CMS Price Transparency Data

C-section delivery (full package)

Facility: Highland Hospital

Billing Code: 59510 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$2,762

about 1.1× the $2,473 Medicare rate · typically $1,716–$4,904

modeled estimate · not a bill or quote

What this hospital charges insurers

$4,567

Above the fair price

about $1,805 over the fair price · 1.8× Medicare

Medicare pays $2,473 Fair price $2,762 This hospital $4,567 Hospital's list price $12,665

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

Highest price of the 9 NY hospitals we have prices for — worth calling around.

Cheapest $2,076 Priciest $4,567

Black dot = this hospital, among the 9 NY hospitals with a price for this procedure. Full list below.

A fair price for a C-section delivery (full package) is about $2,762 (about 1.1× the $2,473 Medicare rate). Highland Hospital charges insurers about $4,567 — above the fair price. Located in Rochester, NY.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $2,762. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$2,464 - $5,905	100%
Blue Cross Blue Shieldmajor	$2,052 - $8,578	83%
Aetnamajor	$2,095 - $6,747	85%
Cignamajor	$5,933 - $12,164	240%
Humanamajor	$2,489 - $2,859	101%
CDPHP	$6,416 - $8,581	259%
Fidelis Care	$2,982 - $3,327	121%
Independent Health	$3,450 - $4,171	139%
MVP Health Care	$4,537 - $12,164	183%
+ 4 smaller / regional plans	$2,464

Government programs also on file: Medicare, Medicaid.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 59510.

Insurance Before you use insurance

Call your insurance company to confirm Highland Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 59510.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Highland Hospital

Compare: C-section delivery (full package) at other NY hospitals

Arnot Ogden Medical Center · Elmira $2,076
Olean General Hospital · Olean $2,177
Brooks-Tlc Hospital System, Inc · Dunkirk $2,227
St James Hospital · Hornell $2,289
Samaritan Medical Center · Watertown $2,357
Nicholas H Noyes Memorial Hospital · Dansville $2,363
Ira Davenport Memorial Hospital · Bath $2,369
Sisters of Charity Hospital · Buffalo $2,390

Insurance negotiated median for the same procedure, sorted lowest first.