CMS Price Transparency Data

C-section delivery (full package)

Facility: Boone County Hospital

Billing Code: 59510 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59510
Insurance Median: $2,586
Cash Discount Price: $3,101
vs. Medicare Baseline: 1.05x Medicare

The contracted insurance negotiated median rate for a C-section delivery (full package) at Boone County Hospital is $2,586. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,101. Compared to the federal Medicare reimbursement reference rate of $2,473.27, this hospital’s rate is 1.05x the Medicare baseline. Located in 1015 Union Street, Boone, IA.

Cash / Self-Pay

$3,101

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,586

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: $3,101 (125%)

Insurance Median: $2,586 (105%)

Cash: $3,101 (125% of Medicare)

Ins. Median: $2,586 (105% 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
Tricare	$1,550	63%
Choice Care Mcr Adv - All Plans	$2,155	87%
Humana	$2,155 - $3,488	87%
Iowa Hlth Adv - All Plans	$2,155	87%
Mt Carmel Hp - All Plans	$2,155	87%
Va Ccn-All Plans	$2,155	87%
Amerigroup Mcr Adv - All Other Plans	$2,176	88%
Aetna	$2,198 - $2,455	89%
UnitedHealthcare	$2,400 - $2,620	97%
Healthsmart Accell Network	$2,478	100%
Health Alliance-All Plans	$2,586	105%
Healthsmart Ppo - All Other Plans	$2,586	105%
Wellmark Hmo	$3,297	133%
Mutually Preferred-All Plans	$3,682	149%
Health Partners Profee Only - All Plans	$3,833	155%
Wellmark Ppo - All Other Plans	$3,869	156%
Meridian Mcaid - All Plans	$3,876	157%
Iowa Total Care Mcaid - All Plans	$3,954	160%
Medicaid / KanCare	$3,992	161%
Medical Associates Hp-All Plans	$4,094	166%
Midlands Choice-All Plans	$4,754	192%

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 $3,101.
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 Boone County 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.