C-section delivery (full package)
Facility: Overland Park Reg Med Ctr
Billing Code: 59510 (CPT)
- CPT Billing Code: 59510
- Insurance Median: $3,738
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.51x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Universal Healthcare | $1,995 | 81% |
| Nhc Advantage | $2,550 | 103% |
| Aetna | $3,654 - $7,365 | 148% |
| Humana | $3,738 - $4,643 | 151% |
Consumer Guidance & Cost Commentary
For the C-section delivery (full package) at Overland Park Reg Med Ctr in Overland Park, KS, the facility's negotiated rates range from $1,995 to $7,365 depending on the insurance carrier, with Aetna showing the widest variance across its four plans. The median negotiated rate of $3,738 is notably higher than the Medicare benchmark of $2,473.27, reflecting the typical administrative markup and contract dynamics where commercial rates often exceed 1.5 times the federal baseline. While the facility is a Proprietary Acute Care Hospital with a strong consumer rating of 4, patients should be aware that in-network status does not guarantee the lowest possible price, as different insurers may negotiate significantly different ceilings for the same procedure.
To potentially lower out-of-pocket costs, patients should inquire about self-pay or prompt-pay discounts before scheduling, as paying cash upfront can sometimes result in a lower total than the insurance negotiated rate, particularly for those with high-deductible plans. Since the facility is located in Overland Park (ZIP 66215), it is advisable to compare these specific rates against local county and state averages to ensure fair pricing. If a balance bill arises from out-of-network ancillary services, the No Surprises Act may provide protection, but patients should always request a full itemized bill to verify charges and dispute any errors before finalizing payment.