CMS Price Transparency Data

DTaP vaccine (diphtheria, tetanus, pertussis)

Facility: Clovis Community Medical Center

Billing Code: 90700 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90700
Insurance Median: $95
Cash Discount Price: $161
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a DTaP vaccine (diphtheria, tetanus, pertussis) at Clovis Community Medical Center is $95. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $161. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 2755 Herndon Ave, Clovis, CA.

Cash / Self-Pay

$161

Average discount available for prompt cash payment at this facility.

Insurance Median

$95

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

N/A

Standard federal government reimbursement rate for this code.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

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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
Generic Ccs Other Counties	$32	N/A
Ccs Kern	$32	N/A
San Francisco Health Plan Medi-Cal	$32	N/A
Ccs Kings	$32	N/A
Ccs Stanislaus	$32	N/A
Chdp	$32	N/A
Santa Clara Family Health Plan - Premier Health	$32	N/A
Medi-Cal Community Health Group	$32	N/A
Medi-Cal Alameda Alliance for Health	$32	N/A
Genetically Handicapped Person	$32	N/A
Medi-Cal Molina	$32	N/A
Medi-Cal La Care Health	$32	N/A
Medi-Cal Inland Empire Health	$32	N/A
Cal Caloptima	$32	N/A
Medi-Cal Cencal Health	$32	N/A
Fresno County Funded Specialty Care	$32	N/A
Santa Clara Family Health Plan - Valley Health	$32	N/A
Medi-Cal Contra Costa Health Plan	$32	N/A
Gold Coast Medi-Cal	$32	N/A
Ccs Mariposa	$32	N/A
Medi-Cal Kern Family Health	$32	N/A
Ccs Merced	$32	N/A
Medi-Cal Health Plan of San Mateo	$32	N/A
Ccs Fresno	$32	N/A
Ccs Madera/Sacramento	$32	N/A
Medi-Cal California Health & Wellness Plan	$32	N/A
Blue Cross Blue Shield	$32 - $137	N/A
Ccs Tulare	$32	N/A
Medi-Cal Blue Shield Promise Health	$32	N/A
Generic Care Out of County	$32	N/A
Blue Shield	$32 - $83	N/A
Medi-Cal Partnership Health Plan of Ca	$32	N/A
Sante	$39 - $75	N/A
Central Valley Medical Providers	$43 - $151	N/A
Community Care	$44 - $55	N/A
Sequoia Pace	$47	N/A
Health Plan of San Joaquin	$47	N/A
Adventist -McL Calviva Sub Cap	$52	N/A
Healthnet	$61	N/A
Employer 90/40	$69 - $86	N/A
Aetna	$76 - $100	N/A
UnitedHealthcare	$90 - $113	N/A
Central Ca Indian Health	$95 - $118	N/A
Cigna	$96 - $119	N/A
Kaiser	$103 - $129	N/A
Healthsmart	$117 - $172	N/A
Network By Design	$121 - $151	N/A
Nx Health Network PPO	$121 - $151	N/A
Generic Multiplan	$129 - $161	N/A
PHCS	$129 - $161	N/A
Coventry Health Care (First Health Network)	$129 - $161	N/A
Humana	$146 - $183	N/A
Well Path (Cfmg)	$189 - $237	N/A

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $161.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90700.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Clovis Community Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code 90700.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.