MRI, brain (with and without contrast)
Facility: Watsonville Community Hospital
Billing Code: 70553 (CPT)
- CPT Billing Code: 70553
- Insurance Median: $4,160
- Cash Discount Price: $4,713
- vs. Medicare Baseline: 11.67x 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 $356.43 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 1167% of the Medicare baseline (a markup of 1067%). 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 | $431 | 121% |
| California Childrens Srvs | $446 | 125% |
| Medicaid / KanCare | $446 | 125% |
| Medi-Cal E.R. | $446 | 125% |
| Healthy Families | $446 | 125% |
| Ccs/Monterey County | $446 | 125% |
| Medi-Cal/Eds | $446 | 125% |
| Well Path | $446 - $7,854 | 125% |
| Secure Horizons Dign HMO | $946 - $1,571 | 265% |
| Blue Cross Blue Shield | $946 - $6,507 | 265% |
| Blue Shield HMO | $946 - $1,571 | 265% |
| Cigna | $946 - $5,498 | 265% |
| Pacificare HMO | $946 - $3,100 | 265% |
| Health Net Pmg HMO | $946 - $4,925 | 265% |
| Great-West/Phcs | $946 - $5,498 | 265% |
| Aetna | $946 - $4,500 | 265% |
| UnitedHealthcare | $946 - $3,100 | 265% |
| Victim Compensation Plan | $1,414 - $7,854 | 397% |
| Medicruz | $1,414 | 397% |
| Pacificare PPO | $1,525 - $3,100 | 428% |
| Health Net Smartcare Netw | $1,525 - $3,100 | 428% |
| Pinnacle Claims Tpa/Bc | $3,142 - $6,507 | 882% |
| Western Growers Trust/Bc | $3,142 - $6,507 | 882% |
| Geha (Ccn) | $3,200 - $6,283 | 898% |
| First Health | $3,200 - $6,283 | 898% |
| Transwestern | $3,200 - $6,283 | 898% |
| Adventist Risk Management | $3,200 - $6,283 | 898% |
| Western Health Advantage | $3,927 | 1102% |
| Delta Health Systems | $4,160 - $6,507 | 1167% |
| State Compensation Fund | $4,160 - $6,507 | 1167% |
| Sheet Metal Workers | $4,160 - $6,507 | 1167% |
| Claims Management Wc | $4,160 - $6,507 | 1167% |
| Operating Engineers | $4,160 - $6,507 | 1167% |
| Carpenters H&W Trust | $4,160 - $6,507 | 1167% |
| City of Wats/Pinnacle Clm | $4,160 - $6,507 | 1167% |
| Robert Kennedy/Ccn | $4,160 - $6,507 | 1167% |
| Monterey Bay Pub Emp Trst | $4,160 - $6,507 | 1167% |
| Laborers Health & Welfare | $4,160 - $6,507 | 1167% |
| Teamsters Benefit Trust | $4,160 - $6,507 | 1167% |
| Calif Ironworkers Field | $4,160 - $6,507 | 1167% |
| Self Pay | $4,713 | 1322% |
| Health Net Canopycare HMO | $4,925 | 1382% |
| Health Net Blue and Gold | $4,925 | 1382% |
| Health Net of California | $4,925 | 1382% |
| Private Healthcare System | $6,126 | 1719% |
| Multiplan Inc PPO | $6,126 | 1719% |
| Coastal Healthcare Admin | $6,676 - $7,069 | 1873% |
| Salinas Valley Mem Hops | $6,676 | 1873% |
| Wholesale Beer Distributo | $7,854 | 2204% |
| Farmers Insurance | $7,854 | 2204% |
| Apwu Health Plan | $7,854 | 2204% |
| Physicians Mutual | $7,854 | 2204% |
| Aaa | $7,854 | 2204% |
| State Farm Ins | $7,854 | 2204% |
| Prucare Pmg HMO | $7,854 | 2204% |
| Aarp | $7,854 | 2204% |
| Humana | $7,854 | 2204% |
| Miscellaneous Insurance | $7,854 | 2204% |
| Prucare Pmg POS | $7,854 | 2204% |
| Travelers Insurance | $7,854 | 2204% |
| Allstate | $7,854 | 2204% |
| Zenith National Ins | $7,854 | 2204% |
| United Administrative | $7,854 | 2204% |
| Miscellaneous Auto | $7,854 | 2204% |
| Bankers Life & Casualty | $7,854 | 2204% |
| North Calif Bakery Driver | $7,854 | 2204% |
| Sutter Health Plus | $7,854 | 2204% |