How many shoppable procedure prices are published for Watsonville Community Hospital?

Watsonville Community Hospital in Watsonville, CA currently has 106 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Watsonville Community Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Watsonville Community Hospital's median negotiated commercial rate is 1.6× the regionally adjusted fair BaseRate benchmark.

What is Watsonville Community Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Watsonville Community Hospital an overall hospital quality rating of 2 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Proprietary 106 Beds · urban Updated: 2026-09-28

Watsonville Community Hospital

75 Nielson Street, Watsonville, CA 95076 · 106 Priced Procedures · 68% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

High Markup · Shop Alternatives

1.56×vs. Fair Market Price

Typical commercial prices here are +56% above the fair benchmark (1.56×) even after accounting for local nurse/doctor wages and patient complexity.

72/100 · Corroborated

72/100Self-Pay Cash Beats Insurance 53% of the Time

File Completeness45

Price Logic79

Peer Alignment56

Clean Billing84

Real Cash Discount100

High-Markup · Check Safety

3-Star CMS clinical quality rating paired with 1.56× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +87% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Watsonville Community Hospital prices routine shoppable procedures at 3.4× Medicare (median 1.23× Fair BaseRate) while upper-quartile commercial rates jump +87% to 2.30× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#205 of 240 in CA · 85th State Percentile#2,717 of 3,385 in U.S. · 80th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.99× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 53% of shoppable procedures (99/100 Cash Honesty)
2-Star CMS clinical rating with 68% patient recommendation (64/100 safety score)
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 7.6× markup over Medicare rates
Commercial insurance median sits at 1.23× Fair BaseRate (3.4× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 2.30×) jump +87% above the median procedure ratio (Q50 1.23×)
Consolidated metro market (HHI 5,265) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

3.4× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.44× Divergence

1.5× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+87% Upper Tail

Q25 0.99× · Q50 1.23× · Q75 2.30×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

3.4× MedicareElevated

Outpatient Surgery & ORBack-Door Captive

7.6× MedicareWatchout

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

7.4× MedicareWatchout

Back-Door Captive ER VisitsBack-Door Captive

10.3× MedicareWatchout

Inpatient Lab & PathologyBack-Door Captive

1.3× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.6× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

53% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 64/100Elevated

Procedure Prices at Watsonville Community Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 106 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$36,676	$30,775	1.2×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$22,054	$19,087	1.2×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$21,899	$19,432	1.1×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$20,244	$17,936	1.1×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$8,851	$8,223	1.1×
Total hip replacement CPT Code: `27130`	$5,027	$5,027	$13,413	0.4×
Total knee replacement CPT Code: `27447`	$5,027	$5,027	$13,523	0.4×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$4,309	$4,309	$6,109	unverified
Breast lump removal CPT Code: `19120`	$3,590	$3,590	$3,875	0.9×
Inguinal hernia repair CPT Code: `49505`	$3,590	$3,590	$3,629	unverified
MRI, brain (with and without contrast) CPT Code: `70553`	$4,713	$3,587	$511	unverified
Cataract surgery with lens implant CPT Code: `66984`	$2,873	$2,873	$2,540	unverified
C-section delivery (full package) CPT Code: `59510`	$2,669	$2,669	$2,975	unverified
Upper endoscopy with biopsy CPT Code: `43239`	$2,393	$2,393	$987	unverified
Colonoscopy with biopsy CPT Code: `45380`	$2,393	$2,393	$1,256	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$7,131	$2,342	$338	6.9×
MRI, brain (no contrast) CPT Code: `70551`	$8,216	$2,112	$343	6.2×
MRI, knee or other leg joint CPT Code: `73721`	$6,642	$2,105	$369	5.7×
Colonoscopy (diagnostic) CPT Code: `45378`	$2,112	$2,112	$981	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$5,796	$1,486	$583	2.5×
Blood transfusion CPT Code: `36430`	$1,376	$1,376	$498	unverified
CT scan, head (with and without contrast) CPT Code: `70470`	$5,102	$1,338	$258	5.2×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$10,527	$1,319	$448	2.9×
CT scan, chest (no contrast) CPT Code: `71250`	$3,610	$1,119	$167	6.7×
CT scan, neck (cervical spine) CPT Code: `72125`	$5,666	$1,119	$169	6.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$5,868	$1,119	$168	unverified
CT scan, pelvis CPT Code: `72192`	$4,871	$1,118	$163	unverified
CT scan, head (with contrast) CPT Code: `70460`	$4,844	$1,072	$242	4.4×
CT scan, head (no contrast) CPT Code: `70450`	$4,010	$894	$160	5.6×
CT scan, sinuses CPT Code: `70486`	$3,924	$897	$166	5.4×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$2,855	$850	$272	3.1×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$9,353	$691	$303	2.3×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$879	$646	$148	unverified
Injection procedure for pain management HCPCS Code: `G0260`	$614	$614	$855	unverified
Screening mammogram (both breasts) CPT Code: `77067`	$659	$355	$123	2.9×
Ultrasound, abdomen (complete) CPT Code: `76700`	$2,881	$377	$134	2.8×
Ultrasound, pelvis CPT Code: `76856`	$1,950	$293	$130	2.3×
Ultrasound, abdomen (limited) CPT Code: `76705`	$1,533	$272	$126	2.2×
Ultrasound, thyroid and neck CPT Code: `76536`	$1,614	$272	$132	2.1×
Rabies immune globulin HCPCS Code: `90375`	$5,021	$290	$322	0.9×
Hospital observation (per hour) HCPCS Code: `G0378`	$216	$216	$86	2.5×
X-ray, hip CPT Code: `73502`	$838	$229	$93	2.5×
X-ray, chest (two views) CPT Code: `71046`	$980	$153	$93	1.6×
X-ray, lower back CPT Code: `72110`	$1,694	$175	$112	1.6×
Hepatitis B immune globulin HCPCS Code: `90371`	$331	$138	$151	0.9×
Diagnostic procedure preparation HCPCS Code: `G0279`	$558	$98	$35	2.8×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$854	$103	$64	1.6×
X-ray, neck (cervical spine) CPT Code: `72040`	$1,693	$115	$93	1.2×
X-ray, shoulder CPT Code: `73030`	$1,110	$109	$92	1.2×
X-ray, foot CPT Code: `73630`	$1,510	$101	$92	1.1×
X-ray, hand CPT Code: `73130`	$1,442	$101	$93	1.1×
X-ray, ankle CPT Code: `73610`	$1,041	$101	$93	1.1×
Speech therapy (language evaluation) CPT Code: `92507`	$961	$82	$86	1.0×
X-ray, pelvis CPT Code: `72170`	$1,091	$100	$110	0.9×
X-ray, chest (single view) CPT Code: `71045`	$662	$83	$92	0.9×
Breathing treatment (nebulizer) CPT Code: `94640`	$296	$94	$201	0.5×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$739	$739	$14	unverified
Typhoid vaccine HCPCS Code: `90675`	$731	$325	$347	0.9×
Pneumococcal vaccine HCPCS Code: `90732`	$253	$138	$140	1.0×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$218	$155	$203	0.8×
Drug screening test HCPCS Code: `G0480`	$83	$114	$116	1.0×
Flu vaccine injection HCPCS Code: `G0008`	$111	$70	$48	1.5×
Pneumonia vaccine injection HCPCS Code: `G0009`	$86	$70	$49	1.4×
Colorectal cancer screening HCPCS Code: `G0010`	$111	$70	$49	1.4×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$217	$90	$111	0.8×
Electrical stimulation therapy HCPCS Code: `G0283`	$104	$42	$14	3.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$1,279	$21	$11	1.9×
Hepatitis B vaccine HCPCS Code: `90744`	$67	$40	$37	1.1×
Orthotic fitting and training CPT Code: `97760`	$131	$53	$51	1.0×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$147	$41	$40	1.0×
Prosthetic fitting and training CPT Code: `97761`	$205	$46	$45	1.0×
Culture, bacterial CPT Code: `87070`	$659	$14	$9	1.6×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$266	$14	$10	1.4×
Blood test, thyroid (TSH) CPT Code: `84443`	$468	$24	$18	1.3×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$164	$37	$38	1.0×
Physical therapy (functional capacity test) CPT Code: `97750`	$213	$37	$38	1.0×
Occupational therapy (self-care training) CPT Code: `97535`	$163	$36	$38	0.9×
Blood test, lipase CPT Code: `83690`	$339	$9	$7	1.3×
Blood test, magnesium CPT Code: `83735`	$5	$9	$7	1.3×
Physical therapy (manual therapy) CPT Code: `97140`	$205	$31	$34	0.9×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$253	$5	$4	1.3×
Blood test, ferritin (iron stores) CPT Code: `82728`	$576	$17	$14	1.2×
Blood test, creatinine (kidney) CPT Code: `82565`	$488	$6	$5	1.2×
Hepatitis C antibody test CPT Code: `86803`	$27	$18	$15	1.2×
Blood test, vitamin B12 CPT Code: `82607`	$1,113	$19	$16	1.2×
Blood test, complete blood count (CBC) CPT Code: `85025`	$902	$9	$8	1.1×
Physical therapy (gait training) CPT Code: `97116`	$197	$32	$33	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$610	$19	$20	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$188	$32	$35	0.9×
Blood test, potassium CPT Code: `84132`	$547	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$595	$5	$5	1.0×
Blood test, hemoglobin CPT Code: `85018`	$89	$3	$3	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$437	$18	$19	0.9×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$65	$33	$39	0.8×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$108	$41	$56	0.7×
Blood test, liver function panel CPT Code: `80076`	$772	$14	$9	1.6×
Blood test, basic metabolic panel CPT Code: `80048`	$902	$12	$9	1.3×
Blood test, calcium CPT Code: `82310`	$36	$6	$5	1.2×
Blood test, amylase CPT Code: `82150`	$527	$8	$7	1.1×
Blood antibody screen CPT Code: `86850`	$542	$10	$46	0.2×
Blood test, vitamin D CPT Code: `82306`	$5	$5	$31	0.2×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$225	$8	$3	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$369	$9	$4	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$93	$10	$5	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$10	$14	$6	unverified
Culture, blood CPT Code: `87040`	$709	$25	$11	unverified

