Procedure price report · Forceps, vacuum, and breech delivery

Vaginal birth after previous cesarean, with after-birth care

CPT 59614the billing code this page is about

Covers the vaginal delivery in a woman who had a cesarean in a past pregnancy plus the routine care after birth; prenatal visits are billed separately.

Hospitals typically charge $2,465 cash for this outpatient procedure — the median across 356 hospitals that filed a usable cash price; the average of the middle 60% is $2,585. Most fall between $1,672 and $4,243 (20th–80th percentile).

Hospitals
356
States
47
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 356 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
$1,168$1,837$2,465$3,697$5,325

The most expensive tenth of hospitals charges at least 4.6× what the cheapest tenth charges ($1,168 vs $5,325).

How the prices are spread

$901 – $1,090: 6 hospitals$901$1,090 – $1,318: 31 hospitals$1,318 – $1,593: 16 hospitals$1,318$1,593 – $1,926: 28 hospitals$1,926 – $2,328: 61 hospitals$1,926$2,328 – $2,815: 66 hospitals$2,815 – $3,403: 31 hospitals$2,815$3,403 – $4,115: 21 hospitals$4,115 – $4,974: 42 hospitals$4,115$4,974 – $6,014: 20 hospitals$4,974median $2,465price bands are equal on a log scale
Hospitals per price band (322 of 356 — the bands cover the 5th to 95th percentile)
FromToHospitals
$901$1,0906
$1,090$1,31831
$1,318$1,59316
$1,593$1,92628
$1,926$2,32861
$2,328$2,81566
$2,815$3,40331
$3,403$4,11521
$4,115$4,97442
$4,974$6,01420

By state

The median cash price in each state, against the national median of $2,465.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 3 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 7 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 7 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $2,328 across 11 hospitalsWA$2,328Idaho: 1 hospital filed a usable price — fewer than 10, so no figureIDMontana: 5 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $2,667 across 24 hospitalsMN$2,667Illinois: median $1,168 across 11 hospitalsIL$1,168Wisconsin: median $4,412 across 29 hospitalsWI$4,412Michigan: median $2,533 across 27 hospitalsMI$2,533New York: median $2,100 across 21 hospitalsNY$2,100Massachusetts: no hospital in the corpus filed a usable priceMAOregon: median $2,669 across 12 hospitalsOR$2,669Nevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 6 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $2,286 across 24 hospitalsIA$2,286Indiana: 8 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $2,830 across 14 hospitalsOH$2,830Pennsylvania: median $3,396 across 11 hospitalsPA$3,396New Jersey: median $5,110 across 13 hospitalsNJ$5,110Connecticut: 2 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 2 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: 6 hospitals filed a usable price — fewer than 10, so no figureCAUtah: no hospital in the corpus filed a usable priceUTColorado: 5 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 7 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 6 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 4 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 9 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 3 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 2 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 6 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 5 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: no hospital in the corpus filed a usable priceNCSouth Carolina: 1 hospital filed a usable price — fewer than 10, so no figureSCOklahoma: median $2,411 across 12 hospitalsOK$2,411Louisiana: 1 hospital filed a usable price — fewer than 10, so no figureLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: 3 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 6 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $4,243 across 19 hospitalsTX$4,243Florida: 5 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $2,465. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ13$5,110+107%$3,986 – $5,855
Wisconsin WI29$4,412+79%$2,465 – $6,343
Texas TX19$4,243+72%$3,287 – $4,575
Pennsylvania PA11$3,396+38%$134 – $4,473
Ohio OH14$2,830+15%$1,778 – $5,325
Oregon OR12$2,669+8%$2,136 – $2,670
Minnesota MN24$2,667+8%$2,326 – $5,345
Michigan MI27$2,533+3%$1,672 – $2,533
Oklahoma OK12$2,411−2%$2,411 – $2,411
Washington WA11$2,328−6%$2,136 – $2,909
Iowa IA24$2,286−7%$2,102 – $2,881
New York NY21$2,100−15%$1,675 – $2,879
Illinois IL11$1,168−53%$1,168 – $2,318
West Virginia WV9not enough hospitals filed a usable price
Indiana IN8not enough hospitals filed a usable price
Nebraska NE7not enough hospitals filed a usable price
New Hampshire NH7not enough hospitals filed a usable price
Vermont VT7not enough hospitals filed a usable price
California CA6not enough hospitals filed a usable price
Georgia GA6not enough hospitals filed a usable price
Kansas KS6not enough hospitals filed a usable price
Missouri MO6not enough hospitals filed a usable price
Wyoming WY6not enough hospitals filed a usable price
Colorado CO5not enough hospitals filed a usable price
Florida FL5not enough hospitals filed a usable price
Montana MT5not enough hospitals filed a usable price
Tennessee TN5not enough hospitals filed a usable price
Kentucky KY4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Maine ME3not enough hospitals filed a usable price
Virginia VA3not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
Connecticut CT2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Rhode Island RI2not enough hospitals filed a usable price
South Dakota SD2not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Idaho ID1not enough hospitals filed a usable price
Louisiana LA1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
South Carolina SC1not 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 $2,465.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care241$2,465$1,524 – $4,243
Children’s5fewer than 20 hospitals
Critical access110$2,400$1,682 – $4,412
Ownership
For-profit19fewer than 20 hospitals
Government58$2,326$1,849 – $3,287
Non-profit279$2,501$1,672 – $4,412
System affiliation
Part of a system273$2,533$1,672 – $4,412
Independent83$2,168$1,383 – $3,287

Cash price vs list price

Median list price (chargemaster)$3,400
Median cash price$2,465
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

231 hospitals filed a usable inpatient cash price for this code. The median is $2,411 and the average of the middle 60% is $2,608; most fall between $1,541 and $4,243.

Cash price percentiles, inpatient, across 231 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
$1,168$1,791$2,411$3,519$4,473

The most expensive tenth of hospitals charges at least 3.8× what the cheapest tenth charges ($1,168 vs $4,473).

Of the 270 hospitals that filed this code inpatient, 231 gave a usable cash price; 22 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 17 a list price only.

How complete is this

356 of the 3,956 hospitals with a price file in our corpus (9%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 419 hospitals that filed this code at all gave us
Usable cash price — counted356
Cash price carrying a plausibility flag — shown on the compare tool, excluded here40
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 — excluded23
Hospitals that filed this code419

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • 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 & Postpartum Care Vbac.

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 previous cesarean, with after-birth care (CPT 59614) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-59614-vaginal-birth-after-previous-cesarean-with-after-birth-care