CMS Price Transparency Data
CT scan, sinuses
Facility: Clovis Community Medical Center
Billing Code: 70486 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 70486
- Insurance Median: $134
- Cash Discount Price: $2,800
- vs. Medicare Baseline: 1.25x Medicare
The contracted insurance negotiated median rate for a CT scan, sinuses at Clovis Community Medical Center is $134. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,800. 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
$2,800
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: $2,800 (2621%)
Insurance Median: $134 (125%)
Cash: $2,800 (2621% 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 | $40 - $137 | 37% |
| Aetna | $40 - $1,750 | 37% |
| Blue Cross Blue Shield | $40 - $2,226 | 37% |
| Blue Shield | $40 - $1,992 | 37% |
| Blue Shield 65 Plus Hmo Ehs | $40 - $137 | 37% |
| Blue Shield 65 Plus Hmo First Choice | $40 - $137 | 37% |
| Blue Shield Hmo-Cvmp/Medpro | $40 - $137 | 37% |
| Blue Shield Promise - Imperial | $40 - $137 | 37% |
| Blue Shield Saint Agnes | $40 - $137 | 37% |
| Blue Shield Sante | $40 - $137 | 37% |
| Brand New Day | $40 - $137 | 37% |
| Bscphp - Dhmso | $40 - $137 | 37% |
| Bscphp - First Choice | $40 - $137 | 37% |
| Bscphp Hmo - First Choice | $40 - $137 | 37% |
| Care1St Hmo - Ehs | $40 - $137 | 37% |
| Cares Act Provider Relief Fund | $40 - $137 | 37% |
| Cigna | $40 - $2,171 | 37% |
| Gemcare Hmo | $40 - $137 | 37% |
| Generic | $40 - $137 | 37% |
| Generic Bscphp | $40 - $137 | 37% |
| Generic Victims Of Crime | $40 - $137 | 37% |
| Hartford Life Supplement | $40 - $137 | 37% |
| Healthnet Hmo - Cvmp/Medpro | $40 - $137 | 37% |
| Healthnet Hmo - Dhmso | $40 - $137 | 37% |
| Healthnet Hmo - La Salle | $40 - $137 | 37% |
| Healthnet Hmo - Sante | $40 - $137 | 37% |
| Healthnet Sante | $40 - $137 | 37% |
| Healthnet Sante - Sub Cap Dual Risk | $40 - $137 | 37% |
| Healthnet Sante Dual Risk | $40 - $137 | 37% |
| Humana | $40 - $2,975 | 37% |
| Medi-Cal Innovative Integrated Health | $40 - $137 | 37% |
| Medicare (plans) | $40 - $137 | 37% |
| Meritage Blue Shield 65 Plus | $40 - $137 | 37% |
| Meritage Brand New Day | $40 - $137 | 37% |
| Meritage Healthnet Hmo | $40 - $137 | 37% |
| Railroad Part A | $40 - $137 | 37% |
| Railroad Part A & B | $40 - $137 | 37% |
| Railroad Part B | $40 - $137 | 37% |
| Sante | $40 - $191 | 37% |
| Sante Sub Cap Healthnet Seniority | $40 - $137 | 37% |
| Sante Sub Cap-Blue Shield/Sante | $40 - $137 | 37% |
| Sante-Blue Shield/Sante | $40 - $137 | 37% |
| Sante-Healthnet Seniority | $40 - $137 | 37% |
| Sante-Sub Cap Ma Brand New Day | $40 - $137 | 37% |
| Scan Health Plan | $40 - $137 | 37% |
| Sequoia Pace - Peak Tpa | $40 - $137 | 37% |
| Todays Pyramid | $40 - $137 | 37% |
| UnitedHealthcare | $40 - $1,835 | 37% |
| Us Marshal | $40 - $137 | 37% |
| Victims Of Crime | $40 - $137 | 37% |
| Well Path (Cfmg) | $40 - $3,850 | 37% |
| Wellcare | $40 - $137 | 37% |
| Alignment Health Plan | $44 - $151 | 41% |
| Champion Health Plan Of California Ma | $44 - $151 | 41% |
| Innovative Integrated Health Community Plans Hmo | $44 - $151 | 41% |
| Imperial Health Plan Hmo | $47 - $158 | 44% |
| Correctcare Integrated Health | $53 - $178 | 50% |
| Coalinga State Hospital | $81 - $275 | 76% |
| Naphcare Inc-Mendota | $87 - $295 | 81% |
| Kaiser | $107 | 100% |
| Cal Caloptima | $123 | 115% |
| Ccs Fresno | $123 | 115% |
| Ccs Kern | $123 | 115% |
| Ccs Kings | $123 | 115% |
| Ccs Madera/Sacramento | $123 | 115% |
| Ccs Mariposa | $123 | 115% |
| Ccs Merced | $123 | 115% |
| Ccs Stanislaus | $123 | 115% |
| Ccs Tulare | $123 | 115% |
| Chdp | $123 | 115% |
| Fresno County Funded Specialty Care | $123 | 115% |
| Generic Care Out Of County | $123 | 115% |
| Generic Ccs Other Counties | $123 | 115% |
| Genetically Handicapped Person | $123 | 115% |
| Gold Coast Medi-Cal | $123 | 115% |
| Medi-Cal Alameda Alliance For Health | $123 | 115% |
| Medi-Cal Blue Shield Promise Health | $123 | 115% |
| Medi-Cal California Health & Wellness Plan | $123 | 115% |
| Medi-Cal Cencal Health | $123 | 115% |
| Medi-Cal Community Health Group | $123 | 115% |
| Medi-Cal Contra Costa Health Plan | $123 | 115% |
| Medi-Cal Health Plan Of San Mateo | $123 | 115% |
| Medi-Cal Inland Empire Health | $123 | 115% |
| Medi-Cal Kern Family Health | $123 | 115% |
| Medi-Cal La Care Health | $123 | 115% |
| Medi-Cal Molina | $123 | 115% |
| Medi-Cal Partnership Health Plan Of Ca | $123 | 115% |
| San Francisco Health Plan Medi-Cal | $123 | 115% |
| Santa Clara Family Health Plan - Premier Health | $123 | 115% |
| Santa Clara Family Health Plan - Valley Health | $123 | 115% |
| Health Plan Of San Joaquin | $185 | 173% |
| Sequoia Pace | $185 | 173% |
| Adventist -Mcl Calviva Sub Cap | $204 | 191% |
| Healthnet | $238 - $2,054 | 223% |
| Central Valley Medical Providers | $875 - $2,450 | 819% |
| Community Care | $892 | 835% |
| Employer 90/40 | $1,400 | 1311% |
| Central Ca Indian Health | $1,925 | 1802% |
| Nx Health Network Ppo | $1,925 | 1802% |
| Healthsmart | $2,380 - $2,800 | 2228% |
| Coventry Health Care (First Health Network) | $2,625 | 2458% |
| Network By Design | $2,625 | 2458% |
| Generic Multiplan | $2,975 | 2785% |
| Phcs | $2,975 | 2785% |