CMS Price Transparency Data
Blood transfusion
Facility: Clovis Community Medical Center
Billing Code: 36430 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 36430
- Insurance Median: $567
- Cash Discount Price: $2,770
- vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at Clovis Community Medical Center is $567. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,770. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 1.26x the Medicare baseline. Located in 2755 Herndon Ave, Clovis, CA.
Cash / Self-Pay
$2,770
Average discount available for prompt cash payment at this facility.
Insurance Median
$567
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$450.73
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $450.73 (100%)
Cash / Self-Pay: $2,770 (615%)
Insurance Median: $567 (126%)
Cash: $2,770 (615% of Medicare)
Ins. Median: $567 (126% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $450.73 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 |
|---|---|---|
| Todays Pyramid | $51 - $567 | 11% |
| Cigna | $51 - $4,053 | 11% |
| Healthnet Sante Dual Risk | $51 - $567 | 11% |
| Sante-Blue Shield/Sante | $51 - $567 | 11% |
| Care1St HMO - Ehs | $51 - $567 | 11% |
| Sante-Sub Cap Ma Brand New Day | $51 - $567 | 11% |
| Healthnet HMO - Dhmso | $51 - $567 | 11% |
| Railroad Part A & B | $51 - $567 | 11% |
| Aetna | $51 - $3,989 | 11% |
| Generic Victims of Crime | $51 - $567 | 11% |
| Blue Shield Saint Agnes | $51 - $567 | 11% |
| Scan Health Plan | $51 - $567 | 11% |
| Sequoia Pace - Peak Tpa | $51 - $567 | 11% |
| Railroad Part B | $51 - $567 | 11% |
| Generic Bscphp | $51 - $567 | 11% |
| Sante Sub Cap-Blue Shield/Sante | $51 - $567 | 11% |
| Advantek Table Mountain Rancheria Tribal Member | $51 - $567 | 11% |
| Medi-Cal Innovative Integrated Health | $51 - $567 | 11% |
| Blue Shield Hmo-Cvmp/Medpro | $51 - $567 | 11% |
| Cares Act Provider Relief Fund | $51 - $567 | 11% |
| Brand New Day | $51 - $567 | 11% |
| Humana | $51 - $4,241 | 11% |
| Generic | $51 - $567 | 11% |
| Blue Shield | $51 - $1,084 | 11% |
| Railroad Part A | $51 - $567 | 11% |
| Blue Cross Blue Shield | $51 - $3,630 | 11% |
| Gemcare HMO | $51 - $567 | 11% |
| Healthnet HMO - Sante | $51 - $567 | 11% |
| Blue Shield Sante | $51 - $567 | 11% |
| Blue Shield Promise - Imperial | $51 - $567 | 11% |
| UnitedHealthcare | $51 - $2,616 | 11% |
| Sante | $51 - $567 | 11% |
| Well Path (Cfmg) | $51 - $5,488 | 11% |
| Healthnet Sante - Sub Cap Dual Risk | $51 - $567 | 11% |
| Sante Sub Cap Healthnet Seniority | $51 - $567 | 11% |
| Meritage Brand New Day | $51 - $567 | 11% |
| Bscphp - Dhmso | $51 - $567 | 11% |
| Blue Shield 65 Plus HMO First Choice | $51 - $567 | 11% |
| Us Marshal | $51 - $567 | 11% |
| Wellcare | $51 - $567 | 11% |
| Meritage Healthnet HMO | $51 - $567 | 11% |
| Healthnet Sante | $51 - $567 | 11% |
| Hartford Life Supplement | $51 - $567 | 11% |
| Bscphp HMO - First Choice | $51 - $567 | 11% |
| Meritage Blue Shield 65 Plus | $51 - $567 | 11% |
| Victims of Crime | $51 - $567 | 11% |
| Medicare (plans) | $51 - $567 | 11% |
| Bscphp - First Choice | $51 - $567 | 11% |
| Blue Shield 65 Plus HMO Ehs | $51 - $567 | 11% |
| Sante-Healthnet Seniority | $51 - $567 | 11% |
| Healthnet HMO - La Salle | $51 - $567 | 11% |
| Healthnet HMO - Cvmp/Medpro | $51 - $567 | 11% |
| Innovative Integrated Health Community Plans HMO | $57 - $624 | 13% |
| Champion Health Plan of California Ma | $57 - $624 | 13% |
| Alignment Health Plan | $57 - $624 | 13% |
| Imperial Health Plan HMO | $59 - $653 | 13% |
| Correctcare Integrated Health | $67 - $738 | 15% |
| Coalinga State Hospital | $103 - $1,135 | 23% |
| Naphcare Inc-Mendota | $111 - $1,220 | 25% |
| Central Valley Medical Providers | $376 - $3,492 | 83% |
| Community Care | $383 - $1,272 | 85% |
| Kaiser | $451 | 100% |
| Employer 90/40 | $601 - $1,996 | 133% |
| Nx Health Network PPO | $827 - $2,744 | 183% |
| Central Ca Indian Health | $827 - $2,744 | 183% |
| Healthnet | $882 - $2,929 | 196% |
| Healthsmart | $1,022 - $3,991 | 227% |
| Coventry Health Care (First Health Network) | $1,127 - $3,742 | 250% |
| Network By Design | $1,127 - $3,742 | 250% |
| PHCS | $1,278 - $4,241 | 284% |
| Generic Multiplan | $1,278 - $4,241 | 284% |