X-ray, hip
Facility: Watsonville Community Hospital
Billing Code: 73502 (CPT)
- CPT Billing Code: 73502
- Insurance Median: $977
- Cash Discount Price: $838
- vs. Medicare Baseline: 10.99x 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 1099% of the Medicare baseline (a markup of 999%). 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 |
|---|---|---|
| Medicaid / KanCare | $53 | 60% |
| Well Path | $53 - $1,396 | 60% |
| California Childrens Srvs | $53 | 60% |
| Ccs/Monterey County | $53 | 60% |
| Healthy Families | $53 | 60% |
| Medi-Cal/Eds | $53 | 60% |
| Medi-Cal E.R. | $53 | 60% |
| Alliance/Sccho | $54 | 61% |
| Calif Ironworkers Field | $229 - $1,244 | 258% |
| Teamsters Benefit Trust | $229 - $1,244 | 258% |
| City of Wats/Pinnacle Clm | $229 - $1,244 | 258% |
| Laborers Health & Welfare | $229 - $1,244 | 258% |
| Western Growers Trust/Bc | $229 - $1,244 | 258% |
| Delta Health Systems | $229 - $1,244 | 258% |
| Pinnacle Claims Tpa/Bc | $229 - $1,244 | 258% |
| Sheet Metal Workers | $229 - $1,244 | 258% |
| Monterey Bay Pub Emp Trst | $229 - $1,244 | 258% |
| Carpenters H&W Trust | $229 - $1,244 | 258% |
| State Compensation Fund | $229 - $1,244 | 258% |
| Operating Engineers | $229 - $1,244 | 258% |
| Claims Management Wc | $229 - $1,244 | 258% |
| Robert Kennedy/Ccn | $229 - $1,244 | 258% |
| Blue Cross Blue Shield | $229 - $1,244 | 258% |
| Victim Compensation Plan | $251 - $1,396 | 282% |
| Medicruz | $251 | 282% |
| UnitedHealthcare | $279 - $838 | 314% |
| Aetna | $279 - $1,145 | 314% |
| Great-West/Phcs | $279 - $977 | 314% |
| Secure Horizons Dign HMO | $279 | 314% |
| Pacificare HMO | $279 - $838 | 314% |
| Blue Shield HMO | $279 | 314% |
| Cigna | $279 - $977 | 314% |
| Health Net Pmg HMO | $279 - $875 | 314% |
| Western Health Advantage | $698 | 785% |
| Health Net Smartcare Netw | $838 | 943% |
| Pacificare PPO | $838 | 943% |
| Self Pay | $838 | 943% |
| Health Net Canopycare HMO | $875 | 984% |
| Health Net Blue and Gold | $875 | 984% |
| Health Net of California | $875 | 984% |
| Geha (Ccn) | $977 - $1,117 | 1099% |
| First Health | $977 - $1,117 | 1099% |
| Adventist Risk Management | $977 - $1,117 | 1099% |
| Transwestern | $977 - $1,117 | 1099% |
| Private Healthcare System | $1,089 | 1225% |
| Multiplan Inc PPO | $1,089 | 1225% |
| Coastal Healthcare Admin | $1,187 - $1,256 | 1335% |
| Salinas Valley Mem Hops | $1,187 | 1335% |
| Prucare Pmg HMO | $1,396 | 1570% |
| State Farm Ins | $1,396 | 1570% |
| Allstate | $1,396 | 1570% |
| Wholesale Beer Distributo | $1,396 | 1570% |
| Miscellaneous Insurance | $1,396 | 1570% |
| Zenith National Ins | $1,396 | 1570% |
| Apwu Health Plan | $1,396 | 1570% |
| Aarp | $1,396 | 1570% |
| Aaa | $1,396 | 1570% |
| Prucare Pmg POS | $1,396 | 1570% |
| Humana | $1,396 | 1570% |
| Bankers Life & Casualty | $1,396 | 1570% |
| Travelers Insurance | $1,396 | 1570% |
| United Administrative | $1,396 | 1570% |
| Sutter Health Plus | $1,396 | 1570% |
| Miscellaneous Auto | $1,396 | 1570% |
| Physicians Mutual | $1,396 | 1570% |
| Farmers Insurance | $1,396 | 1570% |
| North Calif Bakery Driver | $1,396 | 1570% |