CMS Price Transparency Data
Blood test, hemoglobin
Facility: Watsonville Community Hospital
Billing Code: 85018 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 85018
- Insurance Median: $3
- Cash Discount Price: $89
- vs. Medicare Baseline: 1.27x Medicare
The contracted insurance negotiated median rate for a Blood test, hemoglobin at Watsonville Community Hospital is $3. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $89. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 1.27x the Medicare baseline. Located in 75 Nielson Street, Watsonville, CA.
Cash / Self-Pay
$89
Average discount available for prompt cash payment at this facility.
Insurance Median
$3
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$2.37
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $2.37 (100%)
Cash / Self-Pay: $89 (3755%)
Insurance Median: $3 (127%)
Cash: $89 (3755% of Medicare)
Ins. Median: $3 (127% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $2.37 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.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Input your details and click calculate to compare out-of-pocket costs.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Western Growers Trust/Bc | $1 - $262 | 42% |
| Pinnacle Claims Tpa/Bc | $1 - $262 | 42% |
| Miscellaneous Work Comp | $2 | 84% |
| Beta Healthcare Group | $2 | 84% |
| Secure Horizons Dign HMO | $2 - $59 | 84% |
| Nx Health Network | $2 | 84% |
| Kemper Group Workers Comp | $2 | 84% |
| Health Net Pmg HMO | $2 - $185 | 84% |
| Medicare (plans) | $2 | 84% |
| Workers Comp | $2 | 84% |
| Health Net Blue and Gold | $2 - $185 | 84% |
| Fleming & Associates | $2 | 84% |
| Pacificare PPO | $2 - $177 | 84% |
| Liberty Mutual Work Comp | $2 | 84% |
| Aetna | $2 - $242 | 84% |
| Health Net Canopycare HMO | $2 - $185 | 84% |
| Multiplan Inc PPO | $2 - $230 | 84% |
| Hartford Workers' Comp | $2 | 84% |
| First Health | $2 - $236 | 84% |
| Alignment Health Plan | $2 | 84% |
| Private Healthcare System | $2 - $230 | 84% |
| Veterans Administration | $2 | 84% |
| Health Net Smartcare Netw | $2 - $177 | 84% |
| Western Growers Work Comp | $2 | 84% |
| Blue Shield PPO | $2 - $8 | 84% |
| Pinnacle Healthcare Uc | $2 | 84% |
| Self Pay | $2 - $177 | 84% |
| Great-West/Phcs | $2 - $206 | 84% |
| Ace-Usa | $2 | 84% |
| Adventist Risk Management | $2 - $236 | 84% |
| Secure Horizons | $2 | 84% |
| Tricare | $2 | 84% |
| U.S. Dept. of Labor | $2 | 84% |
| Crawford & Co | $2 | 84% |
| Republic Idemnity W/Comp | $2 | 84% |
| Health Net of California | $2 - $185 | 84% |
| Transwestern | $2 - $236 | 84% |
| Travelers Insurance | $2 - $295 | 84% |
| Western Health Advantage | $2 - $147 | 84% |
| Gallagher Bassett Svcs | $2 | 84% |
| Fireman's Fund Work Comp | $2 | 84% |
| Geha (Ccn) | $2 - $236 | 84% |
| Keenan & Assoc Work Comp | $2 | 84% |
| Pacificare HMO | $2 - $177 | 84% |
| Cigna | $2 - $206 | 84% |
| UnitedHealthcare | $2 - $177 | 84% |
| City of Wats/Pinnacle Clm | $3 - $262 | 127% |
| Medi-Cal E.R. | $3 | 127% |
| Prucare Pmg HMO | $3 - $295 | 127% |
| Claims Management Wc | $3 - $262 | 127% |
| Allstate | $3 - $295 | 127% |
| United Administrative | $3 - $295 | 127% |
| Victim Compensation Plan | $3 - $295 | 127% |
| Calif Ironworkers Field | $3 - $262 | 127% |
| Coastal Healthcare Admin | $3 - $265 | 127% |
| Healthy Families | $3 - $8 | 127% |
| North Calif Bakery Driver | $3 - $295 | 127% |
| Laborers Health & Welfare | $3 - $262 | 127% |
| Salinas Valley Mem Hops | $3 - $250 | 127% |
| Operating Engineers | $3 - $262 | 127% |
| Ccs/Monterey County | $3 | 127% |
| California Childrens Srvs | $3 | 127% |
| Medicaid / KanCare | $3 | 127% |
| Prucare Pmg POS | $3 - $295 | 127% |
| Humana | $3 - $295 | 127% |
| Farmers Insurance | $3 - $295 | 127% |
| Sutter Health Plus | $3 - $295 | 127% |
| Miscellaneous Insurance | $3 - $295 | 127% |
| Apwu Health Plan | $3 - $295 | 127% |
| Medi-Cal/Eds | $3 | 127% |
| State Compensation Fund | $3 - $262 | 127% |
| Alliance/Sccho | $3 | 127% |
| Miscellaneous Auto | $3 - $295 | 127% |
| Wholesale Beer Distributo | $3 - $295 | 127% |
| Aarp | $3 - $295 | 127% |
| State Farm Ins | $3 - $295 | 127% |
| Robert Kennedy/Ccn | $3 - $262 | 127% |
| Sheet Metal Workers | $3 - $262 | 127% |
| Zenith National Ins | $3 - $295 | 127% |
| Bankers Life & Casualty | $3 - $295 | 127% |
| Blue Cross Blue Shield | $3 - $262 | 127% |
| Aaa | $3 - $295 | 127% |
| Physicians Mutual | $3 - $295 | 127% |
| Delta Health Systems | $3 - $262 | 127% |
| Carpenters H&W Trust | $3 - $262 | 127% |
| Monterey Bay Pub Emp Trst | $3 - $262 | 127% |
| Well Path | $3 - $295 | 127% |
| Teamsters Benefit Trust | $3 - $262 | 127% |
| Bs Employee | $8 | 338% |
| Ufcw/Valley Clerks | $8 | 338% |
| United Agriculture | $8 | 338% |
| Medicruz | $53 | 2236% |
| Blue Shield HMO | $59 | 2489% |