C-section delivery (full package)
Facility: Ascension Via Christi Rehabilitation Hospital Inc
Billing Code: 59510 (CPT)
- CPT Billing Code: 59510
- Insurance Median: $6,253
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 2.53x 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 253% of the Medicare baseline (a markup of 153%). 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 |
|---|---|---|
| Aetna | $6,253 | 253% |
Consumer Guidance & Cost Commentary
For this C-section delivery at Ascension Via Christi Rehabilitation Hospital in Wichita, KS, the negotiated rate is $6,253, which is significantly higher than the Medicare benchmark of $2,473.27. While commercial insurance contracts often include administrative overhead that inflates prices by 20% to 40% above the true cost of care, the facility's rate exceeds the Medicare baseline by 2.5 times. This markup reflects the contractual ceilings agreed upon with insurers, which are frequently higher than cash prices due to the complexity of claims processing and utilization reviews. Patients should be aware that assuming an in-network rate is the lowest possible price is a common pitfall, as different hospitals negotiate vastly different terms even within the same network.
If you have a high-deductible plan, paying cash directly might be more cost-effective than using insurance, as the negotiated rate often exceeds the cash price. The facility does not list a specific cash median, but you should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts before scheduling, which can range from 20% to 50% off the total. To avoid unexpected balance billing or errors, request a full itemized bill that lists every CPT code and unit cost, as summary bills often obscure individual charges. Finally, if you receive a bill after paying upfront, ensure you signed a waiver of insurance submission to prevent the hospital from submitting a claim that would void your cash discount agreement.