CMS Price Transparency Data

C-section delivery (full package)

Facility: Gunnison Valley Hospital

Billing Code: 59510 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 59510
  • Insurance Median: $4,299
  • Cash Discount Price: $4,617
  • vs. Medicare Baseline: 1.74x Medicare
The contracted insurance negotiated median rate for a C-section delivery (full package) at Gunnison Valley Hospital is $4,299. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,617. Compared to the federal Medicare reimbursement reference rate of $2,473.27, this hospital’s rate is 1.74x the Medicare baseline. Located in 711 N Taylor St, Gunnison, CO.
Cash / Self-Pay
$4,617

Average discount available for prompt cash payment at this facility.

Insurance Median
$4,299

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: $4,617 (187%)
Insurance Median: $4,299 (174%)
Cash: $4,617 (187% of Medicare)
Ins. Median: $4,299 (174% 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.

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
Medicare (plans) $2,606 105%
Medicaid / KanCare $2,677 108%
Gunnison County Sheriff Op & Profee Only $2,788 113%
Ebms Hdhp $3,259 132%
Tetwp Op & Profee Only-All Plans $3,259 132%
U Of Co Transplant-All Plans $3,259 132%
Aetna $3,778 153%
Ebms Ppo Plan-All Other Plans $3,802 154%
Apostrophe-All Plans $4,299 174%
Cigna $4,299 174%
Gunnison County Employees-All Other Plans $4,346 176%
Scottish Rites-All Plans $4,346 176%
Elap Employers-All Plans $4,617 187%
Blue Cross Blue Shield $4,762 193%
Multiplan-All Plans $4,889 198%
Rocky Mountain Health-All Plans $5,160 209%
UnitedHealthcare $5,160 209%
Cofinity-All Plans $5,215 211%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 711 N Taylor St, Gunnison, CO 81230
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals