CMS Price Transparency Data

C-section delivery (full package)

Facility: UPMC Somerset

Billing Code: 59510 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$3,071

about 1.2× the $2,473 Medicare rate · typically $1,690–$3,487

modeled estimate · not a bill or quote

What this hospital charges insurers

$2,054

Below the fair price — a good deal

about $1,017 under the fair price · 0.8× Medicare

Medicare pays $2,473 Fair price $3,071 This hospital $2,054 Cash price $10,034 Hospital's list price $16,724

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

One of the lower prices — 7 of 8 other PA hospitals charge more for the same procedure.

Cheapest $893 Priciest $2,576

Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a C-section delivery (full package) is about $3,071 (about 1.2× the $2,473 Medicare rate). UPMC Somerset charges insurers about $2,054, or about $10,034 in cash — below the fair price — a good deal. Located in Somerset, PA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$2,054 - $7,208	83%
Blue Cross Blue Shieldmajor	$3,275 - $8,362	132%
Aetnamajor	$6,690	270%
Humanamajor	$12,543	507%
Geisinger	$6,586 - $9,198	266%
UPMC Health Plan	$2,341 - $4,023	95%

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 10,034), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 59510.

Insurance Before you use insurance

Call your insurance company to confirm UPMC Somerset is in-network.
Ask your insurer whether prior approval is required for CPT code 59510.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at UPMC Somerset

Compare: C-section delivery (full package) at other PA hospitals

St Mary Medical Center · Langhorne $893
Surgical Institute of Reading · Wyomissing $2,076
UPMC Lititz · Lititz $2,340
Penn Highlands Connellsville · Connellsville $2,478
Reading Hospital · West Reading $2,500
Meadville Medical Center · Meadville $2,506
UPMC Memorial · York $2,518
St Luke's Hospital - Upper Bucks Campus · Quakertown $2,576

Insurance negotiated median for the same procedure, sorted lowest first.