CPT59510

How Much Does a Cesarean Delivery (Global) Cost in Missouri?

Cesarean delivery

$2,411.53Missouri physician fee2026 Medicare office rate

Medicare's 2026 global fee for a cesarean delivery (global) in Missouri averages $2,412, from $2,370 in Rest of Missouri to $2,442 in Metropolitan St. Louis. It covers the physician's prenatal care, the delivery and postpartum visits; the hospital stay for the birth is billed separately and is not included.

Hospital payments are wage-adjusted by locality, so the ZIP changes the numbers.
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Missouri Medicare physician rate (2026)

-2.5% vs national

Average of 3 localities. Office range $2,369.86–$2,442.14.

Missouri (Hospital)
$2,411.53
Facility physician fee
Private plan est.
$3,135–$4,823
~130–200% of Medicare
Cash / self-pay est.
$1,929–$3,617
~80–150% of Medicare

Your ZIP in Missouri

Enter a ZIP code to see which Missouri locality covers you: metro St. Louis, metro Kansas City, or rest-of-state areas like Springfield, Columbia, Joplin, and the Bootheel.

What cesarean delivery (global) costs at hospitals near you

Everything above is a national average. The hospital you pick in Missouri 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 center 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 Missouri

National office$2,473.34
National hospital (physician)$2,473.34
Missouri vs national2% below the national office rate of $2,473.34

Where Missouri ranks for this CPT

Rank (lowest physician fee first)#26 of 51
Lowest stateWisconsin ($2,144.81)
Highest stateAlaska ($3,007.35)

CPT 59510 by Missouri locality

LocalityOffice
metropolitan st. louis$2,442.14
metropolitan kansas city$2,422.60
rest of missouri$2,369.86

PE GPCI ranges from 0.862 to 0.952 in Missouri. That index is why the same CPT is not one price statewide.

Cesarean Delivery (Global) and how Missouri is priced

Missouri is a three-locality state: metropolitan St. Louis and metropolitan Kansas City are each priced separately, and everywhere else falls into a rest-of-state locality with lower geographic adjustments. Both metro localities approve higher amounts than outstate Missouri, and the Kansas City locality applies only to the Missouri side of that metro, since the Kansas side prices under Kansas's statewide locality. Springfield, Columbia, and the rural counties all share rest-of-state factors. The metro-versus-outstate gap is the main pricing story here.

St. Louis and Kansas City hold the state's academic medical centers and most of its specialty depth, drawing patients from far beyond Missouri's borders, including southern Illinois and eastern Kansas. Outstate Missouri is served by regional hubs in Springfield, Columbia, and Cape Girardeau, with the Ozarks and Bootheel among the harder places to reach specialty care. Rural hospital viability has been a persistent concern across the state.

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 Missouri: questions

Medicare's 2026 global fee for a cesarean delivery (global) in Missouri averages $2,412, from $2,370 in Rest of Missouri to $2,442 in Metropolitan St. Louis. It covers the physician's prenatal care, the delivery and postpartum visits; the hospital stay for the birth is billed separately and is not included. Enter a ZIP for the exact Missouri locality.

Yes. CMS splits Missouri into 3 payment localities. For this CPT the office physician fee spans $72.28 from the lowest to highest locality. Enter a ZIP code to see which Missouri locality covers you: metro St. Louis, metro Kansas City, or rest-of-state areas like Springfield, Columbia, Joplin, and the Bootheel.

After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $482 for the office physician line or $482 for the hospital physician line in Missouri. Medigap may cover that 20%. This is not the hospital facility fee.

No. $2,411.53 is the Medicare physician allowed amount for CPT 59510. Anesthesia, facility fees, implants, and other CPT codes billed the same day are extra. Missouri ranks #26 of 51 states on this physician line (2% below 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.