Cost of a C-Section Visit
in Rhode Island
Reviewed by Momentary Medical Group West PC
Rhode Island's compact geography and concentrated healthcare market, anchored by major systems like Lifespan and Care New England, creates unique pricing dynamics for C-Section procedures across the state. Patients typically pay between $1,996 and $5,919 for C-Section services, with a median cost of $3,872 based on negotiated insurance rates. With 59 active C-Section providers throughout Rhode Island's small but densely populated landscape, patients can browse all providers in Rhode Island to find the most cost-effective option for their specific insurance plan.
Average
$3,929
Median
$3,872
Lowest
$1,996
Highest
$5,919
Providers
59
4% above national average
Compare Similar Procedures
How does c-section compare to related procedures in Rhode Island?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Vaginal Delivery Routine obstetric care including vaginal delivery | 59400 | $80 | $2,833 | $5,207 | 75 |
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 59510 — Routine 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.
Why C-Section Visit Costs Vary Across Rhode Island
Rhode Island's healthcare costs run approximately 13% above national averages, driven by the state's high cost of living and concentrated urban population around Providence and surrounding areas. The Ocean State's small geographic size creates unique market dynamics where a handful of major health systems control most delivery services, affecting pricing competition.
Urban vs. Rural Provider Availability
Rhode Island's dense population concentration means most residents live within 30 minutes of major medical centers in Providence, Warwick, or Newport. Unlike many states, rural access issues are minimal due to the state's compact size, though patients in South County may travel farther for specialized obstetric care. This geographic accessibility helps maintain relatively consistent pricing across the state.
Facility Type and Overhead Costs
Hospital-based obstetric services dominate Rhode Island's delivery landscape, with major systems like Lifespan and Care New England operating the primary birthing facilities. These large health systems typically have higher overhead costs than independent practices, reflected in their pricing for C-Section procedures. Academic medical centers such as Women & Infants Hospital command premium rates due to their specialized capabilities and teaching responsibilities.
Insurance Market Competition in Rhode Island
The state's insurance market centers around BCBS RI as the dominant carrier, with UHC and Tufts providing additional competition primarily in the commercial market. This moderate level of competition gives insurers reasonable negotiating power with providers, though the limited number of major health systems constrains how aggressively rates can be negotiated. The state's small market size means insurers must balance competitive pricing with maintaining adequate provider networks.
Physician Supply and Demand in Rhode Island
With 59 active C-Section providers serving Rhode Island's population of just over one million residents, the state maintains adequate obstetric capacity for routine deliveries. This provider-to-population ratio suggests balanced supply and demand, preventing the extreme pricing pressures seen in physician shortage areas. However, the concentration of providers within major health systems can limit price competition compared to markets with more independent practitioners.
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.
Frequently Asked Questions — C-Section Costs in Rhode Island
What is the average cost of a C-Section visit in Rhode Island without insurance?
Does Rhode Island Medicaid cover C-Section visits?
How do I find an affordable C-Section near me in Rhode Island?
What is the difference in cost between an initial consultation and a follow-up visit?
Can I use an HSA or FSA to pay for a C-Section visit in Rhode Island?
How does telemedicine affect the cost of seeing a C-Section in Rhode Island?
Click a state to compare costs
Average Visit Cost
Office visit (CPT 59510)
Compare With Other States
| Rank | State | Average↓ |
|---|---|---|
| 1 | Kentucky Range: $2,043 – $19,329 | $13,567 |
| 2 | West Virginia Range: $2,199 – $19,329 | $8,244 |
| 3 | Wisconsin Range: $73 – $18,189 | $7,236 |
| 4 | Iowa Range: $85 – $12,254 | $5,786 |
| 5 | Minnesota Range: $90 – $12,428 | $5,136 |
| 6 | Alaska Range: $98 – $11,867 | $5,001 |
| 7 | Nebraska Range: $2,560 – $6,114 | $4,565 |
| 8 | New York Range: $2,228 – $7,603 | $4,543 |
| 9 | Massachusetts Range: $2,111 – $7,609 | $4,495 |
| 10 | Georgia Range: $1,846 – $7,945 | $4,411 |
| 11 | Wyoming Range: $2,474 – $6,748 | $4,393 |
| 12 | Maine Range: $2,875 – $5,140 | $4,261 |
| 13 | New Hampshire Range: $2,156 – $5,919 | $4,190 |
| 14 | Washington Range: $2,480 – $6,440 | $4,088 |
| 15 | Rhode Island Range: $1,996 – $5,919 | $3,929 |
| 16 | Connecticut Range: $2,007 – $6,163 | $3,864 |
| 17 | South Dakota Range: $1,979 – $6,114 | $3,710 |
| 18 | California Range: $1,979 – $5,068 | $3,697 |
| 19 | District of Columbia Range: $2,100 – $5,187 | $3,684 |
| 20 | New Mexico Range: $2,093 – $5,520 | $3,679 |
| 21 | Vermont Range: $2,280 – $5,532 | $3,612 |
| 22 | Colorado Range: $1,979 – $5,427 | $3,602 |
| 23 | Hawaii Range: $2,156 – $5,068 | $3,508 |
| 24 | Pennsylvania Range: $1,743 – $5,806 | $3,501 |
| 25 | New Jersey Range: $1,847 – $5,806 | $3,468 |
| 26 | Idaho Range: $1,979 – $5,262 | $3,443 |
| 27 | Utah Range: $1,250 – $4,802 | $3,232 |
| 28 | Oregon Range: $95 – $6,223 | $3,220 |
| 29 | Delaware Range: $1,985 – $4,794 | $3,163 |
| 30 | North Carolina Range: $1,753 – $4,945 | $3,138 |
| 31 | Indiana Range: $81 – $6,574 | $3,122 |
| 32 | North Dakota Range: $92 – $6,114 | $3,120 |
| 33 | Montana Range: $96 – $6,114 | $3,054 |
| 34 | Maryland Range: $2,100 – $4,565 | $2,988 |
| 35 | Illinois Range: $80 – $6,052 | $2,938 |
| 36 | Arkansas Range: $1,601 – $4,386 | $2,929 |
| 37 | Michigan Range: $1,926 – $4,497 | $2,921 |
| 38 | South Carolina Range: $1,652 – $4,450 | $2,855 |
| 39 | Tennessee Range: $1,874 – $3,931 | $2,787 |
| 40 | Virginia Range: $1,695 – $4,355 | $2,783 |
| 41 | Ohio Range: $1,401 – $4,305 | $2,685 |
| 42 | Louisiana Range: $1,666 – $3,854 | $2,683 |
| 43 | Missouri Range: $1,970 – $3,300 | $2,644 |
| 44 | Arizona Range: $1,875 – $3,966 | $2,607 |
| 45 | Kansas Range: $1,970 – $3,374 | $2,595 |
| 46 | Oklahoma Range: $1,795 – $3,423 | $2,498 |
| 47 | Alabama Range: $1,632 – $3,518 | $2,468 |
| 48 | Texas Range: $90 – $4,541 | $2,460 |
| 49 | Nevada Range: $1,400 – $3,868 | $2,415 |
| 50 | Mississippi Range: $1,789 – $3,249 | $2,402 |
| 51 | Florida Range: $35 – $3,675 | $1,255 |