CT scan, sinuses
Facility: Watsonville Community Hospital
Billing Code: 70486 (CPT)
- CPT Billing Code: 70486
- Insurance Median: $3,500
- Cash Discount Price: $3,924
- vs. Medicare Baseline: 32.77x 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 3277% of the Medicare baseline (a markup of 3177%). 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 | $171 | 160% |
| California Childrens Srvs | $177 | 166% |
| Healthy Families | $177 | 166% |
| Medicaid / KanCare | $177 | 166% |
| Medi-Cal/Eds | $177 | 166% |
| Well Path | $177 - $6,540 | 166% |
| Medi-Cal E.R. | $177 | 166% |
| Ccs/Monterey County | $177 | 166% |
| Cigna | $411 - $4,578 | 385% |
| Blue Cross Blue Shield | $411 - $5,827 | 385% |
| Blue Shield HMO | $411 - $1,308 | 385% |
| Great-West/Phcs | $411 - $4,578 | 385% |
| Pacificare HMO | $411 - $3,100 | 385% |
| Aetna | $411 - $4,500 | 385% |
| Secure Horizons Dign HMO | $411 - $1,308 | 385% |
| Health Net Pmg HMO | $411 - $4,101 | 385% |
| UnitedHealthcare | $411 - $3,100 | 385% |
| Operating Engineers | $897 - $5,827 | 840% |
| City of Wats/Pinnacle Clm | $897 - $5,827 | 840% |
| Carpenters H&W Trust | $897 - $5,827 | 840% |
| Teamsters Benefit Trust | $897 - $5,827 | 840% |
| Claims Management Wc | $897 - $5,827 | 840% |
| Calif Ironworkers Field | $897 - $5,827 | 840% |
| Western Growers Trust/Bc | $897 - $5,827 | 840% |
| Pinnacle Claims Tpa/Bc | $897 - $5,827 | 840% |
| Monterey Bay Pub Emp Trst | $897 - $5,827 | 840% |
| Robert Kennedy/Ccn | $897 - $5,827 | 840% |
| Laborers Health & Welfare | $897 - $5,827 | 840% |
| Delta Health Systems | $897 - $5,827 | 840% |
| State Compensation Fund | $897 - $5,827 | 840% |
| Sheet Metal Workers | $897 - $5,827 | 840% |
| Medicruz | $1,177 | 1102% |
| Victim Compensation Plan | $1,177 - $6,540 | 1102% |
| Health Net Smartcare Netw | $1,525 - $3,100 | 1428% |
| Pacificare PPO | $1,525 - $3,100 | 1428% |
| Adventist Risk Management | $3,200 - $5,232 | 2996% |
| First Health | $3,200 - $5,232 | 2996% |
| Transwestern | $3,200 - $5,232 | 2996% |
| Geha (Ccn) | $3,200 - $5,232 | 2996% |
| Western Health Advantage | $3,270 | 3062% |
| Self Pay | $3,924 | 3674% |
| Health Net of California | $4,101 | 3840% |
| Health Net Blue and Gold | $4,101 | 3840% |
| Health Net Canopycare HMO | $4,101 | 3840% |
| Multiplan Inc PPO | $5,102 | 4777% |
| Private Healthcare System | $5,102 | 4777% |
| Salinas Valley Mem Hops | $5,559 | 5205% |
| Coastal Healthcare Admin | $5,559 - $5,886 | 5205% |
| State Farm Ins | $6,540 | 6123% |
| Aaa | $6,540 | 6123% |
| Physicians Mutual | $6,540 | 6123% |
| Apwu Health Plan | $6,540 | 6123% |
| Miscellaneous Insurance | $6,540 | 6123% |
| Miscellaneous Auto | $6,540 | 6123% |
| Humana | $6,540 | 6123% |
| Bankers Life & Casualty | $6,540 | 6123% |
| Prucare Pmg POS | $6,540 | 6123% |
| Allstate | $6,540 | 6123% |
| Sutter Health Plus | $6,540 | 6123% |
| Zenith National Ins | $6,540 | 6123% |
| Wholesale Beer Distributo | $6,540 | 6123% |
| Travelers Insurance | $6,540 | 6123% |
| United Administrative | $6,540 | 6123% |
| North Calif Bakery Driver | $6,540 | 6123% |
| Aarp | $6,540 | 6123% |
| Prucare Pmg HMO | $6,540 | 6123% |
| Farmers Insurance | $6,540 | 6123% |