C-Section Cost in Houston, TX
This page displays published hospital pricing data for cesarean delivery procedures in this metropolitan area. The facility fee for code 59510 (Cesarean Delivery) covers the hospital's charges for the operating room, surgical equipment, nursing staff, recovery room, and post-operative care during the hospital stay. These prices come from CMS-mandated hospital transparency files that hospitals must publish annually. The billing code 59510 represents the comprehensive facility charge for the cesarean delivery, encompassing all hospital resources used during the surgical process.
Data last updated: 2026-02-28
Cesarean Delivery (HCPCS 59510)
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What These Prices Mean
Why C-Section Prices Vary
Paying cash? Health insurance could lower your C-Section cost.
Published cash prices on this page range from $0 to $0. Insurers on this page have negotiated rates starting from $948, many times lower than cash prices at the same hospitals. If you are uninsured, a marketplace health plan could reduce your out-of-pocket cost for this procedure.
Links go to Healthcare.gov, the official federal health insurance marketplace. We are not affiliated with Healthcare.gov or any insurance provider. This is not a recommendation for any specific plan.
Compare Insurer Rates for C-Section in Houston
How much does each insurance company pay for c-section at Houston hospitals?
| Insurer | Lowest Rate | Hospitals |
|---|---|---|
| Blue Cross Blue Shield of Texas | $140.12 | 20 |
| Superior Health Plan | $948 | 11 |
| Humana | $2,430 | 17 |
| Oscar Health | $3,390 | 11 |
| Healthcare Highways | $5,841 | 11 |
Rates shown are the lowest and highest negotiated rates each insurer has published across Houston hospitals for this procedure. Your actual cost depends on your plan's deductible, copay, and coinsurance.
What Insurers Actually Pay
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Published negotiated rates for Cesarean Delivery (HCPCS 59510) at HCA Clear Lake, outpatient facility fee:
Cesarean Delivery (59510), HCA Clear Lake Payer Rates
| Insurance Payer | Plan Type | Negotiated Rate |
|---|---|---|
| Superior Health Plan | CHIP | $948 |
| Superior Health Plan | CHPFC | $948 |
| Superior Health Plan | STAR | $948 |
| Superior Health Plan | STARKids | $948 |
| Superior Health Plan | STARPLUS | $948 |
| Superior Health Plan | CHIP | $948 |
| Superior Health Plan | CHPFC | $948 |
| Superior Health Plan | STAR | $948 |
| Superior Health Plan | STARKids | $948 |
| Superior Health Plan | STARPLUS | $948 |
| Superior Health Plan | CHIP | $948 |
| Superior Health Plan | CHPFC | $948 |
| Superior Health Plan | STAR | $948 |
| Superior Health Plan | STARKids | $948 |
| Superior Health Plan | STARPLUS | $948 |
| Superior Health Plan | CHIP | $948 |
| Superior Health Plan | CHPFC | $948 |
| Superior Health Plan | STAR | $948 |
| Superior Health Plan | STARKids | $948 |
| Superior Health Plan | STARPLUS | $948 |
| Fidelis SecureCare of TX | MGMCR | $2,115 |
| Fidelis SecureCare of TX | MGMCR | $2,115 |
| Fidelis SecureCare of TX | MGMCR | $2,115 |
| Fidelis SecureCare of TX | MGMCR | $2,115 |
| Oscar | HIX | $3,390 |
| Oscar | HIX | $3,390 |
| Oscar | HIX | $3,390 |
| Oscar | HIX | $3,390 |
| Oscar | HIX | $3,390 |
| Oscar | HIX | $3,390 |
| Oscar | HIX | $3,390 |
| Oscar | HIX | $3,390 |
| Kelsey Care (Boon-Chapman) | COMM | $4,255 |
| Kelsey Care (Boon-Chapman) | COMM | $4,255 |
| Kelsey Care (Boon-Chapman) | COMM | $4,255 |
| Kelsey Care (Boon-Chapman) | COMM | $4,255 |
| Kelsey Care (Boon-Chapman) | COMM | $4,255 |
| Kelsey Care (Boon-Chapman) | COMM | $4,255 |
| Kelsey Care (Boon-Chapman) | COMM | $4,255 |
| Kelsey Care (Boon-Chapman) | COMM | $4,255 |
| Humana | HMO | $4,690 |
| Humana | PPO | $4,690 |
| Humana | HMO | $4,690 |
| Humana | PPO | $4,690 |
| Humana | HMO | $4,690 |
| Humana | PPO | $4,690 |
| Humana | HMO | $4,690 |
| Humana | PPO | $4,690 |
| Humana | HMO | $4,690 |
| Humana | PPO | $4,690 |
| Humana | HMO | $4,690 |
| Humana | PPO | $4,690 |
| Humana | HMO | $4,690 |
| Humana | PPO | $4,690 |
| Humana | HMO | $4,690 |
| Humana | PPO | $4,690 |
| Humana | HMO | $4,690 |
| Humana | PPO | $4,690 |
| Humana | HMO | $4,690 |
| Humana | PPO | $4,690 |
| Healthcare Highways | NarrowNetwork | $5,841 |
| Healthcare Highways | NarrowNetwork | $5,841 |
| Healthcare Highways | NarrowNetwork | $5,841 |
| Healthcare Highways | NarrowNetwork | $5,841 |
| Healthcare Highways | NarrowNetwork | $5,841 |
| Healthcare Highways | NarrowNetwork | $5,841 |
