CMS Price Transparency Data

C-section delivery (full package)

Facility: Magee Womens Hospital of UPMC Health System

Billing Code: 59510 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 59510
  • Insurance Median: $3,232
  • Cash Discount Price: $4,748
  • vs. Medicare Baseline: 1.31x Medicare
The contracted insurance negotiated median rate for a C-section delivery (full package) at Magee Womens Hospital of UPMC Health System is $3,232. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,748. Compared to the federal Medicare reimbursement reference rate of $2,473.27, this hospital’s rate is 1.31x the Medicare baseline. Located in 300 Halket Street, Pittsburgh, PA.
Cash / Self-Pay
$4,748

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,232

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: $4,748 (192%)
Insurance Median: $3,232 (131%)
Cash: $4,748 (192% of Medicare)
Ins. Median: $3,232 (131% 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.

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 $1,965 - $2,284 79%
Upmc Health Plan $1,965 - $4,198 79%
Aetna $2,322 - $4,194 94%
Highmark Wholecare (Prev Gateway) $2,649 - $3,957 107%
Geisinger $2,780 - $3,232 112%
Amerihealth Caritas $2,826 - $3,285 114%
Pa Health & Wellness $3,044 - $3,538 123%
Cigna $3,166 - $4,194 128%
Blue Cross Blue Shield $3,340 - $19,413 135%
Intergroup $3,957 160%
Upmc Work Partners $4,379 177%
Coventry/First Health $5,540 224%
Preferred Healthcare System $6,331 256%
Humana $6,727 272%
Private Health Care Systems $6,727 272%
Multiplan $7,281 294%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 300 Halket Street, Pittsburgh, PA 15213
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals