C-section delivery (full package) cost
What a c-section delivery (full package) costs across the U.S. — and the fair price to aim for.
Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Consolidated System Premium Pricer
Operating in a concentrated regional market (CBSA HHI 4,758), Saint Joseph Regional Medical Center commands a 1.37× BaseRate commercial premium across insurers. Self-pay cash quotes, in-state peer hospitals, and freestanding outpatient facilities offer critical leverage against consolidated system pricing.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.97× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 19% of shoppable procedures (81/100 Cash Honesty)
- 2-Star CMS clinical rating with 67% patient recommendation (63/100 safety score)
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (33.9% AGB cap)
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (1.00× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
- Captive ER (2.0×) & laboratory (3.4×) services average 1.21× higher multiples than routine shoppable care (1.4×)
- Even at low-cost facilities (1.00× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
- Consolidated metro market (HHI 4,758) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
National State Price Index Heatmap · C-section delivery (full package)
State commercial price index vs. U.S. median (1.00×) and average Medicare multiple across all 53 priced states & territories
Across 1,257 hospitals in 51 states, a c-section delivery (full package) has a fair BaseRate of $3,272 and typically costs $2,149–$6,472. The cheapest state is IN; the priciest is NM.
Cheapest hospitals for a c-section delivery (full package)
- Saint Joseph Regional Medical Center · Mishawaka, IN $762
- Mercyone North Iowa Medical Center · Mason City, IA $775
- Mercyone Clinton Medical Center · Clinton, IA $775
- Mercyone Waterloo Medical Center · Waterloo, IA $775
- St Mary Medical Center · Langhorne, PA $893
- University of Ks Hlth System Great Bend Campus · Great Bend, KS $933
- Acadian Medical Center · Eunice, LA $947
- Englewood Hospital and Medical Center · Englewood, NJ $954
- Saint Alphonsus Regional Medical Center · Boise, ID $1,002
- Palestine Regional Medical Center · Palestine, TX $1,013
- Erie County Medical Center · Buffalo, NY $1,102
- Rehoboth McKinley Christian Health Care Services · Gallup, NM $1,133
- Black River Memorial Hospital · Black River Falls, WI $1,149
- Robert Wood Johnson University Hospital at Rahway · Rahway, NJ $1,154
- Kenmore Mercy Hospital · Kenmore, NY $1,161
C-section delivery (full package) cost by state
Audit a Bill or Quote at U.S. Hospital Benchmark (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $2,592
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $2,592).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask U.S. Hospital Benchmark's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $3,272 Fair BaseRate ($1,898 Medicare)
Your bill ($7,140) is $3,868 above the denoised Fair BaseRate ($3,272) and 3.8× the $1,898 Medicare rate.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Inpatient MS-DRG vs. Outpatient CPT Care-Setting Savings
Clinical Scope Note:Inpatient MS-DRG reflects a multi-day hospital admission (room, nursing, higher clinical acuity); outpatient CPT reflects the outpatient facility fee for clinically eligible low-acuity patients and excludes separate surgeon and anesthesia professional fees.