Vaginal Delivery (Global) Cost in North Dakota
Obstetrical care
$2,005.36North Dakota 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
North Dakota Medicare physician rate (2026)
-9.4% vs nationalSingle statewide locality.
Your ZIP in North Dakota
Enter a ZIP code for your part of North Dakota, whether Fargo, Bismarck, Grand Forks, Minot, or the farm and oil country in between.
What vaginal delivery (global) costs at hospitals near you
Everything above is a national average. The hospital you pick in North Dakota 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 North Dakota
Where North Dakota ranks for this CPT
Vaginal Delivery (Global) and how North Dakota is priced
North Dakota's entire fee schedule flows through one statewide locality whose geographic indices sit near the national floor, lifted partly by the work index floor CMS applies to low-cost states. Fargo and a prairie town on the Canadian border publish identical Medicare-approved amounts. With no metro large enough to justify its own locality, the state is among the most straightforward in the country for Medicare pricing. Oil-patch growth in the west changed local economies but not the fee schedule structure.
Fargo and Bismarck are the state's two care anchors, each dominated by large regional systems that also reach into Minnesota, South Dakota, and Montana, with Grand Forks and Minot serving their own areas. Much of rural North Dakota depends on critical access hospitals, and winter travel adds a genuine planning constraint. Some eastern residents cross into Minnesota for care, particularly toward Fargo-Moorhead's twin market.
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 North Dakota
Vaginal Delivery (Global) in other states
Vaginal Delivery (Global) in North Dakota: questions
North Dakota is a single Medicare locality for this fee schedule. The 2026 physician rate for CPT 59400 is $2,005.36 in an office and $2,005.36 in a hospital, statewide. A ZIP lookup still confirms the locality mapping.
Not on the physician fee schedule. North Dakota 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 $401 for the office physician line or $401 for the hospital physician line in North Dakota. Medigap may cover that 20%. This is not the hospital facility fee.
No. $2,005.36 is the Medicare physician allowed amount for CPT 59400. Anesthesia, facility fees, implants, and other CPT codes billed the same day are extra. North Dakota ranks #12 of 51 states on this physician line (9% below the national office rate of $2,214.48).