CMS Price Transparency Data

C-section delivery (full package)

Facility: St John's Riverside Hospital

Billing Code: 59510 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59510
Insurance Median: $3,059
Cash Discount Price: $10,816
vs. Medicare Baseline: 1.24x Medicare

The contracted insurance negotiated median rate for a C-section delivery (full package) at St John's Riverside Hospital is $3,059. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10,816. Compared to the federal Medicare reimbursement reference rate of $2,473.27, this hospital’s rate is 1.24x the Medicare baseline. Located in 976 North Broadway, Yonkers, NY.

Cash / Self-Pay

$10,816

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,059

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: $10,816 (437%)

Insurance Median: $3,059 (124%)

Cash: $10,816 (437% of Medicare)

Ins. Median: $3,059 (124% 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
Fidelis Essential Plans	$2,601	105%
Medicaid / KanCare	$2,601	105%
Fidelis Health Benefit Exchange	$2,906	117%
Aetna	$3,059 - $3,783	124%
Centers Plan For Healthy Living	$3,059	124%
Fidelis	$3,059	124%
Healthfirst	$3,059	124%
Hip Health Plan	$3,059	124%
Magnacare	$3,059	124%
Medicare (plans)	$3,059	124%
Mvp	$3,059	124%
Mvp Bhs	$3,059	124%
Oscar	$3,059 - $3,212	124%
Partners Health Plan	$3,059	124%
United Behavioral Health Of Ny Ipa	$3,059	124%
Village Caremax	$3,059	124%
Wellcare	$3,059	124%
Metroplus Gold	$3,212	130%
Empire Hmo	$8,368	338%
Mvp Individual Exchange.Student Health Plan	$10,769	435%
Mvp Commercial	$12,697	513%

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 $10,816.
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 St John's Riverside 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.