CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Watsonville Community Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $3,323
  • Cash Discount Price: $3,610
  • vs. Medicare Baseline: 31.11x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Watsonville Community Hospital is $3,323. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,610. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 31.11x the Medicare baseline. Located in 75 Nielson Street, Watsonville, CA.
Cash / Self-Pay
$3,610

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,323

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $3,610 (3380%)
Insurance Median: $3,323 (3111%)
Cash: $3,610 (3380% of Medicare)
Ins. Median: $3,323 (3111% of 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 3111% of the Medicare baseline (a markup of 3011%). 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 $181 169%
California Childrens Srvs $183 171%
Ccs/Monterey County $183 171%
Healthy Families $183 171%
Medi-Cal E.R. $183 171%
Medi-Cal/Eds $183 171%
Medicaid / KanCare $183 171%
Well Path $183 - $6,016 171%
Aetna $515 - $4,500 482%
Blue Cross Blue Shield $515 - $5,360 482%
Blue Shield Hmo $515 - $1,203 482%
Cigna $515 - $4,211 482%
Great-West/Phcs $515 - $4,211 482%
Health Net Pmg Hmo $515 - $3,772 482%
Pacificare Hmo $515 - $3,100 482%
Secure Horizons Dign Hmo $515 - $1,203 482%
UnitedHealthcare $515 - $3,100 482%
Medicruz $1,083 1014%
Victim Compensation Plan $1,083 - $6,016 1014%
Calif Ironworkers Field $1,119 - $5,360 1048%
Carpenters H&W Trust $1,119 - $5,360 1048%
City Of Wats/Pinnacle Clm $1,119 - $5,360 1048%
Claims Management Wc $1,119 - $5,360 1048%
Delta Health Systems $1,119 - $5,360 1048%
Laborers Health & Welfare $1,119 - $5,360 1048%
Monterey Bay Pub Emp Trst $1,119 - $5,360 1048%
Operating Engineers $1,119 - $5,360 1048%
Pinnacle Claims Tpa/Bc $1,119 - $5,360 1048%
Robert Kennedy/Ccn $1,119 - $5,360 1048%
Sheet Metal Workers $1,119 - $5,360 1048%
State Compensation Fund $1,119 - $5,360 1048%
Teamsters Benefit Trust $1,119 - $5,360 1048%
Western Growers Trust/Bc $1,119 - $5,360 1048%
Health Net Smartcare Netw $1,525 - $3,100 1428%
Pacificare Ppo $1,525 - $3,100 1428%
Western Health Advantage $3,008 2816%
Adventist Risk Management $3,200 - $4,813 2996%
First Health $3,200 - $4,813 2996%
Geha (Ccn) $3,200 - $4,813 2996%
Transwestern $3,200 - $4,813 2996%
Self Pay $3,610 3380%
Health Net Blue And Gold $3,772 3532%
Health Net Canopycare Hmo $3,772 3532%
Health Net Of California $3,772 3532%
Multiplan Inc Ppo $4,693 4394%
Private Healthcare System $4,693 4394%
Coastal Healthcare Admin $5,114 - $5,415 4788%
Salinas Valley Mem Hops $5,114 4788%
Aaa $6,016 5632%
Aarp $6,016 5632%
Allstate $6,016 5632%
Apwu Health Plan $6,016 5632%
Bankers Life & Casualty $6,016 5632%
Farmers Insurance $6,016 5632%
Humana $6,016 5632%
Miscellaneous Auto $6,016 5632%
Miscellaneous Insurance $6,016 5632%
North Calif Bakery Driver $6,016 5632%
Physicians Mutual $6,016 5632%
Prucare Pmg Hmo $6,016 5632%
Prucare Pmg Pos $6,016 5632%
State Farm Ins $6,016 5632%
Sutter Health Plus $6,016 5632%
Travelers Insurance $6,016 5632%
United Administrative $6,016 5632%
Wholesale Beer Distributo $6,016 5632%
Zenith National Ins $6,016 5632%

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