C-section delivery (full package)
Facility: Kearny County Hospital
Billing Code: 59510 (CPT)
- CPT Billing Code: 59510
- Insurance Median: $4,089
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.65x 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 |
|---|---|---|
| Meritain Health | $2,453 | 99% |
| UnitedHealthcare | $4,089 | 165% |
| Insurance Administrator Of Ame | $4,089 | 165% |
| Luminare Health | $4,089 | 165% |
| Allied Benefit - Aso | $4,089 | 165% |
| Blue Cross Blue Shield | $4,089 | 165% |
Consumer Guidance & Cost Commentary
For the C-section delivery procedure (CPT 59510) at Kearny County Hospital in Lakin, Kansas, the negotiated rates for in-network payers average $4,089, which matches the facility's median negotiated amount. This rate is significantly higher than the Medicare benchmark of $2,473.27, reflecting the typical administrative markup associated with commercial insurance contracts. While the facility is a Critical Access Hospital owned by the local government, patients should be aware that cash-pay options are not listed in this report; however, it is always advisable to contact the hospital directly to inquire about self-pay or prompt-pay discounts, which can sometimes result in lower out-of-pocket costs than the standard insurance negotiated rate.
The data indicates that the median amount paid by insurers was $3,672, while the lowest and highest negotiated rates across all six payers were identical at $2,453 and $4,089 respectively, suggesting a consistent pricing structure for this service. Although specific county or state average comparisons were not provided in the available data, the fixed negotiated rates for major carriers like UnitedHealthcare and Blue Cross Blue Shield highlight the importance of verifying your specific plan's allowed amount before scheduling care. To avoid unexpected balance billing, patients should ensure they understand their deductible status and request an itemized bill if any discrepancies arise, as over 80% of hospital bills often contain errors that can be corrected through a formal audit.