C-section delivery (full package)
Facility: Community Memorial Healthcare, Inc.
Billing Code: 59510 (CPT)
- CPT Billing Code: 59510
- Insurance Median: $2,113
- Cash Discount Price: $4,593
- vs. Medicare Baseline: 0.85x 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 |
|---|---|---|
| UnitedHealthcare | $265 | 11% |
| Aetna | $2,113 - $3,674 | 85% |
Consumer Guidance & Cost Commentary
For C-section delivery (full package) at Community Memorial Healthcare, Inc. in Marysville, KS, the cash median price is $4,593.00, which matches the facility's gross charge. This rate is 90% of the Medicare benchmark amount of $2,473.27, indicating the facility's pricing is below the federal baseline for this procedure. While the facility is a Critical Access Hospital with a voluntary non-profit ownership structure, patients should be aware that commercial insurance negotiated rates can sometimes exceed cash prices. For instance, Aetna plans have a negotiated range of $2,113 to $3,674, and UnitedHealthcare has a fixed negotiated rate of $265 for this service. If a patient has a high-deductible plan or has already met their deductible, paying the cash price of $4,593.00 upfront may result in lower out-of-pocket costs compared to the insurance negotiated rates, provided the patient's plan does not cover the full amount.
To secure the lowest possible price, patients should explicitly request "self-pay" or "prompt-pay" discounts before scheduling their appointment, as these fees are often waived when payment is made in full within 30 days. This bypasses the administrative overhead of claims processing and can reduce the final bill by 20% to 50%. Additionally, since the No Surprises Act prohibits balance billing for emergency care and non-emergency services at in-network facilities, patients should verify that all ancillary services, such as laboratory tests or anesthesia, are covered under the facility's network agreements to avoid unexpected charges. Given that over 80% of hospital bills contain errors