C-section delivery (full package)
Facility: Memorial Hospital
Billing Code: 59510 (CPT)
- CPT Billing Code: 59510
- Insurance Median: $2,304
- Cash Discount Price: $4,279
- vs. Medicare Baseline: 0.93x 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 |
|---|---|---|
| Tricare | $2,194 | 89% |
| Ambetter / Centene | $2,413 | 98% |
Consumer Guidance & Cost Commentary
For this C-section delivery at Memorial Hospital in Abilene, KS, the cash price of $4,279 is identical to the facility's cash median. While the hospital is an in-network provider for Tricare and Ambetter/Centene with a negotiated rate of $2,304, patients should be aware that cash payments can sometimes be more cost-effective if their insurance deductible has not yet been met or if the negotiated rate exceeds their out-of-pocket maximum. Because this facility is a Critical Access Hospital owned by a Government Hospital District, it may offer specific self-pay or prompt-pay discounts that reduce the final bill, but these must be requested explicitly before scheduling to avoid automatic claims submission that voids such agreements.
The facility's pricing is benchmarked against Medicare, which sets a baseline of $2,473.27 for this procedure. The cash price represents a 0.9x ratio relative to the Medicare amount, indicating it is slightly lower than the federal standard. Although the data does not provide specific state or county average comparisons for this code, the fixed nature of the cash price at this Critical Access Hospital suggests a transparent, non-negotiable rate structure for self-pay patients. Consumers are advised to request a full itemized bill to verify that no unbundled codes or services not rendered have inflated the total, ensuring the final charge aligns with the stated cash median.