CMS Price Transparency Data

C-section delivery (full package)

Facility: UT of Texas Southwestern University Hospital - William P. Clements Jr.

Billing Code: 59510 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59510
Insurance Median: $5,336
Cash Discount Price: $5,564
vs. Medicare Baseline: 2.16x Medicare

The contracted insurance negotiated median rate for a C-section delivery (full package) at UT of Texas Southwestern University Hospital - William P. Clements Jr. is $5,336. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,564. Compared to the federal Medicare reimbursement reference rate of $2,473.27, this hospital’s rate is 2.16x the Medicare baseline. Located in 6201 Harry Hines Blvd, Dallas, TX.

Cash / Self-Pay

$5,564

Average discount available for prompt cash payment at this facility.

Insurance Median

$5,336

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: $5,564 (225%)

Insurance Median: $5,336 (216%)

Cash: $5,564 (225% of Medicare)

Ins. Median: $5,336 (216% 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 216% of the Medicare baseline (a markup of 116%). 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
Procare	$2,588	105%
Ambetter / Centene	$2,672	108%
Blue Cross Blue Shield	$2,718 - $10,668	110%
Humana	$2,718	110%
UnitedHealthcare	$2,747 - $6,277	111%
Superior	$2,847 - $4,080	115%
Wellpoint	$2,847	115%
Molina	$3,028	122%
Coventry	$4,637	187%
Healthfirst	$5,126	207%
Rockwall County	$5,193	210%
Maestro Health/Fort Worth Firefighters	$5,275	213%
Quiktrip	$5,824	235%
United Options Nexus	$6,277	254%
Cigna	$6,532	264%
Phcs	$6,628	268%
Galaxy Health Network	$6,677	270%
Multiplan	$6,677	270%
Aetna	$7,862	318%
Healthsmart	$9,666	391%

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 $5,564.
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 UT of Texas Southwestern University Hospital - William P. Clements Jr. 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.