CMS Price Transparency Data

C-section delivery (full package)

Facility: Adventist Health Tehachapi Valley

Billing Code: 59510 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59510
Insurance Median: $2,693
Cash Discount Price: $2,403
vs. Medicare Baseline: 1.09x Medicare

The contracted insurance negotiated median rate for a C-section delivery (full package) at Adventist Health Tehachapi Valley is $2,693. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,403. Compared to the federal Medicare reimbursement reference rate of $2,473.27, this hospital’s rate is 1.09x the Medicare baseline. Located in 1100 Magellan, Tehachapi, CA.

Cash / Self-Pay

$2,403

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,693

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: $2,403 (97%)

Insurance Median: $2,693 (109%)

Cash: $2,403 (97% of Medicare)

Ins. Median: $2,693 (109% 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
Aetna	$2,308	93%
Healthnet Mcare	$2,394	97%
Tricare	$2,394	97%
UnitedHealthcare	$2,394 - $3,109	97%
Universal Ipa Mcr Adv Op/Profee Only-All Other Pla	$2,394	97%
Cigna	$2,605	105%
Network Providers- All Plans	$2,609	105%
Ah Employee Health Plan - All Plans	$2,633	106%
Oscar Health Plan- All Plans	$2,753	111%
Coventry- All Plans	$2,872	116%
Blue Shield Epn- All Other Plans	$3,145	127%
Blue Shield Non-Epn	$3,323	134%
Western Grwrs/Pinnacle - All Plans	$3,327	135%
Healthnet- All Other Plans	$3,488	141%
Centivo - All Plans	$3,591	145%
Blue Cross Blue Shield	$3,848	156%

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 $2,403.
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 Tehachapi Valley 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.