CMS Price Transparency Data

C-section delivery (full package)

Facility: Alice Peck Day Memorial Hospital

Billing Code: 59510 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59510
Insurance Median: $4,218
Cash Discount Price: $2,968
vs. Medicare Baseline: 1.71x Medicare

The contracted insurance negotiated median rate for a C-section delivery (full package) at Alice Peck Day Memorial Hospital is $4,218. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,968. Compared to the federal Medicare reimbursement reference rate of $2,473.27, this hospital’s rate is 1.71x the Medicare baseline. Located in 10 Alice Peck Day Drive, Lebanon, NH.

Cash / Self-Pay

$2,968

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,218

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: $2,968 (120%)

Insurance Median: $4,218 (171%)

Cash: $2,968 (120% of Medicare)

Ins. Median: $4,218 (171% 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
Ambetter / Centene	$1,200	49%
Nh Healthy Families	$1,248	50%
Medicaid / KanCare	$2,528	102%
Blue Cross Blue Shield	$2,723 - $4,901	110%
Harvard Pilgrim	$3,425 - $4,775	138%
UnitedHealthcare	$3,965	160%
Tufts	$4,038	163%
Cigna	$4,218 - $4,505	171%
Commercial Generic	$4,218	171%
Connecticut General	$4,218	171%
Klais	$4,257	172%
Wellpoint	$4,328	175%
Aetna	$4,956	200%
Mvp	$5,011	203%
Coventry Health	$5,232	212%
Coventry Health Wc	$5,232	212%
Humana	$5,727	232%

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 $2,968.
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 Alice Peck Day Memorial 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.