CMS Price Transparency Data
Culture, bacterial
Facility: Clovis Community Medical Center
Billing Code: 87070 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 87070
- Insurance Median: $13
- Cash Discount Price: $32
- vs. Medicare Baseline: 1.51x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Clovis Community Medical Center is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $32. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 1.51x the Medicare baseline. Located in 2755 Herndon Ave, Clovis, CA.
Cash / Self-Pay
$32
Average discount available for prompt cash payment at this facility.
Insurance Median
$13
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$8.62
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $8.62 (100%)
Cash / Self-Pay: $32 (371%)
Insurance Median: $13 (151%)
Cash: $32 (371% of Medicare)
Ins. Median: $13 (151% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $8.62 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.
Input your details and click calculate to compare out-of-pocket costs.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Central Valley Medical Providers | $6 - $165 | 70% |
| Community Care | $7 - $60 | 81% |
| Medi-Cal Kern Family Health | $8 | 93% |
| Santa Clara Family Health Plan - Valley Health | $8 | 93% |
| Ccs Kern | $8 | 93% |
| Ccs Tulare | $8 | 93% |
| Medi-Cal Health Plan of San Mateo | $8 | 93% |
| Blue Shield | $8 - $134 | 93% |
| Generic Ccs Other Counties | $8 | 93% |
| Generic Care Out of County | $8 | 93% |
| Santa Clara Family Health Plan - Premier Health | $8 | 93% |
| Ccs Stanislaus | $8 | 93% |
| Medi-Cal Inland Empire Health | $8 | 93% |
| Medi-Cal Blue Shield Promise Health | $8 | 93% |
| Genetically Handicapped Person | $8 | 93% |
| Medi-Cal Cencal Health | $8 | 93% |
| Medi-Cal Alameda Alliance for Health | $8 | 93% |
| Medi-Cal La Care Health | $8 | 93% |
| Medi-Cal Contra Costa Health Plan | $8 | 93% |
| Gold Coast Medi-Cal | $8 | 93% |
| Cal Caloptima | $8 | 93% |
| Fresno County Funded Specialty Care | $8 | 93% |
| Ccs Fresno | $8 | 93% |
| Medi-Cal California Health & Wellness Plan | $8 | 93% |
| San Francisco Health Plan Medi-Cal | $8 | 93% |
| Ccs Mariposa | $8 | 93% |
| Ccs Merced | $8 | 93% |
| Ccs Madera/Sacramento | $8 | 93% |
| Ccs Kings | $8 | 93% |
| Medi-Cal Partnership Health Plan of Ca | $8 | 93% |
| Medi-Cal Community Health Group | $8 | 93% |
| Medi-Cal Molina | $8 | 93% |
| Blue Cross Blue Shield | $8 - $150 | 93% |
| Chdp | $8 | 93% |
| Healthnet HMO - Cvmp/Medpro | $9 | 104% |
| Blue Shield 65 Plus HMO Ehs | $9 | 104% |
| Healthnet Sante Dual Risk | $9 | 104% |
| Railroad Part A | $9 | 104% |
| Healthnet Sante | $9 | 104% |
| Blue Shield Promise - Imperial | $9 | 104% |
| Blue Shield 65 Plus HMO First Choice | $9 | 104% |
| Healthnet HMO - La Salle | $9 | 104% |
| Generic Bscphp | $9 | 104% |
| Meritage Blue Shield 65 Plus | $9 | 104% |
| Brand New Day | $9 | 104% |
| UnitedHealthcare | $9 - $124 | 104% |
| Healthnet HMO - Dhmso | $9 | 104% |
| Sante-Sub Cap Ma Brand New Day | $9 | 104% |
| Sante Sub Cap-Blue Shield/Sante | $9 | 104% |
| Scan Health Plan | $9 | 104% |
| Bscphp HMO - First Choice | $9 | 104% |
| Medi-Cal Innovative Integrated Health | $9 | 104% |
| Humana | $9 - $200 | 104% |
| Bscphp - First Choice | $9 | 104% |
| Blue Shield Saint Agnes | $9 | 104% |
| Bscphp - Dhmso | $9 | 104% |
| Railroad Part B | $9 | 104% |
| Champion Health Plan of California Ma | $9 | 104% |
| Cigna | $9 - $146 | 104% |
| Us Marshal | $9 | 104% |
| Hartford Life Supplement | $9 | 104% |
| Generic | $9 | 104% |
| Railroad Part A & B | $9 | 104% |
| Alignment Health Plan | $9 | 104% |
| Sante-Healthnet Seniority | $9 | 104% |
| Healthnet Sante - Sub Cap Dual Risk | $9 | 104% |
| Blue Shield Hmo-Cvmp/Medpro | $9 | 104% |
| Generic Victims of Crime | $9 | 104% |
| Aetna | $9 - $118 | 104% |
| Todays Pyramid | $9 | 104% |
| Meritage Brand New Day | $9 | 104% |
| Advantek Table Mountain Rancheria Tribal Member | $9 | 104% |
| Victims of Crime | $9 | 104% |
| Wellcare | $9 | 104% |
| Sante Sub Cap Healthnet Seniority | $9 | 104% |
| Care1St HMO - Ehs | $9 | 104% |
| Healthnet HMO - Sante | $9 | 104% |
| Sante | $9 - $12 | 104% |
| Medicare (plans) | $9 | 104% |
| Cares Act Provider Relief Fund | $9 | 104% |
| Sequoia Pace - Peak Tpa | $9 | 104% |
| Innovative Integrated Health Community Plans HMO | $9 | 104% |
| Meritage Healthnet HMO | $9 | 104% |
| Sante-Blue Shield/Sante | $9 | 104% |
| Kaiser | $9 | 104% |
| Gemcare HMO | $9 | 104% |
| Blue Shield Sante | $9 | 104% |
| Imperial Health Plan HMO | $10 | 116% |
| Employer 90/40 | $10 - $94 | 116% |
| Correctcare Integrated Health | $11 | 128% |
| Health Plan of San Joaquin | $11 | 128% |
| Sequoia Pace | $11 | 128% |
| Adventist -McL Calviva Sub Cap | $12 | 139% |
| Nx Health Network PPO | $14 - $130 | 162% |
| Healthnet | $14 - $138 | 162% |
| Central Ca Indian Health | $14 - $130 | 162% |
| Coalinga State Hospital | $17 | 197% |
| Healthsmart | $17 - $188 | 197% |
| Coventry Health Care (First Health Network) | $19 - $177 | 220% |
| Naphcare Inc-Mendota | $19 | 220% |
| Network By Design | $19 - $177 | 220% |
| PHCS | $22 - $200 | 255% |
| Generic Multiplan | $22 - $200 | 255% |
| Well Path (Cfmg) | $28 - $259 | 325% |