CMS Price Transparency Data

C-section delivery (full package)

Facility: M Health Fairview Ridges Hospital

Billing Code: 59510 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59510
Insurance Median: $5,505
Cash Discount Price: $2,719
vs. Medicare Baseline: 2.23x Medicare

The contracted insurance negotiated median rate for a C-section delivery (full package) at M Health Fairview Ridges Hospital is $5,505. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,719. Compared to the federal Medicare reimbursement reference rate of $2,473.27, this hospital’s rate is 2.23x the Medicare baseline. Located in 201 East Nicollet Boulevard, Burnsville, MN.

Cash / Self-Pay

$2,719

Average discount available for prompt cash payment at this facility.

Insurance Median

$5,505

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: $2,719 (110%)

Insurance Median: $5,505 (223%)

Cash: $2,719 (110% of Medicare)

Ins. Median: $5,505 (223% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 223% of the Medicare baseline (a markup of 123%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Medica	$673 - $8,495	27%
Health Partners	$1,305 - $21,051	53%
Itasca Medical Care	$1,305 - $2,323	53%
Primewest	$1,305 - $2,323	53%
South Country Health Alliance	$1,305 - $2,323	53%
Ucare	$1,330 - $6,457	54%
Hennepin Health	$1,475	60%
Blue Cross Blue Shield	$1,512 - $13,300	61%
Sanford Health Plan	$2,323 - $7,410	94%
Security Health Plan	$2,323 - $9,183	94%
UnitedHealthcare	$2,323 - $6,570	94%
Wellcare	$2,323	94%
America'S Ppo	$7,640 - $9,938	309%
First Health	$8,243 - $10,316	333%
Multiplan	$8,545 - $10,693	345%
Private Healthcare Systems	$8,545 - $10,693	345%
Wisconsin Physician Services	$9,047 - $11,322	366%

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 $2,719.
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 M Health Fairview Ridges 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.