CMS Price Transparency Data
MRI, brain (no contrast)
Facility: Clovis Community Medical Center
Billing Code: 70551 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 70551
- Insurance Median: $208
- Cash Discount Price: $4,064
- vs. Medicare Baseline: 0.85x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Clovis Community Medical Center is $208. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,064. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.85x the Medicare baseline. Located in 2755 Herndon Ave, Clovis, CA.
Cash / Self-Pay
$4,064
Average discount available for prompt cash payment at this facility.
Insurance Median
$208
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$243.77
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $243.77 (100%)
Cash / Self-Pay: $4,064 (1667%)
Insurance Median: $208 (85%)
Cash: $4,064 (1667% of Medicare)
Ins. Median: $208 (85% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $243.77 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 |
|---|---|---|
| Brand New Day | $69 - $307 | 28% |
| Advantek Table Mountain Rancheria Tribal Member | $69 - $307 | 28% |
| Meritage Brand New Day | $69 - $307 | 28% |
| Meritage Blue Shield 65 Plus | $69 - $307 | 28% |
| Blue Cross Blue Shield | $69 - $3,230 | 28% |
| UnitedHealthcare | $69 - $2,663 | 28% |
| Healthnet HMO - Cvmp/Medpro | $69 - $307 | 28% |
| Us Marshal | $69 - $307 | 28% |
| Railroad Part A | $69 - $307 | 28% |
| Blue Shield Hmo-Cvmp/Medpro | $69 - $307 | 28% |
| Todays Pyramid | $69 - $307 | 28% |
| Railroad Part B | $69 - $307 | 28% |
| Meritage Healthnet HMO | $69 - $307 | 28% |
| Well Path (Cfmg) | $69 - $5,588 | 28% |
| Blue Shield 65 Plus HMO First Choice | $69 - $307 | 28% |
| Gemcare HMO | $69 - $307 | 28% |
| Generic Bscphp | $69 - $307 | 28% |
| Scan Health Plan | $69 - $307 | 28% |
| Blue Shield Sante | $69 - $307 | 28% |
| Blue Shield Saint Agnes | $69 - $307 | 28% |
| Blue Shield | $69 - $2,891 | 28% |
| Healthnet Sante | $69 - $307 | 28% |
| Blue Shield 65 Plus HMO Ehs | $69 - $307 | 28% |
| Sequoia Pace - Peak Tpa | $69 - $307 | 28% |
| Healthnet Sante Dual Risk | $69 - $307 | 28% |
| Sante | $69 - $307 | 28% |
| Sante Sub Cap Healthnet Seniority | $69 - $307 | 28% |
| Generic Victims of Crime | $69 - $307 | 28% |
| Bscphp - Dhmso | $69 - $307 | 28% |
| Sante-Healthnet Seniority | $69 - $307 | 28% |
| Medi-Cal Innovative Integrated Health | $69 - $307 | 28% |
| Healthnet HMO - Dhmso | $69 - $307 | 28% |
| Aetna | $69 - $2,540 | 28% |
| Wellcare | $69 - $307 | 28% |
| Humana | $69 - $3,810 | 28% |
| Care1St HMO - Ehs | $69 - $307 | 28% |
| Healthnet Sante - Sub Cap Dual Risk | $69 - $307 | 28% |
| Victims of Crime | $69 - $307 | 28% |
| Sante-Sub Cap Ma Brand New Day | $69 - $307 | 28% |
| Cares Act Provider Relief Fund | $69 - $307 | 28% |
| Sante-Blue Shield/Sante | $69 - $307 | 28% |
| Healthnet HMO - Sante | $69 - $307 | 28% |
| Generic | $69 - $307 | 28% |
| Blue Shield Promise - Imperial | $69 - $307 | 28% |
| Bscphp - First Choice | $69 - $307 | 28% |
| Medicare (plans) | $69 - $307 | 28% |
| Cigna | $69 - $3,151 | 28% |
| Sante Sub Cap-Blue Shield/Sante | $69 - $307 | 28% |
| Bscphp HMO - First Choice | $69 - $307 | 28% |
| Hartford Life Supplement | $69 - $307 | 28% |
| Healthnet HMO - La Salle | $69 - $307 | 28% |
| Railroad Part A & B | $69 - $307 | 28% |
| Innovative Integrated Health Community Plans HMO | $76 - $338 | 31% |
| Champion Health Plan of California Ma | $76 - $338 | 31% |
| Alignment Health Plan | $76 - $338 | 31% |
| Imperial Health Plan HMO | $79 - $353 | 32% |
| Correctcare Integrated Health | $90 - $399 | 37% |
| Coalinga State Hospital | $138 - $614 | 57% |
| Naphcare Inc-Mendota | $148 - $660 | 61% |
| Ccs Tulare | $190 | 78% |
| Generic Ccs Other Counties | $190 | 78% |
| Cal Caloptima | $190 | 78% |
| Ccs Merced | $190 | 78% |
| Gold Coast Medi-Cal | $190 | 78% |
| Ccs Fresno | $190 | 78% |
| Medi-Cal Molina | $190 | 78% |
| Ccs Stanislaus | $190 | 78% |
| Medi-Cal Partnership Health Plan of Ca | $190 | 78% |
| Medi-Cal Cencal Health | $190 | 78% |
| Ccs Madera/Sacramento | $190 | 78% |
| Ccs Kern | $190 | 78% |
| Generic Care Out of County | $190 | 78% |
| Medi-Cal Alameda Alliance for Health | $190 | 78% |
| Medi-Cal Blue Shield Promise Health | $190 | 78% |
| Ccs Mariposa | $190 | 78% |
| Medi-Cal Inland Empire Health | $190 | 78% |
| Fresno County Funded Specialty Care | $190 | 78% |
| Medi-Cal California Health & Wellness Plan | $190 | 78% |
| Santa Clara Family Health Plan - Premier Health | $190 | 78% |
| Medi-Cal Kern Family Health | $190 | 78% |
| Genetically Handicapped Person | $190 | 78% |
| Medi-Cal Health Plan of San Mateo | $190 | 78% |
| Medi-Cal Contra Costa Health Plan | $190 | 78% |
| San Francisco Health Plan Medi-Cal | $190 | 78% |
| Medi-Cal Community Health Group | $190 | 78% |
| Ccs Kings | $190 | 78% |
| Medi-Cal La Care Health | $190 | 78% |
| Chdp | $190 | 78% |
| Santa Clara Family Health Plan - Valley Health | $190 | 78% |
| Kaiser | $244 | 100% |
| Health Plan of San Joaquin | $285 | 117% |
| Sequoia Pace | $285 | 117% |
| Adventist -McL Calviva Sub Cap | $314 | 129% |
| Healthnet | $366 - $2,982 | 150% |
| Central Valley Medical Providers | $1,270 - $3,556 | 521% |
| Community Care | $1,295 | 531% |
| Network By Design | $1,345 - $3,810 | 552% |
| Employer 90/40 | $2,032 | 834% |
| Central Ca Indian Health | $2,794 | 1146% |
| Nx Health Network PPO | $2,794 | 1146% |
| Healthsmart | $3,454 - $4,064 | 1417% |
| Coventry Health Care (First Health Network) | $3,810 | 1563% |
| Generic Multiplan | $4,318 | 1771% |
| PHCS | $4,318 | 1771% |