CMS Price Transparency Data

C-section delivery (full package)

Facility: Univ. of Vermont - Fletcher Allen Health Care

Billing Code: 59510 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59510
Insurance Median: $2,781
Cash Discount Price: $10,623
vs. Medicare Baseline: 1.12x Medicare

The contracted insurance negotiated median rate for a C-section delivery (full package) at Univ. of Vermont - Fletcher Allen Health Care is $2,781. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10,623. Compared to the federal Medicare reimbursement reference rate of $2,473.27, this hospital’s rate is 1.12x the Medicare baseline. Located in 111 Colchester Ave, Burlington, VT.

Cash / Self-Pay

$10,623

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,781

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: $10,623 (430%)

Insurance Median: $2,781 (112%)

Cash: $10,623 (430% of Medicare)

Ins. Median: $2,781 (112% 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
Blue Cross Blue Shield	$1,948 - $9,191	79%
Mvp	$2,056 - $9,191	83%
Aetna	$2,418	98%
Capital District Physicians' Health Plan	$2,418 - $4,789	98%
Humana	$2,418	98%
Martins Point	$2,418	98%
St. Regis	$2,418	98%
UnitedHealthcare	$2,418 - $11,281	98%
Veterans Affairs Community Care Network	$2,418	98%
Fidelis Care	$2,781	112%
Wellpath	$3,386 - $5,843	137%
Ebpa	$8,180	331%
Harvard Pilgrim	$8,498	344%
Magnacare	$8,498	344%
Coventry	$9,030	365%
Cigna	$9,191	372%
Nppn	$9,561	387%

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 $10,623.
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 Univ. of Vermont - Fletcher Allen Health Care 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.