CMS Price Transparency Data

C-section delivery (full package)

Facility: University of Texas M. D. Anderson Cancer Center

Billing Code: 59510 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59510
Insurance Median: $5,255
Cash Discount Price: Unavailable
vs. Medicare Baseline: 2.12x Medicare

The contracted insurance negotiated median rate for a C-section delivery (full package) at University of Texas M. D. Anderson Cancer Center is $5,255. 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 2.12x the Medicare baseline. Located in 1515 Holcombe Blvd, Houston, TX.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$5,255

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: $5,255 (212%)

Ins. Median: $5,255 (212% 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 212% of the Medicare baseline (a markup of 112%). 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	$1,327 - $5,107	54%
Tricare	$2,380 - $2,800	96%
Vacare	$2,380 - $2,800	96%
Medicare (plans)	$3,361	136%
Cigna	$3,583 - $6,127	145%
Humana	$4,325 - $5,983	175%
Aetna	$4,393 - $7,236	178%
Blue Cross Blue Shield	$4,716 - $5,255	191%
Ontarioministriesofhealth	$5,334	216%
Beijingst.Lucia	$5,406	219%
Embassyofqatar	$5,406	219%
Memorialhermannhealth	$5,406	219%
Emergingtherapysolutions_Cancercare	$5,766	233%
Interlink_Cancercare	$5,766	233%
Saudiarmedforces	$5,766	233%
Uae_Medical	$5,766	233%
Uaepoliceattache	$5,766	233%
Healthsmart	$6,127	248%
Vantage	$6,127	248%
Multiplan	$6,332	256%
Phcs	$6,332	256%

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 University of Texas M. D. Anderson Cancer Center 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.