CMS Price Transparency Data
Injection procedure for pain management
Facility: Clovis Community Medical Center
Billing Code: G0260 (HCPCS)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: G0260
- Insurance Median: $908
- Cash Discount Price: $1,754
- vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Injection procedure for pain management at Clovis Community Medical Center is $908. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,754. Compared to the federal Medicare reimbursement reference rate of $721.17, this hospital’s rate is 1.26x the Medicare baseline. Located in 2755 Herndon Ave, Clovis, CA.
Cash / Self-Pay
$1,754
Average discount available for prompt cash payment at this facility.
Insurance Median
$908
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$721.17
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $721.17 (100%)
Cash / Self-Pay: $1,754 (243%)
Insurance Median: $908 (126%)
Cash: $1,754 (243% of Medicare)
Ins. Median: $908 (126% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $721.17 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 | $548 - $1,535 | 76% |
| Community Care | $559 | 78% |
| Blue Shield | $584 - $1,084 | 81% |
| Aetna | $721 - $3,989 | 100% |
| Kaiser | $721 | 100% |
| Employer 90/40 | $877 | 122% |
| Meritage Blue Shield 65 Plus | $908 | 126% |
| Blue Shield 65 Plus HMO First Choice | $908 | 126% |
| Sante Sub Cap Healthnet Seniority | $908 | 126% |
| Railroad Part B | $908 | 126% |
| Meritage Brand New Day | $908 | 126% |
| Bscphp - Dhmso | $908 | 126% |
| Sante-Healthnet Seniority | $908 | 126% |
| Brand New Day | $908 | 126% |
| Advantek Table Mountain Rancheria Tribal Member | $908 | 126% |
| Railroad Part A | $908 | 126% |
| Blue Shield Hmo-Cvmp/Medpro | $908 | 126% |
| Railroad Part A & B | $908 | 126% |
| Generic | $908 | 126% |
| Bscphp - First Choice | $908 | 126% |
| Sante | $908 | 126% |
| Bscphp HMO - First Choice | $908 | 126% |
| Wellcare | $908 | 126% |
| Blue Shield Sante | $908 | 126% |
| Generic Victims of Crime | $908 | 126% |
| Cigna | $908 - $4,053 | 126% |
| Care1St HMO - Ehs | $908 | 126% |
| Sante-Blue Shield/Sante | $908 | 126% |
| UnitedHealthcare | $908 - $2,899 | 126% |
| Hartford Life Supplement | $908 | 126% |
| Medicare (plans) | $908 | 126% |
| Sante Sub Cap-Blue Shield/Sante | $908 | 126% |
| Generic Bscphp | $908 | 126% |
| Healthnet HMO - Dhmso | $908 | 126% |
| Meritage Healthnet HMO | $908 | 126% |
| Us Marshal | $908 | 126% |
| Medi-Cal Innovative Integrated Health | $908 | 126% |
| Healthnet HMO - Sante | $908 | 126% |
| Todays Pyramid | $908 | 126% |
| Blue Shield 65 Plus HMO Ehs | $908 | 126% |
| Scan Health Plan | $908 | 126% |
| Gemcare HMO | $908 | 126% |
| Humana | $908 - $1,864 | 126% |
| Sequoia Pace - Peak Tpa | $908 | 126% |
| Victims of Crime | $908 | 126% |
| Sante-Sub Cap Ma Brand New Day | $908 | 126% |
| Blue Shield Promise - Imperial | $908 | 126% |
| Blue Shield Saint Agnes | $908 | 126% |
| Cares Act Provider Relief Fund | $908 | 126% |
| Blue Cross Blue Shield | $908 - $3,630 | 126% |
| Healthnet Sante - Sub Cap Dual Risk | $908 | 126% |
| Healthnet Sante | $908 | 126% |
| Healthnet HMO - Cvmp/Medpro | $908 | 126% |
| Healthnet HMO - La Salle | $908 | 126% |
| Healthnet Sante Dual Risk | $908 | 126% |
| Innovative Integrated Health Community Plans HMO | $999 | 139% |
| Champion Health Plan of California Ma | $999 | 139% |
| Alignment Health Plan | $999 | 139% |
| Imperial Health Plan HMO | $1,044 | 145% |
| Correctcare Integrated Health | $1,180 | 164% |
| Central Ca Indian Health | $1,206 | 167% |
| Nx Health Network PPO | $1,206 | 167% |
| Healthnet | $1,287 - $1,311 | 178% |
| Healthsmart | $1,491 - $1,754 | 207% |
| Network By Design | $1,535 - $1,645 | 213% |
| Coventry Health Care (First Health Network) | $1,645 | 228% |
| Coalinga State Hospital | $1,816 | 252% |
| Naphcare Inc-Mendota | $1,952 | 271% |
| Well Path (Cfmg) | $2,412 | 334% |
| Generic Multiplan | $8,490 | 1177% |
| PHCS | $8,490 | 1177% |