CPT59510

Cesarean Delivery (Global) Cost in Ohio

Cesarean delivery

$2,418.69Ohio physician fee2026 Medicare office rate
Hospital payments are wage-adjusted by locality, so the ZIP changes the numbers.
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Ohio Medicare physician rate (2026)

-2.2% vs national

Single statewide locality.

Ohio (Hospital)
$2,418.69
Facility physician fee
Private plan est.
$3,144–$4,837
~130–200% of Medicare
Cash / self-pay est.
$1,935–$3,628
~80–150% of Medicare

Your ZIP in Ohio

Look up your ZIP to see rates for your corner of Ohio, whether Cleveland, Columbus, Cincinnati, Toledo, Akron, Dayton, or the Appalachian southeast.

What cesarean delivery (global) costs at hospitals near you

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

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

Where Ohio ranks for this CPT

Rank (lowest physician fee first)#27 of 51
Lowest stateWisconsin ($2,144.81)
Highest stateAlaska ($3,007.35)

Cesarean Delivery (Global) and how Ohio is priced

Ohio's physician pricing runs through a small number of Medicare payment localities rather than a single statewide one, so its major metros and the rest of the state are not all priced identically. Adjustments across Ohio cluster near the national average, with the urban areas at the upper end of the state's range. Cleveland, Columbus, and Cincinnati each anchor large distinct medical markets within this structure. The practical spread within Ohio is modest compared with coastal states, but it exists, so location is worth checking here.

Ohio is one of the few states with three large competing metro health markets, including a Cleveland-based system with a global referral reputation and major academic centers in Columbus and Cincinnati. Appalachian southeast Ohio is the state's hardest region for access, with fewer specialists and longer travel. Toledo, Akron, Dayton, and Youngstown round out an unusually deep bench of mid-sized hospital markets.

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 Ohio: questions

Ohio is a single Medicare locality for this fee schedule. The 2026 physician rate for CPT 59510 is $2,418.69 in an office and $2,418.69 in a hospital, statewide. A ZIP lookup still confirms the locality mapping.

Not on the physician fee schedule. Ohio 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 $484 for the office physician line or $484 for the hospital physician line in Ohio. Medigap may cover that 20%. This is not the hospital facility fee.

No. $2,418.69 is the Medicare physician allowed amount for CPT 59510. Anesthesia, facility fees, implants, and other CPT codes billed the same day are extra. Ohio ranks #27 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.