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Ohio

Cost of a C-Section Visit
in Ohio

Reviewed by Momentary Medical Group West PC

Ohio's healthcare costs run approximately 2% below national averages, benefiting from expanded Medicaid coverage and competitive insurer negotiations between Medical Mutual, Anthem, and UHC. C-Section patients typically pay between $1,400 and $4,304, with a median out-of-pocket cost of $2,349 across Ohio's 4,196 active providers. Browse all C-Section providers in Ohio to compare costs and verify insurance coverage before scheduling.

Average

$2,685

Median

$2,350

Lowest

$1,401

Highest

$4,305

Providers

4,196

National avg: $3,776Ohio: $2,685

29% below national average

Compare Similar Procedures

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

ProcedureCPTLowMedianHighProviders
Vaginal Delivery

Routine obstetric care including vaginal delivery

59400$1,155$2,011$3,7263,310

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 Ohio

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

5/5
93% would recommend661 patient surveys
5/5
93% would recommend252 patient surveys
5/5
87% would recommend209 patient surveys
5/5
85% would recommend414 patient surveys
5/5
84% would recommend141 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 Ohio

Ohio's healthcare costs run approximately 2% below national averages due to competitive insurance markets and lower cost of living compared to coastal states. The state's balanced mix of urban medical centers and rural communities creates distinct pricing tiers based on geographic location and provider concentration.

Urban vs. Rural Provider Availability

Major metropolitan areas like Columbus, Cleveland, and Cincinnati offer numerous C-Section providers with competitive pricing due to market saturation, while rural counties in southeastern Ohio may have limited options driving longer travel times. Appalachian regions often rely on critical access hospitals with higher per-procedure costs due to lower patient volumes and economies of scale. Urban patients benefit from ambulatory surgical centers that offer lower facility fees than traditional hospital operating rooms.

Facility Type and Overhead Costs

Large health systems like Cleveland Clinic, OhioHealth, and Mercy Health command premium pricing due to their comprehensive services and brand recognition, while independent surgical centers often offer 20-30% lower facility fees. Hospital-owned practices have higher overhead costs reflected in surgical fees, whereas physician-owned facilities can offer more competitive pricing due to streamlined operations. Academic medical centers like Ohio State Wexner Medical Center may have higher costs but offer specialized expertise for high-risk pregnancies.

Insurance Market Competition in Ohio

Ohio's competitive insurance environment with Medical Mutual, Anthem, and UnitedHealthcare as major players creates downward pressure on negotiated rates compared to states with dominant single insurers. The state insurance exchange offers multiple plan options that compete on provider networks and cost-sharing structures, benefiting patients through choice and pricing transparency. Regional insurers like Molina Healthcare and CareSource provide additional market competition, particularly in the Medicaid managed care space.

Physician Supply and Demand in Ohio

With 4,196 active C-Section providers across Ohio, the state maintains adequate surgeon availability relative to its population of 11.8 million residents. This healthy supply-to-demand ratio helps keep pricing competitive and reduces wait times for elective procedures, though rural areas still experience physician shortages. Ohio's medical schools and residency programs produce steady numbers of new obstetricians, helping maintain stable provider networks throughout the state.

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 Ohio

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

Uninsured patients in Ohio typically pay between $1,400 and $4,304 for C-Section procedures, with a median cost of $2,349 based on negotiated insurance rates. However, many hospitals offer significant self-pay discounts that can reduce these amounts by 30-50% when payment is arranged in advance. Ohio's competitive healthcare market and numerous provider options help keep costs below national averages for patients paying out-of-pocket.

Does Ohio Medicaid cover C-Section visits?

Yes, Ohio's expanded Medicaid program fully covers medically necessary C-Section procedures for eligible adults with incomes up to 138% of the federal poverty level. Coverage includes all associated costs such as anesthesia, facility fees, and post-operative care, with no copayments required for emergency procedures. Medicaid also covers prenatal care leading up to the delivery and 60 days of postpartum coverage to support recovery.

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

Compare costs across different facility types, as independent surgical centers often charge 20-30% less than hospital-owned practices for the same procedure. Ask about self-pay discounts if you're uninsured, and consider community health centers that offer sliding-scale fees based on income. Ohio's numerous provider options create competitive pricing, so obtaining quotes from multiple surgeons and facilities can help identify the most affordable option in your area.

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

C-Section consultations typically involve comprehensive evaluations that cost more than routine follow-up appointments, though exact pricing depends on the complexity of your case and facility type. Initial visits may include detailed medical history review, physical examination, and discussion of surgical risks and benefits, while follow-up visits focus on recovery monitoring and wound care. Most insurance plans cover both types of visits similarly, with standard specialist copays applying regardless of visit type.

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

Yes, C-Section procedures qualify as eligible medical expenses that can be paid using Health Savings Account (HSA) or Flexible Spending Account (FSA) funds without tax penalties. This includes all related costs such as surgeon fees, facility charges, anesthesia, and post-operative care visits. Using pre-tax dollars from these accounts effectively reduces your out-of-pocket costs by your marginal tax rate, providing additional savings on top of any insurance coverage.

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

While the actual C-Section procedure requires in-person surgery, many prenatal consultations and post-operative follow-up visits can be conducted via telemedicine at reduced costs. Ohio providers increasingly offer virtual visits for routine pregnancy monitoring, surgical planning discussions, and recovery check-ins, typically costing 20-40% less than office visits. However, physical examinations and the surgical procedure itself must be performed in-person at licensed medical facilities, so telemedicine serves as a complement rather than replacement for traditional care.

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