X-ray, chest (two views)
Facility: Watsonville Community Hospital
Billing Code: 71046 (CPT)
- CPT Billing Code: 71046
- Insurance Median: $1,024
- Cash Discount Price: $980
- vs. Medicare Baseline: 11.52x 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 1152% of the Medicare baseline (a markup of 1052%). 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 | $35 | 39% |
| Medi-Cal E.R. | $39 | 44% |
| Medicaid / KanCare | $39 | 44% |
| Medi-Cal/Eds | $39 | 44% |
| California Childrens Srvs | $39 | 44% |
| Ccs/Monterey County | $39 | 44% |
| Healthy Families | $39 | 44% |
| Well Path | $39 - $1,633 | 44% |
| Pacificare HMO | $54 - $980 | 61% |
| UnitedHealthcare | $54 - $980 | 61% |
| Aetna | $54 - $1,339 | 61% |
| Great-West/Phcs | $54 - $1,143 | 61% |
| Secure Horizons Dign HMO | $54 - $327 | 61% |
| Health Net Pmg HMO | $54 - $1,024 | 61% |
| Blue Shield HMO | $54 - $327 | 61% |
| Cigna | $54 - $1,143 | 61% |
| Blue Cross Blue Shield | $54 - $1,455 | 61% |
| Calif Ironworkers Field | $153 - $1,455 | 172% |
| State Compensation Fund | $153 - $1,455 | 172% |
| Robert Kennedy/Ccn | $153 - $1,455 | 172% |
| Western Growers Trust/Bc | $153 - $1,455 | 172% |
| Delta Health Systems | $153 - $1,455 | 172% |
| Laborers Health & Welfare | $153 - $1,455 | 172% |
| Sheet Metal Workers | $153 - $1,455 | 172% |
| Pinnacle Claims Tpa/Bc | $153 - $1,455 | 172% |
| Operating Engineers | $153 - $1,455 | 172% |
| Monterey Bay Pub Emp Trst | $153 - $1,455 | 172% |
| City of Wats/Pinnacle Clm | $153 - $1,455 | 172% |
| Carpenters H&W Trust | $153 - $1,455 | 172% |
| Teamsters Benefit Trust | $153 - $1,455 | 172% |
| Claims Management Wc | $153 - $1,455 | 172% |
| Victim Compensation Plan | $294 - $1,633 | 331% |
| Medicruz | $294 | 331% |
| Western Health Advantage | $817 | 919% |
| Self Pay | $980 | 1102% |
| Pacificare PPO | $980 | 1102% |
| Health Net Smartcare Netw | $980 | 1102% |
| Health Net Canopycare HMO | $1,024 | 1152% |
| Health Net Blue and Gold | $1,024 | 1152% |
| Health Net of California | $1,024 | 1152% |
| First Health | $1,143 - $1,307 | 1286% |
| Adventist Risk Management | $1,143 - $1,307 | 1286% |
| Geha (Ccn) | $1,143 - $1,307 | 1286% |
| Transwestern | $1,143 - $1,307 | 1286% |
| Private Healthcare System | $1,274 | 1433% |
| Multiplan Inc PPO | $1,274 | 1433% |
| Salinas Valley Mem Hops | $1,388 | 1561% |
| Coastal Healthcare Admin | $1,388 - $1,470 | 1561% |
| Bankers Life & Casualty | $1,633 | 1837% |
| Physicians Mutual | $1,633 | 1837% |
| State Farm Ins | $1,633 | 1837% |
| Travelers Insurance | $1,633 | 1837% |
| United Administrative | $1,633 | 1837% |
| Humana | $1,633 | 1837% |
| Aaa | $1,633 | 1837% |
| Prucare Pmg POS | $1,633 | 1837% |
| Apwu Health Plan | $1,633 | 1837% |
| Farmers Insurance | $1,633 | 1837% |
| Sutter Health Plus | $1,633 | 1837% |
| Miscellaneous Insurance | $1,633 | 1837% |
| Prucare Pmg HMO | $1,633 | 1837% |
| North Calif Bakery Driver | $1,633 | 1837% |
| Wholesale Beer Distributo | $1,633 | 1837% |
| Zenith National Ins | $1,633 | 1837% |
| Aarp | $1,633 | 1837% |
| Allstate | $1,633 | 1837% |
| Miscellaneous Auto | $1,633 | 1837% |