CT scan, neck (cervical spine)
Facility: Watsonville Community Hospital
Billing Code: 72125 (CPT)
- CPT Billing Code: 72125
- Insurance Median: $3,800
- Cash Discount Price: $5,666
- vs. Medicare Baseline: 35.58x 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 3558% of the Medicare baseline (a markup of 3458%). 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 | $175 | 164% |
| California Childrens Srvs | $179 | 168% |
| Well Path | $179 - $9,443 | 168% |
| Medi-Cal E.R. | $179 | 168% |
| Medi-Cal/Eds | $179 | 168% |
| Healthy Families | $179 | 168% |
| Medicaid / KanCare | $179 | 168% |
| Ccs/Monterey County | $179 | 168% |
| Health Net Pmg HMO | $515 - $5,921 | 482% |
| Blue Cross Blue Shield | $515 - $6,507 | 482% |
| Aetna | $515 - $5,216 | 482% |
| Secure Horizons Dign HMO | $515 - $1,889 | 482% |
| Pacificare HMO | $515 - $3,100 | 482% |
| Blue Shield HMO | $515 - $1,889 | 482% |
| Cigna | $515 - $6,610 | 482% |
| Great-West/Phcs | $515 - $6,610 | 482% |
| UnitedHealthcare | $515 - $3,100 | 482% |
| Operating Engineers | $1,119 - $6,507 | 1048% |
| Claims Management Wc | $1,119 - $6,507 | 1048% |
| City of Wats/Pinnacle Clm | $1,119 - $6,507 | 1048% |
| Monterey Bay Pub Emp Trst | $1,119 - $6,507 | 1048% |
| Teamsters Benefit Trust | $1,119 - $6,507 | 1048% |
| State Compensation Fund | $1,119 - $6,507 | 1048% |
| Delta Health Systems | $1,119 - $6,507 | 1048% |
| Sheet Metal Workers | $1,119 - $6,507 | 1048% |
| Pinnacle Claims Tpa/Bc | $1,119 - $6,507 | 1048% |
| Calif Ironworkers Field | $1,119 - $6,507 | 1048% |
| Laborers Health & Welfare | $1,119 - $6,507 | 1048% |
| Robert Kennedy/Ccn | $1,119 - $6,507 | 1048% |
| Carpenters H&W Trust | $1,119 - $6,507 | 1048% |
| Western Growers Trust/Bc | $1,119 - $6,507 | 1048% |
| Health Net Smartcare Netw | $1,525 - $3,100 | 1428% |
| Pacificare PPO | $1,525 - $3,100 | 1428% |
| Victim Compensation Plan | $1,700 - $9,443 | 1592% |
| Medicruz | $1,700 | 1592% |
| Transwestern | $3,200 - $7,554 | 2996% |
| Adventist Risk Management | $3,200 - $7,554 | 2996% |
| First Health | $3,200 - $7,554 | 2996% |
| Geha (Ccn) | $3,200 - $7,554 | 2996% |
| Western Health Advantage | $4,721 | 4420% |
| Self Pay | $5,666 | 5305% |
| Health Net Canopycare HMO | $5,921 | 5543% |
| Health Net of California | $5,921 | 5543% |
| Health Net Blue and Gold | $5,921 | 5543% |
| Multiplan Inc PPO | $7,365 | 6895% |
| Private Healthcare System | $7,365 | 6895% |
| Salinas Valley Mem Hops | $8,026 | 7514% |
| Coastal Healthcare Admin | $8,026 - $8,499 | 7514% |
| Travelers Insurance | $9,443 | 8841% |
| North Calif Bakery Driver | $9,443 | 8841% |
| Aaa | $9,443 | 8841% |
| Prucare Pmg POS | $9,443 | 8841% |
| Miscellaneous Insurance | $9,443 | 8841% |
| Aarp | $9,443 | 8841% |
| Sutter Health Plus | $9,443 | 8841% |
| Prucare Pmg HMO | $9,443 | 8841% |
| Bankers Life & Casualty | $9,443 | 8841% |
| Allstate | $9,443 | 8841% |
| Apwu Health Plan | $9,443 | 8841% |
| Miscellaneous Auto | $9,443 | 8841% |
| Farmers Insurance | $9,443 | 8841% |
| Physicians Mutual | $9,443 | 8841% |
| Humana | $9,443 | 8841% |
| Wholesale Beer Distributo | $9,443 | 8841% |
| Zenith National Ins | $9,443 | 8841% |
| State Farm Ins | $9,443 | 8841% |
| United Administrative | $9,443 | 8841% |