CMS Price Transparency Data
Electrical stimulation therapy
Facility: Clovis Community Medical Center
Billing Code: G0283 (HCPCS)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: G0283
- Insurance Median: $13
- Cash Discount Price: $82
- vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a Electrical stimulation therapy at Clovis Community Medical Center is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $82. Compared to the federal Medicare reimbursement reference rate of $12.69, this hospital’s rate is 1.02x the Medicare baseline. Located in 2755 Herndon Ave, Clovis, CA.
Cash / Self-Pay
$82
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
$12.69
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $12.69 (100%)
Cash / Self-Pay: $82 (646%)
Insurance Median: $13 (102%)
Cash: $82 (646% of Medicare)
Ins. Median: $13 (102% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $12.69 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 |
|---|---|---|
| Sante | $13 | 102% |
| Healthnet HMO - Dhmso | $13 | 102% |
| Healthnet Sante | $13 | 102% |
| Railroad Part A & B | $13 | 102% |
| Sante-Sub Cap Ma Brand New Day | $13 | 102% |
| Healthnet Sante Dual Risk | $13 | 102% |
| Sante-Blue Shield/Sante | $13 | 102% |
| Generic | $13 | 102% |
| Blue Shield Sante | $13 | 102% |
| Well Path (Cfmg) | $13 - $112 | 102% |
| Hartford Life Supplement | $13 | 102% |
| Blue Shield | $13 - $408 | 102% |
| Generic Victims of Crime | $13 | 102% |
| Healthnet HMO - Sante | $13 | 102% |
| Medi-Cal Innovative Integrated Health | $13 | 102% |
| UnitedHealthcare | $13 - $377 | 102% |
| Meritage Brand New Day | $13 | 102% |
| Blue Shield Saint Agnes | $13 | 102% |
| Bscphp HMO - First Choice | $13 | 102% |
| Care1St HMO - Ehs | $13 | 102% |
| Blue Shield Hmo-Cvmp/Medpro | $13 | 102% |
| Advantek Table Mountain Rancheria Tribal Member | $13 | 102% |
| Healthnet HMO - Cvmp/Medpro | $13 | 102% |
| Blue Shield Promise - Imperial | $13 | 102% |
| Scan Health Plan | $13 | 102% |
| Healthnet HMO - La Salle | $13 | 102% |
| Medicare (plans) | $13 | 102% |
| Gemcare HMO | $13 | 102% |
| Meritage Blue Shield 65 Plus | $13 | 102% |
| Meritage Healthnet HMO | $13 | 102% |
| Sante Sub Cap-Blue Shield/Sante | $13 | 102% |
| Bscphp - Dhmso | $13 | 102% |
| Kaiser | $13 | 102% |
| Brand New Day | $13 | 102% |
| Sante-Healthnet Seniority | $13 | 102% |
| Us Marshal | $13 | 102% |
| Generic Bscphp | $13 | 102% |
| Aetna | $13 - $51 | 102% |
| Sante Sub Cap Healthnet Seniority | $13 | 102% |
| Bscphp - First Choice | $13 | 102% |
| Railroad Part A | $13 | 102% |
| Cares Act Provider Relief Fund | $13 | 102% |
| Blue Shield 65 Plus HMO First Choice | $13 | 102% |
| Blue Shield 65 Plus HMO Ehs | $13 | 102% |
| Todays Pyramid | $13 | 102% |
| Humana | $13 - $87 | 102% |
| Cigna | $13 - $419 | 102% |
| Railroad Part B | $13 | 102% |
| Wellcare | $13 | 102% |
| Victims of Crime | $13 | 102% |
| Blue Cross Blue Shield | $13 - $65 | 102% |
| Healthnet Sante - Sub Cap Dual Risk | $13 | 102% |
| Sequoia Pace - Peak Tpa | $13 | 102% |
| Alignment Health Plan | $15 | 118% |
| Imperial Health Plan HMO | $15 | 118% |
| Innovative Integrated Health Community Plans HMO | $15 | 118% |
| Champion Health Plan of California Ma | $15 | 118% |
| Correctcare Integrated Health | $17 | 134% |
| Central Valley Medical Providers | $26 - $71 | 205% |
| Community Care | $26 | 205% |
| Coalinga State Hospital | $26 | 205% |
| Naphcare Inc-Mendota | $28 | 221% |
| Employer 90/40 | $41 | 323% |
| Nx Health Network PPO | $56 | 441% |
| Central Ca Indian Health | $56 | 441% |
| Healthsmart | $69 - $82 | 544% |
| Coventry Health Care (First Health Network) | $76 | 599% |
| Network By Design | $76 | 599% |
| PHCS | $87 | 686% |
| Generic Multiplan | $87 | 686% |
| Physmetrics Health | $285 | 2246% |
| Healthnet | $353 - $372 | 2782% |