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Wisconsin

Cost of a C-Section Visit
in Wisconsin

Reviewed by Momentary Medical Group West PC

Wisconsin's healthcare landscape features strong regional health systems anchored by Milwaukee and Madison, serving both urban centers and rural farming communities across the state. C-Section procedures in Wisconsin typically range from $73 to $18,189 based on negotiated insurance rates, with a median cost of $3,446 across 2,592 active providers statewide. Patients can browse all C-Section providers throughout Wisconsin to compare costs and find in-network options.

Average

$7,236

Median

$3,446

Lowest

$73

Highest

$18,189

Providers

2,592

National avg: $3,776Wisconsin: $7,236

92% above national average

Compare Similar Procedures

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

ProcedureCPTLowMedianHighProviders
Vaginal Delivery

Routine obstetric care including vaginal delivery

59400$73$95$12,7313,422

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 Wisconsin

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

5/5
95% would recommend370 patient surveys
5/5
92% would recommend168 patient surveys
SAUK PRAIRIE HOSPITAL

PRAIRIE DU SAC, WI

5/5
89% would recommend289 patient surveys
5/5
89% would recommend451 patient surveys
5/5
88% would recommend135 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 Wisconsin

Wisconsin's healthcare costs run approximately 1% above the national average, reflecting the state's mix of urban medical centers and rural access challenges. The state's economy balances manufacturing, agriculture, and healthcare sectors, creating diverse insurance coverage patterns across different regions.

Urban vs. Rural Provider Availability

Milwaukee and Madison anchor Wisconsin's obstetric care with multiple hospital systems and birthing centers, while rural counties often rely on critical access hospitals with limited maternity services. Northern Wisconsin particularly faces provider shortages, forcing some patients to travel significant distances for specialized obstetric care. This geographic disparity creates both access and cost variations across the state.

Facility Type and Overhead Costs

Major health systems like Aurora Health Care, Ascension Wisconsin, and UW Health operate large hospital-based maternity units with higher overhead costs. Independent birthing centers and smaller community hospitals throughout Wisconsin typically offer more competitive pricing for routine deliveries. Academic medical centers in Madison and Milwaukee charge premium rates but provide high-risk pregnancy expertise.

Insurance Market Competition in Wisconsin

Blue Cross Blue Shield of Wisconsin (Anthem) holds significant market share alongside UnitedHealthcare and regional player WEA Trust, creating moderate insurer competition. Rural areas often have fewer plan options, potentially limiting negotiated rate competition among providers. The state's insurance marketplace offers additional choices in urban markets, helping drive down costs through increased competition.

Physician Supply and Demand in Wisconsin

With 2,592 active providers handling C-Section procedures, Wisconsin maintains reasonable physician supply relative to its population of 5.9 million residents. Rural counties experience obstetrician shortages, creating longer wait times and potentially higher costs due to limited competition. Urban areas have adequate provider density, giving patients more options for cost comparison and appointment availability.

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 Wisconsin

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

C-Section procedures in Wisconsin range from $73 to $18,189 based on negotiated insurance rates, with a median cost of $3,446. Self-pay patients typically face higher list prices, but many Wisconsin hospitals offer significant cash discounts. Community health centers and rural hospitals may provide more affordable options for uninsured patients.

Does Wisconsin Medicaid cover C-Section visits?

BadgerCare Plus, Wisconsin's expanded Medicaid program, covers comprehensive maternity services including C-Sections for eligible residents. The program expanded under the Affordable Care Act, increasing income eligibility limits for pregnant women and families. Coverage includes prenatal care, delivery, and postpartum services at no cost to qualified patients.

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

Compare costs across different facility types, as birthing centers often charge less than major hospital systems in Wisconsin. Ask providers about self-pay discounts, payment plans, and financial assistance programs. Rural hospitals and community health centers may offer more competitive pricing than urban academic medical centers in Milwaukee or Madison.

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

Initial obstetric consultations typically cost more than routine follow-up appointments due to comprehensive health assessments and care planning. New patient visits involve detailed medical history reviews and physical examinations, while established patient visits focus on monitoring pregnancy progress. Wisconsin providers may offer package pricing for complete maternity care that includes all prenatal visits and delivery.

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

Health Savings Accounts and Flexible Spending Accounts can cover qualified medical expenses including C-Section procedures and related maternity care in Wisconsin. These tax-advantaged accounts help reduce out-of-pocket costs for deductibles, copays, and other pregnancy-related expenses. Keep detailed records and receipts for all maternity care expenses to ensure proper HSA/FSA reimbursement.

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

While C-Section procedures require in-person care, prenatal consultations and follow-up visits may be available via telemedicine in Wisconsin at reduced costs. Virtual visits typically have lower fees than office appointments and may improve access for rural patients. However, physical examinations and ultrasounds still require in-person visits at traditional healthcare facilities.

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