C-section delivery (full package)
Facility: Wamego Health Center
Billing Code: 59510 (CPT)
- CPT Billing Code: 59510
- Insurance Median: $2,002
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.81x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| UnitedHealthcare | $1,925 | 78% |
| Medicaid / KanCare | $2,002 - $2,021 | 81% |
| Aetna | $2,002 | 81% |
| Providrs Care | $3,138 | 127% |
Consumer Guidance & Cost Commentary
For a C-section delivery (full package) at Wamego Health Center in Wamego, KS, the facility's negotiated rates range from $1,925 to $3,138 depending on the payer, with a median negotiated amount of $2,002. This facility, a voluntary non-profit Critical Access Hospital, does not have a publicly listed cash price or a median paid amount for this service. While commercial insurance contracts cap costs at these negotiated levels, patients with high-deductible plans should be aware that paying cash upfront might result in lower out-of-pocket costs if the facility offers a self-pay or prompt-pay discount. It is crucial to contact the hospital directly before scheduling to confirm if a cash discount is available, as these rates can sometimes be significantly lower than the insurance negotiated amounts.
The facility's pricing is benchmarked against the Medicare rate of $2,473.27, which serves as a scientifically validated baseline for the true cost of care. Although the data does not provide specific Kansas or Wamego county averages for comparison, the Medicare rate offers a clear reference point to evaluate the facility's markup. Under the No Surprises Act, patients are protected from balance billing for out-of-network providers at in-network facilities, meaning they should not face unexpected bills for emergency or non-emergency services. If a patient receives an itemized bill that appears higher than expected, they should request a formal audit to identify potential errors such as unbundled codes or services not rendered, ensuring they are only paying for the care actually received.