CMS Price Transparency Data

C-section delivery (full package)

Facility: Unitypoint Health - Meriter

Billing Code: 59510 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59510
Insurance Median: $3,666
Cash Discount Price: $7,655
vs. Medicare Baseline: 1.48x Medicare

The contracted insurance negotiated median rate for a C-section delivery (full package) at Unitypoint Health - Meriter is $3,666. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,655. Compared to the federal Medicare reimbursement reference rate of $2,473.27, this hospital’s rate is 1.48x the Medicare baseline. Located in 202 S Park St, Madison, WI.

Cash / Self-Pay

$7,655

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,666

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: $7,655 (310%)

Insurance Median: $3,666 (148%)

Cash: $7,655 (310% of Medicare)

Ins. Median: $3,666 (148% 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
Aspirus	$2,201 - $3,349	89%
Blue Cross Blue Shield	$2,312 - $10,922	93%
Illinicare	$2,312	93%
Prevea 360	$2,312 - $8,134	93%
UnitedHealthcare	$2,312 - $5,008	93%
Humana	$2,428	98%
Meridiancare	$2,428	98%
Cigna	$2,679	108%
Security Health Plan	$2,871	116%
Mercy Care	$3,349	135%
Health Partners Open Network	$3,666	148%
Wellmark Uph Self-Funded	$5,086 - $10,922	206%
Medical Associates Health Plan	$7,676	310%

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 $7,655.
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 Unitypoint Health - Meriter 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.