CMS Price Transparency Data

C-section delivery (full package)

Facility: Tomah Memorial Hospital

Billing Code: 59510 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$2,714

about 1.1× the $2,473 Medicare rate · typically $1,932–$4,158

modeled estimate · not a bill or quote

What this hospital charges insurers

$2,145

Below the fair price — a good deal

about $569 under the fair price · 0.9× Medicare

Medicare pays $2,473 Fair price $2,714 This hospital $2,145 Cash price $3,852 Hospital's list price $6,700

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

A typical price — 5 charge more and 3 charge less, among the 9 WI hospitals compared.

Cheapest $1,141 Priciest $2,312

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 $2,714 (about 1.1× the $2,473 Medicare rate). Tomah Memorial Hospital charges insurers about $2,145, or about $3,852 in cash — below the fair price — a good deal. Located in Tomah, WI.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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	$1,823 - $3,554	74%
Blue Cross Blue Shieldmajor	$1,356 - $3,959	55%
Aetnamajor	$2,467 - $5,695	100%
Cignamajor	$6,499	263%
Humanamajor	$6,197	251%
Quartz	$1,356 - $6,030	55%
+ 8 smaller / regional plans	$1,034 - $9,115

Government programs also on file: Military & VA.

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 (about 3,852), 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 Tomah Memorial Hospital 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 Tomah Memorial Hospital

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
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
Froedtert Community Hospital · New Berlin $2,312

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