CMS Price Transparency Data

C-section delivery (full package)

Facility: Strong Memorial Hospital

Billing Code: 59510 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59510
Insurance Median: $3,450
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.39x Medicare

The contracted insurance negotiated median rate for a C-section delivery (full package) at Strong Memorial Hospital is $3,450. 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 1.39x the Medicare baseline. Located in 601 Elmwood Ave, Rochester, NY.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,450

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: $3,450 (139%)

Ins. Median: $3,450 (139% 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	$1,510 - $2,834	61%
Medicare (plans)	$1,971 - $2,892	80%
Highmark Bc/Bs Of Western Ny [5143]	$2,052 - $2,414	83%
Aetna	$2,095 - $6,747	85%
Excellus Bc/Bs [2201]	$2,095 - $4,612	85%
Excellus Bc/Bs [2201], Bc/Bs Out Of Area [2401]	$2,378 - $8,578	96%
Elderplan [1316]	$2,464	100%
Icircle [1728]	$2,464	100%
Martins Point [1205]	$2,464	100%
Nascentia [1729]	$2,464	100%
UnitedHealthcare	$2,464 - $5,905	100%
Humana	$2,489 - $2,859	101%
Fidelis [5155]	$2,982 - $3,327	121%
Independent Health [5156]	$3,450 - $4,171	139%
Mvp [2900]	$4,537 - $12,164	183%
Cigna	$5,933 - $12,164	240%
Capital District Physicians Health Plan (Cdphp) [5149]	$6,416 - $8,581	259%

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 Strong 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.