CMS Price Transparency Data

C-section delivery (full package)

Facility: Wellspan York Hospital

Billing Code: 59510 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59510
Insurance Median: $3,394
Cash Discount Price: $3,030
vs. Medicare Baseline: 1.37x Medicare

The contracted insurance negotiated median rate for a C-section delivery (full package) at Wellspan York Hospital is $3,394. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,030. Compared to the federal Medicare reimbursement reference rate of $2,473.27, this hospital’s rate is 1.37x the Medicare baseline. Located in 1001 South George Street, York, PA.

Cash / Self-Pay

$3,030

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,394

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: $3,030 (123%)

Insurance Median: $3,394 (137%)

Cash: $3,030 (123% of Medicare)

Ins. Median: $3,394 (137% 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
Aetna	$682 - $3,450	28%
Medicaid / KanCare	$1,515 - $4,413	61%
Blue_Cross	$2,157 - $3,081	87%
Johns_Hopkins_Healthcare_Plan	$2,522 - $3,598	102%
Medicare (plans)	$2,522 - $2,723	102%
First_Health_Network	$3,283 - $3,450	133%
Cigna	$3,381 - $3,436	137%
Phc	$3,408	138%
Wellspan_Capital_Blue_Cross	$3,484	141%
Geisinger	$3,598	145%
Upmc	$3,598	145%
Highmark	$3,782 - $15,544	153%

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 $3,030.
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 Wellspan York 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.