CMS Price Transparency Data
X-ray, hip
Facility: Clovis Community Medical Center
Billing Code: 73502 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 73502
- Insurance Median: $53
- Cash Discount Price: $374
- vs. Medicare Baseline: 0.60x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Clovis Community Medical Center is $53. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $374. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.60x the Medicare baseline. Located in 2755 Herndon Ave, Clovis, CA.
Cash / Self-Pay
$374
Average discount available for prompt cash payment at this facility.
Insurance Median
$53
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$88.91
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $88.91 (100%)
Cash / Self-Pay: $374 (421%)
Insurance Median: $53 (60%)
Cash: $374 (421% of Medicare)
Ins. Median: $53 (60% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $88.91 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
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
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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 - Cvmp/Medpro | $11 - $112 | 12% |
| Sante Sub Cap Healthnet Seniority | $11 - $112 | 12% |
| Generic Victims of Crime | $11 - $112 | 12% |
| Medicare (plans) | $11 - $112 | 12% |
| Healthnet HMO - La Salle | $11 - $112 | 12% |
| Generic | $11 - $112 | 12% |
| Meritage Blue Shield 65 Plus | $11 - $112 | 12% |
| Healthnet HMO - Dhmso | $11 - $112 | 12% |
| Blue Shield Promise - Imperial | $11 - $112 | 12% |
| Meritage Healthnet HMO | $11 - $112 | 12% |
| Sante | $11 - $112 | 12% |
| Blue Shield Saint Agnes | $11 - $112 | 12% |
| Blue Shield | $11 - $266 | 12% |
| Blue Shield Hmo-Cvmp/Medpro | $11 - $112 | 12% |
| Sante-Blue Shield/Sante | $11 - $112 | 12% |
| Blue Shield 65 Plus HMO Ehs | $11 - $112 | 12% |
| Bscphp - Dhmso | $11 - $112 | 12% |
| Wellcare | $11 - $112 | 12% |
| Todays Pyramid | $11 - $112 | 12% |
| Medi-Cal Innovative Integrated Health | $11 - $112 | 12% |
| Generic Bscphp | $11 - $112 | 12% |
| Bscphp HMO - First Choice | $11 - $112 | 12% |
| Healthnet HMO - Sante | $11 - $112 | 12% |
| Scan Health Plan | $11 - $112 | 12% |
| UnitedHealthcare | $11 - $245 | 12% |
| Bscphp - First Choice | $11 - $112 | 12% |
| Railroad Part A | $11 - $112 | 12% |
| Humana | $11 - $398 | 12% |
| Blue Shield Sante | $11 - $112 | 12% |
| Blue Shield 65 Plus HMO First Choice | $11 - $112 | 12% |
| Care1St HMO - Ehs | $11 - $112 | 12% |
| Healthnet Sante - Sub Cap Dual Risk | $11 - $112 | 12% |
| Victims of Crime | $11 - $112 | 12% |
| Blue Cross Blue Shield | $11 - $298 | 12% |
| Cares Act Provider Relief Fund | $11 - $112 | 12% |
| Advantek Table Mountain Rancheria Tribal Member | $11 - $112 | 12% |
| Railroad Part A & B | $11 - $112 | 12% |
| Cigna | $11 - $290 | 12% |
| Sequoia Pace - Peak Tpa | $11 - $112 | 12% |
| Healthnet Sante Dual Risk | $11 - $112 | 12% |
| Aetna | $11 - $174 | 12% |
| Gemcare HMO | $11 - $112 | 12% |
| Meritage Brand New Day | $11 - $112 | 12% |
| Us Marshal | $11 - $112 | 12% |
| Brand New Day | $11 - $112 | 12% |
| Hartford Life Supplement | $11 - $112 | 12% |
| Sante Sub Cap-Blue Shield/Sante | $11 - $112 | 12% |
| Sante-Healthnet Seniority | $11 - $112 | 12% |
| Well Path (Cfmg) | $11 - $515 | 12% |
| Healthnet Sante | $11 - $112 | 12% |
| Sante-Sub Cap Ma Brand New Day | $11 - $112 | 12% |
| Railroad Part B | $11 - $112 | 12% |
| Champion Health Plan of California Ma | $12 - $123 | 13% |
| Innovative Integrated Health Community Plans HMO | $12 - $123 | 13% |
| Alignment Health Plan | $12 - $123 | 13% |
| Imperial Health Plan HMO | $13 - $129 | 15% |
| Correctcare Integrated Health | $14 - $146 | 16% |
| Coalinga State Hospital | $22 - $224 | 25% |
| Naphcare Inc-Mendota | $24 - $241 | 27% |
| Medi-Cal Community Health Group | $37 | 42% |
| Ccs Kern | $37 | 42% |
| Medi-Cal La Care Health | $37 | 42% |
| Cal Caloptima | $37 | 42% |
| Ccs Fresno | $37 | 42% |
| Medi-Cal Alameda Alliance for Health | $37 | 42% |
| Ccs Kings | $37 | 42% |
| Santa Clara Family Health Plan - Valley Health | $37 | 42% |
| Medi-Cal Blue Shield Promise Health | $37 | 42% |
| Gold Coast Medi-Cal | $37 | 42% |
| Medi-Cal Partnership Health Plan of Ca | $37 | 42% |
| Generic Care Out of County | $37 | 42% |
| Genetically Handicapped Person | $37 | 42% |
| San Francisco Health Plan Medi-Cal | $37 | 42% |
| Medi-Cal Health Plan of San Mateo | $37 | 42% |
| Ccs Madera/Sacramento | $37 | 42% |
| Chdp | $37 | 42% |
| Medi-Cal Contra Costa Health Plan | $37 | 42% |
| Generic Ccs Other Counties | $37 | 42% |
| Ccs Mariposa | $37 | 42% |
| Medi-Cal Cencal Health | $37 | 42% |
| Medi-Cal California Health & Wellness Plan | $37 | 42% |
| Medi-Cal Kern Family Health | $37 | 42% |
| Santa Clara Family Health Plan - Premier Health | $37 | 42% |
| Ccs Merced | $37 | 42% |
| Medi-Cal Molina | $37 | 42% |
| Medi-Cal Inland Empire Health | $37 | 42% |
| Ccs Stanislaus | $37 | 42% |
| Ccs Tulare | $37 | 42% |
| Fresno County Funded Specialty Care | $37 | 42% |
| Health Plan of San Joaquin | $56 | 63% |
| Sequoia Pace | $56 | 63% |
| Adventist -McL Calviva Sub Cap | $62 | 70% |
| Healthnet | $72 - $275 | 81% |
| Kaiser | $89 | 100% |
| Central Valley Medical Providers | $117 - $328 | 132% |
| Community Care | $119 | 134% |
| Employer 90/40 | $187 | 210% |
| Central Ca Indian Health | $257 | 289% |
| Nx Health Network PPO | $257 | 289% |
| Healthsmart | $318 - $374 | 358% |
| Network By Design | $351 | 395% |
| Coventry Health Care (First Health Network) | $351 | 395% |
| PHCS | $398 | 448% |
| Generic Multiplan | $398 | 448% |