Diagnostic procedure preparation
Facility: Watsonville Community Hospital
Billing Code: G0279 (HCPCS)
- CPT Billing Code: G0279
- Insurance Median: $193
- Cash Discount Price: $558
- vs. Medicare Baseline: 4.78x 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 $40.41 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 478% of the Medicare baseline (a markup of 378%). 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 |
|---|---|---|
| Secure Horizons Dign HMO | $16 - $331 | 40% |
| Health Net of California | $16 - $1,037 | 40% |
| UnitedHealthcare | $16 - $992 | 40% |
| Medicare (plans) | $16 | 40% |
| Alignment Health Plan | $16 | 40% |
| Secure Horizons | $16 | 40% |
| Medicruz | $37 - $298 | 92% |
| Victim Compensation Plan | $37 - $1,653 | 92% |
| Great-West/Phcs | $41 - $1,157 | 101% |
| Aetna | $41 - $1,356 | 101% |
| Pacificare HMO | $41 - $992 | 101% |
| Blue Shield HMO | $41 - $331 | 101% |
| Blue Cross Blue Shield | $41 - $1,473 | 101% |
| Cigna | $41 - $1,157 | 101% |
| Health Net Pmg HMO | $41 - $1,037 | 101% |
| Alliance/Sccho | $44 | 109% |
| Healthy Families | $68 | 168% |
| Medicaid / KanCare | $68 | 168% |
| Medi-Cal/Eds | $68 | 168% |
| Medi-Cal E.R. | $68 | 168% |
| Ccs/Monterey County | $68 | 168% |
| California Childrens Srvs | $68 | 168% |
| Well Path | $68 - $1,653 | 168% |
| Pinnacle Claims Tpa/Bc | $82 - $1,473 | 203% |
| Western Growers Trust/Bc | $82 - $1,473 | 203% |
| Kaiser Northern | $92 | 228% |
| Western Health Advantage | $103 - $827 | 255% |
| Self Pay | $123 - $992 | 304% |
| Health Net Smartcare Netw | $123 - $992 | 304% |
| Pacificare PPO | $123 - $992 | 304% |
| Health Net Blue and Gold | $129 - $1,037 | 319% |
| Health Net Canopycare HMO | $129 - $1,037 | 319% |
| Adventist Risk Management | $144 - $1,323 | 356% |
| Geha (Ccn) | $144 - $1,323 | 356% |
| First Health | $144 - $1,323 | 356% |
| Transwestern | $144 - $1,323 | 356% |
| Private Healthcare System | $160 - $1,290 | 396% |
| Multiplan Inc PPO | $160 - $1,290 | 396% |
| Salinas Valley Mem Hops | $175 - $1,405 | 433% |
| Coastal Healthcare Admin | $175 - $1,488 | 433% |
| City of Wats/Pinnacle Clm | $178 - $1,473 | 440% |
| Teamsters Benefit Trust | $178 - $1,473 | 440% |
| Monterey Bay Pub Emp Trst | $178 - $1,473 | 440% |
| Calif Ironworkers Field | $178 - $1,473 | 440% |
| Robert Kennedy/Ccn | $178 - $1,473 | 440% |
| Delta Health Systems | $178 - $1,473 | 440% |
| Sheet Metal Workers | $178 - $1,473 | 440% |
| Carpenters H&W Trust | $178 - $1,473 | 440% |
| Operating Engineers | $178 - $1,473 | 440% |
| State Compensation Fund | $178 - $1,473 | 440% |
| Laborers Health & Welfare | $178 - $1,473 | 440% |
| Claims Management Wc | $178 - $1,473 | 440% |
| Aaa | $206 - $1,653 | 510% |
| Allstate | $206 - $1,653 | 510% |
| Prucare Pmg POS | $206 - $1,653 | 510% |
| Zenith National Ins | $206 - $1,653 | 510% |
| Aarp | $206 - $1,653 | 510% |
| Miscellaneous Insurance | $206 - $1,653 | 510% |
| Wholesale Beer Distributo | $206 - $1,653 | 510% |
| Apwu Health Plan | $206 - $1,653 | 510% |
| Miscellaneous Auto | $206 - $1,653 | 510% |
| Physicians Mutual | $206 - $1,653 | 510% |
| Bankers Life & Casualty | $206 - $1,653 | 510% |
| Farmers Insurance | $206 - $1,653 | 510% |
| United Administrative | $206 - $1,653 | 510% |
| Humana | $206 - $1,653 | 510% |
| North Calif Bakery Driver | $206 - $1,653 | 510% |
| State Farm Ins | $206 - $1,653 | 510% |
| Prucare Pmg HMO | $206 - $1,653 | 510% |
| Sutter Health Plus | $206 - $1,653 | 510% |
| Travelers Insurance | $206 - $1,653 | 510% |