CMS Price Transparency Data
Blood test, comprehensive metabolic panel
Facility: Clovis Community Medical Center
Billing Code: 80053 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 80053
- Insurance Median: $11
- Cash Discount Price: $165
- vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at Clovis Community Medical Center is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $165. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 1.04x the Medicare baseline. Located in 2755 Herndon Ave, Clovis, CA.
Cash / Self-Pay
$165
Average discount available for prompt cash payment at this facility.
Insurance Median
$11
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$10.56
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $10.56 (100%)
Cash / Self-Pay: $165 (1563%)
Insurance Median: $11 (104%)
Cash: $165 (1563% of Medicare)
Ins. Median: $11 (104% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $10.56 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 |
|---|---|---|
| Medi-Cal Molina | $9 | 85% |
| Medi-Cal Contra Costa Health Plan | $9 | 85% |
| Medi-Cal California Health & Wellness Plan | $9 | 85% |
| Ccs Merced | $9 | 85% |
| Generic Ccs Other Counties | $9 | 85% |
| Blue Cross Blue Shield | $9 - $131 | 85% |
| Generic Care Out of County | $9 | 85% |
| Chdp | $9 | 85% |
| Ccs Tulare | $9 | 85% |
| Genetically Handicapped Person | $9 | 85% |
| Ccs Kern | $9 | 85% |
| Ccs Mariposa | $9 | 85% |
| Medi-Cal Inland Empire Health | $9 | 85% |
| Ccs Madera/Sacramento | $9 | 85% |
| Gold Coast Medi-Cal | $9 | 85% |
| Medi-Cal Health Plan of San Mateo | $9 | 85% |
| Medi-Cal Blue Shield Promise Health | $9 | 85% |
| San Francisco Health Plan Medi-Cal | $9 | 85% |
| Ccs Kings | $9 | 85% |
| Medi-Cal La Care Health | $9 | 85% |
| Ccs Stanislaus | $9 | 85% |
| Cal Caloptima | $9 | 85% |
| Blue Shield | $9 - $117 | 85% |
| Medi-Cal Alameda Alliance for Health | $9 | 85% |
| Fresno County Funded Specialty Care | $9 | 85% |
| Medi-Cal Cencal Health | $9 | 85% |
| Santa Clara Family Health Plan - Valley Health | $9 | 85% |
| Ccs Fresno | $9 | 85% |
| Medi-Cal Community Health Group | $9 | 85% |
| Medi-Cal Kern Family Health | $9 | 85% |
| Santa Clara Family Health Plan - Premier Health | $9 | 85% |
| Medi-Cal Partnership Health Plan of Ca | $9 | 85% |
| Sante-Blue Shield/Sante | $11 | 104% |
| Sante-Healthnet Seniority | $11 | 104% |
| Sante Sub Cap Healthnet Seniority | $11 | 104% |
| Todays Pyramid | $11 | 104% |
| Meritage Brand New Day | $11 | 104% |
| Scan Health Plan | $11 | 104% |
| Railroad Part A | $11 | 104% |
| Sequoia Pace - Peak Tpa | $11 | 104% |
| Humana | $11 - $175 | 104% |
| Sante | $11 - $14 | 104% |
| Cigna | $11 - $128 | 104% |
| Hartford Life Supplement | $11 | 104% |
| Brand New Day | $11 | 104% |
| Healthnet Sante | $11 | 104% |
| Healthnet HMO - Dhmso | $11 | 104% |
| Healthnet Sante - Sub Cap Dual Risk | $11 | 104% |
| Medicare (plans) | $11 | 104% |
| Generic Bscphp | $11 | 104% |
| Bscphp HMO - First Choice | $11 | 104% |
| Blue Shield Sante | $11 | 104% |
| Blue Shield 65 Plus HMO First Choice | $11 | 104% |
| Blue Shield Hmo-Cvmp/Medpro | $11 | 104% |
| Blue Shield Saint Agnes | $11 | 104% |
| Wellcare | $11 | 104% |
| UnitedHealthcare | $11 - $108 | 104% |
| Sante Sub Cap-Blue Shield/Sante | $11 | 104% |
| Meritage Blue Shield 65 Plus | $11 | 104% |
| Meritage Healthnet HMO | $11 | 104% |
| Blue Shield 65 Plus HMO Ehs | $11 | 104% |
| Sante-Sub Cap Ma Brand New Day | $11 | 104% |
| Railroad Part B | $11 | 104% |
| Generic | $11 | 104% |
| Medi-Cal Innovative Integrated Health | $11 | 104% |
| Gemcare HMO | $11 | 104% |
| Cares Act Provider Relief Fund | $11 | 104% |
| Healthnet HMO - Cvmp/Medpro | $11 | 104% |
| Bscphp - First Choice | $11 | 104% |
| Care1St HMO - Ehs | $11 | 104% |
| Healthnet Sante Dual Risk | $11 | 104% |
| Advantek Table Mountain Rancheria Tribal Member | $11 | 104% |
| Us Marshal | $11 | 104% |
| Kaiser | $11 | 104% |
| Aetna | $11 - $54 | 104% |
| Victims of Crime | $11 | 104% |
| Blue Shield Promise - Imperial | $11 | 104% |
| Generic Victims of Crime | $11 | 104% |
| Railroad Part A & B | $11 | 104% |
| Healthnet HMO - Sante | $11 | 104% |
| Healthnet HMO - La Salle | $11 | 104% |
| Bscphp - Dhmso | $11 | 104% |
| Imperial Health Plan HMO | $12 | 114% |
| Champion Health Plan of California Ma | $12 | 114% |
| Alignment Health Plan | $12 | 114% |
| Innovative Integrated Health Community Plans HMO | $12 | 114% |
| Health Plan of San Joaquin | $14 | 133% |
| Sequoia Pace | $14 | 133% |
| Correctcare Integrated Health | $14 | 133% |
| Adventist -McL Calviva Sub Cap | $15 | 142% |
| Healthnet | $18 - $121 | 170% |
| Coalinga State Hospital | $21 | 199% |
| Naphcare Inc-Mendota | $23 | 218% |
| Central Valley Medical Providers | $52 - $144 | 492% |
| Community Care | $53 | 502% |
| Employer 90/40 | $82 | 777% |
| Central Ca Indian Health | $113 | 1070% |
| Nx Health Network PPO | $113 | 1070% |
| Healthsmart | $140 - $165 | 1326% |
| Network By Design | $154 | 1458% |
| Coventry Health Care (First Health Network) | $154 | 1458% |
| Generic Multiplan | $175 | 1657% |
| PHCS | $175 | 1657% |
| Well Path (Cfmg) | $227 | 2150% |