CMS Price Transparency Data
MRI, brain (with and without contrast)
Facility: Clovis Community Medical Center
Billing Code: 70553 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 70553
- Insurance Median: $339
- Cash Discount Price: $6,640
- vs. Medicare Baseline: 0.95x Medicare
The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Clovis Community Medical Center is $339. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,640. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 0.95x the Medicare baseline. Located in 2755 Herndon Ave, Clovis, CA.
Cash / Self-Pay
$6,640
Average discount available for prompt cash payment at this facility.
Insurance Median
$339
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$356.43
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $356.43 (100%)
Cash / Self-Pay: $6,640 (1863%)
Insurance Median: $339 (95%)
Cash: $6,640 (1863% of Medicare)
Ins. Median: $339 (95% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $356.43 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 | $107 - $449 | 30% |
| Aetna | $107 - $4,150 | 30% |
| Blue Cross Blue Shield | $107 - $5,278 | 30% |
| Blue Shield | $107 - $4,723 | 30% |
| Blue Shield 65 Plus Hmo Ehs | $107 - $449 | 30% |
| Blue Shield 65 Plus Hmo First Choice | $107 - $449 | 30% |
| Blue Shield Hmo-Cvmp/Medpro | $107 - $449 | 30% |
| Blue Shield Promise - Imperial | $107 - $449 | 30% |
| Blue Shield Saint Agnes | $107 - $449 | 30% |
| Blue Shield Sante | $107 - $449 | 30% |
| Brand New Day | $107 - $449 | 30% |
| Bscphp - Dhmso | $107 - $449 | 30% |
| Bscphp - First Choice | $107 - $449 | 30% |
| Bscphp Hmo - First Choice | $107 - $449 | 30% |
| Care1St Hmo - Ehs | $107 - $449 | 30% |
| Cares Act Provider Relief Fund | $107 - $449 | 30% |
| Cigna | $107 - $5,148 | 30% |
| Gemcare Hmo | $107 - $449 | 30% |
| Generic | $107 - $449 | 30% |
| Generic Bscphp | $107 - $449 | 30% |
| Generic Victims Of Crime | $107 - $449 | 30% |
| Hartford Life Supplement | $107 - $449 | 30% |
| Healthnet Hmo - Cvmp/Medpro | $107 - $449 | 30% |
| Healthnet Hmo - Dhmso | $107 - $449 | 30% |
| Healthnet Hmo - La Salle | $107 - $449 | 30% |
| Healthnet Hmo - Sante | $107 - $449 | 30% |
| Healthnet Sante | $107 - $449 | 30% |
| Healthnet Sante - Sub Cap Dual Risk | $107 - $449 | 30% |
| Healthnet Sante Dual Risk | $107 - $449 | 30% |
| Humana | $107 - $6,225 | 30% |
| Medi-Cal Innovative Integrated Health | $107 - $449 | 30% |
| Medicare (plans) | $107 - $449 | 30% |
| Meritage Blue Shield 65 Plus | $107 - $449 | 30% |
| Meritage Brand New Day | $107 - $449 | 30% |
| Meritage Healthnet Hmo | $107 - $449 | 30% |
| Railroad Part A | $107 - $449 | 30% |
| Railroad Part A & B | $107 - $449 | 30% |
| Railroad Part B | $107 - $449 | 30% |
| Sante | $107 - $482 | 30% |
| Sante Sub Cap Healthnet Seniority | $107 - $449 | 30% |
| Sante Sub Cap-Blue Shield/Sante | $107 - $449 | 30% |
| Sante-Blue Shield/Sante | $107 - $449 | 30% |
| Sante-Healthnet Seniority | $107 - $449 | 30% |
| Sante-Sub Cap Ma Brand New Day | $107 - $449 | 30% |
| Scan Health Plan | $107 - $449 | 30% |
| Sequoia Pace - Peak Tpa | $107 - $449 | 30% |
| Todays Pyramid | $107 - $449 | 30% |
| UnitedHealthcare | $107 - $4,352 | 30% |
| Us Marshal | $107 - $449 | 30% |
| Victims Of Crime | $107 - $449 | 30% |
| Well Path (Cfmg) | $107 - $9,130 | 30% |
| Wellcare | $107 - $449 | 30% |
| Alignment Health Plan | $118 - $494 | 33% |
| Champion Health Plan Of California Ma | $118 - $494 | 33% |
| Innovative Integrated Health Community Plans Hmo | $118 - $494 | 33% |
| Imperial Health Plan Hmo | $123 - $516 | 35% |
| Correctcare Integrated Health | $139 - $583 | 39% |
| Coalinga State Hospital | $214 - $897 | 60% |
| Naphcare Inc-Mendota | $230 - $965 | 65% |
| Cal Caloptima | $311 | 87% |
| Ccs Fresno | $311 | 87% |
| Ccs Kern | $311 | 87% |
| Ccs Kings | $311 | 87% |
| Ccs Madera/Sacramento | $311 | 87% |
| Ccs Mariposa | $311 | 87% |
| Ccs Merced | $311 | 87% |
| Ccs Stanislaus | $311 | 87% |
| Ccs Tulare | $311 | 87% |
| Chdp | $311 | 87% |
| Fresno County Funded Specialty Care | $311 | 87% |
| Generic Care Out Of County | $311 | 87% |
| Generic Ccs Other Counties | $311 | 87% |
| Genetically Handicapped Person | $311 | 87% |
| Gold Coast Medi-Cal | $311 | 87% |
| Medi-Cal Alameda Alliance For Health | $311 | 87% |
| Medi-Cal Blue Shield Promise Health | $311 | 87% |
| Medi-Cal California Health & Wellness Plan | $311 | 87% |
| Medi-Cal Cencal Health | $311 | 87% |
| Medi-Cal Community Health Group | $311 | 87% |
| Medi-Cal Contra Costa Health Plan | $311 | 87% |
| Medi-Cal Health Plan Of San Mateo | $311 | 87% |
| Medi-Cal Inland Empire Health | $311 | 87% |
| Medi-Cal Kern Family Health | $311 | 87% |
| Medi-Cal La Care Health | $311 | 87% |
| Medi-Cal Molina | $311 | 87% |
| Medi-Cal Partnership Health Plan Of Ca | $311 | 87% |
| San Francisco Health Plan Medi-Cal | $311 | 87% |
| Santa Clara Family Health Plan - Premier Health | $311 | 87% |
| Santa Clara Family Health Plan - Valley Health | $311 | 87% |
| Kaiser | $356 | 100% |
| Health Plan Of San Joaquin | $467 | 131% |
| Sequoia Pace | $467 | 131% |
| Adventist -Mcl Calviva Sub Cap | $513 | 144% |
| Healthnet | $599 - $4,872 | 168% |
| Network By Design | $1,345 - $6,225 | 377% |
| Central Valley Medical Providers | $2,075 - $5,810 | 582% |
| Community Care | $2,116 | 594% |
| Employer 90/40 | $3,320 | 931% |
| Central Ca Indian Health | $4,565 | 1281% |
| Nx Health Network Ppo | $4,565 | 1281% |
| Healthsmart | $5,644 - $6,640 | 1583% |
| Coventry Health Care (First Health Network) | $6,225 | 1746% |
| Generic Multiplan | $7,055 | 1979% |
| Phcs | $7,055 | 1979% |