Colorectal cancer screening
Facility: Watsonville Community Hospital
Billing Code: G0010 (HCPCS)
- CPT Billing Code: G0010
- Insurance Median: $152
- Cash Discount Price: $111
- vs. Medicare Baseline: 3.18x 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 $47.84 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 318% of the Medicare baseline (a markup of 218%). 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 |
|---|---|---|
| Victim Compensation Plan | $33 - $185 | 69% |
| Medicruz | $33 | 69% |
| Aetna | $37 - $152 | 77% |
| UnitedHealthcare | $37 - $111 | 77% |
| Cigna | $37 - $129 | 77% |
| Blue Cross Blue Shield | $37 - $165 | 77% |
| Health Net Pmg HMO | $37 - $116 | 77% |
| Secure Horizons Dign HMO | $37 | 77% |
| Pacificare HMO | $37 - $111 | 77% |
| Blue Shield HMO | $37 | 77% |
| Great-West/Phcs | $37 - $129 | 77% |
| Nx Health Network | $70 | 146% |
| Pinnacle Claims Tpa/Bc | $74 - $165 | 155% |
| Western Growers Trust/Bc | $74 - $165 | 155% |
| Western Health Advantage | $92 | 192% |
| Pacificare PPO | $111 | 232% |
| Health Net Smartcare Netw | $111 | 232% |
| Self Pay | $111 | 232% |
| Health Net Blue and Gold | $116 | 242% |
| Health Net of California | $116 | 242% |
| Health Net Canopycare HMO | $116 | 242% |
| Adventist Risk Management | $129 - $148 | 270% |
| Geha (Ccn) | $129 - $148 | 270% |
| Transwestern | $129 - $148 | 270% |
| First Health | $129 - $148 | 270% |
| Multiplan Inc PPO | $144 | 301% |
| Private Healthcare System | $144 | 301% |
| Salinas Valley Mem Hops | $157 | 328% |
| Coastal Healthcare Admin | $157 - $166 | 328% |
| Delta Health Systems | $160 - $165 | 334% |
| City of Wats/Pinnacle Clm | $160 - $165 | 334% |
| Laborers Health & Welfare | $160 - $165 | 334% |
| Robert Kennedy/Ccn | $160 - $165 | 334% |
| Carpenters H&W Trust | $160 - $165 | 334% |
| Claims Management Wc | $160 - $165 | 334% |
| Calif Ironworkers Field | $160 - $165 | 334% |
| Teamsters Benefit Trust | $160 - $165 | 334% |
| State Compensation Fund | $160 - $165 | 334% |
| Monterey Bay Pub Emp Trst | $160 - $165 | 334% |
| Operating Engineers | $160 - $165 | 334% |
| Sheet Metal Workers | $160 - $165 | 334% |
| United Administrative | $185 | 387% |
| Well Path | $185 | 387% |
| Allstate | $185 | 387% |
| Apwu Health Plan | $185 | 387% |
| Bankers Life & Casualty | $185 | 387% |
| Miscellaneous Auto | $185 | 387% |
| Sutter Health Plus | $185 | 387% |
| Aaa | $185 | 387% |
| State Farm Ins | $185 | 387% |
| Wholesale Beer Distributo | $185 | 387% |
| Physicians Mutual | $185 | 387% |
| Prucare Pmg HMO | $185 | 387% |
| Travelers Insurance | $185 | 387% |
| Humana | $185 | 387% |
| North Calif Bakery Driver | $185 | 387% |
| Aarp | $185 | 387% |
| Zenith National Ins | $185 | 387% |
| Prucare Pmg POS | $185 | 387% |
| Miscellaneous Insurance | $185 | 387% |
| Farmers Insurance | $185 | 387% |