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Virginia

Cost of a C-Section Visit
in Virginia

Reviewed by Momentary Medical Group West PC

Virginia's healthcare landscape includes major academic medical centers like VCU Health and UVA Health, creating a competitive environment for C-Section services across the Commonwealth. Patients typically pay between $1,695 and $4,355 for C-Section procedures, with a median cost of $2,300 based on actual negotiated insurance rates. Virginia has over 2,700 active C-Section providers across the state, offering patients numerous options from Norfolk to Northern Virginia to browse all providers in Virginia.

Average

$2,783

Median

$2,300

Lowest

$1,695

Highest

$4,355

Providers

2,701

National avg: $3,776Virginia: $2,783

26% below national average

Compare Similar Procedures

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

ProcedureCPTLowMedianHighProviders
Vaginal Delivery

Routine obstetric care including vaginal delivery

59400$1,420$2,232$3,9242,810

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 Virginia

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

5/5
85% would recommend824 patient surveys
5/5
80% would recommend397 patient surveys
5/5
73% would recommend171 patient surveys
4/5
83% would recommend698 patient surveys
4/5
81% would recommend1,098 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 Virginia

Virginia's C-Section costs run approximately 32% below the national average, reflecting the state's competitive insurance market and diverse provider landscape from urban centers to rural communities. The Commonwealth's strategic location between major metropolitan areas creates unique cost dynamics influenced by both regional competition and varying overhead expenses.

Urban vs. Rural Provider Availability

Northern Virginia and the Richmond-Petersburg area offer numerous C-Section providers with competitive pricing, while rural Southwest Virginia and the Eastern Shore have fewer options, potentially driving up costs due to limited competition. Urban areas benefit from multiple hospital systems including Inova, VCU Health, and Sentara, while rural regions often rely on single-provider markets. Travel costs to urban centers can offset rural savings for patients seeking specialized maternal care.

Facility Type and Overhead Costs

Hospital-based C-Section services in Virginia typically cost 15-30% more than those performed at ambulatory surgery centers or birthing centers due to higher overhead expenses. Major health systems like Sentara Healthcare and Carilion Clinic operate extensive networks with varying cost structures across their facilities. Independent birthing centers and smaller community hospitals often provide more competitive pricing while maintaining quality standards.

Insurance Market Competition in Virginia

Strong competition between Anthem Blue Cross Blue Shield, Optima Health, and UnitedHealthcare keeps negotiated C-Section rates competitive throughout Virginia. The state's relatively open insurance market allows multiple carriers to compete for members, preventing any single insurer from dominating rate negotiations. Regional insurers like Optima Health focus specifically on Virginia markets, often providing localized networks and competitive pricing.

Physician Supply and Demand in Virginia

With over 2,700 active C-Section providers, Virginia maintains adequate physician supply relative to its population, helping moderate pricing pressures in most regions. The presence of medical schools at VCU, UVA, and Eastern Virginia Medical School ensures a steady pipeline of new obstetricians entering practice. However, some rural areas still experience provider shortages, which can lead to longer wait times and potentially higher costs for specialized maternal care.

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 Virginia

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

Without insurance, C-Section procedures in Virginia typically cost between $1,695 and $4,355, with a median price of $2,300 based on actual negotiated rates. These costs reflect the surgical fee only and may not include additional charges for anesthesia, hospital stay, or newborn care. Many Virginia hospitals offer significant self-pay discounts and payment plans to help uninsured patients manage these expenses.

Does Virginia Medicaid cover C-Section visits?

Yes, Virginia Medicaid covers medically necessary C-Sections with no cost-sharing for eligible pregnant women. Since Virginia expanded Medicaid in 2019, coverage extends to women earning up to 200% of the federal poverty level. The program also provides comprehensive prenatal and postpartum care to support maternal and infant health throughout the pregnancy and delivery process.

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

Compare prices across different facility types, as ambulatory surgery centers and birthing centers often cost less than hospital-based procedures in Virginia. Ask about self-pay discounts if you're uninsured, and consider community health centers like those in the Virginia Community Healthcare Association network. Use insurance verification tools to confirm network status and avoid surprise billing from out-of-network providers.

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

Initial obstetric consultations typically cost more than routine prenatal follow-up visits, though C-Section pricing is usually bundled into global maternity care packages. New patient visits may range from $200-400, while established patient prenatal visits often cost $100-200 in Virginia. Many providers offer comprehensive maternity packages that include all prenatal visits, delivery, and immediate postpartum care for a single negotiated rate.

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

Yes, C-Section procedures qualify as eligible medical expenses for both Health Savings Accounts (HSAs) and Flexible Spending Accounts (FSAs) in Virginia. You can use these tax-advantaged funds to pay deductibles, copays, and coinsurance associated with your delivery. Keep all receipts and documentation for tax purposes, as these accounts may require proof of medical necessity for reimbursement.

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

While C-Section procedures require in-person delivery, many Virginia providers offer telehealth consultations for prenatal care and postpartum follow-up visits at reduced costs. Virtual visits typically cost 20-40% less than in-office consultations and are increasingly covered by Virginia insurance plans. Telemedicine can be particularly valuable for routine prenatal monitoring and post-surgical care, reducing overall pregnancy care expenses while maintaining quality outcomes.

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