CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Watsonville Community Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $3,800
  • Cash Discount Price: $4,844
  • vs. Medicare Baseline: 21.21x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Watsonville Community Hospital is $3,800. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,844. 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
$4,844

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: $4,844 (2703%)
Insurance Median: $3,800 (2121%)
Cash: $4,844 (2703% 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 $187 104%
California Childrens Srvs $205 114%
Ccs/Monterey County $205 114%
Healthy Families $205 114%
Medi-Cal E.R. $205 114%
Medi-Cal/Eds $205 114%
Medicaid / KanCare $205 114%
Well Path $205 - $8,073 114%
Aetna $494 - $4,500 276%
Blue Cross Blue Shield $494 - $6,507 276%
Blue Shield Hmo $494 - $1,615 276%
Cigna $494 - $5,651 276%
Great-West/Phcs $494 - $5,651 276%
Health Net Pmg Hmo $494 - $5,062 276%
Pacificare Hmo $494 - $3,100 276%
Secure Horizons Dign Hmo $494 - $1,615 276%
UnitedHealthcare $494 - $3,100 276%
Calif Ironworkers Field $1,072 - $6,507 598%
Carpenters H&W Trust $1,072 - $6,507 598%
City Of Wats/Pinnacle Clm $1,072 - $6,507 598%
Claims Management Wc $1,072 - $6,507 598%
Delta Health Systems $1,072 - $6,507 598%
Laborers Health & Welfare $1,072 - $6,507 598%
Monterey Bay Pub Emp Trst $1,072 - $6,507 598%
Operating Engineers $1,072 - $6,507 598%
Pinnacle Claims Tpa/Bc $1,072 - $6,507 598%
Robert Kennedy/Ccn $1,072 - $6,507 598%
Sheet Metal Workers $1,072 - $6,507 598%
State Compensation Fund $1,072 - $6,507 598%
Teamsters Benefit Trust $1,072 - $6,507 598%
Western Growers Trust/Bc $1,072 - $6,507 598%
Medicruz $1,453 811%
Victim Compensation Plan $1,453 - $8,073 811%
Health Net Smartcare Netw $1,525 - $3,100 851%
Pacificare Ppo $1,525 - $3,100 851%
Adventist Risk Management $3,200 - $6,458 1786%
First Health $3,200 - $6,458 1786%
Geha (Ccn) $3,200 - $6,458 1786%
Transwestern $3,200 - $6,458 1786%
Western Health Advantage $4,036 2252%
Self Pay $4,844 2703%
Health Net Blue And Gold $5,062 2825%
Health Net Canopycare Hmo $5,062 2825%
Health Net Of California $5,062 2825%
Multiplan Inc Ppo $6,297 3514%
Private Healthcare System $6,297 3514%
Coastal Healthcare Admin $6,862 - $7,266 3829%
Salinas Valley Mem Hops $6,862 3829%
Aaa $8,073 4505%
Aarp $8,073 4505%
Allstate $8,073 4505%
Apwu Health Plan $8,073 4505%
Bankers Life & Casualty $8,073 4505%
Farmers Insurance $8,073 4505%
Humana $8,073 4505%
Miscellaneous Auto $8,073 4505%
Miscellaneous Insurance $8,073 4505%
North Calif Bakery Driver $8,073 4505%
Physicians Mutual $8,073 4505%
Prucare Pmg Hmo $8,073 4505%
Prucare Pmg Pos $8,073 4505%
State Farm Ins $8,073 4505%
Sutter Health Plus $8,073 4505%
Travelers Insurance $8,073 4505%
United Administrative $8,073 4505%
Wholesale Beer Distributo $8,073 4505%
Zenith National Ins $8,073 4505%

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