C-section delivery (full package)
Facility: Menorah Medical Center
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 a C-section delivery (full package) at Menorah Medical Center in Overland Park, KS, the negotiated rates vary significantly by insurer, ranging from $1,995 with Universal Healthcare to $7,365 with Aetna. While the median negotiated rate across all payers is $3,738, this figure is notably higher than the facility's cash median, which is not listed in the current data. It is important to note that cash-pay options can sometimes be more affordable for patients with high-deductible plans if their insurance negotiated rate exceeds the cash price. Because hospitals often offer prompt-pay discounts of 20% to 50% for upfront payment, patients should explicitly request self-pay or prompt-pay rates before scheduling to avoid being billed the full insurance negotiated amount.
The facility's pricing is benchmarked against federal standards, showing a ratio of 1.5 times the Medicare amount of $2,473.27. This indicates that the commercial rates charged are substantially higher than the government's calculated cost baseline, which typically represents the true cost of care delivery. Patients should be aware that balance billing is generally prohibited for emergency services and non-emergency care at in-network facilities under the No Surprises Act, though unexpected charges can still occur if ancillary services like lab work are provided by out-of-network providers. To ensure transparency and avoid errors, consumers should demand a full itemized bill before paying and verify that all services rendered are accurately coded, as over 80% of hospital bills contain discrepancies that can be resolved through a formal audit.