C-section delivery (full package)
Facility: Republic County Hospital
Billing Code: 59510 (CPT)
- CPT Billing Code: 59510
- Insurance Median: $2,990
- Cash Discount Price: $2,438
- vs. Medicare Baseline: 1.21x 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 |
|---|---|---|
| Rural Carriers-All Plans | $2,762 | 112% |
| Aetna | $2,925 | 118% |
| Meritain-All Plans | $2,925 | 118% |
| UnitedHealthcare | $2,990 | 121% |
| Cigna | $3,088 | 125% |
| First Health-All Plans | $3,088 | 125% |
| Midlands Choice-All Plans | $3,088 | 125% |
Consumer Guidance & Cost Commentary
For a C-section delivery (full package) at Republic County Hospital in Belleville, KS, the facility's cash median rate is $2,438, which is lower than the negotiated rates paid by major insurers like UnitedHealthcare ($2,990) and Cigna ($3,088). While the facility is a Critical Access Hospital with a voluntary non-profit ownership structure, patients should be aware that commercial insurance contracts often result in higher out-of-pocket costs than direct cash payment. This is particularly relevant for those with high-deductible plans, as paying the cash price upfront can sometimes be more economical than the insurance negotiated rate, provided the patient's deductible has not yet been met.
The facility's billing practices align with standard industry benchmarks, where commercial negotiated rates typically range from 120% to 300% of the Medicare amount of $2,473.27. Although the data does not provide specific county or state average comparisons for this procedure, the significant difference between the cash rate and the insurer-paid rates highlights the importance of verifying "self-pay" or "prompt-pay" discounts before scheduling care. Patients are encouraged to request a waiver of insurance submission at registration to secure the lower cash rate and avoid potential balance billing scenarios, especially given federal protections under the No Surprises Act that limit surprise charges for out-of-network services at in-network facilities.