CMS Price Transparency Data
Sleep study (overnight, in lab)
Facility: Clovis Community Medical Center
Billing Code: 95810 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 95810
- Insurance Median: $605
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.69x Medicare
The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Clovis Community Medical Center is $605. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 0.69x the Medicare baseline. Located in 2755 Herndon Ave, Clovis, CA.
Cash / Self-Pay
Unavailable
Average discount available for prompt cash payment at this facility.
Insurance Median
$605
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$877.34
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $877.34 (100%)
Insurance Median: $605 (69%)
Ins. Median: $605 (69% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $877.34 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 |
|---|---|---|
| Healthnet HMO - La Salle | $123 - $1,104 | 14% |
| Sante-Blue Shield/Sante | $123 - $1,104 | 14% |
| Wellcare | $123 - $1,104 | 14% |
| Meritage Brand New Day | $123 - $1,104 | 14% |
| Medicare (plans) | $123 - $1,104 | 14% |
| Us Marshal | $123 - $1,104 | 14% |
| Care1St HMO - Ehs | $123 - $1,104 | 14% |
| Railroad Part B | $123 - $1,104 | 14% |
| Healthnet Sante - Sub Cap Dual Risk | $123 - $1,104 | 14% |
| Generic Victims of Crime | $123 - $1,104 | 14% |
| Meritage Blue Shield 65 Plus | $123 - $1,104 | 14% |
| Railroad Part A | $123 - $1,104 | 14% |
| Generic Bscphp | $123 - $1,104 | 14% |
| Blue Shield | $123 - $1,104 | 14% |
| Gemcare HMO | $123 - $1,104 | 14% |
| Sante | $123 - $1,104 | 14% |
| Healthnet Sante | $123 - $1,104 | 14% |
| Healthnet HMO - Dhmso | $123 - $1,104 | 14% |
| Medi-Cal Innovative Integrated Health | $123 - $1,104 | 14% |
| Scan Health Plan | $123 - $1,104 | 14% |
| Blue Shield 65 Plus HMO Ehs | $123 - $1,104 | 14% |
| UnitedHealthcare | $123 - $1,121 | 14% |
| Sante Sub Cap Healthnet Seniority | $123 - $1,104 | 14% |
| Blue Shield Sante | $123 - $1,104 | 14% |
| Generic | $123 - $1,104 | 14% |
| Humana | $123 - $1,104 | 14% |
| Blue Cross Blue Shield | $123 - $1,104 | 14% |
| Todays Pyramid | $123 - $1,104 | 14% |
| Well Path (Cfmg) | $123 - $727 | 14% |
| Blue Shield Saint Agnes | $123 - $1,104 | 14% |
| Bscphp - Dhmso | $123 - $1,104 | 14% |
| Healthnet HMO - Sante | $123 - $1,104 | 14% |
| Healthnet Sante Dual Risk | $123 - $1,104 | 14% |
| Bscphp - First Choice | $123 - $1,104 | 14% |
| Healthnet HMO - Cvmp/Medpro | $123 - $1,104 | 14% |
| Sequoia Pace - Peak Tpa | $123 - $1,104 | 14% |
| Brand New Day | $123 - $1,104 | 14% |
| Hartford Life Supplement | $123 - $1,104 | 14% |
| Victims of Crime | $123 - $1,104 | 14% |
| Cigna | $123 - $1,104 | 14% |
| Blue Shield Hmo-Cvmp/Medpro | $123 - $1,104 | 14% |
| Cares Act Provider Relief Fund | $123 - $1,104 | 14% |
| Advantek Table Mountain Rancheria Tribal Member | $123 - $1,104 | 14% |
| Bscphp HMO - First Choice | $123 - $1,104 | 14% |
| Sante-Healthnet Seniority | $123 - $1,104 | 14% |
| Railroad Part A & B | $123 - $1,104 | 14% |
| Sante Sub Cap-Blue Shield/Sante | $123 - $1,104 | 14% |
| Blue Shield 65 Plus HMO First Choice | $123 - $1,104 | 14% |
| Meritage Healthnet HMO | $123 - $1,104 | 14% |
| Blue Shield Promise - Imperial | $123 - $1,104 | 14% |
| Sante-Sub Cap Ma Brand New Day | $123 - $1,104 | 14% |
| Aetna | $123 - $2,738 | 14% |
| Innovative Integrated Health Community Plans HMO | $135 - $1,215 | 15% |
| Alignment Health Plan | $135 - $1,215 | 15% |
| Champion Health Plan of California Ma | $135 - $1,215 | 15% |
| Imperial Health Plan HMO | $141 - $1,270 | 16% |
| Correctcare Integrated Health | $159 - $1,436 | 18% |
| Coalinga State Hospital | $245 - $2,209 | 28% |
| Naphcare Inc-Mendota | $264 - $2,375 | 30% |
| Santa Clara Family Health Plan - Valley Health | $348 | 40% |
| Genetically Handicapped Person | $348 | 40% |
| Medi-Cal Health Plan of San Mateo | $348 | 40% |
| Medi-Cal Contra Costa Health Plan | $348 | 40% |
| Generic Care Out of County | $348 | 40% |
| Ccs Madera/Sacramento | $348 | 40% |
| Medi-Cal Molina | $348 | 40% |
| Medi-Cal Community Health Group | $348 | 40% |
| Ccs Tulare | $348 | 40% |
| Medi-Cal Kern Family Health | $348 | 40% |
| Medi-Cal Alameda Alliance for Health | $348 | 40% |
| Medi-Cal Partnership Health Plan of Ca | $348 | 40% |
| Medi-Cal La Care Health | $348 | 40% |
| Medi-Cal Blue Shield Promise Health | $348 | 40% |
| Medi-Cal California Health & Wellness Plan | $348 | 40% |
| Gold Coast Medi-Cal | $348 | 40% |
| Ccs Stanislaus | $348 | 40% |
| Ccs Merced | $348 | 40% |
| Medi-Cal Cencal Health | $348 | 40% |
| Generic Ccs Other Counties | $348 | 40% |
| Santa Clara Family Health Plan - Premier Health | $348 | 40% |
| Ccs Kern | $348 | 40% |
| Cal Caloptima | $348 | 40% |
| Fresno County Funded Specialty Care | $348 | 40% |
| Medi-Cal Inland Empire Health | $348 | 40% |
| Ccs Kings | $348 | 40% |
| Chdp | $348 | 40% |
| Ccs Mariposa | $348 | 40% |
| Ccs Fresno | $348 | 40% |
| San Francisco Health Plan Medi-Cal | $348 | 40% |
| Health Plan of San Joaquin | $522 | 59% |
| Sequoia Pace | $522 | 59% |
| Adventist -McL Calviva Sub Cap | $574 | 65% |
| Healthnet | $670 | 76% |
| Kaiser | $877 | 100% |