X-ray, ankle
Facility: Watsonville Community Hospital
Billing Code: 73610 (CPT)
- CPT Billing Code: 73610
- Insurance Median: $1,248
- Cash Discount Price: $1,041
- vs. Medicare Baseline: 14.04x 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 $88.91 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 1404% of the Medicare baseline (a markup of 1304%). 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 |
|---|---|---|
| Well Path | $36 - $1,990 | 40% |
| Healthy Families | $36 | 40% |
| Medi-Cal/Eds | $36 | 40% |
| Medi-Cal E.R. | $36 | 40% |
| Alliance/Sccho | $36 | 40% |
| Medicaid / KanCare | $36 | 40% |
| Ccs/Monterey County | $36 | 40% |
| California Childrens Srvs | $36 | 40% |
| Aetna | $46 - $1,632 | 52% |
| Health Net Pmg HMO | $46 - $1,248 | 52% |
| Cigna | $46 - $1,393 | 52% |
| Secure Horizons Dign HMO | $46 - $398 | 52% |
| Blue Cross Blue Shield | $46 - $1,773 | 52% |
| UnitedHealthcare | $46 - $1,194 | 52% |
| Great-West/Phcs | $46 - $1,393 | 52% |
| Blue Shield HMO | $46 - $398 | 52% |
| Pacificare HMO | $46 - $1,194 | 52% |
| Teamsters Benefit Trust | $101 - $1,773 | 114% |
| Robert Kennedy/Ccn | $101 - $1,773 | 114% |
| Calif Ironworkers Field | $101 - $1,773 | 114% |
| State Compensation Fund | $101 - $1,773 | 114% |
| Delta Health Systems | $101 - $1,773 | 114% |
| Operating Engineers | $101 - $1,773 | 114% |
| Carpenters H&W Trust | $101 - $1,773 | 114% |
| Laborers Health & Welfare | $101 - $1,773 | 114% |
| City of Wats/Pinnacle Clm | $101 - $1,773 | 114% |
| Pinnacle Claims Tpa/Bc | $101 - $1,773 | 114% |
| Claims Management Wc | $101 - $1,773 | 114% |
| Western Growers Trust/Bc | $101 - $1,773 | 114% |
| Monterey Bay Pub Emp Trst | $101 - $1,773 | 114% |
| Sheet Metal Workers | $101 - $1,773 | 114% |
| Victim Compensation Plan | $266 - $1,990 | 299% |
| Medicruz | $266 - $358 | 299% |
| Western Health Advantage | $739 - $995 | 831% |
| Health Net Smartcare Netw | $887 - $1,194 | 998% |
| Self Pay | $887 - $1,194 | 998% |
| Pacificare PPO | $887 - $1,194 | 998% |
| Health Net Blue and Gold | $927 - $1,248 | 1043% |
| Health Net Canopycare HMO | $927 - $1,248 | 1043% |
| Health Net of California | $927 - $1,248 | 1043% |
| First Health | $1,035 - $1,592 | 1164% |
| Geha (Ccn) | $1,035 - $1,592 | 1164% |
| Adventist Risk Management | $1,035 - $1,592 | 1164% |
| Transwestern | $1,035 - $1,592 | 1164% |
| Multiplan Inc PPO | $1,153 - $1,552 | 1297% |
| Private Healthcare System | $1,153 - $1,552 | 1297% |
| Salinas Valley Mem Hops | $1,256 - $1,692 | 1413% |
| Coastal Healthcare Admin | $1,256 - $1,791 | 1413% |
| State Farm Ins | $1,478 - $1,990 | 1662% |
| Bankers Life & Casualty | $1,478 - $1,990 | 1662% |
| Apwu Health Plan | $1,478 - $1,990 | 1662% |
| Physicians Mutual | $1,478 - $1,990 | 1662% |
| Sutter Health Plus | $1,478 - $1,990 | 1662% |
| Zenith National Ins | $1,478 - $1,990 | 1662% |
| North Calif Bakery Driver | $1,478 - $1,990 | 1662% |
| Travelers Insurance | $1,478 - $1,990 | 1662% |
| Aaa | $1,478 - $1,990 | 1662% |
| Prucare Pmg POS | $1,478 - $1,990 | 1662% |
| Farmers Insurance | $1,478 - $1,990 | 1662% |
| Wholesale Beer Distributo | $1,478 - $1,990 | 1662% |
| United Administrative | $1,478 - $1,990 | 1662% |
| Miscellaneous Auto | $1,478 - $1,990 | 1662% |
| Allstate | $1,478 - $1,990 | 1662% |
| Miscellaneous Insurance | $1,478 - $1,990 | 1662% |
| Prucare Pmg HMO | $1,478 - $1,990 | 1662% |
| Aarp | $1,478 - $1,990 | 1662% |
| Humana | $1,478 - $1,990 | 1662% |