CMS Price Transparency Data

C-section delivery (full package)

Facility: Kossuth Regional Health Center

Billing Code: 59510 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59510
Insurance Median: $3,802
Cash Discount Price: $3,740
vs. Medicare Baseline: 1.54x Medicare

The contracted insurance negotiated median rate for a C-section delivery (full package) at Kossuth Regional Health Center is $3,802. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,740. Compared to the federal Medicare reimbursement reference rate of $2,473.27, this hospital’s rate is 1.54x the Medicare baseline. Located in 1515 South Phillips Street, Algona, IA.

Cash / Self-Pay

$3,740

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,802

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: $3,740 (151%)

Insurance Median: $3,802 (154%)

Cash: $3,740 (151% of Medicare)

Ins. Median: $3,802 (154% 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
Humana	$2,155	87%
Va Ccn - All Plans	$2,155	87%
Amerigroup Mcr Adv - All Other Plans	$2,198	89%
UnitedHealthcare	$2,219 - $4,613	90%
Mercy One - All Plans	$2,262	91%
Sanford Pho Isno Mcr Adv Profee Only - All Plans	$2,262	91%
Blue Cross Blue Shield	$3,369 - $3,964	136%
Medical Associates - All Plans	$3,555	144%
Preferred Health - All Plans	$3,555	144%
Health Partners New Bus - All Other Plans	$3,641	147%
Health Partners Exisiting Bus	$4,005	162%
Aetna	$4,046 - $4,265	164%
Midlands Choice - All Plans	$4,089	165%
Multiplan - All Plans	$4,441	180%
Molina Mcaid/Chip - All Plans	$4,792	194%
Amerigroup Mcaid	$4,815	195%

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 $3,740.
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 Kossuth Regional Health Center 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.