X-ray, neck (cervical spine)
Facility: Watsonville Community Hospital
Billing Code: 72040 (CPT)
- CPT Billing Code: 72040
- Insurance Median: $1,693
- Cash Discount Price: $1,693
- vs. Medicare Baseline: 19.04x 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 1904% of the Medicare baseline (a markup of 1804%). 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% |
| Healthy Families | $37 | 42% |
| Medicaid / KanCare | $37 | 42% |
| Ccs/Monterey County | $37 | 42% |
| Medi-Cal E.R. | $37 | 42% |
| Medi-Cal/Eds | $37 | 42% |
| Well Path | $37 - $2,821 | 42% |
| California Childrens Srvs | $37 | 42% |
| Pacificare HMO | $53 - $1,693 | 60% |
| Cigna | $53 - $1,975 | 60% |
| UnitedHealthcare | $53 - $1,693 | 60% |
| Great-West/Phcs | $53 - $1,975 | 60% |
| Blue Shield HMO | $53 - $564 | 60% |
| Blue Cross Blue Shield | $53 - $2,513 | 60% |
| Health Net Pmg HMO | $53 - $1,769 | 60% |
| Aetna | $53 - $2,313 | 60% |
| Secure Horizons Dign HMO | $53 - $564 | 60% |
| Sheet Metal Workers | $115 - $2,513 | 129% |
| Monterey Bay Pub Emp Trst | $115 - $2,513 | 129% |
| Pinnacle Claims Tpa/Bc | $115 - $2,513 | 129% |
| Delta Health Systems | $115 - $2,513 | 129% |
| Robert Kennedy/Ccn | $115 - $2,513 | 129% |
| Laborers Health & Welfare | $115 - $2,513 | 129% |
| Teamsters Benefit Trust | $115 - $2,513 | 129% |
| Western Growers Trust/Bc | $115 - $2,513 | 129% |
| Operating Engineers | $115 - $2,513 | 129% |
| Claims Management Wc | $115 - $2,513 | 129% |
| Calif Ironworkers Field | $115 - $2,513 | 129% |
| City of Wats/Pinnacle Clm | $115 - $2,513 | 129% |
| State Compensation Fund | $115 - $2,513 | 129% |
| Carpenters H&W Trust | $115 - $2,513 | 129% |
| Medicruz | $508 | 571% |
| Victim Compensation Plan | $508 - $2,821 | 571% |
| Western Health Advantage | $1,411 | 1587% |
| Pacificare PPO | $1,525 - $1,693 | 1715% |
| Health Net Smartcare Netw | $1,525 - $1,693 | 1715% |
| Self Pay | $1,693 | 1904% |
| Health Net Blue and Gold | $1,769 | 1990% |
| Health Net of California | $1,769 | 1990% |
| Health Net Canopycare HMO | $1,769 | 1990% |
| Transwestern | $1,975 - $2,257 | 2221% |
| Adventist Risk Management | $1,975 - $2,257 | 2221% |
| Geha (Ccn) | $1,975 - $2,257 | 2221% |
| First Health | $1,975 - $2,257 | 2221% |
| Multiplan Inc PPO | $2,201 | 2476% |
| Private Healthcare System | $2,201 | 2476% |
| Coastal Healthcare Admin | $2,398 - $2,539 | 2697% |
| Salinas Valley Mem Hops | $2,398 | 2697% |
| Travelers Insurance | $2,821 | 3173% |
| Wholesale Beer Distributo | $2,821 | 3173% |
| Apwu Health Plan | $2,821 | 3173% |
| United Administrative | $2,821 | 3173% |
| Bankers Life & Casualty | $2,821 | 3173% |
| Humana | $2,821 | 3173% |
| Farmers Insurance | $2,821 | 3173% |
| Prucare Pmg HMO | $2,821 | 3173% |
| Miscellaneous Insurance | $2,821 | 3173% |
| Allstate | $2,821 | 3173% |
| Zenith National Ins | $2,821 | 3173% |
| Miscellaneous Auto | $2,821 | 3173% |
| State Farm Ins | $2,821 | 3173% |
| Aarp | $2,821 | 3173% |
| Physicians Mutual | $2,821 | 3173% |
| Sutter Health Plus | $2,821 | 3173% |
| Prucare Pmg POS | $2,821 | 3173% |
| North Calif Bakery Driver | $2,821 | 3173% |
| Aaa | $2,821 | 3173% |