CMS Price Transparency Data

C-section delivery (full package)

Facility: The Children's Mercy Hospital

Billing Code: 59510 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59510
Insurance Median: $3,435
Cash Discount Price: $3,770
vs. Medicare Baseline: 1.39x Medicare

The contracted insurance negotiated median rate for a C-section delivery (full package) at The Children's Mercy Hospital is $3,435. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,770. Compared to the federal Medicare reimbursement reference rate of $2,473.27, this hospital’s rate is 1.39x the Medicare baseline. Located in 2401 Gillham Road, Kansas City, MO.

Cash / Self-Pay

$3,770

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,435

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: $3,770 (152%)

Insurance Median: $3,435 (139%)

Cash: $3,770 (152% of Medicare)

Ins. Median: $3,435 (139% 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
UnitedHealthcare	$2,021 - $4,456	82%
Healthy Blue	$2,156 - $2,485	87%
Medicaid / KanCare	$2,175	88%
Home State Health	$2,485	100%
Blue Cross Blue Shield	$2,579 - $3,339	104%
Quiktrip	$2,694	109%
Healthlink	$2,907	118%
Wppa Providrs Care	$3,020	122%
Aetna	$3,435 - $4,038	139%
Multiplan	$3,480	141%
Health Midwest Comprehensive Care	$3,521	142%
American Healthcare Alliance	$3,844	155%
Cigna	$4,148	168%
Humana	$4,328	175%
Coventry Health Care Of Kansas	$4,341	176%
Orscheln	$4,375	177%
Nebraska Furniture Mart	$4,482	181%
Medica	$4,579	185%
Wellfit/Centrus	$4,868	197%
Centivo	$5,014	203%
Mercy Health	$5,734	232%
Coxhealth Network	$5,813	235%
National Preferred Provider Network	$6,912	279%

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 $3,770.
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 The Children's Mercy 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.