CMS Price Transparency Data

C-section delivery (full package)

Facility: Reading Hospital

Billing Code: 59510 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59510
Insurance Median: $2,463
Cash Discount Price: $3,660
vs. Medicare Baseline: 1.00x Medicare

The contracted insurance negotiated median rate for a C-section delivery (full package) at Reading Hospital is $2,463. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,660. Compared to the federal Medicare reimbursement reference rate of $2,473.27, this hospital’s rate is 1.00x the Medicare baseline. Located in 420 S 5Th Avenue, West Reading, PA.

Cash / Self-Pay

$3,660

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,463

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: $3,660 (148%)

Insurance Median: $2,463 (100%)

Cash: $3,660 (148% of Medicare)

Ins. Median: $2,463 (100% 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
UnitedHealthcare	$1,307 - $3,456	53%
Aetna	$1,568 - $7,520	63%
Geisinger	$1,830 - $7,058	74%
Humana	$2,024 - $2,450	82%
Gateway	$2,091 - $2,544	85%
Health Partners	$2,091 - $2,500	85%
Lehigh Valley Health Network	$2,353	95%
Blue Cross Blue Shield	$2,357 - $5,756	95%
Highmark	$2,381 - $2,990	96%
Upmc	$2,381 - $2,929	96%
Amerihealth Caritas	$2,404	97%
Health America	$2,450	99%
Devoted Health	$2,476	100%
Pa Health & Wellness	$2,500 - $3,810	101%
Cigna	$6,368	257%
First Health	$8,109	328%

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 $3,660.
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 Reading 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.