Vaginal Delivery (Global) Cost in Maine
Obstetrical care
$2,055.11Maine 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
Maine Medicare physician rate (2026)
-7.2% vs nationalAverage of 2 localities. Office range $2,031.28–$2,078.94.
Your ZIP in Maine
Enter a ZIP code for your part of Maine, whether the Portland area, Lewiston-Auburn, Augusta, Bangor, the midcoast, or Aroostook County in the far north.
What vaginal delivery (global) costs at hospitals near you
Everything above is a national average. The hospital you pick in Maine 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 Maine
Where Maine ranks for this CPT
CPT 59400 by Maine locality
| Locality | Office |
|---|---|
| southern maine | $2,078.94 |
| rest of maine | $2,031.28 |
PE GPCI ranges from 0.920 to 0.991 in Maine. That index is why the same CPT is not one price statewide.
Vaginal Delivery (Global) and how Maine is priced
Maine is priced as a single statewide locality with indices close to, and in parts below, the national average, so Portland and the far northern county towns share one fee schedule. CMS has never needed to subdivide a state where even the largest metro is modest by national standards. The uniform pricing belies enormous differences in access between the populous southern coast and the vast interior. For Mainers, the published statewide rates are what Medicare approves everywhere from Kittery to Fort Kent.
Maine is among the most rural states in the country and has the oldest median age, a combination that concentrates specialty care in Portland and, to a lesser degree, Bangor and Lewiston. Residents of western and northern Maine can face hours of driving for procedures, and some in the far south use Boston hospitals for complex care. Consolidation has left a small number of systems covering most of the 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?
Other featured procedures in Maine
Vaginal Delivery (Global) in other states
Vaginal Delivery (Global) in Maine: questions
The 2026 Medicare physician office rate for CPT 59400 averages $2,055.11 across 2 Maine localities, from $2,031.28 in REST OF MAINE to $2,078.94 in SOUTHERN MAINE. The hospital physician rate averages $2,055.11. Enter a ZIP for the exact locality.
Yes. CMS splits Maine into 2 payment localities. For this CPT the office physician fee spans $47.66 from the lowest to highest locality. Enter a ZIP code for your part of Maine, whether the Portland area, Lewiston-Auburn, Augusta, Bangor, the midcoast, or Aroostook County in the far north.
After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $411 for the office physician line or $411 for the hospital physician line in Maine. Medigap may cover that 20%. This is not the hospital facility fee.
No. $2,055.11 is the Medicare physician allowed amount for CPT 59400. Anesthesia, facility fees, implants, and other CPT codes billed the same day are extra. Maine ranks #16 of 51 states on this physician line (7% below the national office rate of $2,214.48).