| Healthcare Highways | NarrowNetwork | $5,841 |
| Healthcare Highways | NarrowNetwork | $5,841 |
| BCBS | MyBlueHealth | $22,142.07 |
| BCBS | MyBlueHealth | $22,142.07 |
| BCBS | MyBlueHealth | $22,142.07 |
| BCBS | MyBlueHealth | $22,142.07 |
| BCBS | MyBlueHealth | $22,142.07 |
| BCBS | MyBlueHealth | $22,142.07 |
| BCBS | MyBlueHealth | $22,142.07 |
| BCBS | BAV | $24,387.66 |
| BCBS | BAV | $24,387.66 |
| BCBS | BAV | $24,387.66 |
| BCBS | BAV | $24,387.66 |
| BCBS | BAV | $24,387.66 |
| BCBS | BAV | $24,387.66 |
| BCBS | BAV | $24,387.66 |
| BCBS | PPO | $27,623.25 |
| BCBS | PPO | $27,623.25 |
| BCBS | PPO | $27,623.25 |
| BCBS | PPO | $27,623.25 |
| BCBS | PPO | $27,623.25 |
| BCBS | PPO | $27,623.25 |
| BCBS | PPO | $27,623.25 |
| BCBS | PPO | $27,623.25 |
| BCBS | EPOSOA | $28,009.59 |
| BCBS | EPOSOA | $28,009.59 |
| BCBS | EPOSOA | $28,009.59 |
| BCBS | EPOSOA | $28,009.59 |
| BCBS | EPOSOA | $28,009.59 |
| BCBS | EPOSOA | $28,009.59 |
| BCBS | EPOSOA | $28,009.59 |
| BCBS | HMO | $28,395.93 |
| BCBS | HMO | $28,395.93 |
| BCBS | HMO | $28,395.93 |
| BCBS | HMO | $28,395.93 |
| BCBS | HMO | $28,395.93 |
| BCBS | HMO | $28,395.93 |
| BCBS | HMO | $28,395.93 |
Key finding: BCBS plans show the most dramatic rate variation, from $140.12 for a transplant plan at Baylor St Luke's to $28,395.93 for HMO plans at HCA facilities.
How to Use This Information
- ✓ These are facility fees only. The physician's fee is billed separately.
- ✓ Contact your insurer or the hospital billing department for your specific out-of-pocket cost.
- ✓ Many hospitals offer financial assistance programs for patients who qualify.
What Patients Ask About C-Section Costs
How much does a c-section cost without insurance in Houston?
The cash price data for C-sections appears incomplete across Houston hospitals, with facilities reporting $0 amounts. This suggests the pricing data may not be fully updated or complete. For context, the insured rate ranges provide a better indication of actual costs: rates vary from $140.12 to $28,395.93 depending on the hospital and insurance plan. Houston Methodist shows insured rates of $5,770.94 to $7,542, while HCA facilities range from $948 to $28,395.93. St Luke's facilities generally show rates between $1,810.97 and $4,636.07. These facility fees are separate from physician and professional fees for the obstetrician, anesthesiologist, and pediatrician, which are billed separately. Without insurance, Patients may contact hospitals directly for current cash pricing, as the published transparency data appears incomplete.
Why is the gross charge so much higher than the cash price?
The gross charge data appears incomplete for C-section procedures in Houston, with hospitals reporting $0 amounts in their transparency files. Typically, gross charges represent the hospital's full list price or chargemaster rate before any discounts are applied. These published rates serve as starting points for negotiations with insurance companies, but almost no patients pay these full amounts. Insurance companies negotiate significant discounts from gross charges, and hospitals often provide substantial discounts for uninsured patients paying cash. The wide variation in negotiated rates, from $140.12 to $28,395.93, demonstrates that actual payments are typically much lower than gross charges. When complete data is available, cash prices usually represent 10-40% of the gross charge, reflecting the substantial markups built into hospital list pricing that get reduced through various discount programs.
Does insurance cover a c-section?
Insurance coverage for C-sections typically depends on whether the procedure is covered by the plan. Most insurance plans cover covered cesarean deliveries, though coverage specifics vary by plan. The negotiated rates in Houston range from $140.12 to $28,395.93, showing significant variation based on the insurance company and specific plan type. For non-emergency planned C-sections, insurance companies may require prior authorization to confirm plan coverage requirements. Patients with high-deductible health plans who have not yet met their annual deductible will be responsible for paying the negotiated rate their insurance company has with the hospital, not the gross charge. After meeting the deductible, patients typically pay a percentage of the negotiated rate as coinsurance. The specific coverage details, including deductible amounts and coinsurance percentages, depend on the individual insurance plan terms and should be verified directly with the insurance provider.
