CMS Price Transparency Data

C-section delivery (full package)

Facility: Cheshire Medical Center

Billing Code: 59510 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59510
Insurance Median: $5,815
Cash Discount Price: $2,803
vs. Medicare Baseline: 2.35x Medicare

The contracted insurance negotiated median rate for a C-section delivery (full package) at Cheshire Medical Center is $5,815. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,803. Compared to the federal Medicare reimbursement reference rate of $2,473.27, this hospital’s rate is 2.35x the Medicare baseline. Located in 580 Court Street, Keene, NH.

Cash / Self-Pay

$2,803

Average discount available for prompt cash payment at this facility.

Insurance Median

$5,815

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: $2,803 (113%)

Insurance Median: $5,815 (235%)

Cash: $2,803 (113% of Medicare)

Ins. Median: $5,815 (235% 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 235% of the Medicare baseline (a markup of 135%). 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
Amerihealth Caritas Nh	$921 - $1,565	37%
Wellsense Health Plan	$1,037 - $2,710	42%
Granite State Health Plan	$1,256 - $2,136	51%
Harvard Pilgrim Health Care Of Ne	$1,602 - $5,815	65%
Aetna	$2,331 - $8,748	94%
Ambetter / Centene	$2,710	110%
Blue Cross Blue Shield	$2,710 - $10,160	110%
Cigna	$2,710 - $7,158	110%
Martin'S Point Generations Advantage	$2,710	110%
Martin'S Point Health Care	$2,710	110%
Mvp	$2,710 - $7,158	110%
UnitedHealthcare	$2,710 - $9,707	110%
Wellcare Health Plans	$2,710	110%
Maine Community Health Options	$3,385 - $5,755	137%
Tufts Health Plan	$4,802 - $8,163	194%
Mass General Brigham Health Plan	$6,162 - $12,789	249%
First Health/Hcvm	$6,395 - $10,871	259%
Phcs	$6,771 - $11,510	274%

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 $2,803.
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 Cheshire Medical Center 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.