CPT59400

Vaginal Delivery (Global) Cost in Ohio

Obstetrical care

$2,162.78Ohio physician fee2026 Medicare office rate
Hospital payments are wage-adjusted by locality, so the ZIP changes the numbers.
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Ohio Medicare physician rate (2026)

-2.3% vs national

Single statewide locality.

Ohio (Hospital)
$2,162.78
Facility physician fee
Private plan est.
$2,812–$4,326
~130–200% of Medicare
Cash / self-pay est.
$1,730–$3,244
~80–150% of Medicare

Your ZIP in Ohio

Look up your ZIP to see rates for your corner of Ohio, whether Cleveland, Columbus, Cincinnati, Toledo, Akron, Dayton, or the Appalachian southeast.

What vaginal delivery (global) costs at hospitals near you

Everything above is a national average. The hospital you pick in Ohio 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 Ohio

National office$2,214.48
National hospital (physician)$2,214.48
Ohio vs national2% below the national office rate of $2,214.48

Where Ohio ranks for this CPT

Rank (lowest physician fee first)#27 of 51
Lowest stateWisconsin ($1,944.55)
Highest stateAlaska ($2,715.06)

Vaginal Delivery (Global) and how Ohio is priced

Ohio's physician pricing runs through a small number of Medicare payment localities rather than a single statewide one, so its major metros and the rest of the state are not all priced identically. Adjustments across Ohio cluster near the national average, with the urban areas at the upper end of the state's range. Cleveland, Columbus, and Cincinnati each anchor large distinct medical markets within this structure. The practical spread within Ohio is modest compared with coastal states, but it exists, so location is worth checking here.

Ohio is one of the few states with three large competing metro health markets, including a Cleveland-based system with a global referral reputation and major academic centers in Columbus and Cincinnati. Appalachian southeast Ohio is the state's hardest region for access, with fewer specialists and longer travel. Toledo, Akron, Dayton, and Youngstown round out an unusually deep bench of mid-sized hospital markets.

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 Ohio: questions

Ohio is a single Medicare locality for this fee schedule. The 2026 physician rate for CPT 59400 is $2,162.78 in an office and $2,162.78 in a hospital, statewide. A ZIP lookup still confirms the locality mapping.

Not on the physician fee schedule. Ohio 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 $433 for the office physician line or $433 for the hospital physician line in Ohio. Medigap may cover that 20%. This is not the hospital facility fee.

No. $2,162.78 is the Medicare physician allowed amount for CPT 59400. Anesthesia, facility fees, implants, and other CPT codes billed the same day are extra. Ohio ranks #27 of 51 states on this physician line (2% below 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.