X-ray, foot
Facility: Watsonville Community Hospital
Billing Code: 73630 (CPT)
- CPT Billing Code: 73630
- Insurance Median: $1,733
- Cash Discount Price: $1,510
- vs. Medicare Baseline: 19.49x 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 1949% of the Medicare baseline (a markup of 1849%). 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 | $34 | 38% |
| Medicaid / KanCare | $35 | 39% |
| Medi-Cal/Eds | $35 | 39% |
| Healthy Families | $35 | 39% |
| Well Path | $35 - $2,888 | 39% |
| California Childrens Srvs | $35 | 39% |
| Ccs/Monterey County | $35 | 39% |
| Medi-Cal E.R. | $35 | 39% |
| Pacificare HMO | $46 - $1,733 | 52% |
| Health Net Pmg HMO | $46 - $1,811 | 52% |
| Blue Shield HMO | $46 - $578 | 52% |
| Aetna | $46 - $2,368 | 52% |
| Great-West/Phcs | $46 - $2,022 | 52% |
| Secure Horizons Dign HMO | $46 - $578 | 52% |
| Blue Cross Blue Shield | $46 - $2,573 | 52% |
| UnitedHealthcare | $46 - $1,733 | 52% |
| Cigna | $46 - $2,022 | 52% |
| Western Growers Trust/Bc | $101 - $2,573 | 114% |
| State Compensation Fund | $101 - $2,573 | 114% |
| Teamsters Benefit Trust | $101 - $2,573 | 114% |
| Pinnacle Claims Tpa/Bc | $101 - $2,573 | 114% |
| Operating Engineers | $101 - $2,573 | 114% |
| Laborers Health & Welfare | $101 - $2,573 | 114% |
| Claims Management Wc | $101 - $2,573 | 114% |
| Calif Ironworkers Field | $101 - $2,573 | 114% |
| Monterey Bay Pub Emp Trst | $101 - $2,573 | 114% |
| City of Wats/Pinnacle Clm | $101 - $2,573 | 114% |
| Carpenters H&W Trust | $101 - $2,573 | 114% |
| Robert Kennedy/Ccn | $101 - $2,573 | 114% |
| Delta Health Systems | $101 - $2,573 | 114% |
| Sheet Metal Workers | $101 - $2,573 | 114% |
| Medicruz | $386 - $520 | 434% |
| Victim Compensation Plan | $386 - $2,888 | 434% |
| Western Health Advantage | $1,073 - $1,444 | 1207% |
| Self Pay | $1,287 - $1,733 | 1448% |
| Health Net Smartcare Netw | $1,287 - $1,733 | 1448% |
| Pacificare PPO | $1,287 - $1,733 | 1448% |
| Health Net of California | $1,345 - $1,811 | 1513% |
| Health Net Blue and Gold | $1,345 - $1,811 | 1513% |
| Health Net Canopycare HMO | $1,345 - $1,811 | 1513% |
| First Health | $1,502 - $2,311 | 1689% |
| Geha (Ccn) | $1,502 - $2,311 | 1689% |
| Adventist Risk Management | $1,502 - $2,311 | 1689% |
| Transwestern | $1,502 - $2,311 | 1689% |
| Private Healthcare System | $1,674 - $2,253 | 1883% |
| Multiplan Inc PPO | $1,674 - $2,253 | 1883% |
| Coastal Healthcare Admin | $1,824 - $2,599 | 2052% |
| Salinas Valley Mem Hops | $1,824 - $2,455 | 2052% |
| Sutter Health Plus | $2,146 - $2,888 | 2414% |
| Prucare Pmg POS | $2,146 - $2,888 | 2414% |
| State Farm Ins | $2,146 - $2,888 | 2414% |
| Wholesale Beer Distributo | $2,146 - $2,888 | 2414% |
| Prucare Pmg HMO | $2,146 - $2,888 | 2414% |
| Bankers Life & Casualty | $2,146 - $2,888 | 2414% |
| North Calif Bakery Driver | $2,146 - $2,888 | 2414% |
| Aarp | $2,146 - $2,888 | 2414% |
| Zenith National Ins | $2,146 - $2,888 | 2414% |
| Aaa | $2,146 - $2,888 | 2414% |
| Travelers Insurance | $2,146 - $2,888 | 2414% |
| Humana | $2,146 - $2,888 | 2414% |
| Miscellaneous Auto | $2,146 - $2,888 | 2414% |
| Allstate | $2,146 - $2,888 | 2414% |
| Miscellaneous Insurance | $2,146 - $2,888 | 2414% |
| Farmers Insurance | $2,146 - $2,888 | 2414% |
| Physicians Mutual | $2,146 - $2,888 | 2414% |
| United Administrative | $2,146 - $2,888 | 2414% |
| Apwu Health Plan | $2,146 - $2,888 | 2414% |