CT scan, head (with and without contrast)
Facility: Watsonville Community Hospital
Billing Code: 70470 (CPT)
- CPT Billing Code: 70470
- Insurance Median: $3,800
- Cash Discount Price: $5,102
- vs. Medicare Baseline: 21.21x 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 $179.2 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 2121% of the Medicare baseline (a markup of 2021%). 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 | $223 | 124% |
| California Childrens Srvs | $241 | 134% |
| Medi-Cal E.R. | $241 | 134% |
| Medi-Cal/Eds | $241 | 134% |
| Well Path | $241 - $8,503 | 134% |
| Healthy Families | $241 | 134% |
| Medicaid / KanCare | $241 | 134% |
| Ccs/Monterey County | $241 | 134% |
| Great-West/Phcs | $616 - $5,952 | 344% |
| Blue Cross Blue Shield | $616 - $6,507 | 344% |
| Pacificare HMO | $616 - $3,100 | 344% |
| Blue Shield HMO | $616 - $1,701 | 344% |
| Health Net Pmg HMO | $616 - $5,331 | 344% |
| UnitedHealthcare | $616 - $3,100 | 344% |
| Cigna | $616 - $5,952 | 344% |
| Aetna | $616 - $4,697 | 344% |
| Secure Horizons Dign HMO | $616 - $1,701 | 344% |
| Pinnacle Claims Tpa/Bc | $1,338 - $6,507 | 747% |
| Monterey Bay Pub Emp Trst | $1,338 - $6,507 | 747% |
| Laborers Health & Welfare | $1,338 - $6,507 | 747% |
| Robert Kennedy/Ccn | $1,338 - $6,507 | 747% |
| Carpenters H&W Trust | $1,338 - $6,507 | 747% |
| Western Growers Trust/Bc | $1,338 - $6,507 | 747% |
| City of Wats/Pinnacle Clm | $1,338 - $6,507 | 747% |
| State Compensation Fund | $1,338 - $6,507 | 747% |
| Sheet Metal Workers | $1,338 - $6,507 | 747% |
| Claims Management Wc | $1,338 - $6,507 | 747% |
| Delta Health Systems | $1,338 - $6,507 | 747% |
| Teamsters Benefit Trust | $1,338 - $6,507 | 747% |
| Calif Ironworkers Field | $1,338 - $6,507 | 747% |
| Operating Engineers | $1,338 - $6,507 | 747% |
| Health Net Smartcare Netw | $1,525 - $3,100 | 851% |
| Pacificare PPO | $1,525 - $3,100 | 851% |
| Medicruz | $1,531 | 854% |
| Victim Compensation Plan | $1,531 - $8,503 | 854% |
| Transwestern | $3,200 - $6,802 | 1786% |
| First Health | $3,200 - $6,802 | 1786% |
| Geha (Ccn) | $3,200 - $6,802 | 1786% |
| Adventist Risk Management | $3,200 - $6,802 | 1786% |
| Western Health Advantage | $4,252 | 2373% |
| Self Pay | $5,102 | 2847% |
| Health Net Blue and Gold | $5,331 | 2975% |
| Health Net Canopycare HMO | $5,331 | 2975% |
| Health Net of California | $5,331 | 2975% |
| Multiplan Inc PPO | $6,632 | 3701% |
| Private Healthcare System | $6,632 | 3701% |
| Salinas Valley Mem Hops | $7,228 | 4033% |
| Coastal Healthcare Admin | $7,228 - $7,653 | 4033% |
| Allstate | $8,503 | 4745% |
| Farmers Insurance | $8,503 | 4745% |
| Prucare Pmg HMO | $8,503 | 4745% |
| Zenith National Ins | $8,503 | 4745% |
| Bankers Life & Casualty | $8,503 | 4745% |
| State Farm Ins | $8,503 | 4745% |
| Prucare Pmg POS | $8,503 | 4745% |
| Physicians Mutual | $8,503 | 4745% |
| Travelers Insurance | $8,503 | 4745% |
| Miscellaneous Insurance | $8,503 | 4745% |
| United Administrative | $8,503 | 4745% |
| Humana | $8,503 | 4745% |
| Aaa | $8,503 | 4745% |
| Aarp | $8,503 | 4745% |
| Apwu Health Plan | $8,503 | 4745% |
| Wholesale Beer Distributo | $8,503 | 4745% |
| North Calif Bakery Driver | $8,503 | 4745% |
| Sutter Health Plus | $8,503 | 4745% |
| Miscellaneous Auto | $8,503 | 4745% |