CMS Price Transparency Data

C-section delivery (full package)

Facility: Clearwater Valley Hospital & Clinics

Billing Code: 59510 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$2,743

about 1.1× the $2,473 Medicare rate · typically $2,123–$3,683

modeled estimate · not a bill or quote

What this hospital charges insurers

$2,606

About the fair price

about $137 under the fair price · 1.1× Medicare

Medicare pays $2,473 Fair price $2,743 This hospital $2,606 Cash price $3,588 Hospital's list price $4,784

How we calculate the fair BaseRate →

How this hospital compares to other ID hospitals

A typical price — 4 charge more and 3 charge less, among the 9 ID hospitals compared.

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 $2,743 (about 1.1× the $2,473 Medicare rate). Clearwater Valley Hospital & Clinics charges insurers about $2,606, or about $3,588 in cash — about the fair price. Located in Orofino, 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✓ 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	$4,007	162%
Blue Cross Blue Shieldmajor	$2,005 - $4,009	81%
Aetnamajor	$3,506	142%
Cignamajor	$4,738	192%
Humanamajor	$2,191 - $2,823	89%
GEHA	$4,640	188%
+ 5 smaller / regional plans	$2,191 - $4,688

Government programs also on file: Military & VA.

Excludes 1 rental-network / third-party entry (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 3,588), 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 Clearwater Valley Hospital & Clinics 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 Clearwater Valley Hospital & Clinics

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

Saint Alphonsus Regional Medical Center · Boise $1,002
Kootenai Health · Coeur D'Alene $2,191
Treasure Valley Hospital · Boise $2,419
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.