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See a sample rate comparisonCPT 59514 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
C-Section Childbirth, Delivery Of A Newborn By Cesarean (C-Section). A C-Section Is A Surgery That Removes The Newborn From The Uterus By Cutting Into The Abdomen.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures for Maternity Care and Delivery |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | None 80 - Assistant surgeon AG - Primary physician |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 59514 |
| Medicaid Fee Schedule | View Medicaid rates for 59514 |
National average reimbursement for CPT 59514 by major payers:
$1,168.47
$1,221.46
$1,284.01
$1,447.93
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CPT 59514
5 of 25 sample ratesHigher to lower in this preview
Johanna Weiss
$4,239.87Published rateMichael Twede
$1,565.56Published rateKarla Talavera
Deaconess Hospital Inc
$1,556.73Published rateJoseph Dewane
Memphis Obstetrics & Gynecology PC
$950.70Published rateSt Marks Surgical Center LLC
$494.00Published rate
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See a sample payer proposalCPT 59514 vs. Other Surgical Procedures for Maternity Care and Delivery Codes
The CPT 59514 code is part of the Surgery services used for Surgical Procedures for Maternity Care and Delivery. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 59514 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 59510-CPT | High | Routine Obstetric Care Includi, Routine Obstetric Care Including Antepartum Care Cesareandelivery And Postpartum Care Routine Obstetric Care Including Antepartum Care Cesarean |
| 59514-CPT | High | C-Section Childbirth, Delivery Of A Newborn By Cesarean (C-Section). A C-Section Is A Surgery That Removes The Newborn From The Uterus By Cutting Into The Abdomen. |
| 59515-CPT | High | C-Section Childbirth, Delivery Of A Newborn By Cesarean (C-Section) And Care After The Delivery. A C-Section Is A Surgery That Removes The Newborn From The Uterus By Cutting Into The Abdomen. |
| 59525-CPT | Moderate | Subtotal Or Total Hysterectomy, Subtotal Or Total Hysterectomy After Cesarean Delivery (Listseparately In Addition To Code For Primary Procedure) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 59514. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 59514 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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