CT scan, chest (no contrast)
Facility: Watsonville Community Hospital
Billing Code: 71250 (CPT)
- CPT Billing Code: 71250
- Insurance Median: $3,323
- Cash Discount Price: $3,610
- vs. Medicare Baseline: 31.11x 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 $106.81 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 3111% of the Medicare baseline (a markup of 3011%). 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 | $181 | 169% |
| Healthy Families | $183 | 171% |
| California Childrens Srvs | $183 | 171% |
| Medi-Cal E.R. | $183 | 171% |
| Ccs/Monterey County | $183 | 171% |
| Medi-Cal/Eds | $183 | 171% |
| Well Path | $183 - $6,016 | 171% |
| Medicaid / KanCare | $183 | 171% |
| Great-West/Phcs | $515 - $4,211 | 482% |
| Aetna | $515 - $4,500 | 482% |
| Pacificare HMO | $515 - $3,100 | 482% |
| Blue Shield HMO | $515 - $1,203 | 482% |
| Blue Cross Blue Shield | $515 - $5,360 | 482% |
| Secure Horizons Dign HMO | $515 - $1,203 | 482% |
| Health Net Pmg HMO | $515 - $3,772 | 482% |
| UnitedHealthcare | $515 - $3,100 | 482% |
| Cigna | $515 - $4,211 | 482% |
| Medicruz | $1,083 | 1014% |
| Victim Compensation Plan | $1,083 - $6,016 | 1014% |
| City of Wats/Pinnacle Clm | $1,119 - $5,360 | 1048% |
| Operating Engineers | $1,119 - $5,360 | 1048% |
| Pinnacle Claims Tpa/Bc | $1,119 - $5,360 | 1048% |
| Western Growers Trust/Bc | $1,119 - $5,360 | 1048% |
| Robert Kennedy/Ccn | $1,119 - $5,360 | 1048% |
| Calif Ironworkers Field | $1,119 - $5,360 | 1048% |
| Carpenters H&W Trust | $1,119 - $5,360 | 1048% |
| Teamsters Benefit Trust | $1,119 - $5,360 | 1048% |
| Laborers Health & Welfare | $1,119 - $5,360 | 1048% |
| Claims Management Wc | $1,119 - $5,360 | 1048% |
| Monterey Bay Pub Emp Trst | $1,119 - $5,360 | 1048% |
| State Compensation Fund | $1,119 - $5,360 | 1048% |
| Sheet Metal Workers | $1,119 - $5,360 | 1048% |
| Delta Health Systems | $1,119 - $5,360 | 1048% |
| Health Net Smartcare Netw | $1,525 - $3,100 | 1428% |
| Pacificare PPO | $1,525 - $3,100 | 1428% |
| Western Health Advantage | $3,008 | 2816% |
| Adventist Risk Management | $3,200 - $4,813 | 2996% |
| Transwestern | $3,200 - $4,813 | 2996% |
| Geha (Ccn) | $3,200 - $4,813 | 2996% |
| First Health | $3,200 - $4,813 | 2996% |
| Self Pay | $3,610 | 3380% |
| Health Net Canopycare HMO | $3,772 | 3532% |
| Health Net Blue and Gold | $3,772 | 3532% |
| Health Net of California | $3,772 | 3532% |
| Multiplan Inc PPO | $4,693 | 4394% |
| Private Healthcare System | $4,693 | 4394% |
| Coastal Healthcare Admin | $5,114 - $5,415 | 4788% |
| Salinas Valley Mem Hops | $5,114 | 4788% |
| Apwu Health Plan | $6,016 | 5632% |
| Allstate | $6,016 | 5632% |
| Bankers Life & Casualty | $6,016 | 5632% |
| Farmers Insurance | $6,016 | 5632% |
| Prucare Pmg POS | $6,016 | 5632% |
| Sutter Health Plus | $6,016 | 5632% |
| Wholesale Beer Distributo | $6,016 | 5632% |
| United Administrative | $6,016 | 5632% |
| Travelers Insurance | $6,016 | 5632% |
| Physicians Mutual | $6,016 | 5632% |
| Zenith National Ins | $6,016 | 5632% |
| Aaa | $6,016 | 5632% |
| Prucare Pmg HMO | $6,016 | 5632% |
| State Farm Ins | $6,016 | 5632% |
| North Calif Bakery Driver | $6,016 | 5632% |
| Miscellaneous Insurance | $6,016 | 5632% |
| Aarp | $6,016 | 5632% |
| Miscellaneous Auto | $6,016 | 5632% |
| Humana | $6,016 | 5632% |