CT scan, abdomen and pelvis (with contrast)
Facility: Watsonville Community Hospital
Billing Code: 74177 (CPT)
- CPT Billing Code: 74177
- Insurance Median: $4,500
- Cash Discount Price: $10,527
- vs. Medicare Baseline: 12.63x 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 $356.43 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 1263% of the Medicare baseline (a markup of 1163%). 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 | $396 | 111% |
| Medicaid / KanCare | $404 | 113% |
| Medi-Cal/Eds | $404 | 113% |
| Healthy Families | $404 | 113% |
| Medi-Cal E.R. | $404 | 113% |
| California Childrens Srvs | $404 | 113% |
| Well Path | $404 - $17,545 | 113% |
| Ccs/Monterey County | $404 | 113% |
| Great-West/Phcs | $900 - $12,282 | 253% |
| Health Net Pmg HMO | $900 - $11,001 | 253% |
| Pacificare HMO | $900 - $3,509 | 253% |
| Aetna | $900 - $9,692 | 253% |
| Blue Cross Blue Shield | $900 - $6,507 | 253% |
| Cigna | $900 - $12,282 | 253% |
| Secure Horizons Dign HMO | $900 - $3,509 | 253% |
| Blue Shield HMO | $900 - $3,509 | 253% |
| UnitedHealthcare | $900 - $3,509 | 253% |
| Western Growers Trust/Bc | $1,319 - $8,773 | 370% |
| City of Wats/Pinnacle Clm | $1,319 - $6,507 | 370% |
| Pinnacle Claims Tpa/Bc | $1,319 - $8,773 | 370% |
| Monterey Bay Pub Emp Trst | $1,319 - $6,507 | 370% |
| State Compensation Fund | $1,319 - $6,507 | 370% |
| Claims Management Wc | $1,319 - $6,507 | 370% |
| Operating Engineers | $1,319 - $6,507 | 370% |
| Carpenters H&W Trust | $1,319 - $6,507 | 370% |
| Delta Health Systems | $1,319 - $6,507 | 370% |
| Laborers Health & Welfare | $1,319 - $6,507 | 370% |
| Teamsters Benefit Trust | $1,319 - $6,507 | 370% |
| Robert Kennedy/Ccn | $1,319 - $6,507 | 370% |
| Sheet Metal Workers | $1,319 - $6,507 | 370% |
| Calif Ironworkers Field | $1,319 - $6,507 | 370% |
| Pacificare PPO | $1,525 - $3,100 | 428% |
| Health Net Smartcare Netw | $1,525 - $3,100 | 428% |
| Medicruz | $3,158 | 886% |
| Victim Compensation Plan | $3,158 - $17,545 | 886% |
| Transwestern | $3,200 - $14,036 | 898% |
| Geha (Ccn) | $3,200 - $14,036 | 898% |
| First Health | $3,200 - $14,036 | 898% |
| Adventist Risk Management | $3,200 - $14,036 | 898% |
| Western Health Advantage | $8,773 | 2461% |
| Health Net Canopycare HMO | $10,110 - $11,001 | 2836% |
| Health Net Blue and Gold | $10,110 - $11,001 | 2836% |
| Health Net of California | $10,110 - $11,001 | 2836% |
| Self Pay | $10,527 | 2953% |
| Private Healthcare System | $13,685 | 3839% |
| Multiplan Inc PPO | $13,685 | 3839% |
| Coastal Healthcare Admin | $14,913 - $15,791 | 4184% |
| Salinas Valley Mem Hops | $14,913 | 4184% |
| Zenith National Ins | $17,545 | 4922% |
| Miscellaneous Insurance | $17,545 | 4922% |
| Sutter Health Plus | $17,545 | 4922% |
| North Calif Bakery Driver | $17,545 | 4922% |
| United Administrative | $17,545 | 4922% |
| Prucare Pmg HMO | $17,545 | 4922% |
| Wholesale Beer Distributo | $17,545 | 4922% |
| Apwu Health Plan | $17,545 | 4922% |
| State Farm Ins | $17,545 | 4922% |
| Aarp | $17,545 | 4922% |
| Miscellaneous Auto | $17,545 | 4922% |
| Allstate | $17,545 | 4922% |
| Bankers Life & Casualty | $17,545 | 4922% |
| Physicians Mutual | $17,545 | 4922% |
| Farmers Insurance | $17,545 | 4922% |
| Travelers Insurance | $17,545 | 4922% |
| Humana | $17,545 | 4922% |
| Prucare Pmg POS | $17,545 | 4922% |
| Aaa | $17,545 | 4922% |