CPT59510

Cesarean Delivery (Global) Cost in Washington

Cesarean delivery

$2,518.43Washington physician fee2026 Medicare office rate
Hospital payments are wage-adjusted by locality, so the ZIP changes the numbers.
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Washington Medicare physician rate (2026)

+1.8% vs national

Average of 2 localities. Office range $2,422.79–$2,614.07.

Washington (Hospital)
$2,518.43
Facility physician fee
Private plan est.
$3,274–$5,037
~130–200% of Medicare
Cash / self-pay est.
$2,015–$3,778
~80–150% of Medicare

Your ZIP in Washington

Enter your ZIP code to see whether Seattle-area or rest-of-state pricing applies, from Seattle, Tacoma, and Everett to Spokane, the Tri-Cities, Vancouver, Bellingham, and the Olympic Peninsula.

What cesarean delivery (global) costs at hospitals near you

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

National office$2,473.34
National hospital (physician)$2,473.34
Washington vs nationalwithin 2% of the national office rate of $2,473.34

Where Washington ranks for this CPT

Rank (lowest physician fee first)#38 of 51
Lowest stateWisconsin ($2,144.81)
Highest stateAlaska ($3,007.35)

CPT 59510 by Washington locality

LocalityOffice
seattle (king cnty)$2,614.07
rest of washington$2,422.79

PE GPCI ranges from 1.053 to 1.227 in Washington. That index is why the same CPT is not one price statewide.

Cesarean Delivery (Global) and how Washington is priced

Washington divides into a Seattle-area locality and a rest-of-state locality, so Puget Sound's biggest market carries higher geographic adjustments than Spokane, the Tri-Cities, or the coast. The Seattle locality reflects some of the highest wages in the western United States, while everywhere else in the state shares one lower-cost set of factors. An identical procedure is therefore approved at more in Seattle than in Spokane, a two-tier pattern much like Oregon's. Rest-of-state Washington still prices respectably against national averages.

Seattle is the referral capital of the Pacific Northwest, with academic medicine that serves not just Washington but Alaska, Montana, Idaho, and Wyoming through long-standing regional arrangements. Spokane anchors the Inland Northwest, drawing patients from northern Idaho and beyond, while the Olympic Peninsula and southwest coast are comparatively underserved. Rapid consolidation has concentrated much of the state's care into a few large systems.

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 Washington: questions

The 2026 Medicare physician office rate for CPT 59510 averages $2,518.43 across 2 Washington localities, from $2,422.79 in REST OF WASHINGTON to $2,614.07 in SEATTLE (KING CNTY). The hospital physician rate averages $2,518.43. Enter a ZIP for the exact locality.

Yes. CMS splits Washington into 2 payment localities. For this CPT the office physician fee spans $191.28 from the lowest to highest locality. Enter your ZIP code to see whether Seattle-area or rest-of-state pricing applies, from Seattle, Tacoma, and Everett to Spokane, the Tri-Cities, Vancouver, Bellingham, and the Olympic Peninsula.

After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $504 for the office physician line or $504 for the hospital physician line in Washington. Medigap may cover that 20%. This is not the hospital facility fee.

No. $2,518.43 is the Medicare physician allowed amount for CPT 59510. Anesthesia, facility fees, implants, and other CPT codes billed the same day are extra. Washington ranks #38 of 51 states on this physician line (within 2% of 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.