Digestive disorders treatment (inpatient stay)
Facility: Watsonville Community Hospital
Billing Code: 392 (MS-DRG)
- CPT Billing Code: 392
- Insurance Median: $8,815
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.55x 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 $5,675.87 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.
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 |
|---|---|---|
| Alignment Health Plan | $8,815 | 155% |
| Beta Healthcare Group | $8,815 | 155% |
| Tricare | $8,815 | 155% |
| Medicare (plans) | $8,815 | 155% |
| UnitedHealthcare | $8,815 | 155% |
| Miscellaneous Work Comp | $8,815 | 155% |
| Health Net of California | $8,815 | 155% |
| Keenan & Assoc Work Comp | $8,815 | 155% |
| Fireman's Fund Work Comp | $8,815 | 155% |
| Veterans Administration | $8,815 | 155% |
| Secure Horizons Dign HMO | $8,815 | 155% |
| Ace-Usa | $8,815 | 155% |
| Western Growers Work Comp | $8,815 | 155% |
| Workers Comp | $8,815 | 155% |
| Crawford & Co | $8,815 | 155% |
| Secure Horizons | $8,815 | 155% |
| Gallagher Bassett Svcs | $8,815 | 155% |
| Hartford Workers' Comp | $8,815 | 155% |
| U.S. Dept. of Labor | $8,815 | 155% |
| Pinnacle Healthcare Uc | $8,815 | 155% |
| Kemper Group Workers Comp | $8,815 | 155% |
| Liberty Mutual Work Comp | $8,815 | 155% |
| Republic Idemnity W/Comp | $8,815 | 155% |
| Fleming & Associates | $8,815 | 155% |
| Travelers Insurance | $8,815 | 155% |
| Blue Shield PPO | $8,815 - $19,569 | 155% |
| Western Growers Trust/Bc | $9,018 | 159% |
| Pinnacle Claims Tpa/Bc | $9,018 | 159% |
| Nx Health Network | $18,511 | 326% |
| Kaiser Northern | $18,952 | 334% |
| United Agriculture | $19,569 | 345% |
| Healthy Families | $19,569 | 345% |
| Bs Employee | $19,569 | 345% |
| Ufcw/Valley Clerks | $19,569 | 345% |