CPT59400

Vaginal Delivery (Global) Cost in Colorado

Obstetrical care

$2,192.31Colorado physician fee2026 Medicare office rate
Hospital payments are wage-adjusted by locality, so the ZIP changes the numbers.
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Colorado Medicare physician rate (2026)

-1.0% vs national

Single statewide locality.

Colorado (Hospital)
$2,192.31
Facility physician fee
Private plan est.
$2,850–$4,385
~130–200% of Medicare
Cash / self-pay est.
$1,754–$3,288
~80–150% of Medicare

Your ZIP in Colorado

Enter a ZIP code to compare your area of Colorado, from Denver, Boulder, Fort Collins, and Colorado Springs to Grand Junction, the mountain resort counties, and the Eastern Plains.

What vaginal delivery (global) costs at hospitals near you

Everything above is a national average. The hospital you pick in Colorado moves the bill more than anything else you control.

Locked

Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.

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What these numbers are

Every figure on this page is a 2026 Medicare allowed amount: the physician line comes from the Physician Fee Schedule adjusted by geographic practice-cost indices, and the facility totals come from the CMS hospital outpatient (OPPS) and ambulatory surgery centre rates. None of them is a hospital chargemaster price, your insurer's contracted rate, or a quote. Anesthesia, pathology, imaging reads and follow-up care are billed under their own codes when they apply, and an inpatient stay is paid a different way again.

National vs Colorado

National office$2,214.48
National hospital (physician)$2,214.48
Colorado vs nationalwithin 2% of the national office rate of $2,214.48

Where Colorado ranks for this CPT

Rank (lowest physician fee first)#31 of 51
Lowest stateWisconsin ($1,944.55)
Highest stateAlaska ($2,715.06)

Vaginal Delivery (Global) and how Colorado is priced

Colorado's physician fees are set through a single statewide locality, so the Front Range and the Western Slope share one set of geographic adjustments despite very different local economies. The state's indices run modestly above the national midpoint, reflecting Denver-area wages and rents averaged against lower-cost rural areas. Because the locality is unified, mountain resort towns do not carry a higher Medicare fee schedule even though their private-market prices are famously steep. That gap between Medicare's uniform pricing and wide private-price variation is a defining feature of the Colorado market.

Care is concentrated along the Front Range from Fort Collins through Denver to Colorado Springs and Pueblo, where several large systems and an academic medical center compete. Mountain and plains communities depend on smaller hospitals, and residents there commonly drive to Denver or Grand Junction for specialty procedures. Resort-area facilities can bill far above what the corridor cities charge, so location shopping pays off in this state.

This procedure: This code is not a single procedure but the entire package of routine pregnancy care with a vaginal birth: all standard prenatal visits, the delivery itself including any needed episiotomy or forceps assistance, and postpartum checkups. Labor and delivery happen in a hospital or birth center, and the global code represents roughly ten months of care by the obstetrician or midwifery practice. The hospital stay for an uncomplicated vaginal birth is typically one to two nights.

What Is Vaginal Delivery (Global)?

This code is not a single procedure but the entire package of routine pregnancy care with a vaginal birth: all standard prenatal visits, the delivery itself including any needed episiotomy or forceps assistance, and postpartum checkups. Labor and delivery happen in a hospital or birth center, and the global code represents roughly ten months of care by the obstetrician or midwifery practice. The hospital stay for an uncomplicated vaginal birth is typically one to two nights.

What Affects the Cost

  • The hospital's facility charges for labor, delivery, and the postpartum stay are separate from and usually larger than the physician's global fee.
  • An epidural is billed by the anesthesiologist as an entirely separate charge.
  • Your newborn generates a second, separate hospital account from the moment of birth, including nursery or NICU care and pediatrician visits.
  • Ultrasounds, lab panels, and genetic screening during pregnancy are billed outside the global fee, visit by visit.
  • Extra visits for complications like gestational diabetes or hypertension fall outside routine prenatal care and are billed additionally.
  • If labor ends in an unplanned cesarean, the physician claim converts to the cesarean global code at a higher rate and the hospital stay lengthens.

Questions to Ask Before Booking

  • 1.What does your global fee include, and which common services, like ultrasounds and labs, will be billed separately?
  • 2.What are the hospital's typical facility charges for a vaginal delivery and postpartum stay?
  • 3.Is the anesthesiology group that places epidurals at your hospital in my network?
  • 4.How is the baby's hospital care billed, and what do I need to do to enroll the baby on my insurance?
  • 5.If I end up needing a cesarean, how do the physician and hospital charges change?

Vaginal Delivery (Global) in Colorado: questions

Colorado is a single Medicare locality for this fee schedule. The 2026 physician rate for CPT 59400 is $2,192.31 in an office and $2,192.31 in a hospital, statewide. A ZIP lookup still confirms the locality mapping.

Not on the physician fee schedule. Colorado uses one locality, so the Medicare physician rate is the same from one end of the state to the other. What still changes is site of service (office vs hospital) and any facility fee the hospital bills on its own claim.

After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $438 for the office physician line or $438 for the hospital physician line in Colorado. Medigap may cover that 20%. This is not the hospital facility fee.

No. $2,192.31 is the Medicare physician allowed amount for CPT 59400. Anesthesia, facility fees, implants, and other CPT codes billed the same day are extra. Colorado ranks #31 of 51 states on this physician line (within 2% of the national office rate of $2,214.48).

Data source: 2026 Medicare Physician Fee Schedule (CMS PPRRVU26B, released March 2026). Conversion factor: $33.4009. Prices shown are Medicare allowed amounts for the physician service and may not match what you are billed. Private insurance and self-pay ranges, when shown, are labeled estimates (typical multiples of Medicare), not quotes. This site is an independent cost tool, not medical advice.