Vaginal delivery, routine care at Intermountain Health Good Samaritan Medical Center. CPT 59400.
What Intermountain Health Good Samaritan Medical Center publishes for this service, straight from its standard-charges file, last updated March 22, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$4,129–$11,080range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Choicecare Humana | Choicecare Humana HMO EPO | $4,129 |
| Choicecare Humana | Choicecare Humana PPO | $4,129 |
| Kaiser Perm HMO | Kaiser HMO Exchange Plan | $5,838 |
| Kaiser Perm HMO | Kaiser Out Of State | $5,838 |
| Kaiser Perm HMO | Kaiser Permanente HMO | $5,838 |
| Kaiser Self Funded | Kaiser Self Funded | $5,838 |
| BCBS/Anthem | BCBS Co Federal | $11,080 |
| BCBS/Anthem | BCBS Co HMO | $11,080 |
| BCBS/Anthem | BCBS Co PPO | $11,080 |
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All common services at Intermountain Health Good Samaritan Medical Center