CMS Price Transparency Data

C-section delivery (full package)

Facility: Richland Hospital

Billing Code: 59510 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59510
Insurance Median: $3,534
Cash Discount Price: $7,479
vs. Medicare Baseline: 1.43x Medicare

The contracted insurance negotiated median rate for a C-section delivery (full package) at Richland Hospital is $3,534. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,479. Compared to the federal Medicare reimbursement reference rate of $2,473.27, this hospital’s rate is 1.43x the Medicare baseline. Located in 333 E Second St, Richland Center, WI.

Cash / Self-Pay

$7,479

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,534

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: $7,479 (302%)

Insurance Median: $3,534 (143%)

Cash: $7,479 (302% of Medicare)

Ins. Median: $3,534 (143% 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 - $8,414	42%
Care Wisconsin	$1,034 - $3,927	42%
Dean Health Plan	$1,034 - $5,442	42%
Health Tradition	$1,034 - $8,882	42%
UnitedHealthcare	$1,034 - $7,479	42%
Quartz	$2,145 - $7,292	87%
Security Health	$2,145 - $3,272	87%
Group Health Coop Of Eau Claire	$2,220 - $3,927	90%
Humana	$2,467 - $3,927	100%
Cigna	$6,142 - $7,947	248%
Employer Health Care Alliance	$6,170 - $7,947	249%
Aetna	$7,947 - $8,414	321%

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 $7,479.
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 Richland 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.