CPT59510

Cesarean Delivery (Global) Cost in Connecticut

Cesarean delivery

$2,643.38Connecticut physician fee2026 Medicare office rate
Hospital payments are wage-adjusted by locality, so the ZIP changes the numbers.
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Connecticut Medicare physician rate (2026)

+6.9% vs national

Single statewide locality.

Connecticut (Hospital)
$2,643.38
Facility physician fee
Private plan est.
$3,436–$5,287
~130–200% of Medicare
Cash / self-pay est.
$2,115–$3,965
~80–150% of Medicare

Your ZIP in Connecticut

Look up your ZIP code for local detail across Connecticut, including the New Haven and Hartford areas, Fairfield County and Stamford, and the quieter eastern and northwestern corners.

What cesarean delivery (global) costs at hospitals near you

Everything above is a national average. The hospital you pick in Connecticut moves the bill more than anything else you control.

Locked

Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.

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What these numbers are

Every figure on this page is a 2026 Medicare allowed amount: the physician line comes from the Physician Fee Schedule adjusted by geographic practice-cost indices, and the facility totals come from the CMS hospital outpatient (OPPS) and ambulatory surgery centre rates. None of them is a hospital chargemaster price, your insurer's contracted rate, or a quote. Anesthesia, pathology, imaging reads and follow-up care are billed under their own codes when they apply, and an inpatient stay is paid a different way again.

National vs Connecticut

National office$2,473.34
National hospital (physician)$2,473.34
Connecticut vs national7% above the national office rate of $2,473.34

Where Connecticut ranks for this CPT

Rank (lowest physician fee first)#45 of 51
Lowest stateWisconsin ($2,144.81)
Highest stateAlaska ($3,007.35)

Cesarean Delivery (Global) and how Connecticut is priced

Despite sitting between two of the priciest metros in America, Connecticut is priced as one statewide Medicare locality, with geographic indices well above the national average. Every town from Stamford to Storrs shares the same adjustments, which are pushed up by the state's high wages, rents, and insurance costs. The uniform locality means Fairfield County's proximity to New York does not add a further Medicare premium beyond the statewide level. In practice Connecticut's Medicare-approved amounts rank among the higher states outside the biggest coastal cities.

Connecticut's hospital market has consolidated around a few large systems, and a major academic medical center in New Haven draws complex cases from across the state. Residents of Fairfield County routinely cross into New York for care, while some in the north lean toward Springfield or Boston providers. High commercial prices in the state make Medicare rates and transparent cash pricing especially useful comparison points here.

This procedure: This is the global maternity package for a planned or unplanned cesarean birth: routine prenatal visits, the cesarean delivery, and postpartum care in a single physician fee. A cesarean is major abdominal surgery performed in an operating room under spinal or epidural anesthesia, usually taking under an hour, with the parent awake for the birth. The hospital stay is longer than for a vaginal birth, typically two to four nights, with a six-week surgical recovery at home.

What Is Cesarean Delivery (Global)?

This is the global maternity package for a planned or unplanned cesarean birth: routine prenatal visits, the cesarean delivery, and postpartum care in a single physician fee. A cesarean is major abdominal surgery performed in an operating room under spinal or epidural anesthesia, usually taking under an hour, with the parent awake for the birth. The hospital stay is longer than for a vaginal birth, typically two to four nights, with a six-week surgical recovery at home.

What Affects the Cost

  • Hospital facility charges are substantially higher than for vaginal delivery, driven by operating room time and the longer inpatient stay.
  • The anesthesiologist bills separately for the spinal or epidural and for attending the surgery.
  • The newborn's own hospital account starts at birth, and cesarean deliveries have higher rates of brief NICU observation, which is billed at NICU rates.
  • An assistant surgeon, common in cesareans, may bill an additional professional fee.
  • Prenatal ultrasounds, labs, and any high-risk specialist visits are billed outside the global package.
  • A scheduled cesarean is generally cheaper than one that follows a long, fully billed labor with an epidural already running.

Questions to Ask Before Booking

  • 1.What are the hospital's facility charges for a cesarean, including the typical length of stay?
  • 2.Will an assistant surgeon be present, and do they bill separately under my plan?
  • 3.Is the anesthesiology group in network, and what does the spinal or epidural cost?
  • 4.How likely is NICU observation for my situation, and how would that be billed for the baby?
  • 5.If I am attempting vaginal birth first, how do charges stack if it converts to a cesarean?

Cesarean Delivery (Global) in Connecticut: questions

Connecticut is a single Medicare locality for this fee schedule. The 2026 physician rate for CPT 59510 is $2,643.38 in an office and $2,643.38 in a hospital, statewide. A ZIP lookup still confirms the locality mapping.

Not on the physician fee schedule. Connecticut uses one locality, so the Medicare physician rate is the same from one end of the state to the other. What still changes is site of service (office vs hospital) and any facility fee the hospital bills on its own claim.

After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $529 for the office physician line or $529 for the hospital physician line in Connecticut. Medigap may cover that 20%. This is not the hospital facility fee.

No. $2,643.38 is the Medicare physician allowed amount for CPT 59510. Anesthesia, facility fees, implants, and other CPT codes billed the same day are extra. Connecticut ranks #45 of 51 states on this physician line (7% above the national office rate of $2,473.34).

Data source: 2026 Medicare Physician Fee Schedule (CMS PPRRVU26B, released March 2026). Conversion factor: $33.4009. Prices shown are Medicare allowed amounts for the physician service and may not match what you are billed. Private insurance and self-pay ranges, when shown, are labeled estimates (typical multiples of Medicare), not quotes. This site is an independent cost tool, not medical advice.