CMS Price Transparency Data

C-section delivery (full package)

Facility: Caribou Medical Center

Billing Code: 59510 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59510
Insurance Median: $3,771
Cash Discount Price: $4,985
vs. Medicare Baseline: 1.52x Medicare

The contracted insurance negotiated median rate for a C-section delivery (full package) at Caribou Medical Center is $3,771. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,985. Compared to the federal Medicare reimbursement reference rate of $2,473.27, this hospital’s rate is 1.52x the Medicare baseline. Located in 300 South 3Rd West, Soda Springs, ID.

Cash / Self-Pay

$4,985

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,771

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: $4,985 (202%)

Insurance Median: $3,771 (152%)

Cash: $4,985 (202% of Medicare)

Ins. Median: $3,771 (152% 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	$2,191	89%
Pacific Source Mcr Adv	$2,191	89%
Regence Blue Shield Mcr	$2,191	89%
Select Health Mcr Adv	$2,191	89%
Blue Cross Blue Shield	$2,520 - $3,818	102%
Aetna	$3,569	144%
Cigna	$3,725	151%
Bc Qualified Hp (Qhp)	$3,818	154%
Regence Blue Shield-All Other Plans	$4,081	165%
Select Health-All Other Plans	$4,404	178%
Montana Health Co-Op-All Plans	$4,436	179%
Select Health/Bright Path Mcr Adv	$4,439	179%
First Choice Health-All Plans	$6,410	259%
Pacific Source-All Other Plans	$6,908	279%
UnitedHealthcare	$6,980	282%

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 $4,985.
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 Caribou Medical 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.