CMS Price Transparency Data
Ultrasound, pelvis
Facility: Clovis Community Medical Center
Billing Code: 76856 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 76856
- Insurance Median: $107
- Cash Discount Price: $1,202
- vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a Ultrasound, pelvis at Clovis Community Medical Center is $107. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,202. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.00x the Medicare baseline. Located in 2755 Herndon Ave, Clovis, CA.
Cash / Self-Pay
$1,202
Average discount available for prompt cash payment at this facility.
Insurance Median
$107
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: $1,202 (1125%)
Insurance Median: $107 (100%)
Cash: $1,202 (1125% of Medicare)
Ins. Median: $107 (100% 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 | $33 - $134 | 31% |
| Brand New Day | $33 - $134 | 31% |
| Generic Victims of Crime | $33 - $134 | 31% |
| Scan Health Plan | $33 - $134 | 31% |
| Blue Shield Hmo-Cvmp/Medpro | $33 - $134 | 31% |
| Blue Cross Blue Shield | $33 - $956 | 31% |
| Healthnet Sante - Sub Cap Dual Risk | $33 - $134 | 31% |
| Sante | $33 - $134 | 31% |
| Healthnet HMO - Sante | $33 - $134 | 31% |
| Sante Sub Cap Healthnet Seniority | $33 - $134 | 31% |
| Sante-Sub Cap Ma Brand New Day | $33 - $134 | 31% |
| Healthnet HMO - Cvmp/Medpro | $33 - $134 | 31% |
| Hartford Life Supplement | $33 - $134 | 31% |
| Sante Sub Cap-Blue Shield/Sante | $33 - $134 | 31% |
| Aetna | $33 - $752 | 31% |
| Medi-Cal Innovative Integrated Health | $33 - $134 | 31% |
| Meritage Brand New Day | $33 - $134 | 31% |
| Healthnet HMO - La Salle | $33 - $134 | 31% |
| Cares Act Provider Relief Fund | $33 - $134 | 31% |
| Railroad Part A & B | $33 - $134 | 31% |
| Blue Shield Promise - Imperial | $33 - $134 | 31% |
| Railroad Part B | $33 - $134 | 31% |
| Healthnet Sante Dual Risk | $33 - $134 | 31% |
| Care1St HMO - Ehs | $33 - $134 | 31% |
| Victims of Crime | $33 - $134 | 31% |
| Gemcare HMO | $33 - $134 | 31% |
| Healthnet HMO - Dhmso | $33 - $134 | 31% |
| Bscphp - First Choice | $33 - $134 | 31% |
| Advantek Table Mountain Rancheria Tribal Member | $33 - $134 | 31% |
| Blue Shield 65 Plus HMO First Choice | $33 - $134 | 31% |
| Bscphp HMO - First Choice | $33 - $134 | 31% |
| Blue Shield | $33 - $855 | 31% |
| Well Path (Cfmg) | $33 - $1,653 | 31% |
| Blue Shield Sante | $33 - $134 | 31% |
| Generic | $33 - $134 | 31% |
| Blue Shield Saint Agnes | $33 - $134 | 31% |
| Sequoia Pace - Peak Tpa | $33 - $134 | 31% |
| Bscphp - Dhmso | $33 - $134 | 31% |
| Todays Pyramid | $33 - $134 | 31% |
| Sante-Healthnet Seniority | $33 - $134 | 31% |
| UnitedHealthcare | $33 - $788 | 31% |
| Generic Bscphp | $33 - $134 | 31% |
| Blue Shield 65 Plus HMO Ehs | $33 - $134 | 31% |
| Wellcare | $33 - $134 | 31% |
| Us Marshal | $33 - $134 | 31% |
| Meritage Blue Shield 65 Plus | $33 - $134 | 31% |
| Cigna | $33 - $932 | 31% |
| Humana | $33 - $1,278 | 31% |
| Meritage Healthnet HMO | $33 - $134 | 31% |
| Railroad Part A | $33 - $134 | 31% |
| Sante-Blue Shield/Sante | $33 - $134 | 31% |
| Medicare (plans) | $33 - $134 | 31% |
| Alignment Health Plan | $36 - $148 | 34% |
| Champion Health Plan of California Ma | $36 - $148 | 34% |
| Innovative Integrated Health Community Plans HMO | $36 - $148 | 34% |
| Imperial Health Plan HMO | $38 - $155 | 36% |
| Correctcare Integrated Health | $43 - $175 | 40% |
| Coalinga State Hospital | $66 - $269 | 62% |
| Santa Clara Family Health Plan - Premier Health | $68 | 64% |
| Ccs Fresno | $68 | 64% |
| Ccs Stanislaus | $68 | 64% |
| Ccs Kern | $68 | 64% |
| Medi-Cal Health Plan of San Mateo | $68 | 64% |
| Ccs Kings | $68 | 64% |
| Medi-Cal Inland Empire Health | $68 | 64% |
| Medi-Cal Alameda Alliance for Health | $68 | 64% |
| Medi-Cal Cencal Health | $68 | 64% |
| Medi-Cal Community Health Group | $68 | 64% |
| Gold Coast Medi-Cal | $68 | 64% |
| Santa Clara Family Health Plan - Valley Health | $68 | 64% |
| Medi-Cal Contra Costa Health Plan | $68 | 64% |
| Genetically Handicapped Person | $68 | 64% |
| Ccs Madera/Sacramento | $68 | 64% |
| Medi-Cal Blue Shield Promise Health | $68 | 64% |
| Cal Caloptima | $68 | 64% |
| Ccs Merced | $68 | 64% |
| Fresno County Funded Specialty Care | $68 | 64% |
| Ccs Tulare | $68 | 64% |
| Medi-Cal La Care Health | $68 | 64% |
| Medi-Cal Molina | $68 | 64% |
| Chdp | $68 | 64% |
| Medi-Cal California Health & Wellness Plan | $68 | 64% |
| Ccs Mariposa | $68 | 64% |
| Medi-Cal Kern Family Health | $68 | 64% |
| San Francisco Health Plan Medi-Cal | $68 | 64% |
| Medi-Cal Partnership Health Plan of Ca | $68 | 64% |
| Generic Care Out of County | $68 | 64% |
| Generic Ccs Other Counties | $68 | 64% |
| Naphcare Inc-Mendota | $71 - $289 | 66% |
| Sequoia Pace | $101 | 95% |
| Health Plan of San Joaquin | $101 | 95% |
| Kaiser | $107 | 100% |
| Adventist -McL Calviva Sub Cap | $112 | 105% |
| Healthnet | $130 - $882 | 122% |
| Central Valley Medical Providers | $376 - $1,052 | 352% |
| Community Care | $383 | 359% |
| Employer 90/40 | $601 | 563% |
| Central Ca Indian Health | $827 | 774% |
| Nx Health Network PPO | $827 | 774% |
| Healthsmart | $1,022 - $1,202 | 957% |
| Coventry Health Care (First Health Network) | $1,127 | 1055% |
| Network By Design | $1,127 | 1055% |
| PHCS | $1,278 | 1197% |
| Generic Multiplan | $1,278 | 1197% |