CMS Price Transparency Data

C-section delivery (full package)

Facility: Cleveland Clinic Indian River Hospital

Billing Code: 59510 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59510
Insurance Median: $2,921
Cash Discount Price: $9,606
vs. Medicare Baseline: 1.18x Medicare

The contracted insurance negotiated median rate for a C-section delivery (full package) at Cleveland Clinic Indian River Hospital is $2,921. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9,606. Compared to the federal Medicare reimbursement reference rate of $2,473.27, this hospital’s rate is 1.18x the Medicare baseline. Located in 1000 36Th St, Vero Beach, FL.

Cash / Self-Pay

$9,606

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,921

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: $9,606 (388%)

Insurance Median: $2,921 (118%)

Cash: $9,606 (388% of Medicare)

Ins. Median: $2,921 (118% 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
UnitedHealthcare	$1,617	65%
Amerihealth	$1,702	69%
Carelon Bh Strategies	$1,702	69%
Medicaid / KanCare	$1,702	69%
Molina	$1,702	69%
Sunshine Health	$1,702	69%
Wellcare	$1,702 - $2,921	69%
Aetna	$1,872 - $13,301	76%
Independent Living Systems	$2,042 - $3,067	83%
Cigna	$2,121 - $2,720	86%
Blue Cross Blue Shield	$2,547 - $2,921	103%
United	$2,681 - $2,921	108%
Avmed	$2,921 - $4,379	118%
Careplus	$2,921	118%
Magellan	$2,921	118%
Value Options	$2,921	118%
Freedom Health	$3,067	124%
Wellmed	$3,067	124%
Clear Spring Health	$3,155	128%
Clarity Health	$9,606	388%
The Legacy Companies	$9,606	388%
National Provider Network	$10,345	418%
Three Rivers	$10,345	418%
Consociate Health	$11,084	448%

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 $9,606.
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 Cleveland Clinic Indian River 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.