CMS Price Transparency Data

C-section delivery (full package)

Facility: Munson Healthcare Otsego Memorial Hospital

Billing Code: 59510 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 59510
  • Insurance Median: $2,472
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a C-section delivery (full package) at Munson Healthcare Otsego Memorial Hospital is $2,472. 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 1.00x the Medicare baseline. Located in 825 N Center Ave, Gaylord, MI.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,472

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: $2,472 (100%)
Ins. Median: $2,472 (100% 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
Blue Cross Blue Shield $641 - $3,505 26%
Mclaren Health Plan $1,292 - $2,476 52%
Meridian $1,292 - $2,476 52%
Molina $1,292 - $2,669 52%
Priority Health $1,292 - $3,803 52%
UnitedHealthcare $1,292 - $2,476 52%
Medicare (plans) $2,471 - $2,472 100%
Blue Care Network $2,472 100%
Hap (Health Alliance Plan) $2,472 - $3,707 100%
Humana $2,472 100%
Michigan Amish Medical Board $2,472 100%
Northern Michigan Mennonite Group $2,472 100%
Aetna $2,496 101%
Cigna $2,643 - $3,803 107%
Asr Physicians Care Network $3,707 150%
Nomi Health $3,954 160%
Employee Benefit Logistics $4,202 170%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 825 N Center Ave, Gaylord, MI 49735
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals