Specialty Physician Complete Packaged Procedure. Vaginal Childbirth with Pain Management Treatment. Childbirth in a medical facility with the administration of analgesia medications, usually in the form of regional anesthesia: epidural blocks and spinal anesthesia. Treatment cost includes the facility fee, physician’s fee, related medical procedures and drugs required to administer the plan of care. Not included are diagnostic studies, consultations with additional specialists and cost of complication management; travel, food and lodging.