X-ray, pelvis
Facility: Watsonville Community Hospital
Billing Code: 72170 (CPT)
- CPT Billing Code: 72170
- Insurance Median: $1,140
- Cash Discount Price: $1,091
- vs. Medicare Baseline: 10.67x 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 1067% of the Medicare baseline (a markup of 967%). 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 |
|---|---|---|
| Medi-Cal E.R. | $31 | 29% |
| Medicaid / KanCare | $31 | 29% |
| Medi-Cal/Eds | $31 | 29% |
| Alliance/Sccho | $31 | 29% |
| Healthy Families | $31 | 29% |
| Well Path | $31 - $1,818 | 29% |
| California Childrens Srvs | $31 | 29% |
| Ccs/Monterey County | $31 | 29% |
| Cigna | $45 - $1,273 | 42% |
| UnitedHealthcare | $45 - $1,091 | 42% |
| Secure Horizons Dign HMO | $45 - $364 | 42% |
| Aetna | $45 - $1,491 | 42% |
| Pacificare HMO | $45 - $1,091 | 42% |
| Health Net Pmg HMO | $45 - $1,140 | 42% |
| Blue Shield HMO | $45 - $364 | 42% |
| Blue Cross Blue Shield | $45 - $1,620 | 42% |
| Great-West/Phcs | $45 - $1,273 | 42% |
| Western Growers Trust/Bc | $100 - $1,620 | 94% |
| State Compensation Fund | $100 - $1,620 | 94% |
| Carpenters H&W Trust | $100 - $1,620 | 94% |
| Laborers Health & Welfare | $100 - $1,620 | 94% |
| Pinnacle Claims Tpa/Bc | $100 - $1,620 | 94% |
| Teamsters Benefit Trust | $100 - $1,620 | 94% |
| Operating Engineers | $100 - $1,620 | 94% |
| Calif Ironworkers Field | $100 - $1,620 | 94% |
| Monterey Bay Pub Emp Trst | $100 - $1,620 | 94% |
| City of Wats/Pinnacle Clm | $100 - $1,620 | 94% |
| Robert Kennedy/Ccn | $100 - $1,620 | 94% |
| Sheet Metal Workers | $100 - $1,620 | 94% |
| Claims Management Wc | $100 - $1,620 | 94% |
| Delta Health Systems | $100 - $1,620 | 94% |
| Medicruz | $327 | 306% |
| Victim Compensation Plan | $327 - $1,818 | 306% |
| Western Health Advantage | $909 | 851% |
| Pacificare PPO | $1,091 | 1021% |
| Self Pay | $1,091 | 1021% |
| Health Net Smartcare Netw | $1,091 | 1021% |
| Health Net of California | $1,140 | 1067% |
| Health Net Blue and Gold | $1,140 | 1067% |
| Health Net Canopycare HMO | $1,140 | 1067% |
| Geha (Ccn) | $1,273 - $1,454 | 1192% |
| First Health | $1,273 - $1,454 | 1192% |
| Adventist Risk Management | $1,273 - $1,454 | 1192% |
| Transwestern | $1,273 - $1,454 | 1192% |
| Multiplan Inc PPO | $1,418 | 1328% |
| Private Healthcare System | $1,418 | 1328% |
| Salinas Valley Mem Hops | $1,545 | 1446% |
| Coastal Healthcare Admin | $1,545 - $1,636 | 1446% |
| Physicians Mutual | $1,818 | 1702% |
| Farmers Insurance | $1,818 | 1702% |
| Prucare Pmg POS | $1,818 | 1702% |
| Prucare Pmg HMO | $1,818 | 1702% |
| North Calif Bakery Driver | $1,818 | 1702% |
| Apwu Health Plan | $1,818 | 1702% |
| Miscellaneous Auto | $1,818 | 1702% |
| Zenith National Ins | $1,818 | 1702% |
| Allstate | $1,818 | 1702% |
| Bankers Life & Casualty | $1,818 | 1702% |
| Aaa | $1,818 | 1702% |
| Sutter Health Plus | $1,818 | 1702% |
| Travelers Insurance | $1,818 | 1702% |
| Humana | $1,818 | 1702% |
| State Farm Ins | $1,818 | 1702% |
| United Administrative | $1,818 | 1702% |
| Wholesale Beer Distributo | $1,818 | 1702% |
| Aarp | $1,818 | 1702% |
| Miscellaneous Insurance | $1,818 | 1702% |