CMS Price Transparency Data

C-section delivery (full package)

Facility: Penn State Health St. Joseph

Billing Code: 59510 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$2,972

about 1.2× the $2,473 Medicare rate · typically $1,369–$4,685

modeled estimate · not a bill or quote

What this hospital charges insurers

$4,440

Above the fair price

about $1,468 over the fair price · 1.8× Medicare

Medicare pays $2,473 Fair price $2,972 This hospital $4,440 Cash price $5,375 Hospital's list price $20,667

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

Highest price of the 9 PA hospitals we have prices for — worth calling around.

Cheapest $893 Priciest $4,440

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

A fair price for a C-section delivery (full package) is about $2,972 (about 1.2× the $2,473 Medicare rate). Penn State Health St. Joseph charges insurers about $4,440, or about $5,375 in cash — above the fair price. Located in Reading, PA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $2,972. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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✓ Cigna HumanaKaiser 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	$8,122 - $13,992	328%
Blue Cross Blue Shieldmajor	$4,229 - $5,286	171%
Aetnamajor	$5,311 - $10,556	215%
Cignamajor	$12,679	513%
Geisinger	$14,909	603%
UPMC Health Plan	$7,450 - $15,269	301%
+ 1 smaller / regional plan	$10,272

Excludes 3 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 5,375), 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 Penn State Health St. Joseph 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 Penn State Health St. Joseph

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

St Mary Medical Center · Langhorne $893
UPMC Somerset · Somerset $2,054
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

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