CMS Price Transparency Data

Hospital observation (per hour)

Facility: Clovis Community Medical Center

Billing Code: G0378 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0378
Insurance Median: $146
Cash Discount Price: $206
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Hospital observation (per hour) at Clovis Community Medical Center is $146. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $206. 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

$206

Average discount available for prompt cash payment at this facility.

Insurance Median

$146

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

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Blue Shield	$20 - $146	N/A
Blue Cross Blue Shield	$49 - $163	N/A
Central Valley Medical Providers	$64 - $180	N/A
Community Care	$66	N/A
Sante	$90	N/A
Employer 90/40	$103	N/A
Aetna	$114 - $155	N/A
UnitedHealthcare	$133	N/A
Central Ca Indian Health	$141	N/A
Nx Health Network PPO	$141	N/A
Cigna	$143 - $159	N/A
Healthnet	$151	N/A
Kaiser	$154	N/A
Healthsmart	$175 - $206	N/A
Network By Design	$193	N/A
Coventry Health Care (First Health Network)	$193	N/A
Generic Multiplan	$218	N/A
PHCS	$218	N/A
Humana	$218	N/A
Well Path (Cfmg)	$283	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 $206.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: G0378.

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 G0378.
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.