CMS Price Transparency Data
Diagnostic mammogram (both breasts)
Facility: Clovis Community Medical Center
Billing Code: 77066 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 77066
- Insurance Median: $168
- Cash Discount Price: $695
- vs. Medicare Baseline: 1.07x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Clovis Community Medical Center is $168. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $695. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.07x the Medicare baseline. Located in 2755 Herndon Ave, Clovis, CA.
Cash / Self-Pay
$695
Average discount available for prompt cash payment at this facility.
Insurance Median
$168
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$156.98
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $156.98 (100%)
Cash / Self-Pay: $695 (443%)
Insurance Median: $168 (107%)
Cash: $695 (443% of Medicare)
Ins. Median: $168 (107% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $156.98 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 |
|---|---|---|
| Blue Shield Hmo-Cvmp/Medpro | $47 - $168 | 30% |
| Blue Shield Sante | $47 - $168 | 30% |
| Medicare (plans) | $47 - $168 | 30% |
| Railroad Part A | $47 - $168 | 30% |
| Meritage Brand New Day | $47 - $168 | 30% |
| Healthnet HMO - Dhmso | $47 - $168 | 30% |
| Bscphp - Dhmso | $47 - $168 | 30% |
| Aetna | $47 - $702 | 30% |
| Sante-Healthnet Seniority | $47 - $168 | 30% |
| Generic Bscphp | $47 - $168 | 30% |
| Healthnet HMO - Cvmp/Medpro | $47 - $168 | 30% |
| Us Marshal | $47 - $168 | 30% |
| Healthnet Sante Dual Risk | $47 - $168 | 30% |
| Sante Sub Cap Healthnet Seniority | $47 - $168 | 30% |
| Healthnet Sante - Sub Cap Dual Risk | $47 - $168 | 30% |
| Sequoia Pace - Peak Tpa | $47 - $168 | 30% |
| Blue Shield 65 Plus HMO Ehs | $47 - $168 | 30% |
| Todays Pyramid | $47 - $168 | 30% |
| Healthnet Sante | $47 - $168 | 30% |
| Sante-Blue Shield/Sante | $47 - $168 | 30% |
| Victims of Crime | $47 - $168 | 30% |
| Well Path (Cfmg) | $47 - $956 | 30% |
| Advantek Table Mountain Rancheria Tribal Member | $47 - $168 | 30% |
| Sante Sub Cap-Blue Shield/Sante | $47 - $168 | 30% |
| Generic Victims of Crime | $47 - $168 | 30% |
| Sante | $47 - $229 | 30% |
| Cigna | $47 - $539 | 30% |
| Blue Shield Promise - Imperial | $47 - $168 | 30% |
| Blue Shield | $47 - $494 | 30% |
| Blue Shield Saint Agnes | $47 - $168 | 30% |
| UnitedHealthcare | $47 - $456 | 30% |
| Bscphp HMO - First Choice | $47 - $168 | 30% |
| Wellcare | $47 - $168 | 30% |
| Generic | $47 - $168 | 30% |
| Meritage Blue Shield 65 Plus | $47 - $168 | 30% |
| Meritage Healthnet HMO | $47 - $168 | 30% |
| Care1St HMO - Ehs | $47 - $168 | 30% |
| Gemcare HMO | $47 - $168 | 30% |
| Brand New Day | $47 - $168 | 30% |
| Hartford Life Supplement | $47 - $168 | 30% |
| Sante-Sub Cap Ma Brand New Day | $47 - $168 | 30% |
| Humana | $47 - $739 | 30% |
| Bscphp - First Choice | $47 - $168 | 30% |
| Medi-Cal Innovative Integrated Health | $47 - $168 | 30% |
| Blue Shield 65 Plus HMO First Choice | $47 - $168 | 30% |
| Healthnet HMO - La Salle | $47 - $168 | 30% |
| Railroad Part B | $47 - $168 | 30% |
| Railroad Part A & B | $47 - $168 | 30% |
| Healthnet HMO - Sante | $47 - $168 | 30% |
| Scan Health Plan | $47 - $168 | 30% |
| Cares Act Provider Relief Fund | $47 - $168 | 30% |
| Blue Cross Blue Shield | $47 - $553 | 30% |
| Alignment Health Plan | $52 - $185 | 33% |
| Champion Health Plan of California Ma | $52 - $185 | 33% |
| Innovative Integrated Health Community Plans HMO | $52 - $185 | 33% |
| Imperial Health Plan HMO | $54 - $193 | 34% |
| Correctcare Integrated Health | $61 - $218 | 39% |
| Coalinga State Hospital | $94 - $336 | 60% |
| Naphcare Inc-Mendota | $101 - $361 | 64% |
| Medi-Cal California Health & Wellness Plan | $148 | 94% |
| Medi-Cal Contra Costa Health Plan | $148 | 94% |
| Medi-Cal Cencal Health | $148 | 94% |
| Ccs Fresno | $148 | 94% |
| Medi-Cal Kern Family Health | $148 | 94% |
| Chdp | $148 | 94% |
| Ccs Madera/Sacramento | $148 | 94% |
| Medi-Cal Health Plan of San Mateo | $148 | 94% |
| Ccs Stanislaus | $148 | 94% |
| Ccs Merced | $148 | 94% |
| Medi-Cal Blue Shield Promise Health | $148 | 94% |
| Generic Ccs Other Counties | $148 | 94% |
| Genetically Handicapped Person | $148 | 94% |
| Santa Clara Family Health Plan - Valley Health | $148 | 94% |
| Ccs Tulare | $148 | 94% |
| Santa Clara Family Health Plan - Premier Health | $148 | 94% |
| Medi-Cal Alameda Alliance for Health | $148 | 94% |
| Medi-Cal Community Health Group | $148 | 94% |
| Ccs Mariposa | $148 | 94% |
| Ccs Kings | $148 | 94% |
| Generic Care Out of County | $148 | 94% |
| Fresno County Funded Specialty Care | $148 | 94% |
| Medi-Cal Partnership Health Plan of Ca | $148 | 94% |
| Ccs Kern | $148 | 94% |
| San Francisco Health Plan Medi-Cal | $148 | 94% |
| Medi-Cal Molina | $148 | 94% |
| Medi-Cal La Care Health | $148 | 94% |
| Medi-Cal Inland Empire Health | $148 | 94% |
| Gold Coast Medi-Cal | $148 | 94% |
| Cal Caloptima | $148 | 94% |
| Kaiser | $168 | 107% |
| Central Valley Medical Providers | $217 - $608 | 138% |
| Sequoia Pace | $222 | 141% |
| Health Plan of San Joaquin | $222 | 141% |
| Community Care | $222 | 141% |
| Adventist -McL Calviva Sub Cap | $244 | 155% |
| Healthnet | $285 - $510 | 182% |
| Employer 90/40 | $348 | 222% |
| Central Ca Indian Health | $478 | 304% |
| Nx Health Network PPO | $478 | 304% |
| Healthsmart | $591 - $695 | 376% |
| Coventry Health Care (First Health Network) | $652 | 415% |
| Network By Design | $652 | 415% |
| Generic Multiplan | $739 | 471% |
| PHCS | $739 | 471% |