C-section delivery (full package)
Facility: Minneola District Hospital
Billing Code: 59510 (CPT)
- CPT Billing Code: 59510
- Insurance Median: $1,925
- Cash Discount Price: $4,204
- vs. Medicare Baseline: 0.78x 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 |
|---|---|---|
| Medicaid / KanCare | $1,925 | 78% |
| Providrs Care Network-All Plans | $1,925 | 78% |
| Aetna | $1,925 | 78% |
| UnitedHealthcare | $1,925 - $2,194 | 78% |
| Humana | $2,194 | 89% |
| Va Community Care Program-All Plans | $2,194 | 89% |
Consumer Guidance & Cost Commentary
This C-section delivery service at Minneola District Hospital in Kansas has a cash median price of $4,204, which is lower than the facility's gross charge of $6,005. For patients with high-deductible plans, paying cash directly can be more cost-effective than using insurance, as the negotiated rates for in-network payers range from $1,925 to $2,194, yet these amounts often exceed the cash price. While the facility is a Critical Access Hospital owned by a government hospital district, patients should verify their specific plan's deductible status before scheduling, as some commercial rates may still be higher than the cash option. Additionally, patients should request a self-pay or prompt-pay discount prior to check-in, as hospitals often offer fee reductions of 20% to 50% for upfront payments that bypass costly insurance billing cycles.
When reviewing the final invoice, consumers should avoid accepting summary bills that only show broad categories like "Laboratory" or "Pharmacy," as these can obscure errors or unbundled charges. Instead, always demand a full itemized CPT-coded bill to identify any services not rendered or components billed separately, such as sutures charged alongside the surgery code. It is also important to compare the facility's pricing against the Medicare benchmark of $2,473.27; while commercial negotiated rates are typically 200% to 300% of Medicare, fair pricing is generally defined as 120% to 150%. If you receive a balance bill for out-of-network ancillary services, you may be protected under the No Surprises Act, which bans balance billing for emergency care and non-em