CMS Price Transparency Data
Drug screening test
Facility: Watsonville Community Hospital
Billing Code: G0480 (HCPCS)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: G0480
- Insurance Median: $99
- Cash Discount Price: $83
- vs. Medicare Baseline: 0.87x Medicare
The contracted insurance negotiated median rate for a Drug screening test at Watsonville Community Hospital is $99. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $83. Compared to the federal Medicare reimbursement reference rate of $114.43, this hospital’s rate is 0.87x the Medicare baseline. Located in 75 Nielson Street, Watsonville, CA.
Cash / Self-Pay
$83
Average discount available for prompt cash payment at this facility.
Insurance Median
$99
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$114.43
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $114.43 (100%)
Cash / Self-Pay: $83 (73%)
Insurance Median: $99 (87%)
Cash: $83 (73% of Medicare)
Ins. Median: $99 (87% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $114.43 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.
Out-of-Pocket Cost Estimator
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Aetna | $12 - $619 | 10% |
| Cigna | $13 - $529 | 11% |
| Health Net Smartcare Netw | $13 - $453 | 11% |
| First Health | $13 - $604 | 11% |
| UnitedHealthcare | $13 - $453 | 11% |
| Transwestern | $13 - $604 | 11% |
| Adventist Risk Management | $13 - $604 | 11% |
| Pacificare PPO | $13 - $453 | 11% |
| Geha (Ccn) | $13 - $604 | 11% |
| Pacificare HMO | $13 - $453 | 11% |
| Great-West/Phcs | $13 - $529 | 11% |
| Self Pay | $13 - $453 | 11% |
| Pinnacle Claims Tpa/Bc | $14 - $673 | 12% |
| Health Net Canopycare HMO | $14 - $474 | 12% |
| Private Healthcare System | $14 - $589 | 12% |
| Multiplan Inc PPO | $14 - $589 | 12% |
| Health Net of California | $14 - $474 | 12% |
| Health Net Pmg HMO | $14 - $474 | 12% |
| Western Growers Trust/Bc | $14 - $673 | 12% |
| Western Health Advantage | $14 - $378 | 12% |
| Health Net Blue and Gold | $14 - $474 | 12% |
| Salinas Valley Mem Hops | $15 - $642 | 13% |
| Coastal Healthcare Admin | $15 - $680 | 13% |
| Calif Ironworkers Field | $16 - $673 | 14% |
| Monterey Bay Pub Emp Trst | $16 - $673 | 14% |
| Robert Kennedy/Ccn | $16 - $673 | 14% |
| Sheet Metal Workers | $16 - $673 | 14% |
| Laborers Health & Welfare | $16 - $673 | 14% |
| Operating Engineers | $16 - $673 | 14% |
| Carpenters H&W Trust | $16 - $673 | 14% |
| City of Wats/Pinnacle Clm | $16 - $673 | 14% |
| Delta Health Systems | $16 - $673 | 14% |
| Blue Cross Blue Shield | $16 - $673 | 14% |
| Claims Management Wc | $16 - $673 | 14% |
| Teamsters Benefit Trust | $16 - $673 | 14% |
| State Compensation Fund | $16 - $673 | 14% |
| Victim Compensation Plan | $17 - $755 | 15% |
| Medicruz | $17 - $136 | 15% |
| Wholesale Beer Distributo | $18 - $755 | 16% |
| State Farm Ins | $18 - $755 | 16% |
| Aarp | $18 - $755 | 16% |
| North Calif Bakery Driver | $18 - $755 | 16% |
| Allstate | $18 - $755 | 16% |
| Well Path | $18 - $755 | 16% |
| Miscellaneous Auto | $18 - $755 | 16% |
| Prucare Pmg POS | $18 - $755 | 16% |
| Sutter Health Plus | $18 - $755 | 16% |
| Aaa | $18 - $755 | 16% |
| Humana | $18 - $755 | 16% |
| United Administrative | $18 - $755 | 16% |
| Prucare Pmg HMO | $18 - $755 | 16% |
| Miscellaneous Insurance | $18 - $755 | 16% |
| Apwu Health Plan | $18 - $755 | 16% |
| Travelers Insurance | $18 - $755 | 16% |
| Bankers Life & Casualty | $18 - $755 | 16% |
| Physicians Mutual | $18 - $755 | 16% |
| Zenith National Ins | $18 - $755 | 16% |
| Farmers Insurance | $18 - $755 | 16% |
| Secure Horizons Dign HMO | $19 - $151 | 17% |
| Blue Shield HMO | $19 - $151 | 17% |
| Medicaid / KanCare | $92 | 80% |
| Healthy Families | $92 - $364 | 80% |
| Medi-Cal E.R. | $92 | 80% |
| California Childrens Srvs | $92 | 80% |
| Medi-Cal/Eds | $92 | 80% |
| Ccs/Monterey County | $92 | 80% |
| Alliance/Sccho | $99 | 87% |
| Nx Health Network | $114 | 100% |
| Crawford & Co | $114 | 100% |
| Fireman's Fund Work Comp | $114 | 100% |
| Blue Shield PPO | $114 - $364 | 100% |
| Pinnacle Healthcare Uc | $114 | 100% |
| Secure Horizons | $114 | 100% |
| Kemper Group Workers Comp | $114 | 100% |
| Workers Comp | $114 | 100% |
| Republic Idemnity W/Comp | $114 | 100% |
| U.S. Dept. of Labor | $114 | 100% |
| Miscellaneous Work Comp | $114 | 100% |
| Medicare (plans) | $114 | 100% |
| Veterans Administration | $114 | 100% |
| Beta Healthcare Group | $114 | 100% |
| Keenan & Assoc Work Comp | $114 | 100% |
| Alignment Health Plan | $114 | 100% |
| Fleming & Associates | $114 | 100% |
| Western Growers Work Comp | $114 | 100% |
| Gallagher Bassett Svcs | $114 | 100% |
| Ace-Usa | $114 | 100% |
| Tricare | $114 | 100% |
| Liberty Mutual Work Comp | $114 | 100% |
| Hartford Workers' Comp | $114 | 100% |
| Ufcw/Valley Clerks | $364 | 318% |
| Bs Employee | $364 | 318% |
| United Agriculture | $364 | 318% |