CMS Price Transparency Data

C-section delivery (full package)

Facility: SSM Health St Mary's Hospital - Janesville

Billing Code: 59510 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$5,463
about 2.2× the $2,473 Medicare rate · typically $2,364–$15,676
modeled estimate · not a bill or quote
What this hospital charges insurers
$12,519
Well above the fair price
about $7,056 over the fair price · 5.1× Medicare
Medicare pays $2,473 Fair price $5,463 This hospital $12,519

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

Highest price of the 9 WI hospitals we have prices for — worth calling around.

Cheapest $1,141 Priciest $12,519

Black dot = this hospital, among the 9 WI hospitals with a price for this procedure. Full list below.

A fair price for a C-section delivery (full package) is about $5,463 (about 2.2× the $2,473 Medicare rate). SSM Health St Mary's Hospital - Janesville charges insurers about $12,519 — well above the fair price. Located in Janesville, WI.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $5,463. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

1 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
Blue Cross Blue Shieldmajor $10,498 - $12,519 424%

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 3400 East Racine Street, Janesville, WI 53546
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals