CMS Price Transparency Data

C-section delivery (full package)

Facility: Forks Community Hospital

Billing Code: 59510 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59510
Insurance Median: $4,319
Cash Discount Price: $7,678
vs. Medicare Baseline: 1.75x Medicare

The contracted insurance negotiated median rate for a C-section delivery (full package) at Forks Community Hospital is $4,319. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,678. Compared to the federal Medicare reimbursement reference rate of $2,473.27, this hospital’s rate is 1.75x the Medicare baseline. Located in 530 Bogachiel Way, Forks, WA.

Cash / Self-Pay

$7,678

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,319

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: $7,678 (310%)

Insurance Median: $4,319 (175%)

Cash: $7,678 (310% of Medicare)

Ins. Median: $4,319 (175% 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
Medicare (plans)	$318	13%
Medicaid / KanCare	$3,319 - $3,517	134%
Coordinated Care (Mco) Mcd-All Plans	$3,584	145%
UnitedHealthcare	$4,271 - $8,157	173%
Community Health Network Mcr-All Other Plans	$4,319	175%
Humana	$4,319	175%
Tricare	$4,319	175%
Triwest-All Plans	$4,319	175%
Ambetter / Centene	$5,010	203%
Wellcare Med Adv - All Plans	$5,010	203%
Regence-All Other Plans	$5,526	223%
Community Health Exchange	$6,238	252%
Molina Commercial-All Other Plans	$8,829	357%
Blue Cross Blue Shield	$9,117	369%
Aetna	$9,597	388%
Cigna	$9,597	388%
First Choice-All Plans	$9,597	388%

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 $7,678.
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 Forks Community Hospital 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.