CMS Price Transparency Data
Hepatitis B immune globulin
Facility: Clovis Community Medical Center
Billing Code: 90371 (HCPCS)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 90371
- Insurance Median: $154
- Cash Discount Price: $507
- vs. Medicare Baseline: 1.10x Medicare
The contracted insurance negotiated median rate for a Hepatitis B immune globulin at Clovis Community Medical Center is $154. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $507. Compared to the federal Medicare reimbursement reference rate of $140.21, this hospital’s rate is 1.10x the Medicare baseline. Located in 2755 Herndon Ave, Clovis, CA.
Cash / Self-Pay
$507
Average discount available for prompt cash payment at this facility.
Insurance Median
$154
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$140.21
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $140.21 (100%)
Cash / Self-Pay: $507 (362%)
Insurance Median: $154 (110%)
Cash: $507 (362% of Medicare)
Ins. Median: $154 (110% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $140.21 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 |
|---|---|---|
| Central Valley Medical Providers | $93 - $3,312 | 66% |
| Community Care | $95 - $1,206 | 68% |
| Blue Shield | $114 - $212 | 81% |
| Hartford Life Supplement | $140 | 100% |
| Railroad Part A | $140 | 100% |
| UnitedHealthcare | $140 - $2,481 | 100% |
| Sante-Sub Cap Ma Brand New Day | $140 | 100% |
| Aetna | $140 - $2,191 | 100% |
| Wellcare | $140 | 100% |
| Generic Bscphp | $140 | 100% |
| Brand New Day | $140 | 100% |
| Care1St HMO - Ehs | $140 | 100% |
| Sante Sub Cap-Blue Shield/Sante | $140 | 100% |
| Bscphp - Dhmso | $140 | 100% |
| Healthnet HMO - Sante | $140 | 100% |
| Gemcare HMO | $140 | 100% |
| Scan Health Plan | $140 | 100% |
| Victims of Crime | $140 | 100% |
| Bscphp - First Choice | $140 | 100% |
| Sante-Blue Shield/Sante | $140 | 100% |
| Humana | $140 - $4,022 | 100% |
| Cares Act Provider Relief Fund | $140 | 100% |
| Sante-Healthnet Seniority | $140 | 100% |
| Medi-Cal Innovative Integrated Health | $140 | 100% |
| Blue Shield 65 Plus HMO First Choice | $140 | 100% |
| Meritage Brand New Day | $140 | 100% |
| Railroad Part A & B | $140 | 100% |
| Blue Shield Sante | $140 | 100% |
| Us Marshal | $140 | 100% |
| Generic Victims of Crime | $140 | 100% |
| Blue Shield 65 Plus HMO Ehs | $140 | 100% |
| Healthnet Sante - Sub Cap Dual Risk | $140 | 100% |
| Healthnet HMO - Cvmp/Medpro | $140 | 100% |
| Todays Pyramid | $140 | 100% |
| Healthnet Sante | $140 | 100% |
| Healthnet Sante Dual Risk | $140 | 100% |
| Healthnet HMO - La Salle | $140 | 100% |
| Blue Cross Blue Shield | $140 - $3,009 | 100% |
| Blue Shield Hmo-Cvmp/Medpro | $140 | 100% |
| Blue Shield Saint Agnes | $140 | 100% |
| Sequoia Pace - Peak Tpa | $140 | 100% |
| Advantek Table Mountain Rancheria Tribal Member | $140 | 100% |
| Blue Shield Promise - Imperial | $140 | 100% |
| Medicare (plans) | $140 | 100% |
| Railroad Part B | $140 | 100% |
| Generic | $140 | 100% |
| Bscphp HMO - First Choice | $140 | 100% |
| Sante Sub Cap Healthnet Seniority | $140 | 100% |
| Sante | $140 - $221 | 100% |
| Kaiser | $140 | 100% |
| Cigna | $140 - $2,628 | 100% |
| Meritage Healthnet HMO | $140 | 100% |
| Meritage Blue Shield 65 Plus | $140 | 100% |
| Healthnet HMO - Dhmso | $140 | 100% |
| Fresno County Funded Specialty Care | $142 | 101% |
| Medi-Cal Cencal Health | $142 | 101% |
| Medi-Cal California Health & Wellness Plan | $142 | 101% |
| Generic Ccs Other Counties | $142 | 101% |
| Cal Caloptima | $142 | 101% |
| Genetically Handicapped Person | $142 | 101% |
| Ccs Madera/Sacramento | $142 | 101% |
| Medi-Cal Health Plan of San Mateo | $142 | 101% |
| Ccs Fresno | $142 | 101% |
| Gold Coast Medi-Cal | $142 | 101% |
| Medi-Cal Community Health Group | $142 | 101% |
| Medi-Cal Partnership Health Plan of Ca | $142 | 101% |
| Ccs Merced | $142 | 101% |
| Medi-Cal Molina | $142 | 101% |
| Ccs Mariposa | $142 | 101% |
| Generic Care Out of County | $142 | 101% |
| Santa Clara Family Health Plan - Valley Health | $142 | 101% |
| Chdp | $142 | 101% |
| Santa Clara Family Health Plan - Premier Health | $142 | 101% |
| Ccs Kings | $142 | 101% |
| Medi-Cal Blue Shield Promise Health | $142 | 101% |
| Medi-Cal Contra Costa Health Plan | $142 | 101% |
| Medi-Cal Inland Empire Health | $142 | 101% |
| Ccs Tulare | $142 | 101% |
| Medi-Cal Alameda Alliance for Health | $142 | 101% |
| Ccs Stanislaus | $142 | 101% |
| San Francisco Health Plan Medi-Cal | $142 | 101% |
| Ccs Kern | $142 | 101% |
| Medi-Cal La Care Health | $142 | 101% |
| Medi-Cal Kern Family Health | $142 | 101% |
| Employer 90/40 | $149 - $1,893 | 106% |
| Innovative Integrated Health Community Plans HMO | $154 | 110% |
| Alignment Health Plan | $154 | 110% |
| Champion Health Plan of California Ma | $154 | 110% |
| Imperial Health Plan HMO | $161 | 115% |
| Correctcare Integrated Health | $182 | 130% |
| Central Ca Indian Health | $205 - $2,602 | 146% |
| Nx Health Network PPO | $205 - $3,312 | 146% |
| Health Plan of San Joaquin | $214 | 153% |
| Sequoia Pace | $214 | 153% |
| Healthnet | $218 - $274 | 155% |
| Adventist -McL Calviva Sub Cap | $235 | 168% |
| Healthsmart | $253 - $3,785 | 180% |
| Coventry Health Care (First Health Network) | $279 - $3,549 | 199% |
| Network By Design | $279 - $3,312 | 199% |
| Coalinga State Hospital | $280 | 200% |
| Naphcare Inc-Mendota | $301 | 215% |
| PHCS | $316 - $3,549 | 225% |
| Generic Multiplan | $316 - $3,549 | 225% |
| Well Path (Cfmg) | $409 - $5,205 | 292% |