CMS Price Transparency Data

C-section delivery (full package)

Facility: Baylor Scott & White Hospital Brenham

Billing Code: 59510 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59510
Insurance Median: $3,415
Cash Discount Price: $4,156
vs. Medicare Baseline: 1.38x Medicare

The contracted insurance negotiated median rate for a C-section delivery (full package) at Baylor Scott & White Hospital Brenham is $3,415. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,156. Compared to the federal Medicare reimbursement reference rate of $2,473.27, this hospital’s rate is 1.38x the Medicare baseline. Located in 700 Medical Parkway, Brenham, TX.

Cash / Self-Pay

$4,156

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,415

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: $4,156 (168%)

Insurance Median: $3,415 (138%)

Cash: $4,156 (168% of Medicare)

Ins. Median: $3,415 (138% 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
Baylor Scott & White Health Plan	$855 - $2,965	35%
Triwest	$900	36%
Corvel	$943	38%
Prime Health Services	$943	38%
American Health Plan	$945	38%
Blue Cross Blue Shield	$945	38%
Healthspring	$945	38%
Procare Advantage	$945	38%
Superior Health Plan	$945	38%
Careworks Fka Rockport	$1,119	45%
Injury Management Organization	$1,119	45%
Sedgwick	$1,119	45%
UnitedHealthcare	$3,415	138%
Cigna	$3,560 - $4,177	144%
Aetna	$3,810	154%
Midcoast	$3,810	154%
Quiktrip	$3,810	154%
University Of Mary Hardin-Baylor	$4,017	162%
Independent Medical System	$4,156	168%
Imagine Health	$4,339	175%
Curative	$4,502	182%
First Health	$4,849	196%
Healthsmart	$4,849 - $5,195	196%
Humana	$4,849 - $5,541	196%
Private Health Care System	$5,195	210%
Bluebell Creameries	$6,234	252%

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 $4,156.
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 Baylor Scott & White Hospital Brenham 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.