CT scan, abdomen and pelvis (no contrast)
Facility: Watsonville Community Hospital
Billing Code: 74176 (CPT)
- CPT Billing Code: 74176
- Insurance Median: $4,500
- Cash Discount Price: $9,353
- vs. Medicare Baseline: 18.46x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Understanding this gauge: We use the federal Medicare rate of $243.77 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 1846% of the Medicare baseline (a markup of 1746%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Alliance/Sccho | $197 | 81% |
| Well Path | $250 - $15,588 | 103% |
| Medi-Cal E.R. | $250 | 103% |
| Healthy Families | $250 | 103% |
| California Childrens Srvs | $250 | 103% |
| Ccs/Monterey County | $250 | 103% |
| Medicaid / KanCare | $250 | 103% |
| Medi-Cal/Eds | $250 | 103% |
| Carpenters H&W Trust | $691 - $6,507 | 283% |
| City of Wats/Pinnacle Clm | $691 - $6,507 | 283% |
| Blue Cross Blue Shield | $691 - $6,507 | 283% |
| Laborers Health & Welfare | $691 - $6,507 | 283% |
| Robert Kennedy/Ccn | $691 - $6,507 | 283% |
| Delta Health Systems | $691 - $6,507 | 283% |
| Pinnacle Claims Tpa/Bc | $691 - $7,794 | 283% |
| Monterey Bay Pub Emp Trst | $691 - $6,507 | 283% |
| Teamsters Benefit Trust | $691 - $6,507 | 283% |
| Western Growers Trust/Bc | $691 - $7,794 | 283% |
| Operating Engineers | $691 - $6,507 | 283% |
| State Compensation Fund | $691 - $6,507 | 283% |
| Calif Ironworkers Field | $691 - $6,507 | 283% |
| Sheet Metal Workers | $691 - $6,507 | 283% |
| Claims Management Wc | $691 - $6,507 | 283% |
| Pacificare PPO | $1,525 - $3,100 | 626% |
| UnitedHealthcare | $1,525 - $3,118 | 626% |
| Health Net Smartcare Netw | $1,525 - $3,100 | 626% |
| Pacificare HMO | $1,525 - $3,118 | 626% |
| Medicruz | $2,806 | 1151% |
| Victim Compensation Plan | $2,806 - $15,588 | 1151% |
| Aetna | $3,033 - $8,611 | 1244% |
| Cigna | $3,118 - $10,912 | 1279% |
| Secure Horizons Dign HMO | $3,118 | 1279% |
| Great-West/Phcs | $3,118 - $10,912 | 1279% |
| Blue Shield HMO | $3,118 | 1279% |
| Health Net Pmg HMO | $3,118 - $9,774 | 1279% |
| Adventist Risk Management | $3,200 - $12,471 | 1313% |
| First Health | $3,200 - $12,471 | 1313% |
| Geha (Ccn) | $3,200 - $12,471 | 1313% |
| Transwestern | $3,200 - $12,471 | 1313% |
| Western Health Advantage | $7,794 | 3197% |
| Self Pay | $9,353 | 3837% |
| Health Net Blue and Gold | $9,774 | 4010% |
| Health Net Canopycare HMO | $9,774 | 4010% |
| Health Net of California | $9,774 | 4010% |
| Private Healthcare System | $12,159 | 4988% |
| Multiplan Inc PPO | $12,159 | 4988% |
| Salinas Valley Mem Hops | $13,250 | 5435% |
| Coastal Healthcare Admin | $13,250 - $14,029 | 5435% |
| Allstate | $15,588 | 6395% |
| United Administrative | $15,588 | 6395% |
| Physicians Mutual | $15,588 | 6395% |
| Miscellaneous Insurance | $15,588 | 6395% |
| Farmers Insurance | $15,588 | 6395% |
| Aaa | $15,588 | 6395% |
| Humana | $15,588 | 6395% |
| Wholesale Beer Distributo | $15,588 | 6395% |
| Prucare Pmg POS | $15,588 | 6395% |
| Zenith National Ins | $15,588 | 6395% |
| Travelers Insurance | $15,588 | 6395% |
| North Calif Bakery Driver | $15,588 | 6395% |
| Sutter Health Plus | $15,588 | 6395% |
| Bankers Life & Casualty | $15,588 | 6395% |
| Miscellaneous Auto | $15,588 | 6395% |
| State Farm Ins | $15,588 | 6395% |
| Prucare Pmg HMO | $15,588 | 6395% |
| Aarp | $15,588 | 6395% |
| Apwu Health Plan | $15,588 | 6395% |