CMS Price Transparency Data

C-section delivery (full package)

Facility: Bluffton Regional Medical Center

Billing Code: 59510 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 59510
  • Insurance Median: $3,472
  • Cash Discount Price: $2,170
  • vs. Medicare Baseline: 1.40x Medicare
The contracted insurance negotiated median rate for a C-section delivery (full package) at Bluffton Regional Medical Center is $3,472. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,170. Compared to the federal Medicare reimbursement reference rate of $2,473.27, this hospital’s rate is 1.40x the Medicare baseline. Located in 303 S Main St, Bluffton, IN.
Cash / Self-Pay
$2,170

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,472

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: $2,170 (88%)
Insurance Median: $3,472 (140%)
Cash: $2,170 (88% of Medicare)
Ins. Median: $3,472 (140% 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.

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
Amish Aid $1,282 - $1,402 52%
Self Pay $1,282 - $3,214 52%
Physicians Health Plan $1,295 - $1,416 52%
Aetna $1,389 - $2,606 56%
Lutheran Preferred Network $1,597 - $4,674 65%
Php Freedom Network $1,674 - $1,831 68%
Cigna $1,693 - $2,068 68%
Php $1,702 - $1,862 69%
Php Management Systems $2,068 - $2,262 84%
Lutheran Trma $2,137 - $2,629 86%
Veterans Eval Services $2,342 95%
UnitedHealthcare $2,500 - $2,735 101%
Encore Ppo $2,612 - $2,857 106%
Sagamore Sebt $2,730 - $2,986 110%
Sagamore Health Newtork Inc $2,863 - $3,132 116%
Consumer Life $3,312 - $3,623 134%
Ahg Dana Employees $3,472 - $3,798 140%
Align Networks $3,739 - $4,090 151%
Prime Health Services $4,006 - $4,382 162%
Private Healthcare Systems Inc $4,006 - $4,382 162%
Multiplan $4,274 - $4,674 173%
Encore Health Network $4,380 - $5,259 177%
Advantage 360 $4,434 - $4,850 179%
Community Health Alliance $4,541 - $4,967 184%
First Health $4,594 - $5,025 186%
Allied Benefit Systems $4,808 - $5,259 194%
Cardinal Health Alliance $4,808 - $5,259 194%
Ppom $4,808 - $5,259 194%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 303 S Main St, Bluffton, IN 46714
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals