CMS Price Transparency Data

C-section delivery (full package)

Facility: Henry County Memorial Hospital

Billing Code: 59510 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59510
Insurance Median: $2,263
Cash Discount Price: $4,573
vs. Medicare Baseline: 0.91x Medicare

The contracted insurance negotiated median rate for a C-section delivery (full package) at Henry County Memorial Hospital is $2,263. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,573. Compared to the federal Medicare reimbursement reference rate of $2,473.27, this hospital’s rate is 0.91x the Medicare baseline. Located in 1000 N 16Th St, New Castle, IN.

Cash / Self-Pay

$4,573

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,263

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: $4,573 (185%)

Insurance Median: $2,263 (91%)

Cash: $4,573 (185% of Medicare)

Ins. Median: $2,263 (91% 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
UnitedHealthcare	$1,915	77%
Aetna	$2,088	84%
Blue Cross Blue Shield	$2,201 - $2,342	89%
Caresource Hip	$2,201	89%
Humana	$2,201 - $2,342	89%
Caresource Mcr Adv	$2,245	91%
Caresource Mcaid	$2,412	98%
Caresource Marketplace-All Other Plans	$2,972	120%
Cigna	$3,267	132%
Caresource Just4Me	$3,302	134%
Encore Workers Comp-All Plans	$4,333	175%
Health Alliance-All Plans	$5,553	225%
Workers Comp - All Plans	$5,880	238%

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 $4,573.
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 Henry County Memorial 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.