CMS Price Transparency Data

C-section delivery (full package)

Facility: Adventist Health Reedley

Billing Code: 59510 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59510
Insurance Median: $2,359
Cash Discount Price: $1,691
vs. Medicare Baseline: 0.95x Medicare

The contracted insurance negotiated median rate for a C-section delivery (full package) at Adventist Health Reedley is $2,359. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,691. Compared to the federal Medicare reimbursement reference rate of $2,473.27, this hospital’s rate is 0.95x the Medicare baseline. Located in 372 W Cypress Ave, Reedley, CA.

Cash / Self-Pay

$1,691

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,359

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$2,473.27

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $2,473.27 (100%)

Cash / Self-Pay: $1,691 (68%)

Insurance Median: $2,359 (95%)

Cash: $1,691 (68% of Medicare)

Ins. Median: $2,359 (95% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $2,473.27 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Bc Mcal	$1,391	56%
Cal Viva Hlth Mcal - All Plans	$1,391	56%
Central Ca Alliance Mcal Profee Only	$1,391	56%
Dignity Mcal Op/Profee Only-All Other Plans	$1,391	56%
Medi-Cal	$1,391	56%
Upn Mcal Profee Only-All Other Plans	$1,391	56%
Kern Health Systems Mcal-All Plans	$1,739	70%
Aetna	$1,866	75%
Central Ca Alliance Ccs Profee Only	$2,086	84%
Central Ca Alliance Comm Profee Only - All Other P	$2,086	84%
Blue Shield Mcare	$2,359	95%
Fhcn Pace Mcr Adv-All Plans	$2,359	95%
Lasalle Med Assoc Profee Only - All Plans	$2,359	95%
Sante Ipa Mcal/Mcare Hmo Profee Only	$2,359	95%
Tricare	$2,359	95%
UnitedHealthcare	$2,359 - $3,109	95%
Upn Mcr Adv Profee Only	$2,359	95%
Ah Employee Health Plan - All Plans	$2,595	105%
Cigna	$2,605	105%
Central Ca Alliance Chdp Profee Only	$2,782	112%
Community Care Ipa Mcal-All Plans	$2,831	114%
Sante Ipa Hmo Profee Only - All Other Plans	$2,831	114%
Blue Shield Epn - All Other Plans	$3,145	127%
Kaiser - All Other Plans	$3,185	129%
Kaiser Mcr Adv	$3,185	129%
Western Growers/Pinnacle- All Plans	$3,279	133%
Blue Shield Non Epn	$3,323	134%
Healthnet- All Other Plans	$3,438	139%
Blue Cross Blue Shield	$3,631	147%
Physicians Med Group Op/Profee Only- All Plans	$7,120	288%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,691.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 59510.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Adventist Health Reedley is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 59510.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.