CMS Price Transparency Data
CT scan, chest (no contrast)
Facility: Clovis Community Medical Center
Billing Code: 71250 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 71250
- Insurance Median: $134
- Cash Discount Price: $2,458
- vs. Medicare Baseline: 1.25x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Clovis Community Medical Center is $134. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,458. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.25x the Medicare baseline. Located in 2755 Herndon Ave, Clovis, CA.
Cash / Self-Pay
$2,458
Average discount available for prompt cash payment at this facility.
Insurance Median
$134
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$106.81
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $2,458 (2301%)
Insurance Median: $134 (125%)
Cash: $2,458 (2301% of Medicare)
Ins. Median: $134 (125% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $106.81 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 |
|---|---|---|
| Bscphp - Dhmso | $50 - $141 | 47% |
| Sequoia Pace - Peak Tpa | $50 - $141 | 47% |
| Sante-Blue Shield/Sante | $50 - $141 | 47% |
| Healthnet Sante - Sub Cap Dual Risk | $50 - $141 | 47% |
| Healthnet Sante Dual Risk | $50 - $141 | 47% |
| Meritage Brand New Day | $50 - $141 | 47% |
| Wellcare | $50 - $141 | 47% |
| Railroad Part A | $50 - $141 | 47% |
| Gemcare HMO | $50 - $141 | 47% |
| Sante | $50 - $197 | 47% |
| Generic Bscphp | $50 - $141 | 47% |
| Healthnet HMO - La Salle | $50 - $141 | 47% |
| Scan Health Plan | $50 - $141 | 47% |
| Generic | $50 - $141 | 47% |
| Hartford Life Supplement | $50 - $141 | 47% |
| Railroad Part A & B | $50 - $141 | 47% |
| Brand New Day | $50 - $141 | 47% |
| Railroad Part B | $50 - $141 | 47% |
| Aetna | $50 - $1,536 | 47% |
| Blue Shield Promise - Imperial | $50 - $141 | 47% |
| Blue Shield 65 Plus HMO Ehs | $50 - $141 | 47% |
| Advantek Table Mountain Rancheria Tribal Member | $50 - $141 | 47% |
| Generic Victims of Crime | $50 - $141 | 47% |
| Sante-Healthnet Seniority | $50 - $141 | 47% |
| Blue Cross Blue Shield | $50 - $1,954 | 47% |
| Cigna | $50 - $1,906 | 47% |
| Blue Shield | $50 - $1,749 | 47% |
| Well Path (Cfmg) | $50 - $3,380 | 47% |
| UnitedHealthcare | $50 - $1,611 | 47% |
| Sante Sub Cap-Blue Shield/Sante | $50 - $141 | 47% |
| Bscphp - First Choice | $50 - $141 | 47% |
| Sante-Sub Cap Ma Brand New Day | $50 - $141 | 47% |
| Medi-Cal Innovative Integrated Health | $50 - $141 | 47% |
| Todays Pyramid | $50 - $141 | 47% |
| Healthnet Sante | $50 - $141 | 47% |
| Blue Shield Hmo-Cvmp/Medpro | $50 - $141 | 47% |
| Victims of Crime | $50 - $141 | 47% |
| Medicare (plans) | $50 - $141 | 47% |
| Bscphp HMO - First Choice | $50 - $141 | 47% |
| Healthnet HMO - Cvmp/Medpro | $50 - $141 | 47% |
| Blue Shield Saint Agnes | $50 - $141 | 47% |
| Blue Shield Sante | $50 - $141 | 47% |
| Blue Shield 65 Plus HMO First Choice | $50 - $141 | 47% |
| Us Marshal | $50 - $141 | 47% |
| Humana | $50 - $2,612 | 47% |
| Healthnet HMO - Sante | $50 - $141 | 47% |
| Meritage Healthnet HMO | $50 - $141 | 47% |
| Sante Sub Cap Healthnet Seniority | $50 - $141 | 47% |
| Meritage Blue Shield 65 Plus | $50 - $141 | 47% |
| Cares Act Provider Relief Fund | $50 - $141 | 47% |
| Healthnet HMO - Dhmso | $50 - $141 | 47% |
| Care1St HMO - Ehs | $50 - $141 | 47% |
| Champion Health Plan of California Ma | $55 - $155 | 51% |
| Innovative Integrated Health Community Plans HMO | $55 - $155 | 51% |
| Alignment Health Plan | $55 - $155 | 51% |
| Imperial Health Plan HMO | $58 - $162 | 54% |
| Correctcare Integrated Health | $65 - $184 | 61% |
| Coalinga State Hospital | $101 - $282 | 95% |
| Kaiser | $107 | 100% |
| Naphcare Inc-Mendota | $108 - $304 | 101% |
| Ccs Fresno | $127 | 119% |
| Genetically Handicapped Person | $127 | 119% |
| Medi-Cal California Health & Wellness Plan | $127 | 119% |
| Fresno County Funded Specialty Care | $127 | 119% |
| Medi-Cal Contra Costa Health Plan | $127 | 119% |
| Santa Clara Family Health Plan - Valley Health | $127 | 119% |
| Generic Care Out of County | $127 | 119% |
| Medi-Cal Cencal Health | $127 | 119% |
| Generic Ccs Other Counties | $127 | 119% |
| Ccs Mariposa | $127 | 119% |
| Medi-Cal Community Health Group | $127 | 119% |
| Cal Caloptima | $127 | 119% |
| San Francisco Health Plan Medi-Cal | $127 | 119% |
| Ccs Merced | $127 | 119% |
| Santa Clara Family Health Plan - Premier Health | $127 | 119% |
| Ccs Kings | $127 | 119% |
| Medi-Cal Health Plan of San Mateo | $127 | 119% |
| Medi-Cal Blue Shield Promise Health | $127 | 119% |
| Chdp | $127 | 119% |
| Ccs Stanislaus | $127 | 119% |
| Ccs Tulare | $127 | 119% |
| Ccs Madera/Sacramento | $127 | 119% |
| Medi-Cal La Care Health | $127 | 119% |
| Medi-Cal Partnership Health Plan of Ca | $127 | 119% |
| Ccs Kern | $127 | 119% |
| Medi-Cal Kern Family Health | $127 | 119% |
| Medi-Cal Molina | $127 | 119% |
| Gold Coast Medi-Cal | $127 | 119% |
| Medi-Cal Inland Empire Health | $127 | 119% |
| Medi-Cal Alameda Alliance for Health | $127 | 119% |
| Health Plan of San Joaquin | $191 | 179% |
| Sequoia Pace | $191 | 179% |
| Adventist -McL Calviva Sub Cap | $210 | 197% |
| Healthnet | $245 - $1,804 | 229% |
| Central Valley Medical Providers | $768 - $2,151 | 719% |
| Community Care | $784 | 734% |
| Employer 90/40 | $1,229 | 1151% |
| Central Ca Indian Health | $1,690 | 1582% |
| Nx Health Network PPO | $1,690 | 1582% |
| Healthsmart | $2,090 - $2,458 | 1957% |
| Coventry Health Care (First Health Network) | $2,305 | 2158% |
| Network By Design | $2,305 | 2158% |
| PHCS | $2,612 | 2445% |
| Generic Multiplan | $2,612 | 2445% |