CMS Price Transparency Data

Colorectal cancer screening (alternative)

Facility: Clovis Community Medical Center

Billing Code: G0145 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: G0145
  • Insurance Median: $26
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Colorectal cancer screening (alternative) at Clovis Community Medical Center is $26. 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 $26.49, this hospital’s rate is 0.98x 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
$26

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$26.49

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $26.49 (100%)
Insurance Median: $26 (98%)
Ins. Median: $26 (98% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $26.49 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.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Blue Shield Sante $26 98%
Sante-Blue Shield/Sante $26 98%
Care1St HMO - Ehs $26 98%
Railroad Part B $26 98%
Generic $26 98%
Meritage Healthnet HMO $26 98%
Victims of Crime $26 98%
Sante $26 98%
Cigna $26 98%
Healthnet HMO - Sante $26 98%
Medicare (plans) $26 98%
Sante Sub Cap Healthnet Seniority $26 98%
Blue Shield Saint Agnes $26 98%
Meritage Brand New Day $26 98%
Medi-Cal Innovative Integrated Health $26 98%
Brand New Day $26 98%
Sante-Sub Cap Ma Brand New Day $26 98%
Meritage Blue Shield 65 Plus $26 98%
Blue Shield 65 Plus HMO Ehs $26 98%
Sante Sub Cap-Blue Shield/Sante $26 98%
Healthnet HMO - La Salle $26 98%
Blue Shield Hmo-Cvmp/Medpro $26 98%
Wellcare $26 98%
Blue Shield 65 Plus HMO First Choice $26 98%
Healthnet HMO - Dhmso $26 98%
Healthnet Sante - Sub Cap Dual Risk $26 98%
Hartford Life Supplement $26 98%
Aetna $26 - $28 98%
Sequoia Pace - Peak Tpa $26 98%
Kaiser $26 98%
Blue Cross Blue Shield $26 98%
Bscphp HMO - First Choice $26 98%
Humana $26 98%
Healthnet HMO - Cvmp/Medpro $26 98%
Blue Shield Promise - Imperial $26 98%
Railroad Part A & B $26 98%
Advantek Table Mountain Rancheria Tribal Member $26 98%
Healthnet Sante Dual Risk $26 98%
Cares Act Provider Relief Fund $26 98%
Railroad Part A $26 98%
UnitedHealthcare $26 - $27 98%
Blue Shield $26 - $38 98%
Sante-Healthnet Seniority $26 98%
Gemcare HMO $26 98%
Us Marshal $26 98%
Generic Bscphp $26 98%
Healthnet Sante $26 98%
Bscphp - Dhmso $26 98%
Generic Victims of Crime $26 98%
Todays Pyramid $26 98%
Bscphp - First Choice $26 98%
Scan Health Plan $26 98%
Alignment Health Plan $29 109%
Innovative Integrated Health Community Plans HMO $29 109%
Champion Health Plan of California Ma $29 109%
Imperial Health Plan HMO $30 113%
Correctcare Integrated Health $34 128%
Coalinga State Hospital $53 200%
Naphcare Inc-Mendota $57 215%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2755 Herndon Ave, Clovis, CA 93611
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals