CMS Price Transparency Data

C-section delivery (full package)

Facility: Mercy Health Saint Mary's

Billing Code: 59510 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$971
about 0.4× the $2,473 Medicare rate · typically $705–$1,211
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,174
Above the fair price
about $203 over the fair price · 0.5× Medicare
Medicare pays $2,473 Fair price $971 This hospital $1,174 Cash price $938 Hospital's list price $5,860

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

Lowest price of the 9 MI hospitals we have prices for — a strong deal.

Cheapest $1,174 Priciest $2,329

Black dot = this hospital, among the 9 MI hospitals with a price for this procedure. Full list below.

A fair price for a C-section delivery (full package) is about $971 (about 0.4× the $2,473 Medicare rate). Mercy Health Saint Mary's charges insurers about $1,174, or about $938 in cash — above the fair price. Located in Grand Rapids, MI.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $971. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $1,174 - $1,450 47%
Blue Cross Blue Shieldmajor $269 - $1,752 11%
Aetnamajor $295 - $3,417 12%
Cignamajor $296 - $1,848 12%
Humanamajor $544 - $3,417 22%
Ambetter (Centene) $1,174 47%
AmeriHealth $544 - $3,417 22%
Clover Health $1,211 49%
Dean Health Plan $267 - $1,668 11%
GEHA $1,388 56%
Health Net $422 - $2,108 17%
HealthPartners $260 - $1,624 11%
MagnaCare $544 - $3,417 22%
Medical Mutual $544 - $3,417 22%
Meridian $1,174 - $1,211 47%
Molina $267 - $1,668 11%
MVP Health Care $267 - $1,668 11%
Oscar Health $267 - $1,668 11%
Paramount $1,174 47%
Presbyterian $1,174 - $1,211 47%
Priority Health $314 - $1,961 13%
Tufts Health Plan $260 - $1,624 11%
UniCare $544 - $3,417 22%
WellMed $1,211 49%
WellSense $1,174 47%
+ 421 smaller / regional plans $260 - $3,417
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 16 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 200 Jefferson Avenue Se, Grand Rapids, MI 49503
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals