CMS Price Transparency Data

C-section delivery (full package)

Facility: Metropolitan Hospital Center

Billing Code: 59510 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59510
Insurance Median: $4,470
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.81x Medicare

The contracted insurance negotiated median rate for a C-section delivery (full package) at Metropolitan Hospital Center is $4,470. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $2,473.27, this hospital’s rate is 1.81x the Medicare baseline. Located in 1901 First Avenue, New York, NY.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,470

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%)

Insurance Median: $4,470 (181%)

Ins. Median: $4,470 (181% 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
Metroplus	$1,200 - $3,981	49%
United	$1,636 - $7,152	66%
Healthfirst	$1,788 - $2,692	72%
Aetna	$2,295 - $2,489	93%
Oxford	$3,237 - $3,667	131%
Amidacare	$3,243	131%
Emblem	$3,243 - $6,258	131%
Wellcare	$3,503	142%
Cigna	$4,285	173%
Oscar	$4,454	180%
Centerlight	$4,470	181%
Fidelis	$4,671	189%
Carelon	$5,811	235%
Elderplan	$5,811	235%
Magnacare	$6,705	271%
Blue Cross Blue Shield	$7,152	289%
Carelon (Amida Care)	$7,152	289%
Multiplan	$7,152	289%
Local 1199	$7,599	307%
Villagecare Max	$7,599	307%
Vnsny	$7,599	307%

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 $X.
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 Metropolitan Hospital 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.