C-section delivery (full package)
Facility: Goodland Regional Medical Center
Billing Code: 59510 (CPT)
- CPT Billing Code: 59510
- Insurance Median: $5,382
- Cash Discount Price: $5,382
- vs. Medicare Baseline: 2.18x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 218% of the Medicare baseline (a markup of 118%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 |
|---|---|---|
| Wppa | $5,083 - $5,382 | 206% |
| UnitedHealthcare | $5,382 | 218% |
Consumer Guidance & Cost Commentary
For a C-section delivery at Goodland Regional Medical Center, the cash median price is $5,382, which matches the negotiated rate for UnitedHealthcare and Wppa. This facility is a Critical Access Hospital in Goodland, Kansas, and its pricing is significantly higher than the state average, indicated by a ratio of 2.2 times the Medicare benchmark. While commercial insurance contracts often result in higher costs due to administrative overhead, patients with high-deductible plans may find paying the cash price directly more affordable if their insurance negotiated rate exceeds the cash amount. It is important to verify your specific plan's allowed amount before scheduling, as assuming in-network status guarantees the lowest price can lead to unexpected costs.
Patients should be aware that hospitals often issue summary bills that obscure individual charges, making it difficult to identify errors or unbundled services. To protect yourself, always request a full itemized bill with specific CPT codes before agreeing to pay, as over 80% of hospital bills contain mistakes that can be corrected. Additionally, if you choose to pay out-of-network or encounter a balance bill, the No Surprises Act may protect you from being charged the difference between the provider's full rate and your insurance payment for emergency or non-emergency services at in-network facilities. Finally, ask the hospital directly about self-pay or prompt-pay discounts, which can reduce the total cost by 20% to 50% if you settle the bill upfront, bypassing the costly claims processing cycle that inflates insurance rates.