CMS Price Transparency Data
CT scan, abdomen and pelvis (no contrast)
Facility: Clovis Community Medical Center
Billing Code: 74176 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 74176
- Insurance Median: $194
- Cash Discount Price: $4,041
- vs. Medicare Baseline: 0.80x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Clovis Community Medical Center is $194. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,041. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.80x the Medicare baseline. Located in 2755 Herndon Ave, Clovis, CA.
Cash / Self-Pay
$4,041
Average discount available for prompt cash payment at this facility.
Insurance Median
$194
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$243.77
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $243.77 (100%)
Cash / Self-Pay: $4,041 (1658%)
Insurance Median: $194 (80%)
Cash: $4,041 (1658% of Medicare)
Ins. Median: $194 (80% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $243.77 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 |
|---|---|---|
| Advantek Table Mountain Rancheria Tribal Member | $81 - $307 | 33% |
| Aetna | $81 - $760 | 33% |
| Blue Cross Blue Shield | $81 - $3,212 | 33% |
| Blue Shield | $81 - $2,874 | 33% |
| Blue Shield 65 Plus Hmo Ehs | $81 - $307 | 33% |
| Blue Shield 65 Plus Hmo First Choice | $81 - $307 | 33% |
| Blue Shield Hmo-Cvmp/Medpro | $81 - $307 | 33% |
| Blue Shield Promise - Imperial | $81 - $307 | 33% |
| Blue Shield Saint Agnes | $81 - $307 | 33% |
| Blue Shield Sante | $81 - $307 | 33% |
| Brand New Day | $81 - $307 | 33% |
| Bscphp - Dhmso | $81 - $307 | 33% |
| Bscphp - First Choice | $81 - $307 | 33% |
| Bscphp Hmo - First Choice | $81 - $307 | 33% |
| Care1St Hmo - Ehs | $81 - $307 | 33% |
| Cares Act Provider Relief Fund | $81 - $307 | 33% |
| Cigna | $81 - $3,133 | 33% |
| Gemcare Hmo | $81 - $307 | 33% |
| Generic | $81 - $307 | 33% |
| Generic Bscphp | $81 - $307 | 33% |
| Generic Victims Of Crime | $81 - $307 | 33% |
| Hartford Life Supplement | $81 - $307 | 33% |
| Healthnet Hmo - Cvmp/Medpro | $81 - $307 | 33% |
| Healthnet Hmo - Dhmso | $81 - $307 | 33% |
| Healthnet Hmo - La Salle | $81 - $307 | 33% |
| Healthnet Hmo - Sante | $81 - $307 | 33% |
| Healthnet Sante | $81 - $307 | 33% |
| Healthnet Sante - Sub Cap Dual Risk | $81 - $307 | 33% |
| Healthnet Sante Dual Risk | $81 - $307 | 33% |
| Humana | $81 - $4,293 | 33% |
| Medi-Cal Innovative Integrated Health | $81 - $307 | 33% |
| Medicare (plans) | $81 - $307 | 33% |
| Meritage Blue Shield 65 Plus | $81 - $307 | 33% |
| Meritage Brand New Day | $81 - $307 | 33% |
| Meritage Healthnet Hmo | $81 - $307 | 33% |
| Railroad Part A | $81 - $307 | 33% |
| Railroad Part A & B | $81 - $307 | 33% |
| Railroad Part B | $81 - $307 | 33% |
| Sante | $81 - $307 | 33% |
| Sante Sub Cap Healthnet Seniority | $81 - $307 | 33% |
| Sante Sub Cap-Blue Shield/Sante | $81 - $307 | 33% |
| Sante-Blue Shield/Sante | $81 - $307 | 33% |
| Sante-Healthnet Seniority | $81 - $307 | 33% |
| Sante-Sub Cap Ma Brand New Day | $81 - $307 | 33% |
| Scan Health Plan | $81 - $307 | 33% |
| Sequoia Pace - Peak Tpa | $81 - $307 | 33% |
| Todays Pyramid | $81 - $307 | 33% |
| UnitedHealthcare | $81 - $2,648 | 33% |
| Us Marshal | $81 - $307 | 33% |
| Victims Of Crime | $81 - $307 | 33% |
| Well Path (Cfmg) | $81 - $5,556 | 33% |
| Wellcare | $81 - $307 | 33% |
| Alignment Health Plan | $89 - $338 | 37% |
| Champion Health Plan Of California Ma | $89 - $338 | 37% |
| Innovative Integrated Health Community Plans Hmo | $89 - $338 | 37% |
| Imperial Health Plan Hmo | $94 - $353 | 39% |
| Correctcare Integrated Health | $106 - $399 | 43% |
| Coalinga State Hospital | $163 - $614 | 67% |
| Cal Caloptima | $174 | 71% |
| Ccs Fresno | $174 | 71% |
| Ccs Kern | $174 | 71% |
| Ccs Kings | $174 | 71% |
| Ccs Madera/Sacramento | $174 | 71% |
| Ccs Mariposa | $174 | 71% |
| Ccs Merced | $174 | 71% |
| Ccs Stanislaus | $174 | 71% |
| Ccs Tulare | $174 | 71% |
| Chdp | $174 | 71% |
| Fresno County Funded Specialty Care | $174 | 71% |
| Generic Care Out Of County | $174 | 71% |
| Generic Ccs Other Counties | $174 | 71% |
| Genetically Handicapped Person | $174 | 71% |
| Gold Coast Medi-Cal | $174 | 71% |
| Medi-Cal Alameda Alliance For Health | $174 | 71% |
| Medi-Cal Blue Shield Promise Health | $174 | 71% |
| Medi-Cal California Health & Wellness Plan | $174 | 71% |
| Medi-Cal Cencal Health | $174 | 71% |
| Medi-Cal Community Health Group | $174 | 71% |
| Medi-Cal Contra Costa Health Plan | $174 | 71% |
| Medi-Cal Health Plan Of San Mateo | $174 | 71% |
| Medi-Cal Inland Empire Health | $174 | 71% |
| Medi-Cal Kern Family Health | $174 | 71% |
| Medi-Cal La Care Health | $174 | 71% |
| Medi-Cal Molina | $174 | 71% |
| Medi-Cal Partnership Health Plan Of Ca | $174 | 71% |
| San Francisco Health Plan Medi-Cal | $174 | 71% |
| Santa Clara Family Health Plan - Premier Health | $174 | 71% |
| Santa Clara Family Health Plan - Valley Health | $174 | 71% |
| Naphcare Inc-Mendota | $175 - $660 | 72% |
| Kaiser | $244 | 100% |
| Health Plan Of San Joaquin | $261 | 107% |
| Sequoia Pace | $261 | 107% |
| Adventist -Mcl Calviva Sub Cap | $288 | 118% |
| Healthnet | $336 - $2,965 | 138% |
| Central Valley Medical Providers | $1,263 - $3,536 | 518% |
| Community Care | $1,288 | 528% |
| Employer 90/40 | $2,020 | 829% |
| Central Ca Indian Health | $2,778 | 1140% |
| Nx Health Network Ppo | $2,778 | 1140% |
| Healthsmart | $3,435 - $4,041 | 1409% |
| Coventry Health Care (First Health Network) | $3,788 | 1554% |
| Network By Design | $3,788 | 1554% |
| Generic Multiplan | $4,293 | 1761% |
| Phcs | $4,293 | 1761% |