CMS Price Transparency Data

Flu vaccine (high dose)

Facility: Clovis Community Medical Center

Billing Code: 90656 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90656
Insurance Median: $24
Cash Discount Price: $121
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Flu vaccine (high dose) at Clovis Community Medical Center is $24. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $121. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 2755 Herndon Ave, Clovis, CA.

Cash / Self-Pay

$121

Average discount available for prompt cash payment at this facility.

Insurance Median

$24

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

N/A

Standard federal government reimbursement rate for this code.

Out-of-Pocket Cost Estimator

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Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$12 - $24	N/A
Bscphp HMO - First Choice	$23	N/A
Healthnet HMO - La Salle	$23	N/A
Blue Cross Blue Shield	$23 - $98	N/A
Healthnet HMO - Cvmp/Medpro	$23	N/A
Healthnet HMO - Sante	$23	N/A
Sante-Blue Shield/Sante	$23	N/A
Generic	$23	N/A
Gemcare HMO	$23	N/A
Bscphp - First Choice	$23	N/A
Humana	$23 - $131	N/A
Blue Shield Promise - Imperial	$23	N/A
Meritage Healthnet HMO	$23	N/A
Brand New Day	$23	N/A
Blue Shield Hmo-Cvmp/Medpro	$23	N/A
Sante	$23 - $30	N/A
Meritage Brand New Day	$23	N/A
Blue Shield Saint Agnes	$23	N/A
Sante Sub Cap-Blue Shield/Sante	$23	N/A
Meritage Blue Shield 65 Plus	$23	N/A
Generic Victims of Crime	$23	N/A
Blue Shield Sante	$23	N/A
Todays Pyramid	$23	N/A
Cigna	$23 - $86	N/A
Railroad Part A	$23	N/A
Wellcare	$23	N/A
Scan Health Plan	$23	N/A
Us Marshal	$23	N/A
Sante-Sub Cap Ma Brand New Day	$23	N/A
UnitedHealthcare	$23 - $81	N/A
Kaiser	$23	N/A
Generic Bscphp	$23	N/A
Aetna	$23 - $97	N/A
Sante Sub Cap Healthnet Seniority	$23	N/A
Cares Act Provider Relief Fund	$23	N/A
Healthnet Sante Dual Risk	$23	N/A
Medi-Cal Innovative Integrated Health	$23	N/A
Medicare (plans)	$23	N/A
Railroad Part B	$23	N/A
Sequoia Pace - Peak Tpa	$23	N/A
Sante-Healthnet Seniority	$23	N/A
Railroad Part A & B	$23	N/A
Healthnet Sante	$23	N/A
Healthnet HMO - Dhmso	$23	N/A
Hartford Life Supplement	$23	N/A
Care1St HMO - Ehs	$23	N/A
Healthnet Sante - Sub Cap Dual Risk	$23	N/A
Blue Shield 65 Plus HMO Ehs	$23	N/A
Advantek Table Mountain Rancheria Tribal Member	$23	N/A
Blue Shield 65 Plus HMO First Choice	$23	N/A
Victims of Crime	$23	N/A
Bscphp - Dhmso	$23	N/A
Santa Clara Family Health Plan - Premier Health	$24	N/A
Gold Coast Medi-Cal	$24	N/A
Ccs Merced	$24	N/A
Medi-Cal Health Plan of San Mateo	$24	N/A
Ccs Kings	$24	N/A
Medi-Cal California Health & Wellness Plan	$24	N/A
Medi-Cal Alameda Alliance for Health	$24	N/A
Fresno County Funded Specialty Care	$24	N/A
Ccs Kern	$24	N/A
Ccs Stanislaus	$24	N/A
Medi-Cal Blue Shield Promise Health	$24	N/A
Medi-Cal Contra Costa Health Plan	$24	N/A
Ccs Madera/Sacramento	$24	N/A
Genetically Handicapped Person	$24	N/A
Generic Care Out of County	$24	N/A
San Francisco Health Plan Medi-Cal	$24	N/A
Generic Ccs Other Counties	$24	N/A
Santa Clara Family Health Plan - Valley Health	$24	N/A
Medi-Cal Molina	$24	N/A
Cal Caloptima	$24	N/A
Medi-Cal Kern Family Health	$24	N/A
Chdp	$24	N/A
Medi-Cal Community Health Group	$24	N/A
Medi-Cal Cencal Health	$24	N/A
Medi-Cal Inland Empire Health	$24	N/A
Ccs Tulare	$24	N/A
Ccs Mariposa	$24	N/A
Ccs Fresno	$24	N/A
Medi-Cal Partnership Health Plan of Ca	$24	N/A
Medi-Cal La Care Health	$24	N/A
Innovative Integrated Health Community Plans HMO	$26	N/A
Champion Health Plan of California Ma	$26	N/A
Alignment Health Plan	$26	N/A
Imperial Health Plan HMO	$27	N/A
Correctcare Integrated Health	$30	N/A
Health Plan of San Joaquin	$36	N/A
Sequoia Pace	$36	N/A
Central Valley Medical Providers	$37 - $108	N/A
Community Care	$38 - $39	N/A
Adventist -McL Calviva Sub Cap	$40	N/A
Coalinga State Hospital	$46	N/A
Healthnet	$47	N/A
Naphcare Inc-Mendota	$50	N/A
Employer 90/40	$59 - $62	N/A
Central Ca Indian Health	$81 - $85	N/A
Healthsmart	$101 - $124	N/A
Nx Health Network PPO	$104 - $108	N/A
Network By Design	$104 - $108	N/A
PHCS	$111 - $116	N/A
Generic Multiplan	$111 - $116	N/A
Coventry Health Care (First Health Network)	$111 - $116	N/A
Well Path (Cfmg)	$163 - $170	N/A

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $121.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90656.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Clovis Community Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code 90656.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.