CMS Price Transparency Data
Blood test, calcium
Facility: Watsonville Community Hospital
Billing Code: 82310 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 82310
- Insurance Median: $17
- Cash Discount Price: $36
- vs. Medicare Baseline: 3.29x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at Watsonville Community Hospital is $17. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $36. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 3.29x the Medicare baseline. Located in 75 Nielson Street, Watsonville, CA.
Cash / Self-Pay
$36
Average discount available for prompt cash payment at this facility.
Insurance Median
$17
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$5.16
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $5.16 (100%)
Cash / Self-Pay: $36 (698%)
Insurance Median: $17 (329%)
Cash: $36 (698% of Medicare)
Ins. Median: $17 (329% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $5.16 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 329% of the Medicare baseline (a markup of 229%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medicruz | $3 - $19 | 58% |
| Victim Compensation Plan | $3 - $103 | 58% |
| Health Net Pmg HMO | $4 - $65 | 78% |
| Blue Shield HMO | $4 - $21 | 78% |
| Cigna | $4 - $72 | 78% |
| Secure Horizons Dign HMO | $4 - $21 | 78% |
| Great-West/Phcs | $4 - $72 | 78% |
| Aetna | $4 - $84 | 78% |
| UnitedHealthcare | $4 - $62 | 78% |
| Blue Cross Blue Shield | $4 - $92 | 78% |
| Pacificare HMO | $4 - $62 | 78% |
| Travelers Insurance | $5 - $103 | 97% |
| Republic Idemnity W/Comp | $5 | 97% |
| Health Net of California | $5 - $65 | 97% |
| Fleming & Associates | $5 | 97% |
| Alignment Health Plan | $5 | 97% |
| Medicare (plans) | $5 | 97% |
| Veterans Administration | $5 | 97% |
| Beta Healthcare Group | $5 | 97% |
| Kemper Group Workers Comp | $5 | 97% |
| Ace-Usa | $5 | 97% |
| Workers Comp | $5 | 97% |
| Miscellaneous Work Comp | $5 | 97% |
| Secure Horizons | $5 | 97% |
| Blue Shield PPO | $5 - $16 | 97% |
| Hartford Workers' Comp | $5 | 97% |
| Fireman's Fund Work Comp | $5 | 97% |
| Pinnacle Healthcare Uc | $5 | 97% |
| U.S. Dept. of Labor | $5 | 97% |
| Crawford & Co | $5 | 97% |
| Liberty Mutual Work Comp | $5 | 97% |
| Western Growers Work Comp | $5 | 97% |
| Tricare | $5 | 97% |
| Nx Health Network | $5 | 97% |
| Keenan & Assoc Work Comp | $5 | 97% |
| Gallagher Bassett Svcs | $5 | 97% |
| Medicaid / KanCare | $6 | 116% |
| Medi-Cal/Eds | $6 | 116% |
| Alliance/Sccho | $6 | 116% |
| California Childrens Srvs | $6 | 116% |
| Well Path | $6 - $103 | 116% |
| Ccs/Monterey County | $6 | 116% |
| Medi-Cal E.R. | $6 | 116% |
| Healthy Families | $6 - $16 | 116% |
| Pinnacle Claims Tpa/Bc | $7 - $92 | 136% |
| Western Growers Trust/Bc | $7 - $92 | 136% |
| Western Health Advantage | $9 - $52 | 174% |
| Health Net Smartcare Netw | $11 - $62 | 213% |
| Self Pay | $11 - $62 | 213% |
| Pacificare PPO | $11 - $62 | 213% |
| Health Net Blue and Gold | $12 - $65 | 233% |
| Health Net Canopycare HMO | $12 - $65 | 233% |
| Transwestern | $13 - $82 | 252% |
| Geha (Ccn) | $13 - $82 | 252% |
| First Health | $13 - $82 | 252% |
| Adventist Risk Management | $13 - $82 | 252% |
| Private Healthcare System | $14 - $80 | 271% |
| Multiplan Inc PPO | $14 - $80 | 271% |
| Claims Management Wc | $16 - $92 | 310% |
| Delta Health Systems | $16 - $92 | 310% |
| Sheet Metal Workers | $16 - $92 | 310% |
| Bs Employee | $16 | 310% |
| Monterey Bay Pub Emp Trst | $16 - $92 | 310% |
| United Agriculture | $16 | 310% |
| Carpenters H&W Trust | $16 - $92 | 310% |
| Ufcw/Valley Clerks | $16 | 310% |
| Calif Ironworkers Field | $16 - $92 | 310% |
| City of Wats/Pinnacle Clm | $16 - $92 | 310% |
| Operating Engineers | $16 - $92 | 310% |
| State Compensation Fund | $16 - $92 | 310% |
| Laborers Health & Welfare | $16 - $92 | 310% |
| Robert Kennedy/Ccn | $16 - $92 | 310% |
| Teamsters Benefit Trust | $16 - $92 | 310% |
| Coastal Healthcare Admin | $16 - $93 | 310% |
| Salinas Valley Mem Hops | $16 - $88 | 310% |
| Sutter Health Plus | $18 - $103 | 349% |
| Wholesale Beer Distributo | $18 - $103 | 349% |
| State Farm Ins | $18 - $103 | 349% |
| North Calif Bakery Driver | $18 - $103 | 349% |
| Apwu Health Plan | $18 - $103 | 349% |
| Farmers Insurance | $18 - $103 | 349% |
| Allstate | $18 - $103 | 349% |
| Humana | $18 - $103 | 349% |
| Prucare Pmg HMO | $18 - $103 | 349% |
| Bankers Life & Casualty | $18 - $103 | 349% |
| Aarp | $18 - $103 | 349% |
| Miscellaneous Auto | $18 - $103 | 349% |
| Prucare Pmg POS | $18 - $103 | 349% |
| United Administrative | $18 - $103 | 349% |
| Physicians Mutual | $18 - $103 | 349% |
| Zenith National Ins | $18 - $103 | 349% |
| Aaa | $18 - $103 | 349% |
| Miscellaneous Insurance | $18 - $103 | 349% |