CMS Price Transparency Data

C-section delivery (full package)

Facility: Memorial Hospital of Lafayette County

Billing Code: 59510 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$2,537

about 1.0× the $2,473 Medicare rate · typically $1,751–$5,157

modeled estimate · not a bill or quote

What this hospital charges insurers

$2,697

About the fair price

about $160 over the fair price · 1.1× Medicare

Medicare pays $2,473 Fair price $2,537 This hospital $2,697

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 $2,697

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 $2,537 (about 1.0× the $2,473 Medicare rate). Memorial Hospital of Lafayette County charges insurers about $2,697 — about the fair price. Located in Darlington, WI.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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
UnitedHealthcaremajor	$1,149 - $3,518	46%
Blue Cross Blue Shieldmajor	$1,149 - $2,697	46%
Aetnamajor	$2,697	109%
Humanamajor	$2,697	109%
Dean Health Plan	$1,149 - $6,525	46%
Quartz	$1,149 - $2,697	46%
+ 2 smaller / regional plans	$1,149 - $2,697

Government programs also on file: Medicaid.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 59510.

Insurance Before you use insurance

Call your insurance company to confirm Memorial Hospital of Lafayette County is in-network.
Ask your insurer whether prior approval is required for CPT code 59510.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

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

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Memorial Hospital of Lafayette County

Compare: C-section delivery (full package) at other WI hospitals

Gundersen Lutheran Medical Center · La Crosse $1,141
Black River Memorial Hospital · Black River Falls $1,149
Richland Hospital · Richland Center $1,369
Tomah Memorial Hospital · Tomah $2,145
St Josephs Community Hospital West Bend · West Bend $2,312
Community Memorial Hospital · Menomonee Falls $2,312
Holy Family Memorial · Manitowoc $2,312
Froedtert Memorial Lutheran Hospital · Milwaukee $2,312

Insurance negotiated median for the same procedure, sorted lowest first.