Showing top 25 high-impact procedures of 106 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Watsonville Community Hospital (Zero PHI Required)

CMS CCN: 050194

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $36,676

1. Amount on Your Bill or Quote ($) Pre-filled with Watsonville Community Hospital’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Watsonville Community Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$57,247 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($88,022) is $57,247 above the denoised Fair BaseRate ($30,775) and 3.7× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 911894113

Public IRS & CMS ownership records classify Watsonville Community Hospital as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Safety Composite64/100

Would Recommend68%

Rated 9 or 10 (HCAHPS)67%

Median ER Wait180 min

Left ER Before Seen2%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionsame

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Watsonville Community Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2025-04-15·administrative_or_closure
Closure Notice
Recorded
2025-03-19·cap_corrective_action
CAP Request
Recorded
2024-12-13·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (270 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Value & Quality Leader Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Watsonville Community Hospital.

Price Index: 1.00× regional baseline

Quality: 56/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Alignment Health Plan

-56.8%

Secure Horizons

-47.1%

Humana

+79.2%

UCare

+89.9%

Median Household Income$109,266U.S. Census ACS

Local Uninsured Share5.3%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 72/100 · Corroborated CMS CCN 050194 EIN 911894113

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 050194) ↗ Verify IRS Form 990 (EIN 911894113) ↗ CMS HCRIS Cost Reports ↗

Published MRF File911894113_WATSONVILLE-COMMUNITY-HOSPITAL_standardcharges.zip!911894113_WATSONVILLE-COMMUNITY-HOSPITAL_standardcharges.csv

Publication / Vintage2026-09-28 · 109.70 MB

Validated Rate Rows27,673 (CMS v3.0.0)

File Integrity DigestVerified · CCN 050194

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy