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Massachusetts

Cost of a C-Section Visit
in Massachusetts

Reviewed by Momentary Medical Group West PC

Massachusetts ranks among the top states for maternal care quality, with one of the lowest maternal mortality rates in the nation at 8.4 deaths per 100,000 live births. C-Section patients in Massachusetts typically pay between $2,111 and $7,609 for delivery services, with a median negotiated rate of $3,765 based on insurance agreements with providers. The state's 1,033 active C-Section providers across major medical centers like Mass General Brigham and Boston Medical Center offer patients extensive options when planning their delivery care in Massachusetts.

Average

$4,495

Median

$3,765

Lowest

$2,111

Highest

$7,609

Providers

1,033

National avg: $3,776Massachusetts: $4,495

19% above national average

Compare Similar Procedures

How does c-section compare to related procedures in Massachusetts?

ProcedureCPTLowMedianHighProviders
Vaginal Delivery

Routine obstetric care including vaginal delivery

59400$80$3,009$6,6421,330

Important: These are cost estimates only — not a quote and not medical advice.

The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 59510Routine obstetric care including cesarean delivery). They represent what a patient might pay without insurance.

Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.

This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.

Where this data comes from & what CPT 59510 covers

Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 59510 (Routine obstetric care including cesarean delivery), as mandated by the CMS Price Transparency Rule.

What CPT 59510 covers: the provider's professional fee for c-section. It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.

How to read this data

Negotiated Rate

The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.

P5, Median, P95

P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.

What this does not tell you

These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.

Top-Rated Hospitals in Massachusetts

These hospitals in Massachusetts are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.

FAIRVIEW HOSPITAL

GREAT BARRINGTON, MA

5/5
94% would recommend164 patient surveys
5/5
89% would recommend929 patient surveys
5/5
86% would recommend174 patient surveys
4/5
88% would recommend382 patient surveys
4/5
87% would recommend593 patient surveys

Hospital ratings are based on HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) survey data published by CMS.

Why C-Section Visit Costs Vary Across Massachusetts

Massachusetts C-Section costs run approximately 20% above national averages, reflecting the state's concentration of world-renowned teaching hospitals and higher healthcare worker wages. The Commonwealth's unique geography creates distinct cost zones, from expensive Boston metro facilities to more affordable community hospitals in the Pioneer Valley and Berkshire regions.

Urban vs. Rural Provider Availability

Greater Boston contains nearly 60% of the state's obstetric capacity, with premium pricing at facilities like Brigham and Women's and Massachusetts General Hospital. Rural counties like Franklin and Berkshire rely on community hospitals with lower facility fees but fewer high-risk delivery capabilities, sometimes requiring transfers to Boston for complicated cases.

Facility Type and Overhead Costs

Hospital-owned obstetric practices dominate Massachusetts, particularly within the Mass General Brigham and Beth Israel Lahey Health systems, leading to higher facility fees but integrated care coordination. Independent birthing centers and midwifery practices offer lower-cost alternatives, though they represent a smaller portion of the delivery market compared to traditional hospital settings.

Insurance Market Competition in Massachusetts

The state's three major insurers - BCBS Massachusetts, Tufts, and Harvard Pilgrim - negotiate competitive rates with most providers, though academic medical centers command premium payments. Limited insurer competition in some regions allows dominant health systems to negotiate higher reimbursement rates, ultimately affecting patient costs.

Physician Supply and Demand in Massachusetts

With 1,033 active C-Section providers serving 6.9 million residents, Massachusetts maintains adequate obstetric capacity in most regions. The high provider density, particularly around Boston's medical district, creates competitive pricing for routine deliveries while supporting premium rates for specialized maternal-fetal medicine services.

JP

Jayant Panwar

CEO, Momentary Labs · San Francisco, CA

Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.

The cost figures on this page reflect his ongoing work to make this data accessible to patients.

Healthcare Data AnalyticsCMS TiC DataInsurance Price Transparency

Frequently Asked Questions — C-Section Costs in Massachusetts

What is the average cost of a C-Section visit in Massachusetts without insurance?

Uninsured C-Section patients in Massachusetts face costs ranging from $2,111 to $7,609, with a median rate of $3,765 based on hospital negotiated pricing. These figures reflect the actual facility and physician fees, though many hospitals offer significant cash-pay discounts. Academic medical centers in Boston typically charge at the higher end of this range compared to community hospitals in western Massachusetts.

Does Massachusetts Medicaid cover C-Section visits?

Yes, Massachusetts expanded Medicaid provides comprehensive coverage for C-Section deliveries including prenatal care, surgery, and postpartum services. MassHealth covers both planned and emergency cesarean deliveries with minimal or no copays for eligible members. The state's Medicaid program also covers additional services like lactation counseling and extended postpartum visits that support recovery.

How do I find an affordable C-Section near me in Massachusetts?

Compare facility fees between academic medical centers and community hospitals, as costs can vary by thousands of dollars across the state. Community health centers and hospitals outside Greater Boston often offer lower base rates while maintaining quality care standards. Ask about cash-pay discounts, payment plans, and charity care programs which many Massachusetts hospitals provide for uninsured or underinsured families.

What is the difference in cost between an initial consultation and a follow-up visit?

C-Section care typically involves a series of prenatal visits rather than separate initial consultations, with costs bundled into global maternity fees. The surgical delivery itself represents the largest cost component at $2,111 to $7,609, while routine prenatal visits are usually covered as preventive care. Emergency consultations for complications may involve separate facility and physician charges beyond the standard maternity package.

Can I use an HSA or FSA to pay for a C-Section visit in Massachusetts?

Yes, C-Section deliveries qualify as eligible medical expenses for both Health Savings Accounts and Flexible Spending Accounts. You can use these tax-advantaged funds to pay deductibles, copays, and any out-of-network costs associated with your delivery. Keep receipts for all maternity-related expenses including prenatal visits, delivery fees, and postpartum care for HSA/FSA reimbursement.

How does telemedicine affect the cost of seeing a C-Section in Massachusetts?

While C-Section deliveries require in-person care, many Massachusetts providers offer telehealth prenatal consultations at lower costs than office visits. Virtual appointments work well for routine check-ins, test result discussions, and postpartum follow-ups, potentially reducing overall maternity care expenses. Most Massachusetts insurers cover obstetric telehealth visits at the same rate as in-person prenatal care, though delivery must occur at a licensed facility.

Click a state to compare costs

Average Visit Cost

$1,255
$13,567

Office visit (CPT 59510)

Compare With Other States

RankStateAverage
1Kentucky
Range: $2,043$19,329
$13,567
2West Virginia
Range: $2,199$19,329
$8,244
3Wisconsin
Range: $73$18,189
$7,236
4Iowa
Range: $85$12,254
$5,786
5Minnesota
Range: $90$12,428
$5,136
6Alaska
Range: $98$11,867
$5,001
7Nebraska
Range: $2,560$6,114
$4,565
8New York
Range: $2,228$7,603
$4,543
9Massachusetts
Range: $2,111$7,609
$4,495
10Georgia
Range: $1,846$7,945
$4,411
11Wyoming
Range: $2,474$6,748
$4,393
12Maine
Range: $2,875$5,140
$4,261
13New Hampshire
Range: $2,156$5,919
$4,190
14Washington
Range: $2,480$6,440
$4,088
15Rhode Island
Range: $1,996$5,919
$3,929
16Connecticut
Range: $2,007$6,163
$3,864
17South Dakota
Range: $1,979$6,114
$3,710
18California
Range: $1,979$5,068
$3,697
19District of Columbia
Range: $2,100$5,187
$3,684
20New Mexico
Range: $2,093$5,520
$3,679
21Vermont
Range: $2,280$5,532
$3,612
22Colorado
Range: $1,979$5,427
$3,602
23Hawaii
Range: $2,156$5,068
$3,508
24Pennsylvania
Range: $1,743$5,806
$3,501
25New Jersey
Range: $1,847$5,806
$3,468
26Idaho
Range: $1,979$5,262
$3,443
27Utah
Range: $1,250$4,802
$3,232
28Oregon
Range: $95$6,223
$3,220
29Delaware
Range: $1,985$4,794
$3,163
30North Carolina
Range: $1,753$4,945
$3,138
31Indiana
Range: $81$6,574
$3,122
32North Dakota
Range: $92$6,114
$3,120
33Montana
Range: $96$6,114
$3,054
34Maryland
Range: $2,100$4,565
$2,988
35Illinois
Range: $80$6,052
$2,938
36Arkansas
Range: $1,601$4,386
$2,929
37Michigan
Range: $1,926$4,497
$2,921
38South Carolina
Range: $1,652$4,450
$2,855
39Tennessee
Range: $1,874$3,931
$2,787
40Virginia
Range: $1,695$4,355
$2,783
41Ohio
Range: $1,401$4,305
$2,685
42Louisiana
Range: $1,666$3,854
$2,683
43Missouri
Range: $1,970$3,300
$2,644
44Arizona
Range: $1,875$3,966
$2,607
45Kansas
Range: $1,970$3,374
$2,595
46Oklahoma
Range: $1,795$3,423
$2,498
47Alabama
Range: $1,632$3,518
$2,468
48Texas
Range: $90$4,541
$2,460
49Nevada
Range: $1,400$3,868
$2,415
50Mississippi
Range: $1,789$3,249
$2,402
51Florida
Range: $35$3,675
$1,255
C-Section in Other States