CMS Price Transparency Data

C-section delivery (full package)

Facility: St. Catherine Hospital - Garden City

Billing Code: 59510 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 59510
  • Insurance Median: $2,540
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a C-section delivery (full package) at St. Catherine Hospital - Garden City is $2,540. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $2,473.27, this hospital’s rate is 1.03x the Medicare baseline. Located in 401 East Spruce, Garden City, KS.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,540

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%)
Insurance Median: $2,540 (103%)
Ins. Median: $2,540 (103% 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
Cigna $2,303 - $2,553 93%
Humana $2,303 - $2,553 93%
Blue Cross Blue Shield $2,303 - $17,171 93%
Kansas Health $2,303 93%
Medicare (plans) $2,303 - $2,553 93%
Aetna $2,303 - $2,553 93%
UnitedHealthcare $2,303 - $2,553 93%
Kaiser $2,303 - $2,553 93%
Devoted Health $2,553 103%
Innovage $2,553 103%

Consumer Guidance & Cost Commentary

For C-section delivery (full package) at St. Catherine Hospital in Garden City, KS, the negotiated rates range from $2,303 to $2,553 across ten payers, with a median negotiated amount of $2,540. This facility is a voluntary non-profit church-owned acute care hospital. While specific cash and median paid values are not reported in this dataset, patients should be aware that cash-pay options can sometimes be more cost-effective than insurance negotiated rates, particularly for those with high-deductible plans where the insurer's allowed amount might exceed the cash price. It is crucial to verify "self-pay" or "prompt-pay" discounts directly with the hospital before scheduling, as these upfront payment incentives can significantly reduce the final bill by bypassing costly administrative processing fees.

The facility's pricing is benchmarked against the federal Medicare rate of $2,473.27, showing a ratio of 1.0, which indicates the facility's rates are aligned with the government's cost-based standard. Although the data does not provide specific state or county average comparisons for this procedure, the absence of a "vs_medicare" markup greater than 200% suggests the facility is not applying excessive markups typical of some commercial contracts. Consumers should avoid relying on summary bills or chargemaster lists, as these often obscure the true cost; instead, requesting a detailed, itemized CPT-coded statement is the most effective way to identify errors, unbundled charges, or services not rendered. If a balance bill arises from an out-of-network ancillary service, patients are protected under the No Surprises Act and should dispute the bill with their insurer rather than paying immediately.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 401 East Spruce, Garden City, KS 67846
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals