CMS Price Transparency Data

C-section delivery (full package)

Facility: Cannon Memorial Hospital

Billing Code: 59510 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 59510
  • Insurance Median: $2,548
  • Cash Discount Price: $1,758
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a C-section delivery (full package) at Cannon Memorial Hospital is $2,548. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,758. Compared to the federal Medicare reimbursement reference rate of $2,473.27, this hospital’s rate is 1.03x the Medicare baseline. Located in 123 W G Acker Drive, Pickens, SC.
Cash / Self-Pay
$1,758

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,548

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: $1,758 (71%)
Insurance Median: $2,548 (103%)
Cash: $1,758 (71% of Medicare)
Ins. Median: $2,548 (103% 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
Blue Cross Blue Shield $1,763 - $2,913 71%
Planned Administrators [886] $1,763 71%
Thomas Cooper & Company [315] $1,763 71%
Blue Choice Health Plan [922] $1,848 - $2,592 75%
Aetna $2,429 - $3,886 98%
Medicare (plans) $2,429 - $2,689 98%
UnitedHealthcare $2,429 - $3,381 98%
Vaccn - Va Community Care Network [16] $2,429 98%
Veterans Administration [633] $2,429 98%
Devoted Health Alt Payer [9401] $2,478 100%
Devoted Health [94] $2,478 100%
Humana $2,478 - $4,961 100%
Cigna $2,502 - $3,836 101%
Molina Dual Options Alt Payer [1501] $2,502 101%
Molina Dual Options [15] $2,502 101%
Absolute Total Care Mcr Plans Alt Payer [4101] $2,514 102%
Absolute Total Care Mcr Plans [41] $2,514 102%
Champva [604] $2,546 103%
Tricare $2,546 103%
First Choice Vip Careplus Alt Payer [3301] $2,550 103%
First Choice Vip [33] $2,550 103%
Nhc Advantage Alt Payer [6101] $2,550 103%
Nhc Advantage [61] $2,550 103%
Bright Health Alt Payer [1001] $2,689 109%
Bright Health [11] $2,857 116%
Employee Benefit Management Services [869] $3,364 136%
Geha [302] $3,381 137%
Golden Rule Ins Co [584] $3,381 137%
Ambetter / Centene $3,474 140%
First Choice Next [96] $3,522 142%
Molina Marketplace [97] $3,522 142%
Nalc Health Benefit Plan [291] $3,836 155%
Mail Handlers Benefit Plan [327] $3,886 157%
Rural Carrier Benefit Plan [406] $3,886 157%
Workers Compensation [622] $3,939 159%
Preferred Administrators [19] $4,205 170%
Edison Health Solutions [95] $4,251 172%
Healthscope [98] $4,251 172%
Medcost [206] $4,571 185%
Phcs [940] $6,167 249%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 123 W G Acker Drive, Pickens, SC 29671
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals