CMS Price Transparency Data

C-section delivery (full package)

Facility: UPMC Hanover

Billing Code: 59510 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59510
Insurance Median: $11,158
Cash Discount Price: $10,034
vs. Medicare Baseline: 4.51x Medicare

The contracted insurance negotiated median rate for a C-section delivery (full package) at UPMC Hanover is $11,158. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10,034. Compared to the federal Medicare reimbursement reference rate of $2,473.27, this hospital’s rate is 4.51x the Medicare baseline. Located in 300 Highland Ave, Hanover, PA.

Cash / Self-Pay

$10,034

Average discount available for prompt cash payment at this facility.

Insurance Median

$11,158

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: $10,034 (406%)

Insurance Median: $11,158 (451%)

Cash: $10,034 (406% of Medicare)

Ins. Median: $11,158 (451% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 451% of the Medicare baseline (a markup of 351%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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	$471 - $2,340	19%
Upmc Health Plan	$3,000 - $11,707	121%
Blue Cross Blue Shield	$3,178 - $11,366	128%
Keystone Health Plan	$3,178 - $11,366	128%
Prime Net	$4,047 - $5,218	164%
Upmc Work Partners	$4,257	172%
Aetna	$5,920 - $12,175	239%
Geisinger	$9,198 - $12,080	372%
Pa Health & Wellness	$9,198	372%
Cigna	$13,045	527%
Carefirst	$14,215	575%
Multiplan	$14,215	575%
Wellspan Population Health	$14,550	588%

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 $10,034.
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 UPMC Hanover 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.