CT scan, head (with contrast)
Facility: Watsonville Community Hospital
Billing Code: 70460 (CPT)
- CPT Billing Code: 70460
- Insurance Median: $3,800
- Cash Discount Price: $4,844
- 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 | $187 | 104% |
| Ccs/Monterey County | $205 | 114% |
| Medi-Cal/Eds | $205 | 114% |
| Medi-Cal E.R. | $205 | 114% |
| Well Path | $205 - $8,073 | 114% |
| California Childrens Srvs | $205 | 114% |
| Healthy Families | $205 | 114% |
| Medicaid / KanCare | $205 | 114% |
| Cigna | $494 - $5,651 | 276% |
| Aetna | $494 - $4,500 | 276% |
| Blue Cross Blue Shield | $494 - $6,507 | 276% |
| UnitedHealthcare | $494 - $3,100 | 276% |
| Pacificare HMO | $494 - $3,100 | 276% |
| Blue Shield HMO | $494 - $1,615 | 276% |
| Great-West/Phcs | $494 - $5,651 | 276% |
| Health Net Pmg HMO | $494 - $5,062 | 276% |
| Secure Horizons Dign HMO | $494 - $1,615 | 276% |
| Robert Kennedy/Ccn | $1,072 - $6,507 | 598% |
| Claims Management Wc | $1,072 - $6,507 | 598% |
| Delta Health Systems | $1,072 - $6,507 | 598% |
| Pinnacle Claims Tpa/Bc | $1,072 - $6,507 | 598% |
| Monterey Bay Pub Emp Trst | $1,072 - $6,507 | 598% |
| Western Growers Trust/Bc | $1,072 - $6,507 | 598% |
| City of Wats/Pinnacle Clm | $1,072 - $6,507 | 598% |
| Laborers Health & Welfare | $1,072 - $6,507 | 598% |
| Calif Ironworkers Field | $1,072 - $6,507 | 598% |
| Operating Engineers | $1,072 - $6,507 | 598% |
| State Compensation Fund | $1,072 - $6,507 | 598% |
| Sheet Metal Workers | $1,072 - $6,507 | 598% |
| Teamsters Benefit Trust | $1,072 - $6,507 | 598% |
| Carpenters H&W Trust | $1,072 - $6,507 | 598% |
| Medicruz | $1,453 | 811% |
| Victim Compensation Plan | $1,453 - $8,073 | 811% |
| Health Net Smartcare Netw | $1,525 - $3,100 | 851% |
| Pacificare PPO | $1,525 - $3,100 | 851% |
| First Health | $3,200 - $6,458 | 1786% |
| Transwestern | $3,200 - $6,458 | 1786% |
| Geha (Ccn) | $3,200 - $6,458 | 1786% |
| Adventist Risk Management | $3,200 - $6,458 | 1786% |
| Western Health Advantage | $4,036 | 2252% |
| Self Pay | $4,844 | 2703% |
| Health Net Blue and Gold | $5,062 | 2825% |
| Health Net Canopycare HMO | $5,062 | 2825% |
| Health Net of California | $5,062 | 2825% |
| Multiplan Inc PPO | $6,297 | 3514% |
| Private Healthcare System | $6,297 | 3514% |
| Coastal Healthcare Admin | $6,862 - $7,266 | 3829% |
| Salinas Valley Mem Hops | $6,862 | 3829% |
| Prucare Pmg POS | $8,073 | 4505% |
| Aaa | $8,073 | 4505% |
| North Calif Bakery Driver | $8,073 | 4505% |
| Allstate | $8,073 | 4505% |
| Zenith National Ins | $8,073 | 4505% |
| Wholesale Beer Distributo | $8,073 | 4505% |
| Bankers Life & Casualty | $8,073 | 4505% |
| Physicians Mutual | $8,073 | 4505% |
| Farmers Insurance | $8,073 | 4505% |
| Miscellaneous Auto | $8,073 | 4505% |
| United Administrative | $8,073 | 4505% |
| State Farm Ins | $8,073 | 4505% |
| Apwu Health Plan | $8,073 | 4505% |
| Miscellaneous Insurance | $8,073 | 4505% |
| Sutter Health Plus | $8,073 | 4505% |
| Humana | $8,073 | 4505% |
| Prucare Pmg HMO | $8,073 | 4505% |
| Travelers Insurance | $8,073 | 4505% |
| Aarp | $8,073 | 4505% |