CMS Price Transparency Data
Blood test, hemoglobin
Facility: Clovis Community Medical Center
Billing Code: 85018 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 85018
- Insurance Median: $2
- Cash Discount Price: $34
- vs. Medicare Baseline: 0.84x Medicare
The contracted insurance negotiated median rate for a Blood test, hemoglobin at Clovis Community Medical Center is $2. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $34. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 0.84x the Medicare baseline. Located in 2755 Herndon Ave, Clovis, CA.
Cash / Self-Pay
$34
Average discount available for prompt cash payment at this facility.
Insurance Median
$2
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$2.37
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $2.37 (100%)
Cash / Self-Pay: $34 (1435%)
Insurance Median: $2 (84%)
Cash: $34 (1435% of Medicare)
Ins. Median: $2 (84% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $2.37 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
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
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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 |
|---|---|---|
| Community Care | $1 - $18 | 42% |
| Central Valley Medical Providers | $1 - $50 | 42% |
| Healthnet | $2 - $42 | 84% |
| Medi-Cal Health Plan of San Mateo | $2 | 84% |
| Ccs Stanislaus | $2 | 84% |
| Sequoia Pace - Peak Tpa | $2 | 84% |
| Sante-Sub Cap Ma Brand New Day | $2 | 84% |
| Care1St HMO - Ehs | $2 | 84% |
| Meritage Brand New Day | $2 | 84% |
| Ccs Merced | $2 | 84% |
| Todays Pyramid | $2 | 84% |
| Medi-Cal Community Health Group | $2 | 84% |
| Central Ca Indian Health | $2 - $39 | 84% |
| Victims of Crime | $2 | 84% |
| Ccs Kings | $2 | 84% |
| Gemcare HMO | $2 | 84% |
| Santa Clara Family Health Plan - Premier Health | $2 | 84% |
| Meritage Blue Shield 65 Plus | $2 | 84% |
| Us Marshal | $2 | 84% |
| Santa Clara Family Health Plan - Valley Health | $2 | 84% |
| Blue Shield Promise - Imperial | $2 | 84% |
| Medi-Cal Molina | $2 | 84% |
| Generic Victims of Crime | $2 | 84% |
| Ccs Tulare | $2 | 84% |
| Sante Sub Cap-Blue Shield/Sante | $2 | 84% |
| Cal Caloptima | $2 | 84% |
| Blue Shield | $2 - $40 | 84% |
| Blue Shield Hmo-Cvmp/Medpro | $2 | 84% |
| Bscphp HMO - First Choice | $2 | 84% |
| Generic | $2 | 84% |
| Genetically Handicapped Person | $2 | 84% |
| Healthnet HMO - La Salle | $2 | 84% |
| Ccs Kern | $2 | 84% |
| Ccs Mariposa | $2 | 84% |
| Medi-Cal Partnership Health Plan of Ca | $2 | 84% |
| Chdp | $2 | 84% |
| Generic Ccs Other Counties | $2 | 84% |
| Medi-Cal Innovative Integrated Health | $2 | 84% |
| Nx Health Network PPO | $2 - $39 | 84% |
| Blue Shield 65 Plus HMO First Choice | $2 | 84% |
| Employer 90/40 | $2 - $28 | 84% |
| Blue Shield 65 Plus HMO Ehs | $2 | 84% |
| Fresno County Funded Specialty Care | $2 | 84% |
| Cigna | $2 - $44 | 84% |
| Generic Care Out of County | $2 | 84% |
| Bscphp - Dhmso | $2 | 84% |
| Medi-Cal La Care Health | $2 | 84% |
| Railroad Part A & B | $2 | 84% |
| Hartford Life Supplement | $2 | 84% |
| Humana | $2 - $60 | 84% |
| Medi-Cal Blue Shield Promise Health | $2 | 84% |
| Kaiser | $2 | 84% |
| Generic Bscphp | $2 | 84% |
| Scan Health Plan | $2 | 84% |
| Brand New Day | $2 | 84% |
| Healthnet Sante - Sub Cap Dual Risk | $2 | 84% |
| Gold Coast Medi-Cal | $2 | 84% |
| Advantek Table Mountain Rancheria Tribal Member | $2 | 84% |
| Blue Shield Saint Agnes | $2 | 84% |
| Medi-Cal Kern Family Health | $2 | 84% |
| Ccs Madera/Sacramento | $2 | 84% |
| Sante Sub Cap Healthnet Seniority | $2 | 84% |
| Medi-Cal Inland Empire Health | $2 | 84% |
| Wellcare | $2 | 84% |
| Healthnet HMO - Sante | $2 | 84% |
| Meritage Healthnet HMO | $2 | 84% |
| Medicare (plans) | $2 | 84% |
| UnitedHealthcare | $2 - $37 | 84% |
| Railroad Part B | $2 | 84% |
| Medi-Cal Contra Costa Health Plan | $2 | 84% |
| Healthnet Sante Dual Risk | $2 | 84% |
| Bscphp - First Choice | $2 | 84% |
| Blue Shield Sante | $2 | 84% |
| Railroad Part A | $2 | 84% |
| Sante-Healthnet Seniority | $2 | 84% |
| Aetna | $2 - $36 | 84% |
| Sante-Blue Shield/Sante | $2 | 84% |
| Healthnet Sante | $2 | 84% |
| Healthnet HMO - Dhmso | $2 | 84% |
| Blue Cross Blue Shield | $2 - $45 | 84% |
| Sante | $2 - $3 | 84% |
| Healthnet HMO - Cvmp/Medpro | $2 | 84% |
| Ccs Fresno | $2 | 84% |
| Cares Act Provider Relief Fund | $2 | 84% |
| San Francisco Health Plan Medi-Cal | $2 | 84% |
| Medi-Cal Cencal Health | $2 | 84% |
| Medi-Cal California Health & Wellness Plan | $2 | 84% |
| Medi-Cal Alameda Alliance for Health | $2 | 84% |
| Alignment Health Plan | $3 | 127% |
| PHCS | $3 - $60 | 127% |
| Generic Multiplan | $3 - $60 | 127% |
| Imperial Health Plan HMO | $3 | 127% |
| Health Plan of San Joaquin | $3 | 127% |
| Network By Design | $3 - $53 | 127% |
| Coventry Health Care (First Health Network) | $3 - $53 | 127% |
| Sequoia Pace | $3 | 127% |
| Healthsmart | $3 - $57 | 127% |
| Innovative Integrated Health Community Plans HMO | $3 | 127% |
| Adventist -McL Calviva Sub Cap | $3 | 127% |
| Champion Health Plan of California Ma | $3 | 127% |
| Correctcare Integrated Health | $3 | 127% |
| Well Path (Cfmg) | $4 - $78 | 169% |
| Coalinga State Hospital | $5 | 211% |
| Naphcare Inc-Mendota | $5 | 211% |