CMS Price Transparency Data
CT scan, pelvis
Facility: Clovis Community Medical Center
Billing Code: 72192 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 72192
- Insurance Median: $134
- Cash Discount Price: $3,366
- vs. Medicare Baseline: 1.25x Medicare
The contracted insurance negotiated median rate for a CT scan, pelvis at Clovis Community Medical Center is $134. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,366. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.25x the Medicare baseline. Located in 2755 Herndon Ave, Clovis, CA.
Cash / Self-Pay
$3,366
Average discount available for prompt cash payment at this facility.
Insurance Median
$134
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$106.81
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $3,366 (3151%)
Insurance Median: $134 (125%)
Cash: $3,366 (3151% of Medicare)
Ins. Median: $134 (125% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $106.81 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 | $51 - $141 | 48% |
| Aetna | $51 - $1,095 | 48% |
| Blue Cross Blue Shield | $51 - $2,675 | 48% |
| Blue Shield | $51 - $2,394 | 48% |
| Blue Shield 65 Plus Hmo Ehs | $51 - $141 | 48% |
| Blue Shield 65 Plus Hmo First Choice | $51 - $141 | 48% |
| Blue Shield Hmo-Cvmp/Medpro | $51 - $141 | 48% |
| Blue Shield Promise - Imperial | $51 - $141 | 48% |
| Blue Shield Saint Agnes | $51 - $141 | 48% |
| Blue Shield Sante | $51 - $141 | 48% |
| Brand New Day | $51 - $141 | 48% |
| Bscphp - Dhmso | $51 - $141 | 48% |
| Bscphp - First Choice | $51 - $141 | 48% |
| Bscphp Hmo - First Choice | $51 - $141 | 48% |
| Care1St Hmo - Ehs | $51 - $141 | 48% |
| Cares Act Provider Relief Fund | $51 - $141 | 48% |
| Cigna | $51 - $2,609 | 48% |
| Gemcare Hmo | $51 - $141 | 48% |
| Generic | $51 - $141 | 48% |
| Generic Bscphp | $51 - $141 | 48% |
| Generic Victims Of Crime | $51 - $141 | 48% |
| Hartford Life Supplement | $51 - $141 | 48% |
| Healthnet Hmo - Cvmp/Medpro | $51 - $141 | 48% |
| Healthnet Hmo - Dhmso | $51 - $141 | 48% |
| Healthnet Hmo - La Salle | $51 - $141 | 48% |
| Healthnet Hmo - Sante | $51 - $141 | 48% |
| Healthnet Sante | $51 - $141 | 48% |
| Healthnet Sante - Sub Cap Dual Risk | $51 - $141 | 48% |
| Healthnet Sante Dual Risk | $51 - $141 | 48% |
| Humana | $51 - $3,576 | 48% |
| Medi-Cal Innovative Integrated Health | $51 - $141 | 48% |
| Medicare (plans) | $51 - $141 | 48% |
| Meritage Blue Shield 65 Plus | $51 - $141 | 48% |
| Meritage Brand New Day | $51 - $141 | 48% |
| Meritage Healthnet Hmo | $51 - $141 | 48% |
| Railroad Part A | $51 - $141 | 48% |
| Railroad Part A & B | $51 - $141 | 48% |
| Railroad Part B | $51 - $141 | 48% |
| Sante | $51 - $198 | 48% |
| Sante Sub Cap Healthnet Seniority | $51 - $141 | 48% |
| Sante Sub Cap-Blue Shield/Sante | $51 - $141 | 48% |
| Sante-Blue Shield/Sante | $51 - $141 | 48% |
| Sante-Healthnet Seniority | $51 - $141 | 48% |
| Sante-Sub Cap Ma Brand New Day | $51 - $141 | 48% |
| Scan Health Plan | $51 - $141 | 48% |
| Sequoia Pace - Peak Tpa | $51 - $141 | 48% |
| Todays Pyramid | $51 - $141 | 48% |
| UnitedHealthcare | $51 - $2,206 | 48% |
| Us Marshal | $51 - $141 | 48% |
| Victims Of Crime | $51 - $141 | 48% |
| Well Path (Cfmg) | $51 - $4,628 | 48% |
| Wellcare | $51 - $141 | 48% |
| Alignment Health Plan | $56 - $155 | 52% |
| Champion Health Plan Of California Ma | $56 - $155 | 52% |
| Innovative Integrated Health Community Plans Hmo | $56 - $155 | 52% |
| Imperial Health Plan Hmo | $58 - $162 | 54% |
| Correctcare Integrated Health | $66 - $184 | 62% |
| Coalinga State Hospital | $101 - $282 | 95% |
| Kaiser | $107 | 100% |
| Naphcare Inc-Mendota | $109 - $304 | 102% |
| Cal Caloptima | $128 | 120% |
| Ccs Fresno | $128 | 120% |
| Ccs Kern | $128 | 120% |
| Ccs Kings | $128 | 120% |
| Ccs Madera/Sacramento | $128 | 120% |
| Ccs Mariposa | $128 | 120% |
| Ccs Merced | $128 | 120% |
| Ccs Stanislaus | $128 | 120% |
| Ccs Tulare | $128 | 120% |
| Chdp | $128 | 120% |
| Fresno County Funded Specialty Care | $128 | 120% |
| Generic Care Out Of County | $128 | 120% |
| Generic Ccs Other Counties | $128 | 120% |
| Genetically Handicapped Person | $128 | 120% |
| Gold Coast Medi-Cal | $128 | 120% |
| Medi-Cal Alameda Alliance For Health | $128 | 120% |
| Medi-Cal Blue Shield Promise Health | $128 | 120% |
| Medi-Cal California Health & Wellness Plan | $128 | 120% |
| Medi-Cal Cencal Health | $128 | 120% |
| Medi-Cal Community Health Group | $128 | 120% |
| Medi-Cal Contra Costa Health Plan | $128 | 120% |
| Medi-Cal Health Plan Of San Mateo | $128 | 120% |
| Medi-Cal Inland Empire Health | $128 | 120% |
| Medi-Cal Kern Family Health | $128 | 120% |
| Medi-Cal La Care Health | $128 | 120% |
| Medi-Cal Molina | $128 | 120% |
| Medi-Cal Partnership Health Plan Of Ca | $128 | 120% |
| San Francisco Health Plan Medi-Cal | $128 | 120% |
| Santa Clara Family Health Plan - Premier Health | $128 | 120% |
| Santa Clara Family Health Plan - Valley Health | $128 | 120% |
| Health Plan Of San Joaquin | $191 | 179% |
| Sequoia Pace | $191 | 179% |
| Adventist -Mcl Calviva Sub Cap | $211 | 198% |
| Healthnet | $246 - $2,470 | 230% |
| Central Valley Medical Providers | $1,052 - $2,945 | 985% |
| Community Care | $1,073 | 1005% |
| Employer 90/40 | $1,683 | 1576% |
| Central Ca Indian Health | $2,314 | 2166% |
| Nx Health Network Ppo | $2,314 | 2166% |
| Healthsmart | $2,861 - $3,366 | 2679% |
| Coventry Health Care (First Health Network) | $3,155 | 2954% |
| Network By Design | $3,155 | 2954% |
| Generic Multiplan | $3,576 | 3348% |
| Phcs | $3,576 | 3348% |