CMS Price Transparency Data
CT scan, head (with and without contrast)
Facility: Clovis Community Medical Center
Billing Code: 70470 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 70470
- Insurance Median: $185
- Cash Discount Price: $3,866
- vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Clovis Community Medical Center is $185. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,866. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.03x the Medicare baseline. Located in 2755 Herndon Ave, Clovis, CA.
Cash / Self-Pay
$3,866
Average discount available for prompt cash payment at this facility.
Insurance Median
$185
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$179.2
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $179.2 (100%)
Cash / Self-Pay: $3,866 (2157%)
Insurance Median: $185 (103%)
Cash: $3,866 (2157% of Medicare)
Ins. Median: $185 (103% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $179.2 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 | $59 - $226 | 33% |
| Aetna | $59 - $1,429 | 33% |
| Blue Cross Blue Shield | $59 - $3,073 | 33% |
| Blue Shield | $59 - $2,750 | 33% |
| Blue Shield 65 Plus Hmo Ehs | $59 - $226 | 33% |
| Blue Shield 65 Plus Hmo First Choice | $59 - $226 | 33% |
| Blue Shield Hmo-Cvmp/Medpro | $59 - $226 | 33% |
| Blue Shield Promise - Imperial | $59 - $226 | 33% |
| Blue Shield Saint Agnes | $59 - $226 | 33% |
| Blue Shield Sante | $59 - $226 | 33% |
| Brand New Day | $59 - $226 | 33% |
| Bscphp - Dhmso | $59 - $226 | 33% |
| Bscphp - First Choice | $59 - $226 | 33% |
| Bscphp Hmo - First Choice | $59 - $226 | 33% |
| Care1St Hmo - Ehs | $59 - $226 | 33% |
| Cares Act Provider Relief Fund | $59 - $226 | 33% |
| Cigna | $59 - $2,997 | 33% |
| Gemcare Hmo | $59 - $226 | 33% |
| Generic | $59 - $226 | 33% |
| Generic Bscphp | $59 - $226 | 33% |
| Generic Victims Of Crime | $59 - $226 | 33% |
| Hartford Life Supplement | $59 - $226 | 33% |
| Healthnet Hmo - Cvmp/Medpro | $59 - $226 | 33% |
| Healthnet Hmo - Dhmso | $59 - $226 | 33% |
| Healthnet Hmo - La Salle | $59 - $226 | 33% |
| Healthnet Hmo - Sante | $59 - $226 | 33% |
| Healthnet Sante | $59 - $226 | 33% |
| Healthnet Sante - Sub Cap Dual Risk | $59 - $226 | 33% |
| Healthnet Sante Dual Risk | $59 - $226 | 33% |
| Humana | $59 - $4,108 | 33% |
| Medi-Cal Innovative Integrated Health | $59 - $226 | 33% |
| Medicare (plans) | $59 - $226 | 33% |
| Meritage Blue Shield 65 Plus | $59 - $226 | 33% |
| Meritage Brand New Day | $59 - $226 | 33% |
| Meritage Healthnet Hmo | $59 - $226 | 33% |
| Railroad Part A | $59 - $226 | 33% |
| Railroad Part A & B | $59 - $226 | 33% |
| Railroad Part B | $59 - $226 | 33% |
| Sante | $59 - $260 | 33% |
| Sante Sub Cap Healthnet Seniority | $59 - $226 | 33% |
| Sante Sub Cap-Blue Shield/Sante | $59 - $226 | 33% |
| Sante-Blue Shield/Sante | $59 - $226 | 33% |
| Sante-Healthnet Seniority | $59 - $226 | 33% |
| Sante-Sub Cap Ma Brand New Day | $59 - $226 | 33% |
| Scan Health Plan | $59 - $226 | 33% |
| Sequoia Pace - Peak Tpa | $59 - $226 | 33% |
| Todays Pyramid | $59 - $226 | 33% |
| UnitedHealthcare | $59 - $2,534 | 33% |
| Us Marshal | $59 - $226 | 33% |
| Victims Of Crime | $59 - $226 | 33% |
| Well Path (Cfmg) | $59 - $5,316 | 33% |
| Wellcare | $59 - $226 | 33% |
| Alignment Health Plan | $65 - $248 | 36% |
| Champion Health Plan Of California Ma | $65 - $248 | 36% |
| Innovative Integrated Health Community Plans Hmo | $65 - $248 | 36% |
| Imperial Health Plan Hmo | $68 - $259 | 38% |
| Correctcare Integrated Health | $77 - $293 | 43% |
| Coalinga State Hospital | $119 - $451 | 66% |
| Naphcare Inc-Mendota | $128 - $485 | 71% |
| Cal Caloptima | $168 | 94% |
| Ccs Fresno | $168 | 94% |
| Ccs Kern | $168 | 94% |
| Ccs Kings | $168 | 94% |
| Ccs Madera/Sacramento | $168 | 94% |
| Ccs Mariposa | $168 | 94% |
| Ccs Merced | $168 | 94% |
| Ccs Stanislaus | $168 | 94% |
| Ccs Tulare | $168 | 94% |
| Chdp | $168 | 94% |
| Fresno County Funded Specialty Care | $168 | 94% |
| Generic Care Out Of County | $168 | 94% |
| Generic Ccs Other Counties | $168 | 94% |
| Genetically Handicapped Person | $168 | 94% |
| Gold Coast Medi-Cal | $168 | 94% |
| Medi-Cal Alameda Alliance For Health | $168 | 94% |
| Medi-Cal Blue Shield Promise Health | $168 | 94% |
| Medi-Cal California Health & Wellness Plan | $168 | 94% |
| Medi-Cal Cencal Health | $168 | 94% |
| Medi-Cal Community Health Group | $168 | 94% |
| Medi-Cal Contra Costa Health Plan | $168 | 94% |
| Medi-Cal Health Plan Of San Mateo | $168 | 94% |
| Medi-Cal Inland Empire Health | $168 | 94% |
| Medi-Cal Kern Family Health | $168 | 94% |
| Medi-Cal La Care Health | $168 | 94% |
| Medi-Cal Molina | $168 | 94% |
| Medi-Cal Partnership Health Plan Of Ca | $168 | 94% |
| San Francisco Health Plan Medi-Cal | $168 | 94% |
| Santa Clara Family Health Plan - Premier Health | $168 | 94% |
| Santa Clara Family Health Plan - Valley Health | $168 | 94% |
| Kaiser | $179 | 100% |
| Health Plan Of San Joaquin | $252 | 141% |
| Sequoia Pace | $252 | 141% |
| Adventist -Mcl Calviva Sub Cap | $277 | 155% |
| Healthnet | $324 - $2,837 | 181% |
| Central Valley Medical Providers | $1,208 - $3,383 | 674% |
| Community Care | $1,232 | 688% |
| Employer 90/40 | $1,933 | 1079% |
| Central Ca Indian Health | $2,658 | 1483% |
| Nx Health Network Ppo | $2,658 | 1483% |
| Healthsmart | $3,286 - $3,866 | 1834% |
| Coventry Health Care (First Health Network) | $3,625 | 2023% |
| Network By Design | $3,625 | 2023% |
| Generic Multiplan | $4,108 | 2292% |
| Phcs | $4,108 | 2292% |