CMS Price Transparency Data

C-section delivery (full package)

Facility: Mid-Columbia Medical Center

Billing Code: 59510 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59510
Insurance Median: $2,926
Cash Discount Price: $4,130
vs. Medicare Baseline: 1.18x Medicare

The contracted insurance negotiated median rate for a C-section delivery (full package) at Mid-Columbia Medical Center is $2,926. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,130. Compared to the federal Medicare reimbursement reference rate of $2,473.27, this hospital’s rate is 1.18x the Medicare baseline. Located in 1700 E 19Th Street, The Dalles, OR.

Cash / Self-Pay

$4,130

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,926

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: $4,130 (167%)

Insurance Median: $2,926 (118%)

Cash: $4,130 (167% of Medicare)

Ins. Median: $2,926 (118% 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
Blue Cross Blue Shield	$2,342 - $5,258	95%
Community Hp Mcr Adv - All Plans	$2,342	95%
Molina Mcr Adv	$2,342	95%
Tricare	$2,342	95%
Va Ccn Triwest - All Plans	$2,342	95%
Healthnet Mcr Adv	$2,389	97%
Humana	$2,412	98%
Moda Mcr Adv	$2,412	98%
Devoted Mcr Adv - All Plans	$2,529	102%
Employee Health Plan - All Plans	$2,576	104%
Molina - All Other Plans	$2,576	104%
Healthnet - All Other Plans	$3,276	132%
Cigna	$3,922	159%
Multiplan/Phcs - All Plans	$3,981	161%
Coventry - All Plans	$4,231	171%
First Choice - All Plans	$4,299	174%
Aetna	$4,449	180%
Molina Mcaid	$4,475	181%
Providence Ppo - All Plans	$4,504	182%
Moda Health Plan - All Other Plans	$4,717	191%
Amerigroup Mcaid - All Plans	$8,605	348%
Coordinated Care Mcaid - All Plans	$8,605	348%

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 $4,130.
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 Mid-Columbia Medical 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.