CMS Price Transparency Data

C-section delivery (full package)

Facility: Kootenai Health

Billing Code: 59510 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$2,255

about 0.9× the $2,473 Medicare rate · typically $1,851–$2,878

modeled estimate · not a bill or quote

What this hospital charges insurers

$2,191

About the fair price

about $64 under the fair price · 0.9× Medicare

Medicare pays $2,473 Fair price $2,255 This hospital $2,191

How we calculate the fair BaseRate →

How this hospital compares to other ID hospitals

One of the lower prices — 7 of 8 other ID hospitals charge more for the same procedure.

Cheapest $1,002 Priciest $6,481

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

A fair price for a C-section delivery (full package) is about $2,255 (about 0.9× the $2,473 Medicare rate). Kootenai Health charges insurers about $2,191 — about the fair price. Located in Coeur D'Alene, ID.

What each insurance company pays

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

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

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

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	$2,191 - $2,486	89%
Blue Cross Blue Shieldmajor	$1,942 - $4,994	79%
Aetnamajor	$2,301 - $3,604	93%
Humanamajor	$2,191	89%
Kaiser Permanentemajor	$3,087 - $7,888	125%
Molina	$1,999 - $2,257	81%
PacificSource	$2,213 - $4,458	89%
+ 2 smaller / regional plans	$1,942 - $2,005

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, 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 Kootenai Health 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 Kootenai Health

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

Saint Alphonsus Regional Medical Center · Boise $1,002
Treasure Valley Hospital · Boise $2,419
Clearwater Valley Hospital & Clinics · Orofino $2,606
St Mary's Hospital · Cottonwood $2,606
Benewah Community Hospital · Saint Maries $3,358
Caribou Medical Center · Soda Springs $3,569
West Valley Medical Center · Caldwell $3,917
Eastern Idaho Regional Medical Center · Idaho Falls $6,481

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