Are there additional fees beyond the c-section facility charge?
The facility charge covers only the hospital's services and does not include physician fees, which are billed separately. For C-section deliveries, expect separate bills from the obstetrician performing the surgery, the anesthesiologist providing anesthesia during the procedure, and potentially a pediatrician for newborn care. If complications arise requiring additional specialists, those physicians will also bill separately. Hospital-employed physicians may appear on the same bill as facility charges, but their professional fees remain distinct line items. If the C-section is performed as an emergency procedure through the emergency department, additional ER facility fees will apply separate from the surgical facility charges. Post-operative follow-up visits with the obstetrician, routine newborn care, and any additional procedures or extended hospital stays beyond the standard maternity length will generate additional separate charges not included in the basic C-section facility fee.
Compare Other Procedures in Houston
Data Sources
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Heads up: source files are large
Hospital CMS transparency files typically range from tens of megabytes to several hundred megabytes. Clicking a link below will open the file in a new tab and may trigger a large download, which can consume mobile data or slow down older devices. These files are intended for data processing, not casual viewing.
Baylor St Luke's Medical Center
File updated: 2026-02-28 · Accessed by us: 2026-04-13
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Harris Health - Ben Taub Hospital
File updated: 3/24/2026 · Accessed by us: 2026-04-13
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HCA Houston Healthcare Clear Lake
File updated: 2026-03-01 · Accessed by us: 2026-04-13
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HCA Houston Healthcare Conroe
File updated: 2026-03-01 · Accessed by us: 2026-04-13
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HCA Houston Healthcare Kingwood
File updated: 2026-03-01 · Accessed by us: 2026-04-13
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HCA Houston Healthcare Mainland
File updated: 2026-03-01 · Accessed by us: 2026-04-13
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HCA Houston Healthcare Medical Center
File updated: 2026-03-01 · Accessed by us: 2026-04-13
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HCA Houston Healthcare North Cypress
File updated: 2026-03-01 · Accessed by us: 2026-04-13
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HCA Houston Healthcare Northwest
File updated: 2026-03-01 · Accessed by us: 2026-04-13
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HCA Houston Healthcare Pearland
File updated: 2026-03-01 · Accessed by us: 2026-04-13
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HCA Houston Healthcare Southeast
File updated: 2026-03-01 · Accessed by us: 2026-04-13
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HCA Houston Healthcare Tomball
File updated: 2026-03-01 · Accessed by us: 2026-04-13
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HCA Houston Healthcare West
File updated: 2026-03-01 · Accessed by us: 2026-04-13
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Houston Methodist Hospital
File updated: 2026-04-01 · Accessed by us: 2026-04-13
Attested by: Lisa Schillaci
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Memorial Hermann Cypress Hospital
File updated: 2026-04-01 · Accessed by us: 2026-04-13
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Memorial Hermann Greater Heights Hospital
File updated: 2026-04-01 · Accessed by us: 2026-04-13
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Memorial Hermann Katy Hospital
File updated: 2026-04-01 · Accessed by us: 2026-04-13
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Memorial Hermann Memorial City Medical Center
File updated: 2026-04-01 · Accessed by us: 2026-04-13
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Memorial Hermann Northeast Hospital
File updated: 2026-04-01 · Accessed by us: 2026-04-13
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Memorial Hermann Pearland Hospital
File updated: 2026-04-01 · Accessed by us: 2026-04-13
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Memorial Hermann Southeast Hospital
File updated: 2026-04-01 · Accessed by us: 2026-04-13
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Memorial Hermann Southwest Hospital
File updated: 2026-04-01 · Accessed by us: 2026-04-13
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Memorial Hermann Sugar Land Hospital
File updated: 2026-04-01 · Accessed by us: 2026-04-13
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Memorial Hermann, Texas Medical Center
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Memorial Hermann The Woodlands Medical Center
File updated: 2026-04-01 · Accessed by us: 2026-04-13
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St Luke's Brazosport
File updated: 2026-02-28 · Accessed by us: 2026-04-13
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St Luke's Lakeside
File updated: 2026-02-28 · Accessed by us: 2026-04-13
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St Luke's Patients Medical Center
File updated: 2026-02-28 · Accessed by us: 2026-04-13
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St Luke's Springwoods Village
File updated: 2026-02-28 · Accessed by us: 2026-04-13
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St Luke's Sugar Land
File updated: 2026-02-28 · Accessed by us: 2026-04-13
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St Luke's The Vintage
File updated: 2026-02-28 · Accessed by us: 2026-04-13
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St Luke's The Woodlands
File updated: 2026-02-28 · Accessed by us: 2026-04-13
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Texas Children's Hospital
File updated: 2026-03-05 · Accessed by us: 2026-04-13
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