CMS Price Transparency Data

C-section delivery (full package)

Facility: Samaritan Albany General Hospital

Billing Code: 59510 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59510
Insurance Median: $4,313
Cash Discount Price: $6,238
vs. Medicare Baseline: 1.74x Medicare

The contracted insurance negotiated median rate for a C-section delivery (full package) at Samaritan Albany General Hospital is $4,313. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,238. Compared to the federal Medicare reimbursement reference rate of $2,473.27, this hospital’s rate is 1.74x the Medicare baseline. Located in 1046 6Th Avenue Sw, Albany, OR.

Cash / Self-Pay

$6,238

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,313

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: $6,238 (252%)

Insurance Median: $4,313 (174%)

Cash: $6,238 (252% of Medicare)

Ins. Median: $4,313 (174% 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
Pacificsource	$2,221 - $5,750	90%
Cigna	$2,420 - $4,841	98%
Samaritan	$2,462 - $6,238	100%
Devoted Health	$2,558 - $2,831	103%
Healthnet	$2,558 - $4,857	103%
Humana	$2,558 - $3,009	103%
Ihn	$2,845 - $2,902	115%
Regence	$2,871 - $8,347	116%
Moda	$3,188 - $6,238	129%
Providence	$3,397 - $6,238	137%
Aetna	$4,277 - $5,703	173%
First Choice	$6,005	243%

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 $6,238.
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 Samaritan Albany General 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.