CMS Price Transparency Data

C-section delivery (full package)

Facility: Astera Health

Billing Code: 59510 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59510
Insurance Median: $2,360
Cash Discount Price: $5,685
vs. Medicare Baseline: 0.95x Medicare

The contracted insurance negotiated median rate for a C-section delivery (full package) at Astera Health is $2,360. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,685. Compared to the federal Medicare reimbursement reference rate of $2,473.27, this hospital’s rate is 0.95x the Medicare baseline. Located in 421 11Th Street Nw, Wadena, MN.

Cash / Self-Pay

$5,685

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,360

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: $5,685 (230%)

Insurance Median: $2,360 (95%)

Cash: $5,685 (230% of Medicare)

Ins. Median: $2,360 (95% 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
Sanford Health Plan [10120]	$508 - $708	21%
Ucare Pmap [30006]	$1,368 - $1,527	55%
Blue Plus Pmap [40002]	$1,388 - $2,360	56%
Health Partners Pmap [10046]	$1,388	56%
Medica Pmap [10057]	$1,388	56%
Primewest Pmap [30003]	$1,388	56%
Blue Cross Blue Shield	$2,360 - $6,107	95%
Health Partners [10045]	$2,360 - $7,548	95%
Medica Nonpmap [10056]	$2,360 - $6,255	95%
Primewest Non Pmap [30004]	$2,360	95%
Ucare Non Pmap [30007]	$2,360	95%
UnitedHealthcare	$2,860	116%
Ucare Commercial [10705]	$5,969	241%
Multiplan	$6,424	260%
Aetna	$7,227	292%

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 $5,685.
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 Astera Health 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.