C-Section Cost in Knoxville, TN

How much does a c-section cost without insurance in Knoxville?

The price transparency files do not show a cash price for a c-section at any of the five Knoxville area hospitals on this page. Fort Loudoun Medical Center, Fort Sanders Regional Medical Center, Methodist Medical Center of Oak Ridge, Parkwest Medical Center and Roane Medical Center all list cash prices as not published, so there is no cash range to report. The gross charge is also missing for all five. These are gaps in the data, not prices of $0. The only published figures are insured rates, from $989 to $3,419. Professional fees, such as the surgeon and anesthesia, are billed separately from the facility charge.

Why is the gross charge so much higher than the cash price?

Gross charges are normally the highest figure in a hospital's price file, and cash prices are often set as a percentage of them. That comparison cannot be made on this page. All five hospitals published their gross charge for code 59510 as $0 or blank, and none published a cash price, so there is no cash-to-gross percentage to cite. Neither figure should be read as a real price here; both are missing data. The insured rates for the same code, from $989 to $3,419, are the only published amounts, and they reflect negotiated rates with insurers, not a gross charge or a self-pay discount.

Does insurance cover a c-section?

Whether a plan covers a c-section, and how much you pay, depends on your specific plan, so the plan's own documents and your insurer are the places to confirm details. The files show negotiated facility rates for 59510 at all five hospitals on this page, from $989 to $3,419. At Fort Loudoun Medical Center, 97 published rates range from $1,339 to $3,419 depending on the insurer and plan. If you have a high-deductible plan and have not met your deductible, you usually pay the plan's negotiated rate until it is met.

Are there additional fees beyond the c-section facility charge?

Yes. The facility charge covers the hospital's side of the delivery, but other services are typically billed separately. These can include the obstetrician or surgeon's professional fee, anesthesia services, and pathology or laboratory work. Care for the newborn is usually billed separately from the mother's stay, and may include a pediatrician's fee. Some patients also receive separate bills for imaging, medications or supplies not bundled into the facility rate. Each bill may come from a different provider, so an itemized statement from the hospital and from each provider can help you see what is included.

What is the cash price for a c-section at Parkwest Medical Center?

No cash price is published for Parkwest Medical Center for code 59510 Cesarean Delivery. The cash price and gross charge are both blank or $0 in the source data, which means the data is missing, not that the service is free. The only figures shown are insured rates, from $1,338 to $3,419, and they are facility charges only.

What is the lowest published c-section price in Knoxville, TN?

The lowest insured rate in the table is $989 at Roane Medical Center for code 59510. This is a facility charge only, and it is the low end of that hospital's insured range, from $989 to $3,419. No cash prices are published for any of the 5 hospitals on this page.

What is the highest insured rate for a c-section in the Knoxville area?

The highest insured rate is $3,419 at Fort Loudoun Medical Center for code 59510. Cigna HMO, OAP and POS entries each show $3,419 in the payer table. This is a facility charge only. All 5 hospitals on this page list $3,419 as the top of their insured range.

What does United Healthcare TennCare pay for a c-section at Fort Loudoun Medical Center?

The payer table lists United Healthcare Tenncare at $1,339 for code 59510 Cesarean Delivery at Fort Loudoun Medical Center. That matches the low end of the hospital's insured range. It is a facility charge only. United Healthcare Options PPO is listed at $3,222 in the same table.

What billing code is used for a c-section at Knoxville hospitals?

This page uses CPT code 59510 Cesarean Delivery, the only billing code covered. Five Covenant Health hospitals have rows for it: Fort Loudoun Medical Center, Fort Sanders Regional Medical Center, Methodist Medical Center of Oak Ridge, Parkwest Medical Center and Roane Medical Center. Gross charges and cash prices are blank for all 5, which means missing data.