CMS Price Transparency Data

C-section delivery (full package)

Facility: Lakewood Health System

Billing Code: 59510 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59510
Insurance Median: $2,374
Cash Discount Price: $3,112
vs. Medicare Baseline: 0.96x Medicare

The contracted insurance negotiated median rate for a C-section delivery (full package) at Lakewood Health System is $2,374. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,112. Compared to the federal Medicare reimbursement reference rate of $2,473.27, this hospital’s rate is 0.96x the Medicare baseline. Located in 49725 County Road 83, Staples, MN.

Cash / Self-Pay

$3,112

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,374

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: $3,112 (126%)

Insurance Median: $2,374 (96%)

Cash: $3,112 (126% of Medicare)

Ins. Median: $2,374 (96% 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
Ucare Msho/Special Needs	$1,221 - $2,068	49%
UnitedHealthcare	$1,388 - $4,467	56%
Blue Cross Blue Shield	$1,949 - $3,693	79%
Humana	$2,028 - $2,187	82%
Ucare Mcr Adv	$2,068 - $2,187	84%
Ucare Individual/Family - All Other Plans	$2,309 - $3,499	93%
Medica Msho/Mcr Adv	$2,439	99%
Medica Choice Care	$2,449 - $4,171	99%
Medica Choice/Focus/Ifb/Mhps - All Other Plans	$4,171	169%
Health Partners - All Plans	$4,718 - $6,078	191%
Preferred One Hmo	$4,768 - $4,966	193%
Preferred One Ppo - All Other Plans	$4,768 - $5,261	193%

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 $3,112.
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 Lakewood Health System 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.