CMS Price Transparency Data
Injection procedure for pain management
Facility: Watsonville Community Hospital
Billing Code: G0260 (HCPCS)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: G0260
- Insurance Median: $887
- Cash Discount Price: $614
- vs. Medicare Baseline: 1.23x Medicare
The contracted insurance negotiated median rate for a Injection procedure for pain management at Watsonville Community Hospital is $887. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $614. Compared to the federal Medicare reimbursement reference rate of $721.17, this hospital’s rate is 1.23x the Medicare baseline. Located in 75 Nielson Street, Watsonville, CA.
Cash / Self-Pay
$614
Average discount available for prompt cash payment at this facility.
Insurance Median
$887
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$721.17
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $721.17 (100%)
Cash / Self-Pay: $614 (85%)
Insurance Median: $887 (123%)
Cash: $614 (85% of Medicare)
Ins. Median: $887 (123% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $721.17 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Victim Compensation Plan | $184 - $1,023 | 26% |
| Medicruz | $184 | 26% |
| Health Net Pmg HMO | $205 - $642 | 28% |
| Secure Horizons Dign HMO | $205 | 28% |
| Great-West/Phcs | $205 - $716 | 28% |
| Blue Cross Blue Shield | $205 - $4,549 | 28% |
| Blue Shield HMO | $205 | 28% |
| Aetna | $205 - $3,542 | 28% |
| Cigna | $205 - $716 | 28% |
| Pacificare HMO | $205 - $614 | 28% |
| UnitedHealthcare | $205 - $614 | 28% |
| Western Growers Trust/Bc | $409 - $4,549 | 57% |
| Pinnacle Claims Tpa/Bc | $409 - $4,549 | 57% |
| Western Health Advantage | $512 | 71% |
| Pacificare PPO | $614 | 85% |
| Health Net Smartcare Netw | $614 | 85% |
| Self Pay | $614 | 85% |
| Health Net Canopycare HMO | $642 | 89% |
| Health Net Blue and Gold | $642 | 89% |
| Health Net of California | $642 | 89% |
| Transwestern | $716 - $819 | 99% |
| Geha (Ccn) | $716 - $819 | 99% |
| First Health | $716 - $819 | 99% |
| Adventist Risk Management | $716 - $819 | 99% |
| Multiplan Inc PPO | $798 | 111% |
| Private Healthcare System | $798 | 111% |
| Coastal Healthcare Admin | $870 - $921 | 121% |
| Salinas Valley Mem Hops | $870 | 121% |
| Monterey Bay Pub Emp Trst | $887 - $4,549 | 123% |
| Teamsters Benefit Trust | $887 - $4,549 | 123% |
| Sheet Metal Workers | $887 - $4,549 | 123% |
| State Compensation Fund | $887 - $4,549 | 123% |
| Calif Ironworkers Field | $887 - $4,549 | 123% |
| Laborers Health & Welfare | $887 - $4,549 | 123% |
| Carpenters H&W Trust | $887 - $4,549 | 123% |
| Delta Health Systems | $887 - $4,549 | 123% |
| Operating Engineers | $887 - $4,549 | 123% |
| City of Wats/Pinnacle Clm | $887 - $4,549 | 123% |
| Robert Kennedy/Ccn | $887 - $4,549 | 123% |
| Claims Management Wc | $887 - $4,549 | 123% |
| Miscellaneous Auto | $1,023 | 142% |
| North Calif Bakery Driver | $1,023 | 142% |
| Prucare Pmg HMO | $1,023 | 142% |
| Miscellaneous Insurance | $1,023 | 142% |
| State Farm Ins | $1,023 | 142% |
| Allstate | $1,023 | 142% |
| Farmers Insurance | $1,023 | 142% |
| Prucare Pmg POS | $1,023 | 142% |
| Travelers Insurance | $1,023 | 142% |
| Sutter Health Plus | $1,023 | 142% |
| Bankers Life & Casualty | $1,023 | 142% |
| United Administrative | $1,023 | 142% |
| Humana | $1,023 | 142% |
| Apwu Health Plan | $1,023 | 142% |
| Aaa | $1,023 | 142% |
| Wholesale Beer Distributo | $1,023 | 142% |
| Zenith National Ins | $1,023 | 142% |
| Well Path | $1,023 | 142% |
| Aarp | $1,023 | 142% |
| Physicians Mutual | $1,023 | 142% |