C-section delivery (full package) cost in CO
What a c-section delivery (full package) costs at CO hospitals — and the fair price to aim for.
Typical commercial prices here are +71% above the fair benchmark (1.71×) even after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Wide Procedure Spread · Upper-Quartile Skew Pricer
This hospital prices routine shoppable procedures at 2.9× Medicare (median 1.90× Fair BaseRate) while upper-quartile commercial rates jump +28% to 2.44× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.93× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 37% of shoppable procedures (44/100 Cash Honesty)
- CMS clinical safety score (69/100 safety score) with 68% patient recommendation
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (1.71× 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.
- Commercial insurance median sits at 1.90× Fair BaseRate (2.9× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 2.44×) jump +28% above the median procedure ratio (Q50 1.90×)
- Unnegotiated chargemaster list prices average 7.3× Medicare (30¢ true HCRIS cost per $1 gross)
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.
In general, CO hospitals charge above the fair price — worth shopping around here. how we calculate the BaseRate →
Compared with the rest of the country, CO’s fair BaseRate ($4,228) is above the national fair price of $3,272.
Cheapest CO hospitals for a c-section delivery (full package)
- Spanish Peaks Regional Health Center · Walsenburg $2,118
- Craig Hospital · Englewood $2,437
- St Anthony Summit Medical Center · Frisco $2,553
- St Francis Hospital - Interquest · Colorado Springs $2,553
- Centura Health-Penrose St Francis Health Services · Colorado Springs $2,553
- Centura Health-St Anthony North Health Campus · Westminster $2,553
- Centura Health-St Anthony Hospital · Lakewood $2,553
- St Elizabeth Hospital · Fort Morgan $2,553
- Orthocolorado Hosp at St Anthony Med Campus · Lakewood $2,553
- Mercy Regional Medical Center · Durango $2,553
- Longmont United Hospital · Longmont $2,606
- Boulder Community Health · Boulder $2,914
- San Luis Valley Regional Medical Center · Alamosa $2,917
- Children's Hospital Colorado · Aurora $3,412
- Denver Health & Hospital Authority · Denver $3,619
Audit a Bill or Quote at CO Hospital Benchmark (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $4,426
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 = $4,426).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask CO 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 $4,228 Fair BaseRate ($2,452 Medicare)
Your bill ($12,192) is $7,964 above the denoised Fair BaseRate ($4,228) and 5.0× the $2,452 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.