CMS Price Transparency Data

C-section delivery (full package)

Facility: Kosciusko Community Hospital

Billing Code: 59510 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59510
Insurance Median: $3,312
Cash Discount Price: $1,655
vs. Medicare Baseline: 1.34x Medicare

The contracted insurance negotiated median rate for a C-section delivery (full package) at Kosciusko Community Hospital is $3,312. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,655. Compared to the federal Medicare reimbursement reference rate of $2,473.27, this hospital’s rate is 1.34x the Medicare baseline. Located in 2101 E Dubois Dr, Warsaw, IN.

Cash / Self-Pay

$1,655

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,312

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: $1,655 (67%)

Insurance Median: $3,312 (134%)

Cash: $1,655 (67% of Medicare)

Ins. Median: $3,312 (134% 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
Amish Aid	$1,122 - $1,227	45%
Self Pay	$1,122 - $2,279	45%
Lutheran Preferred Network	$1,688 - $4,674	68%
Physicians Health Plan	$1,971 - $2,692	80%
Php Freedom Network	$2,063 - $2,257	83%
UnitedHealthcare	$2,083 - $2,945	84%
Encore	$2,137 - $2,337	86%
Trma Inc	$2,137 - $2,629	86%
Aetna	$2,190 - $3,108	89%
One Call Care Diagnostics Wc	$2,201	89%
Veterans Eval Services	$2,342	95%
Connecticut General Life Insurance Company	$3,146 - $3,442	127%
Cigna	$3,376 - $3,693	136%
First Health Network	$4,006 - $4,382	162%
Prime Health Services	$4,006 - $4,382	162%
Advantage Health	$4,434 - $4,850	179%
Private Healthcare Systems	$4,594 - $5,025	186%
Sagamore	$4,701 - $5,492	190%
Encore Health Network	$4,968 - $5,434	201%

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 $1,655.
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 Kosciusko Community 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.