Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 59618 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.
Routine Obstetric Care Includi, Routine Obstetric Care Including Antepartum Care Cesareandelivery And Postpartum Care Following Attempted Vaginal Delivery After Previous Cesareandelivery
| 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 |
| Common Modifiers | None GC - Service performed by resident under supervision U9 |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 59618 |
| Medicaid Fee Schedule | View Medicaid rates for 59618 |
National average reimbursement for CPT 59618 by major payers:
$2,986.75
$2,995.00
$3,084.46
$3,940.19
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 59618.
CPT 59618
5 of 25 sample ratesHigher to lower in this preview
Texas Health Harris Methodist Hospital Azle
$9,124.00Published rateGastroenterology Associates, LLC, Gastroenterology Associates Endoscopy Center
Gastroenterology Associates PLLC
$1,064.00Published rateDigestive Endoscopy Center LLC, Digestive Endoscopy Center
Digestive Endoscopy Center, LLC
$724.00Published rateStarkville Surgery Center LLC
$372.00Published rateSwagel-Wootton Eye Center, Inc, Eye Surgery Center Of Arizona
Swagel/Wootton Eye Center, Ltd.
$103.00Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 59618 vs. Other Surgical Procedures for Maternity Care and Delivery Codes
The CPT 59618 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 59618 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 |
|---|---|---|
| 59612-CPT | High | Vaginal Delivery Only After P, Vaginal Delivery Only After Previous Cesarean Delivery(With Or Without Episiotomy Andor Forceps) |
| 59614-CPT | High | Vaginal Delivery Only After P, Vaginal Delivery Only After Previous Cesarean Delivery(With Or Without Episiotomy Andor Forceps) Including Postpartum Care |
| 59618-CPT | High | Routine Obstetric Care Includi, Routine Obstetric Care Including Antepartum Care Cesareandelivery And Postpartum Care Following Attempted Vaginal Delivery After Previous Cesareandelivery |
| 59620-CPT | High | Cesarean Dlvery Only Follow Attempt Vagnal Dlvery After Pre, Cesarean Delivery Only Following Attempted Vaginal Delivery After Pre |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 59618. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 59618 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 59618) and we'll show you how you compare in 15 minutes or less.