CMS Price Transparency Data

C-section delivery (full package)

Facility: Lehigh Valley Hospital - Dickson City

Billing Code: 59510 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59510
Insurance Median: $2,648
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.07x Medicare

The contracted insurance negotiated median rate for a C-section delivery (full package) at Lehigh Valley Hospital - Dickson City is $2,648. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $2,473.27, this hospital’s rate is 1.07x the Medicare baseline. Located in 330 Main Street, Dickson City, PA.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,648

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%)

Insurance Median: $2,648 (107%)

Ins. Median: $2,648 (107% 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
Highmark Blue Shield	$1,287 - $10,714	52%
Amerihealth	$1,300 - $2,597	53%
Cigna	$1,300 - $2,597	53%
UnitedHealthcare	$1,312 - $6,304	53%
Aetna	$1,325 - $13,985	54%
Geisinger	$1,325 - $5,716	54%
Jefferson Health Partners	$1,325 - $2,803	54%
Devoted Health	$1,337 - $2,673	54%
Humana	$1,337 - $2,673	54%
Upmc	$1,337 - $12,280	54%
Gateway	$1,350 - $2,698	55%
Emblem	$1,363 - $11,247	55%
Pa Health & Wellness (Allwell)	$1,388 - $2,774	56%
Amerihealth Caritas	$2,228 - $2,284	90%
Highmark Wholecare/Gateway	$2,572 - $2,637	104%
Pa Health & Wellness	$2,734 - $2,803	111%
Ambetter / Centene	$3,827 - $7,648	155%
Valley Preferred	$7,358 - $14,705	298%

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 $X.
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 Lehigh Valley Hospital - Dickson City 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.