CMS Price Transparency Data

C-section delivery (full package)

Facility: Loma Linda University Children's Hospital

Billing Code: 59510 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59510
Insurance Median: $13,791
Cash Discount Price: $10,026
vs. Medicare Baseline: 5.58x Medicare

The contracted insurance negotiated median rate for a C-section delivery (full package) at Loma Linda University Children's Hospital is $13,791. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10,026. Compared to the federal Medicare reimbursement reference rate of $2,473.27, this hospital’s rate is 5.58x the Medicare baseline. Located in 11234 Anderson Street Suite A, Loma Linda, CA.

Cash / Self-Pay

$10,026

Average discount available for prompt cash payment at this facility.

Insurance Median

$13,791

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: $10,026 (405%)

Insurance Median: $13,791 (558%)

Cash: $10,026 (405% of Medicare)

Ins. Median: $13,791 (558% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 558% of the Medicare baseline (a markup of 458%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Blue Shield Of California	$2,823 - $11,231	114%
Inland Empire Health Plan (Iehp)	$3,860	156%
Kaiser Foundation Hospitals	$4,365 - $14,861	176%
Adventist Health	$4,456	180%
Lluh Dept Of Risk Management	$5,347	216%
Epic Health Plan	$8,912	360%
UnitedHealthcare	$11,140	450%
Blue Cross Blue Shield	$11,413	461%
Alpha Care Medical Group	$12,254 - $18,938	495%
Global Benefits Group	$13,368	540%
Temecula Valley Physicians Medical Group	$13,368	540%
Cigna	$14,259 - $16,487	577%
Networks By Design	$14,482	586%
Molina Healthcare Of Ca	$15,596	631%
Multiplan	$17,824	721%
Dignity Health	$18,938	766%
Galaxy Health	$18,938	766%
Prime Health Services	$18,938	766%
Vantage Medical Group	$18,938	766%
Aetna	$32,312	1306%

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 $10,026.
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 Loma Linda University Children's Hospital 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.