CMS Price Transparency Data

C-section delivery (full package)

Facility: Deaconess Illinois Crossroads

Billing Code: 59510 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59510
Insurance Median: $2,690
Cash Discount Price: $2,520
vs. Medicare Baseline: 1.09x Medicare

The contracted insurance negotiated median rate for a C-section delivery (full package) at Deaconess Illinois Crossroads is $2,690. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,520. Compared to the federal Medicare reimbursement reference rate of $2,473.27, this hospital’s rate is 1.09x the Medicare baseline. Located in 8 Doctors Park Rd, Mount Vernon, IL.

Cash / Self-Pay

$2,520

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,690

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: $2,520 (102%)

Insurance Median: $2,690 (109%)

Cash: $2,520 (102% of Medicare)

Ins. Median: $2,690 (109% 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
Aetna	$2,046 - $5,688	83%
Blue Cross Blue Shield	$2,046 - $4,040	83%
Meridian Health Plan	$2,046 - $2,690	83%
Molina Healthcare Of Illinois	$2,046 - $2,717	83%
Wellcare	$2,046 - $2,690	83%
Self-Pay	$2,520	102%
UnitedHealthcare	$2,560 - $2,690	104%
Humana	$2,653 - $5,616	107%
Mytru Advantage	$2,653 - $2,690	107%
Umwa	$2,653 - $2,690	107%
Care Improvement Plus	$2,744	111%
Cigna	$2,801	113%
Alliance Coal	$3,660 - $4,438	148%
Alter-Net Medical Services, Inc.	$4,244 - $7,666	172%
Noncontracted	$4,244 - $4,304	172%
Prime Health Services	$5,400	218%
Deaconess Onecare	$5,438	220%
Guardian Resources, Inc.	$6,048	245%
Healthcare'S Finest Network (Hfn)	$6,120	247%
Medicalcontrol Network Solutions	$6,120	247%
National Provider Network	$6,120	247%
Three Rivers Provider Network	$6,264	253%
Beech Street	$6,336	256%
Hope Trust	$7,666	310%

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 $2,520.
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 Deaconess Illinois Crossroads 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.