CMS Price Transparency Data

C-section delivery (full package)

Facility: United Memorial Medical Center

Billing Code: 59510 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59510
Insurance Median: $2,502
Cash Discount Price: $2,242
vs. Medicare Baseline: 1.01x Medicare

The contracted insurance negotiated median rate for a C-section delivery (full package) at United Memorial Medical Center is $2,502. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,242. Compared to the federal Medicare reimbursement reference rate of $2,473.27, this hospital’s rate is 1.01x the Medicare baseline. Located in 127 North Street, Batavia, NY.

Cash / Self-Pay

$2,242

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,502

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: $2,242 (91%)

Insurance Median: $2,502 (101%)

Cash: $2,242 (91% of Medicare)

Ins. Median: $2,502 (101% 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	$1,595 - $2,885	64%
Mvp [109]	$1,642 - $3,262	66%
Excellus Hmo [104]	$1,948 - $2,502	79%
Aetna	$2,164 - $3,488	87%
Independent Health Association,In [138]	$2,210 - $3,757	89%
Excellus Indemnity [127]	$2,378 - $2,798	96%
Medicare (plans)	$2,402 - $2,826	97%
Fidelis Care New York [112]	$2,928	118%
Fidelis Exchange [157]	$2,928	118%
Molina Healthcare Of Ny [188]	$3,763 - $4,427	152%

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 $2,242.
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 United Memorial 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.