Vaginal Delivery (Global) Cost in Illinois
Obstetrical care
$2,518.37Illinois physician fee2026 Medicare office rate- ✓Your ZIP's wage-adjusted hospital and surgery centre rates
- ✓Five nearby hospitals by name, with CMS star ratings
- ✓The add-on codes that typically land on the bill
- ✓A word-for-word script for asking for a good-faith estimate
- ✓A private link you can reopen and share
- ✓Everything in the Premium report
- ✓15 nearby hospitals instead of five
- ✓Filled good-faith-estimate request letter
- ✓Bill-negotiation letter
- ✓Printable PDF download
Illinois Medicare physician rate (2026)
+13.7% vs nationalAverage of 4 localities. Office range $2,358.17–$2,682.16.
Your ZIP in Illinois
Enter a ZIP code to see which Illinois locality applies to you, whether Chicago proper, the suburban collar counties, the Metro East near St. Louis, or downstate cities like Springfield, Peoria, and Champaign.
What vaginal delivery (global) costs at hospitals near you
Everything above is a national average. The hospital you pick in Illinois moves the bill more than anything else you control.
Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.
One-off payment, no account and no subscription. You get a private link and an email. No medical records and no insurance card, ever.
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 Illinois
Where Illinois ranks for this CPT
CPT 59400 by Illinois locality
| Locality | Office |
|---|---|
| chicago | $2,682.16 |
| east st. louis | $2,521.33 |
| suburban chicago | $2,511.83 |
| rest of illinois | $2,358.17 |
PE GPCI ranges from 0.913 to 1.027 in Illinois. That index is why the same CPT is not one price statewide.
Vaginal Delivery (Global) and how Illinois is priced
Illinois uses one of the more detailed locality maps in the Midwest: Chicago has its own locality, the suburban collar counties are priced separately, the East St. Louis area carries its own locality tied to the St. Louis market, and the rest of the state shares a fourth. Approved amounts step down noticeably from the city and suburbs to downstate, so the same procedure prices differently in Chicago, Naperville, Belleville, and Springfield. This four-way split makes Illinois one of the states where a ZIP-level check genuinely changes the answer. Downstate rates align more closely with neighboring rural states than with Chicagoland.
Chicago is one of the country's great medical hubs, with multiple academic medical centers and deep specialist supply, and its suburbs support large competing systems of their own. Downstate Illinois is a different market: smaller cities like Peoria, Springfield, and Champaign serve wide rural areas, and the Metro East suburbs orient toward St. Louis providers. Where you sit on that map shapes both price and choice.
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?
Other featured procedures in Illinois
Vaginal Delivery (Global) in other states
Vaginal Delivery (Global) in Illinois: questions
The 2026 Medicare physician office rate for CPT 59400 averages $2,518.37 across 4 Illinois localities, from $2,358.17 in REST OF ILLINOIS to $2,682.16 in CHICAGO. The hospital physician rate averages $2,518.37. Enter a ZIP for the exact locality.
Yes. CMS splits Illinois into 4 payment localities. For this CPT the office physician fee spans $323.99 from the lowest to highest locality. Enter a ZIP code to see which Illinois locality applies to you, whether Chicago proper, the suburban collar counties, the Metro East near St. Louis, or downstate cities like Springfield, Peoria, and Champaign.
After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $504 for the office physician line or $504 for the hospital physician line in Illinois. Medigap may cover that 20%. This is not the hospital facility fee.
No. $2,518.37 is the Medicare physician allowed amount for CPT 59400. Anesthesia, facility fees, implants, and other CPT codes billed the same day are extra. Illinois ranks #49 of 51 states on this physician line (14% above the national office rate of $2,214.48).