CMS Price Transparency Data

Care planning with family

Facility: Clovis Community Medical Center

Billing Code: 90887 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90887
Insurance Median: $92
Cash Discount Price: Unavailable
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Care planning with family at Clovis Community Medical Center is $92. 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 N/A, this hospital’s rate is N/A 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

$92

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

N/A

Standard federal government reimbursement rate for this code.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Advantek Table Mountain Rancheria Tribal Member	$92	N/A
Aetna	$92 - $96	N/A
Blue Cross Blue Shield	$92	N/A
Blue Shield	$92	N/A
Blue Shield 65 Plus Hmo Ehs	$92	N/A
Blue Shield 65 Plus Hmo First Choice	$92	N/A
Blue Shield Hmo-Cvmp/Medpro	$92	N/A
Blue Shield Promise - Imperial	$92	N/A
Blue Shield Saint Agnes	$92	N/A
Blue Shield Sante	$92	N/A
Brand New Day	$92	N/A
Bscphp - Dhmso	$92	N/A
Bscphp - First Choice	$92	N/A
Bscphp Hmo - First Choice	$92	N/A
Care1St Hmo - Ehs	$92	N/A
Cares Act Provider Relief Fund	$92	N/A
Cigna	$92	N/A
Gemcare Hmo	$92	N/A
Generic	$92	N/A
Generic Bscphp	$92	N/A
Generic Victims Of Crime	$92	N/A
Hartford Life Supplement	$92	N/A
Healthnet Hmo - Cvmp/Medpro	$92	N/A
Healthnet Hmo - Dhmso	$92	N/A
Healthnet Hmo - La Salle	$92	N/A
Healthnet Hmo - Sante	$92	N/A
Healthnet Sante	$92	N/A
Healthnet Sante - Sub Cap Dual Risk	$92	N/A
Healthnet Sante Dual Risk	$92	N/A
Humana	$92	N/A
Kaiser	$92	N/A
Medi-Cal Innovative Integrated Health	$92	N/A
Medicare (plans)	$92	N/A
Meritage Blue Shield 65 Plus	$92	N/A
Meritage Brand New Day	$92	N/A
Meritage Healthnet Hmo	$92	N/A
Railroad Part A	$92	N/A
Railroad Part A & B	$92	N/A
Railroad Part B	$92	N/A
Sante	$92	N/A
Sante Sub Cap Healthnet Seniority	$92	N/A
Sante Sub Cap-Blue Shield/Sante	$92	N/A
Sante-Blue Shield/Sante	$92	N/A
Sante-Healthnet Seniority	$92	N/A
Sante-Sub Cap Ma Brand New Day	$92	N/A
Scan Health Plan	$92	N/A
Sequoia Pace - Peak Tpa	$92	N/A
Todays Pyramid	$92	N/A
UnitedHealthcare	$92 - $93	N/A
Us Marshal	$92	N/A
Victims Of Crime	$92	N/A
Wellcare	$92	N/A
Alignment Health Plan	$101	N/A
Champion Health Plan Of California Ma	$101	N/A
Innovative Integrated Health Community Plans Hmo	$101	N/A
Imperial Health Plan Hmo	$105	N/A
Correctcare Integrated Health	$119	N/A
Coalinga State Hospital	$183	N/A
Naphcare Inc-Mendota	$197	N/A

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $X.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90887.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Clovis Community Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 90887.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.