CMS Price Transparency Data

C-section delivery (full package)

Facility: Montrose Regional Health

Billing Code: 59510 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59510
Insurance Median: $7,080
Cash Discount Price: $6,068
vs. Medicare Baseline: 2.86x Medicare

The contracted insurance negotiated median rate for a C-section delivery (full package) at Montrose Regional Health is $7,080. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,068. Compared to the federal Medicare reimbursement reference rate of $2,473.27, this hospital’s rate is 2.86x the Medicare baseline. Located in 800 S 3Rd St, Montrose, CO.

Cash / Self-Pay

$6,068

Average discount available for prompt cash payment at this facility.

Insurance Median

$7,080

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: $6,068 (245%)

Insurance Median: $7,080 (286%)

Cash: $6,068 (245% of Medicare)

Ins. Median: $7,080 (286% 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 286% of the Medicare baseline (a markup of 186%). 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 Cross Blue Shield	$2,437 - $7,606	99%
Humana	$2,437 - $6,877	99%
Medicare (plans)	$2,437	99%
UnitedHealthcare	$2,728	110%
United Rocky Mountain Chp-All Other Plans	$4,022	163%
United Rocky Mountain Private Plan	$4,071	165%
United Rocky Mountain Self Insured	$4,071	165%
Three Rivers-All Plans	$7,282	294%
Western Healthcare Alliance-All Plans	$7,282	294%
Cigna	$7,686	311%
Multiplan-All Plans	$7,686	311%
Uchpa - All Plans	$7,686	311%
United Rocky Mountain Mcaid	$8,091	327%
Sloans Lake Managed Care-All Plans	$176,216	7125%

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 $6,068.
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 Montrose Regional Health 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.