CMS Price Transparency Data

C-section delivery (full package)

Facility: Henry Ford Health Hospital

Billing Code: 59510 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59510
Insurance Median: $2,894
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.17x Medicare

The contracted insurance negotiated median rate for a C-section delivery (full package) at Henry Ford Health Hospital is $2,894. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $2,473.27, this hospital’s rate is 1.17x the Medicare baseline. Located in 2799 W Grand Blvd, Detroit, MI.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,894

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%)

Insurance Median: $2,894 (117%)

Ins. Median: $2,894 (117% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Aetna	$1,551 - $2,894	63%
Hap	$1,551 - $6,919	63%
Mclaren	$1,551	63%
Meridian Health Plan Of Mi	$1,551	63%
Priority Health	$1,551 - $2,897	63%
Molina	$1,675 - $3,183	68%
Blue Cross Blue Shield	$1,691 - $18,102	68%
Humana	$2,340 - $3,853	95%
Amerihealth Michigan	$2,476 - $2,836	100%
Hap Caresource	$2,476	100%
Mclaren Health Plan Inc.	$2,476 - $2,894	100%
Meridian	$2,476 - $2,894	100%
Priority	$2,600 - $2,894	105%
Pace Se Mi	$2,749	111%
Bcn	$2,894 - $3,242	117%
Cca Health Mi	$2,894	117%
Health Alliance Plan Of Michigan	$2,894	117%
Mount Carmel Health Plan	$2,894	117%
United Behavioral Health, Inc.	$2,894	117%
UnitedHealthcare	$2,894	117%
Wellcare Ma	$2,894	117%
Wellcare	$2,923	118%
Cofinity	$2,948	119%
Cigna	$3,582	145%
Vitalcore Physicians Group Of Mi	$3,762	152%
Cofinity Group Health	$4,534	183%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $X.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 59510.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Henry Ford Health Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 59510.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.