CMS Price Transparency Data
Drug screening test
Facility: Clovis Community Medical Center
Billing Code: G0480 (HCPCS)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: G0480
- Insurance Median: $77
- Cash Discount Price: $72
- vs. Medicare Baseline: 0.67x Medicare
The contracted insurance negotiated median rate for a Drug screening test at Clovis Community Medical Center is $77. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $72. Compared to the federal Medicare reimbursement reference rate of $114.43, this hospital’s rate is 0.67x the Medicare baseline. Located in 2755 Herndon Ave, Clovis, CA.
Cash / Self-Pay
$72
Average discount available for prompt cash payment at this facility.
Insurance Median
$77
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$114.43
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $114.43 (100%)
Cash / Self-Pay: $72 (63%)
Insurance Median: $77 (67%)
Cash: $72 (63% of Medicare)
Ins. Median: $77 (67% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $114.43 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 |
|---|---|---|
| Central Valley Medical Providers | $14 - $206 | 12% |
| Community Care | $14 - $106 | 12% |
| Employer 90/40 | $22 - $118 | 19% |
| UnitedHealthcare | $29 - $154 | 25% |
| Blue Shield | $30 - $167 | 26% |
| Nx Health Network PPO | $30 - $162 | 26% |
| Cigna | $30 - $182 | 26% |
| Central Ca Indian Health | $30 - $228 | 26% |
| Healthnet | $32 - $173 | 28% |
| Blue Cross Blue Shield | $34 - $187 | 30% |
| Healthsmart | $37 - $235 | 32% |
| Coventry Health Care (First Health Network) | $41 - $220 | 36% |
| Network By Design | $41 - $220 | 36% |
| PHCS | $46 - $250 | 40% |
| Humana | $46 - $250 | 40% |
| Generic Multiplan | $46 - $250 | 40% |
| Well Path (Cfmg) | $60 - $456 | 52% |
| Ccs Madera/Sacramento | $64 | 56% |
| Medi-Cal Alameda Alliance for Health | $64 | 56% |
| Medi-Cal Community Health Group | $64 | 56% |
| Medi-Cal Contra Costa Health Plan | $64 | 56% |
| Santa Clara Family Health Plan - Valley Health | $64 | 56% |
| Medi-Cal Cencal Health | $64 | 56% |
| Fresno County Funded Specialty Care | $64 | 56% |
| Cal Caloptima | $64 | 56% |
| Gold Coast Medi-Cal | $64 | 56% |
| Ccs Mariposa | $64 | 56% |
| Ccs Merced | $64 | 56% |
| Medi-Cal Inland Empire Health | $64 | 56% |
| Chdp | $64 | 56% |
| Medi-Cal Health Plan of San Mateo | $64 | 56% |
| Medi-Cal Blue Shield Promise Health | $64 | 56% |
| Medi-Cal Kern Family Health | $64 | 56% |
| Generic Care Out of County | $64 | 56% |
| Generic Ccs Other Counties | $64 | 56% |
| Medi-Cal California Health & Wellness Plan | $64 | 56% |
| Medi-Cal Partnership Health Plan of Ca | $64 | 56% |
| Medi-Cal Molina | $64 | 56% |
| Ccs Fresno | $64 | 56% |
| Santa Clara Family Health Plan - Premier Health | $64 | 56% |
| San Francisco Health Plan Medi-Cal | $64 | 56% |
| Ccs Kings | $64 | 56% |
| Ccs Stanislaus | $64 | 56% |
| Ccs Kern | $64 | 56% |
| Ccs Tulare | $64 | 56% |
| Medi-Cal La Care Health | $64 | 56% |
| Genetically Handicapped Person | $64 | 56% |
| Sequoia Pace | $96 | 84% |
| Health Plan of San Joaquin | $96 | 84% |
| Sante | $99 - $114 | 87% |
| Adventist -McL Calviva Sub Cap | $106 | 93% |
| Blue Shield Sante | $114 | 100% |
| Healthnet Sante Dual Risk | $114 | 100% |
| Meritage Brand New Day | $114 | 100% |
| Healthnet HMO - La Salle | $114 | 100% |
| Railroad Part A & B | $114 | 100% |
| Us Marshal | $114 | 100% |
| Gemcare HMO | $114 | 100% |
| Blue Shield Hmo-Cvmp/Medpro | $114 | 100% |
| Healthnet HMO - Cvmp/Medpro | $114 | 100% |
| Generic Victims of Crime | $114 | 100% |
| Sante-Healthnet Seniority | $114 | 100% |
| Blue Shield Promise - Imperial | $114 | 100% |
| Todays Pyramid | $114 | 100% |
| Blue Shield 65 Plus HMO Ehs | $114 | 100% |
| Scan Health Plan | $114 | 100% |
| Healthnet HMO - Dhmso | $114 | 100% |
| Aetna | $114 - $289 | 100% |
| Medicare (plans) | $114 | 100% |
| Sante-Sub Cap Ma Brand New Day | $114 | 100% |
| Care1St HMO - Ehs | $114 | 100% |
| Victims of Crime | $114 | 100% |
| Hartford Life Supplement | $114 | 100% |
| Kaiser | $114 | 100% |
| Sante-Blue Shield/Sante | $114 | 100% |
| Advantek Table Mountain Rancheria Tribal Member | $114 | 100% |
| Sequoia Pace - Peak Tpa | $114 | 100% |
| Healthnet HMO - Sante | $114 | 100% |
| Wellcare | $114 | 100% |
| Bscphp - First Choice | $114 | 100% |
| Railroad Part A | $114 | 100% |
| Sante Sub Cap Healthnet Seniority | $114 | 100% |
| Healthnet Sante - Sub Cap Dual Risk | $114 | 100% |
| Bscphp HMO - First Choice | $114 | 100% |
| Sante Sub Cap-Blue Shield/Sante | $114 | 100% |
| Railroad Part B | $114 | 100% |
| Brand New Day | $114 | 100% |
| Blue Shield 65 Plus HMO First Choice | $114 | 100% |
| Meritage Healthnet HMO | $114 | 100% |
| Bscphp - Dhmso | $114 | 100% |
| Medi-Cal Innovative Integrated Health | $114 | 100% |
| Healthnet Sante | $114 | 100% |
| Generic Bscphp | $114 | 100% |
| Blue Shield Saint Agnes | $114 | 100% |
| Cares Act Provider Relief Fund | $114 | 100% |
| Meritage Blue Shield 65 Plus | $114 | 100% |
| Generic | $114 | 100% |
| Alignment Health Plan | $126 | 110% |
| Innovative Integrated Health Community Plans HMO | $126 | 110% |
| Champion Health Plan of California Ma | $126 | 110% |
| Imperial Health Plan HMO | $132 | 115% |
| Correctcare Integrated Health | $149 | 130% |
| Coalinga State Hospital | $229 | 200% |
| Naphcare Inc-Mendota | $246 | 215% |