CMS Price Transparency Data

C-section delivery (full package)

Facility: Sunrise Hospital and Medical Center

Billing Code: 59510 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59510
Insurance Median: $2,686
Cash Discount Price: $9,380
vs. Medicare Baseline: 1.09x Medicare

The contracted insurance negotiated median rate for a C-section delivery (full package) at Sunrise Hospital and Medical Center is $2,686. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9,380. Compared to the federal Medicare reimbursement reference rate of $2,473.27, this hospital’s rate is 1.09x the Medicare baseline. Located in 3186 S Maryland Pkwy, Las Vegas, NV.

Cash / Self-Pay

$9,380

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,686

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: $9,380 (379%)

Insurance Median: $2,686 (109%)

Cash: $9,380 (379% of Medicare)

Ins. Median: $2,686 (109% 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
Humana	$1,349 - $2,735	55%
Culinary Health Fund	$1,468 - $3,832	59%
Amerigroup	$1,873 - $2,372	76%
Health Plan Nevada	$1,873 - $2,491	76%
Molina	$1,966 - $2,615	79%
Silver Summit	$1,966 - $3,193	79%
Community Care Health	$2,247	91%
Molina Healthcare	$2,247 - $2,337	91%
Sierra Hpn	$2,247	91%
Blue Cross Blue Shield	$2,491 - $5,190	101%
Healthcare Partners Of Nv	$2,503 - $3,428	101%
Aetna	$2,554 - $2,686	103%
Alignment Health Plan	$2,554	103%
Ambetter / Centene	$2,626	106%
United	$2,637 - $3,329	107%
Caremore	$2,682	108%
Hometown Health Providers	$2,938 - $4,615	119%
Cigna	$3,393 - $6,461	137%
Select Health	$3,404 - $6,153	138%
Sierra	$3,407 - $3,659	138%
Multiplan	$3,428	139%
Health Services Coalition	$4,260	172%
Legacy Provider Network	$6,214	251%
Corvel	$6,560	265%
Comp-Med Workers Comp	$6,698	271%
Olympus Medsave Usa	$6,905	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 $9,380.
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 Sunrise Hospital and 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.