CMS Price Transparency Data
Psychological testing by technician
Facility: Clovis Community Medical Center
Billing Code: 96138 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 96138
- Insurance Median: $41
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.09x Medicare
The contracted insurance negotiated median rate for a Psychological testing by technician at Clovis Community Medical Center is $41. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $456.4, this hospital’s rate is 0.09x the Medicare baseline. Located in 2755 Herndon Ave, Clovis, CA.
Cash / Self-Pay
Unavailable
Average discount available for prompt cash payment at this facility.
Insurance Median
$41
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$456.4
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $456.4 (100%)
Insurance Median: $41 (9%)
Ins. Median: $41 (9% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $456.4 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
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Input your details and click calculate to compare out-of-pocket costs.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Blue Shield | $19 - $3,509 | 4% |
| Blue Cross Blue Shield | $36 - $575 | 8% |
| Cal Caloptima | $36 | 8% |
| Ccs Fresno | $36 | 8% |
| Ccs Kern | $36 | 8% |
| Ccs Kings | $36 | 8% |
| Ccs Madera/Sacramento | $36 | 8% |
| Ccs Mariposa | $36 | 8% |
| Ccs Merced | $36 | 8% |
| Ccs Stanislaus | $36 | 8% |
| Ccs Tulare | $36 | 8% |
| Chdp | $36 | 8% |
| Fresno County Funded Specialty Care | $36 | 8% |
| Generic Care Out Of County | $36 | 8% |
| Generic Ccs Other Counties | $36 | 8% |
| Genetically Handicapped Person | $36 | 8% |
| Gold Coast Medi-Cal | $36 | 8% |
| Medi-Cal Alameda Alliance For Health | $36 | 8% |
| Medi-Cal Blue Shield Promise Health | $36 | 8% |
| Medi-Cal California Health & Wellness Plan | $36 | 8% |
| Medi-Cal Cencal Health | $36 | 8% |
| Medi-Cal Community Health Group | $36 | 8% |
| Medi-Cal Contra Costa Health Plan | $36 | 8% |
| Medi-Cal Health Plan Of San Mateo | $36 | 8% |
| Medi-Cal Inland Empire Health | $36 | 8% |
| Medi-Cal Kern Family Health | $36 | 8% |
| Medi-Cal La Care Health | $36 | 8% |
| Medi-Cal Molina | $36 | 8% |
| Medi-Cal Partnership Health Plan Of Ca | $36 | 8% |
| San Francisco Health Plan Medi-Cal | $36 | 8% |
| Santa Clara Family Health Plan - Premier Health | $36 | 8% |
| Santa Clara Family Health Plan - Valley Health | $36 | 8% |
| Advantek Table Mountain Rancheria Tribal Member | $41 - $575 | 9% |
| Aetna | $41 - $575 | 9% |
| Blue Shield 65 Plus Hmo Ehs | $41 - $575 | 9% |
| Blue Shield 65 Plus Hmo First Choice | $41 - $575 | 9% |
| Blue Shield Hmo-Cvmp/Medpro | $41 - $575 | 9% |
| Blue Shield Promise - Imperial | $41 - $575 | 9% |
| Blue Shield Saint Agnes | $41 - $575 | 9% |
| Blue Shield Sante | $41 - $575 | 9% |
| Brand New Day | $41 - $575 | 9% |
| Bscphp - Dhmso | $41 - $575 | 9% |
| Bscphp - First Choice | $41 - $575 | 9% |
| Bscphp Hmo - First Choice | $41 - $575 | 9% |
| Care1St Hmo - Ehs | $41 - $575 | 9% |
| Cares Act Provider Relief Fund | $41 - $575 | 9% |
| Cigna | $41 - $575 | 9% |
| Gemcare Hmo | $41 - $575 | 9% |
| Generic | $41 - $575 | 9% |
| Generic Bscphp | $41 - $575 | 9% |
| Generic Victims Of Crime | $41 - $575 | 9% |
| Hartford Life Supplement | $41 - $575 | 9% |
| Healthnet Hmo - Cvmp/Medpro | $41 - $575 | 9% |
| Healthnet Hmo - Dhmso | $41 - $575 | 9% |
| Healthnet Hmo - La Salle | $41 - $575 | 9% |
| Healthnet Hmo - Sante | $41 - $575 | 9% |
| Healthnet Sante | $41 - $575 | 9% |
| Healthnet Sante - Sub Cap Dual Risk | $41 - $575 | 9% |
| Healthnet Sante Dual Risk | $41 - $575 | 9% |
| Humana | $41 - $575 | 9% |
| Medi-Cal Innovative Integrated Health | $41 - $575 | 9% |
| Medicare (plans) | $41 - $575 | 9% |
| Meritage Blue Shield 65 Plus | $41 - $575 | 9% |
| Meritage Brand New Day | $41 - $575 | 9% |
| Meritage Healthnet Hmo | $41 - $575 | 9% |
| Railroad Part A | $41 - $575 | 9% |
| Railroad Part A & B | $41 - $575 | 9% |
| Railroad Part B | $41 - $575 | 9% |
| Sante | $41 - $575 | 9% |
| Sante Sub Cap Healthnet Seniority | $41 - $575 | 9% |
| Sante Sub Cap-Blue Shield/Sante | $41 - $575 | 9% |
| Sante-Blue Shield/Sante | $41 - $575 | 9% |
| Sante-Healthnet Seniority | $41 - $575 | 9% |
| Sante-Sub Cap Ma Brand New Day | $41 - $575 | 9% |
| Scan Health Plan | $41 - $575 | 9% |
| Sequoia Pace - Peak Tpa | $41 - $575 | 9% |
| Todays Pyramid | $41 - $575 | 9% |
| UnitedHealthcare | $41 - $583 | 9% |
| Us Marshal | $41 - $575 | 9% |
| Victims Of Crime | $41 - $575 | 9% |
| Well Path (Cfmg) | $41 | 9% |
| Wellcare | $41 - $575 | 9% |
| Alignment Health Plan | $45 - $632 | 10% |
| Champion Health Plan Of California Ma | $45 - $632 | 10% |
| Innovative Integrated Health Community Plans Hmo | $45 - $632 | 10% |
| Imperial Health Plan Hmo | $47 - $661 | 10% |
| Correctcare Integrated Health | $54 - $747 | 12% |
| Health Plan Of San Joaquin | $54 | 12% |
| Sequoia Pace | $54 | 12% |
| Adventist -Mcl Calviva Sub Cap | $59 | 13% |
| Healthnet | $69 | 15% |
| Coalinga State Hospital | $82 - $1,149 | 18% |
| Naphcare Inc-Mendota | $89 - $1,235 | 20% |
| Kaiser | $456 | 100% |