CMS Price Transparency Data

C-section delivery (full package)

Facility: Northside Hospital Forsyth

Billing Code: 59510 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$4,306

about 1.7× the $2,473 Medicare rate · typically $2,055–$4,887

modeled estimate · not a bill or quote

What this hospital charges insurers

$3,137

Below the fair price — a good deal

about $1,169 under the fair price · 1.3× Medicare

Medicare pays $2,473 Fair price $4,306 This hospital $3,137 Cash price $6,075 Hospital's list price $8,100

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

Highest price of the 9 GA hospitals we have prices for — worth calling around.

Cheapest $1,673 Priciest $3,137

Black dot = this hospital, among the 9 GA hospitals with a price for this procedure. Full list below.

A fair price for a C-section delivery (full package) is about $4,306 (about 1.7× the $2,473 Medicare rate). Northside Hospital Forsyth charges insurers about $3,137, or about $6,075 in cash — below the fair price — a good deal. Located in Cumming, GA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$2,575 - $8,133	104%
Blue Cross Blue Shieldmajor	$2,576 - $34,850	104%
Aetnamajor	$2,576 - $30,000	104%
Cignamajor	$2,653 - $11,990	107%
Humanamajor	$2,576	104%
Kaiser Permanentemajor	$2,232 - $3,137	90%
Ambetter (Centene)	$2,752 - $9,299	111%
Amerigroup	$2,752 - $7,112	111%
CareSource	$2,576 - $18,600	104%
Clover Health	$2,705	109%
Health Net	$3,906 - $8,102	158%
Oscar Health	$3,477 - $6,119	141%
WellCare	$2,576	104%
+ 8 smaller / regional plans	$2,340 - $27,500

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 6,075), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 59510.

Insurance Before you use insurance

Call your insurance company to confirm Northside Hospital Forsyth is in-network.
Ask your insurer whether prior approval is required for CPT code 59510.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Northside Hospital Forsyth

Compare: C-section delivery (full package) at other GA hospitals

Miller County Hospital · Colquitt $1,673
CHI Memorial Hospital- Georgia · Ringgold $2,204
Doctors Hospital · Augusta $2,550
Atrium Health Floyd Medical Center · Rome $2,562
Atrium Health Navicent the Medical Center · Macon $2,613
Navicent Health Baldwin · Milledgeville $2,613
Atrium Health Navicent Rehabilitation Hopsital · Macon $2,613
Southern Regional Medical Center · Riverdale $2,725

Insurance negotiated median for the same procedure, sorted lowest first.