Ultrasound, pelvis
Facility: Watsonville Community Hospital
Billing Code: 76856 (CPT)
- CPT Billing Code: 76856
- Insurance Median: $1,950
- Cash Discount Price: $1,950
- vs. Medicare Baseline: 18.26x 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 $106.81 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 1826% of the Medicare baseline (a markup of 1726%). 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 | $92 | 86% |
| Medi-Cal/Eds | $97 | 91% |
| Ccs/Monterey County | $97 | 91% |
| Medicaid / KanCare | $97 | 91% |
| Well Path | $97 - $3,250 | 91% |
| California Childrens Srvs | $97 | 91% |
| Medi-Cal E.R. | $97 | 91% |
| Healthy Families | $97 | 91% |
| Cigna | $133 - $2,275 | 125% |
| Blue Shield HMO | $133 - $650 | 125% |
| Aetna | $133 - $2,665 | 125% |
| Great-West/Phcs | $133 - $2,275 | 125% |
| Health Net Pmg HMO | $133 - $2,038 | 125% |
| Pacificare HMO | $133 - $1,950 | 125% |
| UnitedHealthcare | $133 - $1,950 | 125% |
| Blue Cross Blue Shield | $133 - $2,896 | 125% |
| Secure Horizons Dign HMO | $133 - $650 | 125% |
| Claims Management Wc | $293 - $2,896 | 274% |
| Monterey Bay Pub Emp Trst | $293 - $2,896 | 274% |
| Western Growers Trust/Bc | $293 - $2,896 | 274% |
| State Compensation Fund | $293 - $2,896 | 274% |
| Delta Health Systems | $293 - $2,896 | 274% |
| Pinnacle Claims Tpa/Bc | $293 - $2,896 | 274% |
| Sheet Metal Workers | $293 - $2,896 | 274% |
| Laborers Health & Welfare | $293 - $2,896 | 274% |
| Operating Engineers | $293 - $2,896 | 274% |
| Robert Kennedy/Ccn | $293 - $2,896 | 274% |
| Calif Ironworkers Field | $293 - $2,896 | 274% |
| Teamsters Benefit Trust | $293 - $2,896 | 274% |
| Carpenters H&W Trust | $293 - $2,896 | 274% |
| City of Wats/Pinnacle Clm | $293 - $2,896 | 274% |
| Medicruz | $585 | 548% |
| Victim Compensation Plan | $585 - $3,250 | 548% |
| Health Net Smartcare Netw | $1,525 - $1,950 | 1428% |
| Pacificare PPO | $1,525 - $1,950 | 1428% |
| Western Health Advantage | $1,625 | 1521% |
| Self Pay | $1,950 | 1826% |
| Health Net of California | $2,038 | 1908% |
| Health Net Blue and Gold | $2,038 | 1908% |
| Health Net Canopycare HMO | $2,038 | 1908% |
| Transwestern | $2,275 - $2,600 | 2130% |
| First Health | $2,275 - $2,600 | 2130% |
| Adventist Risk Management | $2,275 - $2,600 | 2130% |
| Geha (Ccn) | $2,275 - $2,600 | 2130% |
| Multiplan Inc PPO | $2,535 | 2373% |
| Private Healthcare System | $2,535 | 2373% |
| Coastal Healthcare Admin | $2,763 - $2,925 | 2587% |
| Salinas Valley Mem Hops | $2,763 | 2587% |
| Miscellaneous Auto | $3,250 | 3043% |
| State Farm Ins | $3,250 | 3043% |
| Aaa | $3,250 | 3043% |
| Zenith National Ins | $3,250 | 3043% |
| Sutter Health Plus | $3,250 | 3043% |
| Humana | $3,250 | 3043% |
| United Administrative | $3,250 | 3043% |
| North Calif Bakery Driver | $3,250 | 3043% |
| Allstate | $3,250 | 3043% |
| Farmers Insurance | $3,250 | 3043% |
| Apwu Health Plan | $3,250 | 3043% |
| Bankers Life & Casualty | $3,250 | 3043% |
| Miscellaneous Insurance | $3,250 | 3043% |
| Travelers Insurance | $3,250 | 3043% |
| Aarp | $3,250 | 3043% |
| Prucare Pmg POS | $3,250 | 3043% |
| Wholesale Beer Distributo | $3,250 | 3043% |
| Physicians Mutual | $3,250 | 3043% |
| Prucare Pmg HMO | $3,250 | 3043% |