CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Watsonville Community Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $3,800
  • Cash Discount Price: $5,102
  • vs. Medicare Baseline: 21.21x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Watsonville Community Hospital is $3,800. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,102. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 21.21x the Medicare baseline. Located in 75 Nielson Street, Watsonville, CA.
Cash / Self-Pay
$5,102

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,800

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$179.2

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $179.2 (100%)
Cash / Self-Pay: $5,102 (2847%)
Insurance Median: $3,800 (2121%)
Cash: $5,102 (2847% of Medicare)
Ins. Median: $3,800 (2121% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $179.2 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 2121% of the Medicare baseline (a markup of 2021%). 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 $223 124%
California Childrens Srvs $241 134%
Ccs/Monterey County $241 134%
Healthy Families $241 134%
Medi-Cal E.R. $241 134%
Medi-Cal/Eds $241 134%
Medicaid / KanCare $241 134%
Well Path $241 - $8,503 134%
Aetna $616 - $4,697 344%
Blue Cross Blue Shield $616 - $6,507 344%
Blue Shield Hmo $616 - $1,701 344%
Cigna $616 - $5,952 344%
Great-West/Phcs $616 - $5,952 344%
Health Net Pmg Hmo $616 - $5,331 344%
Pacificare Hmo $616 - $3,100 344%
Secure Horizons Dign Hmo $616 - $1,701 344%
UnitedHealthcare $616 - $3,100 344%
Calif Ironworkers Field $1,338 - $6,507 747%
Carpenters H&W Trust $1,338 - $6,507 747%
City Of Wats/Pinnacle Clm $1,338 - $6,507 747%
Claims Management Wc $1,338 - $6,507 747%
Delta Health Systems $1,338 - $6,507 747%
Laborers Health & Welfare $1,338 - $6,507 747%
Monterey Bay Pub Emp Trst $1,338 - $6,507 747%
Operating Engineers $1,338 - $6,507 747%
Pinnacle Claims Tpa/Bc $1,338 - $6,507 747%
Robert Kennedy/Ccn $1,338 - $6,507 747%
Sheet Metal Workers $1,338 - $6,507 747%
State Compensation Fund $1,338 - $6,507 747%
Teamsters Benefit Trust $1,338 - $6,507 747%
Western Growers Trust/Bc $1,338 - $6,507 747%
Health Net Smartcare Netw $1,525 - $3,100 851%
Pacificare Ppo $1,525 - $3,100 851%
Medicruz $1,531 854%
Victim Compensation Plan $1,531 - $8,503 854%
Adventist Risk Management $3,200 - $6,802 1786%
First Health $3,200 - $6,802 1786%
Geha (Ccn) $3,200 - $6,802 1786%
Transwestern $3,200 - $6,802 1786%
Western Health Advantage $4,252 2373%
Self Pay $5,102 2847%
Health Net Blue And Gold $5,331 2975%
Health Net Canopycare Hmo $5,331 2975%
Health Net Of California $5,331 2975%
Multiplan Inc Ppo $6,632 3701%
Private Healthcare System $6,632 3701%
Coastal Healthcare Admin $7,228 - $7,653 4033%
Salinas Valley Mem Hops $7,228 4033%
Aaa $8,503 4745%
Aarp $8,503 4745%
Allstate $8,503 4745%
Apwu Health Plan $8,503 4745%
Bankers Life & Casualty $8,503 4745%
Farmers Insurance $8,503 4745%
Humana $8,503 4745%
Miscellaneous Auto $8,503 4745%
Miscellaneous Insurance $8,503 4745%
North Calif Bakery Driver $8,503 4745%
Physicians Mutual $8,503 4745%
Prucare Pmg Hmo $8,503 4745%
Prucare Pmg Pos $8,503 4745%
State Farm Ins $8,503 4745%
Sutter Health Plus $8,503 4745%
Travelers Insurance $8,503 4745%
United Administrative $8,503 4745%
Wholesale Beer Distributo $8,503 4745%
Zenith National Ins $8,503 4745%

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