X-ray, lower back
Facility: Watsonville Community Hospital
Billing Code: 72110 (CPT)
- CPT Billing Code: 72110
- Insurance Median: $1,694
- Cash Discount Price: $1,694
- vs. Medicare Baseline: 15.86x 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 $106.81 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 1586% of the Medicare baseline (a markup of 1486%). 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 | $59 | 55% |
| Medi-Cal/Eds | $63 | 59% |
| Ccs/Monterey County | $63 | 59% |
| Medi-Cal E.R. | $63 | 59% |
| Healthy Families | $63 | 59% |
| Medicaid / KanCare | $63 | 59% |
| California Childrens Srvs | $63 | 59% |
| Well Path | $63 - $2,823 | 59% |
| Secure Horizons Dign HMO | $80 - $565 | 75% |
| Aetna | $80 - $2,315 | 75% |
| Blue Shield HMO | $80 - $565 | 75% |
| Health Net Pmg HMO | $80 - $1,770 | 75% |
| Great-West/Phcs | $80 - $1,976 | 75% |
| Pacificare HMO | $80 - $1,694 | 75% |
| Blue Cross Blue Shield | $80 - $2,515 | 75% |
| Cigna | $80 - $1,976 | 75% |
| UnitedHealthcare | $80 - $1,694 | 75% |
| State Compensation Fund | $175 - $2,515 | 164% |
| Western Growers Trust/Bc | $175 - $2,515 | 164% |
| Delta Health Systems | $175 - $2,515 | 164% |
| Teamsters Benefit Trust | $175 - $2,515 | 164% |
| Monterey Bay Pub Emp Trst | $175 - $2,515 | 164% |
| Claims Management Wc | $175 - $2,515 | 164% |
| City of Wats/Pinnacle Clm | $175 - $2,515 | 164% |
| Laborers Health & Welfare | $175 - $2,515 | 164% |
| Sheet Metal Workers | $175 - $2,515 | 164% |
| Operating Engineers | $175 - $2,515 | 164% |
| Calif Ironworkers Field | $175 - $2,515 | 164% |
| Robert Kennedy/Ccn | $175 - $2,515 | 164% |
| Pinnacle Claims Tpa/Bc | $175 - $2,515 | 164% |
| Carpenters H&W Trust | $175 - $2,515 | 164% |
| Victim Compensation Plan | $508 - $2,823 | 476% |
| Medicruz | $508 | 476% |
| Western Health Advantage | $1,412 | 1322% |
| Health Net Smartcare Netw | $1,525 - $1,694 | 1428% |
| Pacificare PPO | $1,525 - $1,694 | 1428% |
| Self Pay | $1,694 | 1586% |
| Health Net of California | $1,770 | 1657% |
| Health Net Canopycare HMO | $1,770 | 1657% |
| Health Net Blue and Gold | $1,770 | 1657% |
| First Health | $1,976 - $2,259 | 1850% |
| Adventist Risk Management | $1,976 - $2,259 | 1850% |
| Transwestern | $1,976 - $2,259 | 1850% |
| Geha (Ccn) | $1,976 - $2,259 | 1850% |
| Private Healthcare System | $2,202 | 2062% |
| Multiplan Inc PPO | $2,202 | 2062% |
| Coastal Healthcare Admin | $2,400 - $2,541 | 2247% |
| Salinas Valley Mem Hops | $2,400 | 2247% |
| Apwu Health Plan | $2,823 | 2643% |
| Physicians Mutual | $2,823 | 2643% |
| Miscellaneous Auto | $2,823 | 2643% |
| Zenith National Ins | $2,823 | 2643% |
| Wholesale Beer Distributo | $2,823 | 2643% |
| Sutter Health Plus | $2,823 | 2643% |
| Aaa | $2,823 | 2643% |
| North Calif Bakery Driver | $2,823 | 2643% |
| Prucare Pmg POS | $2,823 | 2643% |
| Prucare Pmg HMO | $2,823 | 2643% |
| Allstate | $2,823 | 2643% |
| State Farm Ins | $2,823 | 2643% |
| Miscellaneous Insurance | $2,823 | 2643% |
| Aarp | $2,823 | 2643% |
| United Administrative | $2,823 | 2643% |
| Bankers Life & Casualty | $2,823 | 2643% |
| Travelers Insurance | $2,823 | 2643% |
| Farmers Insurance | $2,823 | 2643% |
| Humana | $2,823 | 2643% |