CMS Price Transparency Data

C-section delivery (full package)

Facility: Amberwell Atchison Association

Billing Code: 59510 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 59510
  • Insurance Median: $2,409
  • Cash Discount Price: $4,415
  • vs. Medicare Baseline: 0.97x Medicare
The contracted insurance negotiated median rate for a C-section delivery (full package) at Amberwell Atchison Association is $2,409. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,415. Compared to the federal Medicare reimbursement reference rate of $2,473.27, this hospital’s rate is 0.97x the Medicare baseline. Located in 800 Raven Hill Drive, Atchison, KS.
Cash / Self-Pay
$4,415

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,409

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$2,473.27

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $2,473.27 (100%)
Cash / Self-Pay: $4,415 (179%)
Insurance Median: $2,409 (97%)
Cash: $4,415 (179% of Medicare)
Ins. Median: $2,409 (97% of 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.

Input your details and click calculate to compare out-of-pocket costs.

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 $1,925 - $2,472 78%
Superior Select Mcr Adv - All Plans $2,194 89%
Triwest - All Plans $2,194 89%
Va Ccn - All Plans $2,194 89%
Humana $2,194 - $2,940 89%
Aetna $2,266 92%
Cigna $2,409 97%
Centrus Health Direct - All Plans $2,633 106%
Wppa Providrs Care - All Plans $3,369 136%
Ambetter / Centene $3,369 136%
Oscar - All Plans $3,510 142%
Multiplan - All Plans $4,168 169%

Consumer Guidance & Cost Commentary

For C-section delivery (full package) at Amberwell Atchison Association in Atchison, KS, the cash median rate is $4,415.00, which matches the facility's gross charge. This cash price is significantly higher than the state average for this service, as the Medicare benchmark rate is $2,473.27. While commercial insurance companies negotiate rates that typically cap between $1,925 and $4,168 depending on the plan, these negotiated amounts often exceed the cash price. Patients with high-deductible plans may find it financially advantageous to pay the cash rate directly, as the insurance negotiated rate could result in higher out-of-pocket costs if the deductible has not yet been met. It is important to verify your specific plan's allowed amount before scheduling, as some in-network contracts may offer rates that are not the lowest available option.

To minimize unexpected costs, patients should proactively ask the hospital about "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% if paid in full upfront. These discounts bypass the administrative overhead of insurance claims processing and provide immediate liquidity to the facility. Additionally, if you receive a bill from an out-of-network provider or for services like emergency care at an in-network facility, you may be protected from balance billing under the No Surprises Act. If you do receive a surprise bill, do not pay immediately; instead, dispute the charge with your insurer and request a formal audit to ensure compliance with federal protections. Always demand a detailed, itemized bill rather than accepting a summary invoice, as over 80% of hospital bills contain errors such as unbundled

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 800 Raven Hill Drive, Atchison, KS 66002
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals