CMS Price Transparency Data

X-ray, ankle

Facility: Watsonville Community Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $1,248
  • Cash Discount Price: $1,041
  • vs. Medicare Baseline: 14.04x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Watsonville Community Hospital is $1,248. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,041. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 14.04x the Medicare baseline. Located in 75 Nielson Street, Watsonville, CA.
Cash / Self-Pay
$1,041

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,248

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)
Cash / Self-Pay: $1,041 (1171%)
Insurance Median: $1,248 (1404%)
Cash: $1,041 (1171% of Medicare)
Ins. Median: $1,248 (1404% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 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 1404% of the Medicare baseline (a markup of 1304%). 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 $36 40%
California Childrens Srvs $36 40%
Ccs/Monterey County $36 40%
Healthy Families $36 40%
Medi-Cal E.R. $36 40%
Medi-Cal/Eds $36 40%
Medicaid / KanCare $36 40%
Well Path $36 - $1,990 40%
Aetna $46 - $1,632 52%
Blue Cross Blue Shield $46 - $1,773 52%
Blue Shield Hmo $46 - $398 52%
Cigna $46 - $1,393 52%
Great-West/Phcs $46 - $1,393 52%
Health Net Pmg Hmo $46 - $1,248 52%
Pacificare Hmo $46 - $1,194 52%
Secure Horizons Dign Hmo $46 - $398 52%
UnitedHealthcare $46 - $1,194 52%
Calif Ironworkers Field $101 - $1,773 114%
Carpenters H&W Trust $101 - $1,773 114%
City Of Wats/Pinnacle Clm $101 - $1,773 114%
Claims Management Wc $101 - $1,773 114%
Delta Health Systems $101 - $1,773 114%
Laborers Health & Welfare $101 - $1,773 114%
Monterey Bay Pub Emp Trst $101 - $1,773 114%
Operating Engineers $101 - $1,773 114%
Pinnacle Claims Tpa/Bc $101 - $1,773 114%
Robert Kennedy/Ccn $101 - $1,773 114%
Sheet Metal Workers $101 - $1,773 114%
State Compensation Fund $101 - $1,773 114%
Teamsters Benefit Trust $101 - $1,773 114%
Western Growers Trust/Bc $101 - $1,773 114%
Medicruz $266 - $358 299%
Victim Compensation Plan $266 - $1,990 299%
Western Health Advantage $739 - $995 831%
Health Net Smartcare Netw $887 - $1,194 998%
Pacificare Ppo $887 - $1,194 998%
Self Pay $887 - $1,194 998%
Health Net Blue And Gold $927 - $1,248 1043%
Health Net Canopycare Hmo $927 - $1,248 1043%
Health Net Of California $927 - $1,248 1043%
Adventist Risk Management $1,035 - $1,592 1164%
First Health $1,035 - $1,592 1164%
Geha (Ccn) $1,035 - $1,592 1164%
Transwestern $1,035 - $1,592 1164%
Multiplan Inc Ppo $1,153 - $1,552 1297%
Private Healthcare System $1,153 - $1,552 1297%
Coastal Healthcare Admin $1,256 - $1,791 1413%
Salinas Valley Mem Hops $1,256 - $1,692 1413%
Aaa $1,478 - $1,990 1662%
Aarp $1,478 - $1,990 1662%
Allstate $1,478 - $1,990 1662%
Apwu Health Plan $1,478 - $1,990 1662%
Bankers Life & Casualty $1,478 - $1,990 1662%
Farmers Insurance $1,478 - $1,990 1662%
Humana $1,478 - $1,990 1662%
Miscellaneous Auto $1,478 - $1,990 1662%
Miscellaneous Insurance $1,478 - $1,990 1662%
North Calif Bakery Driver $1,478 - $1,990 1662%
Physicians Mutual $1,478 - $1,990 1662%
Prucare Pmg Hmo $1,478 - $1,990 1662%
Prucare Pmg Pos $1,478 - $1,990 1662%
State Farm Ins $1,478 - $1,990 1662%
Sutter Health Plus $1,478 - $1,990 1662%
Travelers Insurance $1,478 - $1,990 1662%
United Administrative $1,478 - $1,990 1662%
Wholesale Beer Distributo $1,478 - $1,990 1662%
Zenith National Ins $1,478 - $1,990 1662%

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