CMS Price Transparency Data

C-section delivery (full package)

Facility: Nationwide Children's Hospital Toledo, LLC

Billing Code: 59510 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59510
Insurance Median: $2,540
Cash Discount Price: $5,842
vs. Medicare Baseline: 1.03x Medicare

The contracted insurance negotiated median rate for a C-section delivery (full package) at Nationwide Children's Hospital Toledo, LLC is $2,540. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,842. Compared to the federal Medicare reimbursement reference rate of $2,473.27, this hospital’s rate is 1.03x the Medicare baseline. Located in 2213 Cherry Street, Toledo, OH.

Cash / Self-Pay

$5,842

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,540

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: $5,842 (236%)

Insurance Median: $2,540 (103%)

Cash: $5,842 (236% of Medicare)

Ins. Median: $2,540 (103% 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
Molina	$1,215	49%
UnitedHealthcare	$1,215 - $3,894	49%
Amerihealth	$1,226	50%
Bchp	$1,226	50%
Blue Cross Blue Shield	$1,226 - $3,311	50%
Humana	$1,226	50%
Caresource	$2,419	98%
Paramount	$2,419	98%
Tricare	$2,423	98%
Mcclaren Health Plan - Michigan	$2,550	103%
Front Path Health Coalition	$3,144	127%
Aetna	$3,219	130%
Mcclaren Health Plan	$3,386	137%
Ohc	$7,302	295%
Ohio Ppo Connect	$7,302	295%
Cigna	$7,594	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 $5,842.
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 Nationwide Children's Hospital Toledo, LLC 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.