CMS Price Transparency Data

C-section delivery (full package)

Facility: Columbia Memorial Hospital

Billing Code: 59510 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59510
Insurance Median: $2,879
Cash Discount Price: $5,070
vs. Medicare Baseline: 1.16x Medicare

The contracted insurance negotiated median rate for a C-section delivery (full package) at Columbia Memorial Hospital is $2,879. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,070. Compared to the federal Medicare reimbursement reference rate of $2,473.27, this hospital’s rate is 1.16x the Medicare baseline. Located in 71 Prospect Avenue, Hudson, NY.

Cash / Self-Pay

$5,070

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,879

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: $5,070 (205%)

Insurance Median: $2,879 (116%)

Cash: $5,070 (205% of Medicare)

Ins. Median: $2,879 (116% 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
Medicaid / KanCare	$1,968 - $2,486	80%
Mvp	$2,015 - $2,879	81%
Medicare (plans)	$2,159 - $2,879	87%
UnitedHealthcare	$2,159 - $3,455	87%
Blue Shield Highmark	$2,206 - $3,092	89%
Blue Cross Blue Shield	$2,447 - $3,357	99%
Tricare	$2,447 - $2,879	99%
Cdphp	$2,657 - $4,256	107%
Hamaspik	$2,692 - $3,599	109%
Fidelis	$2,735 - $3,000	111%
Cigna	$2,850	115%
Aetna	$2,965 - $4,463	120%
Emblem Health Ghi	$3,944	159%

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 $5,070.
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 Columbia 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.