CMS Price Transparency Data

X-ray, chest (single view)

Facility: Watsonville Community Hospital

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71045
  • Insurance Median: $691
  • Cash Discount Price: $662
  • vs. Medicare Baseline: 7.77x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (single view) at Watsonville Community Hospital is $691. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $662. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 7.77x the Medicare baseline. Located in 75 Nielson Street, Watsonville, CA.
Cash / Self-Pay
$662

Average discount available for prompt cash payment at this facility.

Insurance Median
$691

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: $662 (745%)
Insurance Median: $691 (777%)
Cash: $662 (745% of Medicare)
Ins. Median: $691 (777% 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 777% of the Medicare baseline (a markup of 677%). 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 $19 21%
California Childrens Srvs $25 28%
Ccs/Monterey County $25 28%
Healthy Families $25 28%
Medi-Cal E.R. $25 28%
Medi-Cal/Eds $25 28%
Medicaid / KanCare $25 28%
Well Path $25 - $1,103 28%
Aetna $41 - $904 46%
Blue Cross Blue Shield $41 - $982 46%
Blue Shield Hmo $41 - $221 46%
Cigna $41 - $772 46%
Great-West/Phcs $41 - $772 46%
Health Net Pmg Hmo $41 - $691 46%
Pacificare Hmo $41 - $662 46%
Secure Horizons Dign Hmo $41 - $221 46%
UnitedHealthcare $41 - $662 46%
Calif Ironworkers Field $83 - $982 93%
Carpenters H&W Trust $83 - $982 93%
City Of Wats/Pinnacle Clm $83 - $982 93%
Claims Management Wc $83 - $982 93%
Delta Health Systems $83 - $982 93%
Laborers Health & Welfare $83 - $982 93%
Monterey Bay Pub Emp Trst $83 - $982 93%
Operating Engineers $83 - $982 93%
Pinnacle Claims Tpa/Bc $83 - $982 93%
Robert Kennedy/Ccn $83 - $982 93%
Sheet Metal Workers $83 - $982 93%
State Compensation Fund $83 - $982 93%
Teamsters Benefit Trust $83 - $982 93%
Western Growers Trust/Bc $83 - $982 93%
Medicruz $198 223%
Victim Compensation Plan $198 - $1,103 223%
Western Health Advantage $551 620%
Health Net Smartcare Netw $662 745%
Pacificare Ppo $662 745%
Self Pay $662 745%
Health Net Blue And Gold $691 777%
Health Net Canopycare Hmo $691 777%
Health Net Of California $691 777%
Adventist Risk Management $772 - $882 868%
First Health $772 - $882 868%
Geha (Ccn) $772 - $882 868%
Transwestern $772 - $882 868%
Multiplan Inc Ppo $860 967%
Private Healthcare System $860 967%
Coastal Healthcare Admin $937 - $992 1054%
Salinas Valley Mem Hops $937 1054%
Aaa $1,103 1241%
Aarp $1,103 1241%
Allstate $1,103 1241%
Apwu Health Plan $1,103 1241%
Bankers Life & Casualty $1,103 1241%
Farmers Insurance $1,103 1241%
Humana $1,103 1241%
Miscellaneous Auto $1,103 1241%
Miscellaneous Insurance $1,103 1241%
North Calif Bakery Driver $1,103 1241%
Physicians Mutual $1,103 1241%
Prucare Pmg Hmo $1,103 1241%
Prucare Pmg Pos $1,103 1241%
State Farm Ins $1,103 1241%
Sutter Health Plus $1,103 1241%
Travelers Insurance $1,103 1241%
United Administrative $1,103 1241%
Wholesale Beer Distributo $1,103 1241%
Zenith National Ins $1,103 1241%

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