CMS Price Transparency Data

C-section delivery (full package)

Facility: St Mary's Hospital

Billing Code: 59510 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59510
Insurance Median: $3,056
Cash Discount Price: $3,588
vs. Medicare Baseline: 1.24x Medicare

The contracted insurance negotiated median rate for a C-section delivery (full package) at St Mary's Hospital is $3,056. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,588. Compared to the federal Medicare reimbursement reference rate of $2,473.27, this hospital’s rate is 1.24x the Medicare baseline. Located in 701 Lewiston St, Cottonwood, ID.

Cash / Self-Pay

$3,588

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,056

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: $3,588 (145%)

Insurance Median: $3,056 (124%)

Cash: $3,588 (145% of Medicare)

Ins. Median: $3,056 (124% 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
Blue Cross Blue Shield	$2,005 - $4,009	81%
Nimiipuu Mcr Adv - Allplans	$2,191	89%
Regence Blue Shield Mcr	$2,191	89%
Tricare	$2,191	89%
UnitedHealthcare	$2,191 - $4,007	89%
Veterans Admin - All Plans	$2,191	89%
Medicare (plans)	$2,520	102%
Corizon Correctional - All Plans	$2,606	105%
Aetna	$3,506	142%
Idaho Phys Network - All Plans	$4,545	184%
Multiplan - All Plans	$4,593	186%
Geha - All Plans	$4,640	188%
First Choice- All Plans	$4,688	190%

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 $3,588.
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 St Mary's 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.