CMS Price Transparency Data

C-section delivery (full package)

Facility: Incline Village Community Hospital

Billing Code: 59510 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59510
Insurance Median: $7,291
Cash Discount Price: $8,101
vs. Medicare Baseline: 2.95x Medicare

The contracted insurance negotiated median rate for a C-section delivery (full package) at Incline Village Community Hospital is $7,291. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,101. Compared to the federal Medicare reimbursement reference rate of $2,473.27, this hospital’s rate is 2.95x the Medicare baseline. Located in 880 Alder Street, Incline Village, NV.

Cash / Self-Pay

$8,101

Average discount available for prompt cash payment at this facility.

Insurance Median

$7,291

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: $8,101 (328%)

Insurance Median: $7,291 (295%)

Cash: $8,101 (328% of Medicare)

Ins. Median: $7,291 (295% 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 295% of the Medicare baseline (a markup of 195%). 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
Medicare (plans)	$2,401	97%
Blue Cross Blue Shield	$2,491 - $7,291	101%
Ca Hlth And Wellness - All Plans	$2,540	103%
Healthnet - All Plans	$3,242	131%
UnitedHealthcare	$3,316	134%
Aetna	$7,129	288%
Prominence Healthfirst - All Plans	$7,129	288%
Admar Multiplan - All Plans	$7,291	295%
First Health - All Plans	$7,291	295%
Great West/One Health - All Plans	$7,291	295%
Hometown Hp - All Plans	$7,291	295%
Humana	$7,291	295%
Interplan - All Plans	$7,291	295%
Multiplan - All Plans	$7,291	295%
Phcs - All Plans	$7,291	295%
Cigna	$7,453	301%
Beech Street/Capp Care - All Plans	$7,696	311%
Uhn - All Plans	$7,696	311%
Sierra Health - All Plans	$7,858	318%

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 $8,101.
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 Incline Village Community 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.