CMS Price Transparency Data

C-section delivery (full package)

Facility: Gibson General Hospital

Billing Code: 59510 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59510
Insurance Median: $2,520
Cash Discount Price: $2,520
vs. Medicare Baseline: 1.02x Medicare

The contracted insurance negotiated median rate for a C-section delivery (full package) at Gibson General Hospital is $2,520. 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 1.02x the Medicare baseline. Located in 1808 Sherman Drive, Princeton, IN.

Cash / Self-Pay

$2,520

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,520

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: $2,520 (102%)

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

Ins. Median: $2,520 (102% 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	$2,046 - $2,377	83%
Medicaid / KanCare	$2,046	83%
Meridiancare (Il)	$2,046	83%
Meridianhealth (Il)	$2,046	83%
Aetna	$2,342 - $4,057	95%
Caresource Just For Me	$2,342	95%
Medicare (plans)	$2,342	95%
Meridiancomplete (Il)	$2,342	95%
Mytruadvantage	$2,342	95%
UnitedHealthcare	$2,342 - $4,043	95%
Va Ccn	$2,342	95%
Caresource	$2,377	96%
Mdwise Plans	$2,377	96%
Mhs	$2,377	96%
Ky Racing Health & Welfare Fund	$2,520	102%
Self-Pay	$2,520	102%
Ambetter / Centene	$2,928	118%
Caresource In Marketplace	$3,045	123%
Alliance Coal	$3,279	133%
Claimdoc	$3,279	133%
Hopetrust	$3,513	142%
Hstechnology	$3,513	142%
Encircle/Encore Combined	$3,745	151%
Encircle/Encore Prime	$3,745	151%
Noncontracted	$3,747	151%
Deaconess Onecare	$3,865	156%
Cigna	$4,057	164%
First Health	$4,057	164%
Healthlink Hmo	$4,057	164%
Healthlink Ppo	$4,057	164%
Sagamore (Ppo, Oap-Open Access Plus, Epo, Choice Fund Oap+)	$4,057	164%
Chambercare	$4,320	175%
Gibson County Sheriff	$6,120	247%
Integrated Health	$6,480	262%
Principal Health Care	$6,480	262%

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 Gibson General 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.