CMS Price Transparency Data

C-section delivery (full package)

Facility: Black River Memorial Hospital

Billing Code: 59510 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59510
Insurance Median: $1,369
Cash Discount Price: $10,183
vs. Medicare Baseline: 0.55x Medicare

The contracted insurance negotiated median rate for a C-section delivery (full package) at Black River Memorial Hospital is $1,369. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10,183. Compared to the federal Medicare reimbursement reference rate of $2,473.27, this hospital’s rate is 0.55x the Medicare baseline. Located in 711 W Adams St, Black River Falls, WI.

Cash / Self-Pay

$10,183

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,369

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: $10,183 (412%)

Insurance Median: $1,369 (55%)

Cash: $10,183 (412% of Medicare)

Ins. Median: $1,369 (55% 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
Blue Cross Blue Shield	$1,034 - $2,371	42%
Group Health Cooperative Of Eau Claire	$1,034 - $10,975	42%
My Choice Wisconsin, Inc.	$1,034 - $1,369	42%
Quartz Health Solutions, Inc	$1,034 - $10,296	42%
UnitedHealthcare	$1,034 - $10,975	42%
Security Health Plan	$1,088 - $9,475	44%
The Alliance	$1,088 - $9,617	44%
Humana	$2,312 - $10,522	93%
Multiplan	$3,263 - $10,975	132%
Corvel	$6,902	279%
Triology Health Solutions	$10,183 - $10,748	412%
Medica	$10,567	427%
Association Benefits Solution	$10,748	435%
Family Health Center Of Marshfield	$10,748	435%
First Health Group Corporation	$10,748	435%
Provider Network Of America	$10,748	435%
Cigna	$10,975	444%
Cofinity	$10,975	444%
Coventry Health Care	$10,975	444%
Custom Benefit Administrators	$10,975	444%
Healthpartners, Inc.	$10,975	444%
Wisconsin Physicians Service Insurance Corp	$10,975	444%
Chorus	$11,088	448%

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 $10,183.
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 Black River Memorial 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.