CMS Price Transparency Data

C-section delivery (full package)

Facility: Palmetto General Hospital

Billing Code: 59510 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 59510
  • Insurance Median: $3,291
  • Cash Discount Price: $8,106
  • vs. Medicare Baseline: 1.33x Medicare
The contracted insurance negotiated median rate for a C-section delivery (full package) at Palmetto General Hospital is $3,291. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,106. Compared to the federal Medicare reimbursement reference rate of $2,473.27, this hospital’s rate is 1.33x the Medicare baseline. Located in 2001 W 68Th St, Hialeah, FL.
Cash / Self-Pay
$8,106

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,291

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: $8,106 (328%)
Insurance Median: $3,291 (133%)
Cash: $8,106 (328% of Medicare)
Ins. Median: $3,291 (133% 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
UnitedHealthcare $288 - $1,727 12%
Magellan Behavioral Health $465 19%
Oscar Health Plan Hix $497 20%
Imagine Health $811 33%
Cigna $1,410 - $4,053 57%
Bc/Bs Of Fl Miami Dade Blue Select $1,633 66%
Humana $1,702 - $3,291 69%
Medicaid / KanCare $1,702 - $8,106 69%
Aetna $1,816 - $5,775 73%
Bc/Bs Of Fl Network Blue $1,869 76%
Liga Contra El Cancer $2,000 81%
Bc/Bs Myblue Hmo Hix $2,021 82%
Bc/Bs Of Fl Blue Select Exchange Non Par $2,021 82%
Bc/Bs Of Fl Simplyblue $2,180 88%
Avmed Broad Network $2,197 89%
Bc/Bs Of Fl Health Options Hmo $2,408 97%
Bc/Bs Of Fl Ppo $2,720 110%
Healthsun Health Plans $3,345 135%
Self Pay/Uninsured $3,982 161%
Employer Direct Healthcare $4,047 164%
Bc/Bs Of Fl Phs $4,067 164%
Dimensions International $5,269 213%
Naphcare Inc $5,269 213%
First Health $5,431 220%
Tricare $5,674 229%
Dimension Health Ppo $6,079 246%
Dimension Health Wc $6,079 246%
Workers Compensation $6,079 246%
Beacon Health Strategies Commercial $8,106 328%
Commercial Non-Contracted $8,106 328%
Medicare (plans) $8,106 328%
Self Pay - Mcd Pending 100 Percent $8,106 328%
Single Case Agreement $8,106 328%
United Behavioral Health Psych $8,106 328%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2001 W 68Th St, Hialeah, FL 33016
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals