C-section delivery (full package)
Facility: Cloud County Health Center
Billing Code: 59510 (CPT)
- CPT Billing Code: 59510
- Insurance Median: $3,513
- Cash Discount Price: $2,995
- vs. Medicare Baseline: 1.42x 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 |
|---|---|---|
| Mpi-All Plans | $2,962 | 120% |
| Pponext-All Plans | $4,065 | 164% |
Consumer Guidance & Cost Commentary
For a C-section delivery (full package) at Cloud County Health Center in Concordia, KS, the cash median price is $2,995, which is lower than the facility's negotiated rate of $3,513. While the facility's gross charge is $4,279, commercial payers like Mpi-All Plans and Pponext-All Plans have negotiated rates of $2,962 and $4,065, respectively. It is important to note that cash-pay options can sometimes be more affordable for patients with high-deductible plans if the insurance negotiated rate exceeds the cash price. Additionally, patients should verify with the hospital for "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% when paid upfront, bypassing costly insurance claims processing.
This service is categorized under Critical Access Hospitals in Kansas, and while specific county or state average data was not provided in the source material, the facility's pricing structure reflects standard Medicare benchmarking principles. The Medicare amount for this procedure is $2,473.27, serving as a baseline to evaluate the facility's markup; commercial rates often range between 200% and 300% of Medicare, though fair pricing is typically defined as 120% to 150%. To ensure you are receiving the best possible rate, always request an itemized billing audit before paying, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. Avoid accepting summary bills as your final invoice and instead demand a detailed CPT-coded statement to identify any discrepancies or double-billing