Hip or knee replacement (inpatient stay)
Facility: Watsonville Community Hospital
Billing Code: 470 (MS-DRG)
- CPT Billing Code: 470
- Insurance Median: $21,810
- 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 $14,044.15 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 |
|---|---|---|
| Well Path | $4,420 - $5,525 | 31% |
| Medi-Cal E.R. | $4,420 - $5,525 | 31% |
| Healthy Families | $4,420 - $48,417 | 31% |
| Medi-Cal/Eds | $4,420 - $5,525 | 31% |
| Ccs/Monterey County | $4,420 - $5,525 | 31% |
| Medicaid / KanCare | $4,420 - $5,525 | 31% |
| California Childrens Srvs | $4,420 - $5,525 | 31% |
| Alliance/Sccho | $6,630 - $8,288 | 47% |
| Kemper Group Workers Comp | $21,810 | 155% |
| Gallagher Bassett Svcs | $21,810 | 155% |
| Fireman's Fund Work Comp | $21,810 | 155% |
| Secure Horizons Dign HMO | $21,810 | 155% |
| Blue Shield PPO | $21,810 - $48,417 | 155% |
| Workers Comp | $21,810 | 155% |
| Medicare (plans) | $21,810 | 155% |
| Hartford Workers' Comp | $21,810 | 155% |
| Miscellaneous Work Comp | $21,810 | 155% |
| Tricare | $21,810 | 155% |
| Veterans Administration | $21,810 | 155% |
| Alignment Health Plan | $21,810 | 155% |
| Health Net of California | $21,810 | 155% |
| Liberty Mutual Work Comp | $21,810 | 155% |
| Western Growers Work Comp | $21,810 | 155% |
| Republic Idemnity W/Comp | $21,810 | 155% |
| Secure Horizons | $21,810 | 155% |
| U.S. Dept. of Labor | $21,810 | 155% |
| Pinnacle Healthcare Uc | $21,810 | 155% |
| Ace-Usa | $21,810 | 155% |
| Fleming & Associates | $21,810 | 155% |
| Keenan & Assoc Work Comp | $21,810 | 155% |
| Beta Healthcare Group | $21,810 | 155% |
| UnitedHealthcare | $21,810 | 155% |
| Crawford & Co | $21,810 | 155% |
| Travelers Insurance | $21,810 | 155% |
| Western Growers Trust/Bc | $28,184 | 201% |
| Pinnacle Claims Tpa/Bc | $28,184 | 201% |
| Nx Health Network | $45,800 | 326% |
| Kaiser Northern | $46,891 | 334% |
| Bs Employee | $48,417 | 345% |
| Ufcw/Valley Clerks | $48,417 | 345% |
| United Agriculture | $48,417 | 345% |