CMS Price Transparency Data
Ultrasound, abdomen (complete)
Facility: Clovis Community Medical Center
Billing Code: 76700 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 76700
- Insurance Median: $122
- Cash Discount Price: $1,378
- vs. Medicare Baseline: 1.14x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Clovis Community Medical Center is $122. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,378. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.14x the Medicare baseline. Located in 2755 Herndon Ave, Clovis, CA.
Cash / Self-Pay
$1,378
Average discount available for prompt cash payment at this facility.
Insurance Median
$122
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$106.81
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $1,378 (1290%)
Insurance Median: $122 (114%)
Cash: $1,378 (1290% of Medicare)
Ins. Median: $122 (114% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $106.81 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 Sante Dual Risk | $38 - $134 | 36% |
| Bscphp HMO - First Choice | $38 - $134 | 36% |
| Healthnet HMO - Dhmso | $38 - $134 | 36% |
| Blue Shield Promise - Imperial | $38 - $134 | 36% |
| Care1St HMO - Ehs | $38 - $134 | 36% |
| Brand New Day | $38 - $134 | 36% |
| Sante Sub Cap-Blue Shield/Sante | $38 - $134 | 36% |
| Meritage Brand New Day | $38 - $134 | 36% |
| Medi-Cal Innovative Integrated Health | $38 - $134 | 36% |
| Sante-Sub Cap Ma Brand New Day | $38 - $134 | 36% |
| Aetna | $38 - $554 | 36% |
| Cares Act Provider Relief Fund | $38 - $134 | 36% |
| Healthnet Sante | $38 - $134 | 36% |
| Bscphp - First Choice | $38 - $134 | 36% |
| Todays Pyramid | $38 - $134 | 36% |
| Healthnet HMO - Sante | $38 - $134 | 36% |
| Railroad Part B | $38 - $134 | 36% |
| Us Marshal | $38 - $134 | 36% |
| Meritage Blue Shield 65 Plus | $38 - $134 | 36% |
| Medicare (plans) | $38 - $134 | 36% |
| Well Path (Cfmg) | $38 - $1,894 | 36% |
| Healthnet Sante - Sub Cap Dual Risk | $38 - $134 | 36% |
| Sante-Healthnet Seniority | $38 - $134 | 36% |
| Generic Victims of Crime | $38 - $134 | 36% |
| Blue Shield 65 Plus HMO First Choice | $38 - $134 | 36% |
| Blue Shield Sante | $38 - $134 | 36% |
| Gemcare HMO | $38 - $134 | 36% |
| Blue Shield Saint Agnes | $38 - $134 | 36% |
| Generic Bscphp | $38 - $134 | 36% |
| Sequoia Pace - Peak Tpa | $38 - $134 | 36% |
| Blue Shield Hmo-Cvmp/Medpro | $38 - $134 | 36% |
| Victims of Crime | $38 - $134 | 36% |
| UnitedHealthcare | $38 - $903 | 36% |
| Cigna | $38 - $1,068 | 36% |
| Blue Shield 65 Plus HMO Ehs | $38 - $134 | 36% |
| Railroad Part A & B | $38 - $134 | 36% |
| Hartford Life Supplement | $38 - $134 | 36% |
| Sante-Blue Shield/Sante | $38 - $134 | 36% |
| Bscphp - Dhmso | $38 - $134 | 36% |
| Humana | $38 - $1,464 | 36% |
| Generic | $38 - $134 | 36% |
| Blue Cross Blue Shield | $38 - $1,095 | 36% |
| Railroad Part A | $38 - $134 | 36% |
| Blue Shield | $38 - $980 | 36% |
| Sante Sub Cap Healthnet Seniority | $38 - $134 | 36% |
| Sante | $38 - $134 | 36% |
| Advantek Table Mountain Rancheria Tribal Member | $38 - $134 | 36% |
| Healthnet HMO - La Salle | $38 - $134 | 36% |
| Wellcare | $38 - $134 | 36% |
| Meritage Healthnet HMO | $38 - $134 | 36% |
| Scan Health Plan | $38 - $134 | 36% |
| Healthnet HMO - Cvmp/Medpro | $38 - $134 | 36% |
| Innovative Integrated Health Community Plans HMO | $42 - $148 | 39% |
| Alignment Health Plan | $42 - $148 | 39% |
| Champion Health Plan of California Ma | $42 - $148 | 39% |
| Imperial Health Plan HMO | $44 - $155 | 41% |
| Correctcare Integrated Health | $50 - $175 | 47% |
| Coalinga State Hospital | $76 - $269 | 71% |
| Naphcare Inc-Mendota | $82 - $289 | 77% |
| Santa Clara Family Health Plan - Valley Health | $83 | 78% |
| Medi-Cal California Health & Wellness Plan | $83 | 78% |
| Ccs Kings | $83 | 78% |
| Ccs Tulare | $83 | 78% |
| Medi-Cal Health Plan of San Mateo | $83 | 78% |
| Generic Ccs Other Counties | $83 | 78% |
| Medi-Cal La Care Health | $83 | 78% |
| Chdp | $83 | 78% |
| Medi-Cal Inland Empire Health | $83 | 78% |
| Generic Care Out of County | $83 | 78% |
| Ccs Madera/Sacramento | $83 | 78% |
| Santa Clara Family Health Plan - Premier Health | $83 | 78% |
| Ccs Mariposa | $83 | 78% |
| Medi-Cal Kern Family Health | $83 | 78% |
| Medi-Cal Blue Shield Promise Health | $83 | 78% |
| Gold Coast Medi-Cal | $83 | 78% |
| Cal Caloptima | $83 | 78% |
| San Francisco Health Plan Medi-Cal | $83 | 78% |
| Ccs Kern | $83 | 78% |
| Ccs Stanislaus | $83 | 78% |
| Ccs Merced | $83 | 78% |
| Medi-Cal Contra Costa Health Plan | $83 | 78% |
| Medi-Cal Community Health Group | $83 | 78% |
| Fresno County Funded Specialty Care | $83 | 78% |
| Genetically Handicapped Person | $83 | 78% |
| Medi-Cal Molina | $83 | 78% |
| Medi-Cal Alameda Alliance for Health | $83 | 78% |
| Ccs Fresno | $83 | 78% |
| Medi-Cal Cencal Health | $83 | 78% |
| Medi-Cal Partnership Health Plan of Ca | $83 | 78% |
| Kaiser | $107 | 100% |
| Sequoia Pace | $125 | 117% |
| Health Plan of San Joaquin | $125 | 117% |
| Adventist -McL Calviva Sub Cap | $137 | 128% |
| Healthnet | $160 - $1,011 | 150% |
| Central Valley Medical Providers | $430 - $1,205 | 403% |
| Community Care | $439 | 411% |
| Employer 90/40 | $689 | 645% |
| Central Ca Indian Health | $947 | 887% |
| Nx Health Network PPO | $947 | 887% |
| Healthsmart | $1,171 - $1,378 | 1096% |
| Network By Design | $1,292 | 1210% |
| Coventry Health Care (First Health Network) | $1,292 | 1210% |
| Generic Multiplan | $1,464 | 1371% |
| PHCS | $1,464 | 1371% |