CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Watsonville Community Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $4,500
  • Cash Discount Price: $10,527
  • vs. Medicare Baseline: 12.63x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Watsonville Community Hospital is $4,500. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10,527. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 12.63x the Medicare baseline. Located in 75 Nielson Street, Watsonville, CA.
Cash / Self-Pay
$10,527

Average discount available for prompt cash payment at this facility.

Insurance Median
$4,500

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$356.43

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $356.43 (100%)
Cash / Self-Pay: $10,527 (2953%)
Insurance Median: $4,500 (1263%)
Cash: $10,527 (2953% of Medicare)
Ins. Median: $4,500 (1263% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $356.43 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 1263% of the Medicare baseline (a markup of 1163%). 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.

Input your details and click calculate to compare out-of-pocket costs.

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 $396 111%
California Childrens Srvs $404 113%
Ccs/Monterey County $404 113%
Healthy Families $404 113%
Medi-Cal E.R. $404 113%
Medi-Cal/Eds $404 113%
Medicaid / KanCare $404 113%
Well Path $404 - $17,545 113%
Aetna $900 - $9,692 253%
Blue Cross Blue Shield $900 - $6,507 253%
Blue Shield Hmo $900 - $3,509 253%
Cigna $900 - $12,282 253%
Great-West/Phcs $900 - $12,282 253%
Health Net Pmg Hmo $900 - $11,001 253%
Pacificare Hmo $900 - $3,509 253%
Secure Horizons Dign Hmo $900 - $3,509 253%
UnitedHealthcare $900 - $3,509 253%
Calif Ironworkers Field $1,319 - $6,507 370%
Carpenters H&W Trust $1,319 - $6,507 370%
City Of Wats/Pinnacle Clm $1,319 - $6,507 370%
Claims Management Wc $1,319 - $6,507 370%
Delta Health Systems $1,319 - $6,507 370%
Laborers Health & Welfare $1,319 - $6,507 370%
Monterey Bay Pub Emp Trst $1,319 - $6,507 370%
Operating Engineers $1,319 - $6,507 370%
Pinnacle Claims Tpa/Bc $1,319 - $8,773 370%
Robert Kennedy/Ccn $1,319 - $6,507 370%
Sheet Metal Workers $1,319 - $6,507 370%
State Compensation Fund $1,319 - $6,507 370%
Teamsters Benefit Trust $1,319 - $6,507 370%
Western Growers Trust/Bc $1,319 - $8,773 370%
Health Net Smartcare Netw $1,525 - $3,100 428%
Pacificare Ppo $1,525 - $3,100 428%
Medicruz $3,158 886%
Victim Compensation Plan $3,158 - $17,545 886%
Adventist Risk Management $3,200 - $14,036 898%
First Health $3,200 - $14,036 898%
Geha (Ccn) $3,200 - $14,036 898%
Transwestern $3,200 - $14,036 898%
Western Health Advantage $8,773 2461%
Health Net Blue And Gold $10,110 - $11,001 2836%
Health Net Canopycare Hmo $10,110 - $11,001 2836%
Health Net Of California $10,110 - $11,001 2836%
Self Pay $10,527 2953%
Multiplan Inc Ppo $13,685 3839%
Private Healthcare System $13,685 3839%
Coastal Healthcare Admin $14,913 - $15,791 4184%
Salinas Valley Mem Hops $14,913 4184%
Aaa $17,545 4922%
Aarp $17,545 4922%
Allstate $17,545 4922%
Apwu Health Plan $17,545 4922%
Bankers Life & Casualty $17,545 4922%
Farmers Insurance $17,545 4922%
Humana $17,545 4922%
Miscellaneous Auto $17,545 4922%
Miscellaneous Insurance $17,545 4922%
North Calif Bakery Driver $17,545 4922%
Physicians Mutual $17,545 4922%
Prucare Pmg Hmo $17,545 4922%
Prucare Pmg Pos $17,545 4922%
State Farm Ins $17,545 4922%
Sutter Health Plus $17,545 4922%
Travelers Insurance $17,545 4922%
United Administrative $17,545 4922%
Wholesale Beer Distributo $17,545 4922%
Zenith National Ins $17,545 4922%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 75 Nielson Street, Watsonville, CA 95076
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals