X-ray, chest (single view)
Facility: Watsonville Community Hospital
Billing Code: 71045 (CPT)
- CPT Billing Code: 71045
- Insurance Median: $691
- Cash Discount Price: $662
- vs. Medicare Baseline: 7.77x 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 777% of the Medicare baseline (a markup of 677%). 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 | $19 | 21% |
| Healthy Families | $25 | 28% |
| California Childrens Srvs | $25 | 28% |
| Ccs/Monterey County | $25 | 28% |
| Medicaid / KanCare | $25 | 28% |
| Medi-Cal E.R. | $25 | 28% |
| Well Path | $25 - $1,103 | 28% |
| Medi-Cal/Eds | $25 | 28% |
| Secure Horizons Dign HMO | $41 - $221 | 46% |
| Health Net Pmg HMO | $41 - $691 | 46% |
| Pacificare HMO | $41 - $662 | 46% |
| Great-West/Phcs | $41 - $772 | 46% |
| Cigna | $41 - $772 | 46% |
| Aetna | $41 - $904 | 46% |
| Blue Cross Blue Shield | $41 - $982 | 46% |
| Blue Shield HMO | $41 - $221 | 46% |
| UnitedHealthcare | $41 - $662 | 46% |
| Robert Kennedy/Ccn | $83 - $982 | 93% |
| Claims Management Wc | $83 - $982 | 93% |
| Teamsters Benefit Trust | $83 - $982 | 93% |
| Delta Health Systems | $83 - $982 | 93% |
| City of Wats/Pinnacle Clm | $83 - $982 | 93% |
| Carpenters H&W Trust | $83 - $982 | 93% |
| Operating Engineers | $83 - $982 | 93% |
| Sheet Metal Workers | $83 - $982 | 93% |
| Pinnacle Claims Tpa/Bc | $83 - $982 | 93% |
| Western Growers Trust/Bc | $83 - $982 | 93% |
| State Compensation Fund | $83 - $982 | 93% |
| Monterey Bay Pub Emp Trst | $83 - $982 | 93% |
| Calif Ironworkers Field | $83 - $982 | 93% |
| Laborers Health & Welfare | $83 - $982 | 93% |
| Medicruz | $198 | 223% |
| Victim Compensation Plan | $198 - $1,103 | 223% |
| Western Health Advantage | $551 | 620% |
| Self Pay | $662 | 745% |
| Health Net Smartcare Netw | $662 | 745% |
| Pacificare PPO | $662 | 745% |
| Health Net Canopycare HMO | $691 | 777% |
| Health Net of California | $691 | 777% |
| Health Net Blue and Gold | $691 | 777% |
| Adventist Risk Management | $772 - $882 | 868% |
| Geha (Ccn) | $772 - $882 | 868% |
| Transwestern | $772 - $882 | 868% |
| First Health | $772 - $882 | 868% |
| Multiplan Inc PPO | $860 | 967% |
| Private Healthcare System | $860 | 967% |
| Salinas Valley Mem Hops | $937 | 1054% |
| Coastal Healthcare Admin | $937 - $992 | 1054% |
| Travelers Insurance | $1,103 | 1241% |
| Physicians Mutual | $1,103 | 1241% |
| Farmers Insurance | $1,103 | 1241% |
| Humana | $1,103 | 1241% |
| Bankers Life & Casualty | $1,103 | 1241% |
| United Administrative | $1,103 | 1241% |
| North Calif Bakery Driver | $1,103 | 1241% |
| Aarp | $1,103 | 1241% |
| Apwu Health Plan | $1,103 | 1241% |
| Sutter Health Plus | $1,103 | 1241% |
| Prucare Pmg HMO | $1,103 | 1241% |
| Aaa | $1,103 | 1241% |
| Prucare Pmg POS | $1,103 | 1241% |
| Wholesale Beer Distributo | $1,103 | 1241% |
| Allstate | $1,103 | 1241% |
| State Farm Ins | $1,103 | 1241% |
| Miscellaneous Auto | $1,103 | 1241% |
| Zenith National Ins | $1,103 | 1241% |
| Miscellaneous Insurance | $1,103 | 1241% |