CMS Price Transparency Data

C-section delivery (full package)

Facility: Adventist Health Lodi Memorial

Billing Code: 59510 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$3,222

about 1.3× the $2,473 Medicare rate · typically $1,449–$4,788

modeled estimate · not a bill or quote

What this hospital charges insurers

$2,542

Below the fair price — a good deal

about $680 under the fair price · 1.0× Medicare

Medicare pays $2,473 Fair price $3,222 This hospital $2,542 Cash price $541 Hospital's list price $7,730

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $1,033 Priciest $2,542

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

A fair price for a C-section delivery (full package) is about $3,222 (about 1.3× the $2,473 Medicare rate). Adventist Health Lodi Memorial charges insurers about $2,542, or about $541 in cash — below the fair price — a good deal. Located in Lodi, CA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$2,359 - $3,109	95%
Blue Cross Blue Shieldmajor	$2,359 - $3,631	95%
Aetnamajor	$2,489	101%
Cignamajor	$2,605	105%
Humanamajor	$2,359	95%
Kaiser Permanentemajor	$3,185	129%
Health Net	$2,132 - $2,359	86%
+ 7 smaller / regional plans	$2,359 - $3,374

Government programs also on file: Military & VA.

Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 541), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 59510.

Insurance Before you use insurance

Call your insurance company to confirm Adventist Health Lodi Memorial is in-network.
Ask your insurer whether prior approval is required for CPT code 59510.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Adventist Health Lodi Memorial

Compare: C-section delivery (full package) at other CA hospitals

Oroville Hospital · Oroville $1,033
Mountains Community Hospital · Lake Arrowhead $1,391
Plumas District Hospital · Quincy $1,415
Temecula Valley Hospital · Temecula $1,437
Corona Regional Medical Center · Corona $1,502
Southwest Healthcare Rancho Springs Hospital · Murrieta $1,725
Northbay Medical Center · Fairfield $1,763
Saint Francis Medical Center · Lynwood $1,995

Insurance negotiated median for the same procedure, sorted lowest first.