CMS Price Transparency Data
Ultrasound, abdomen (limited)
Facility: Clovis Community Medical Center
Billing Code: 76705 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 76705
- Insurance Median: $92
- Cash Discount Price: $992
- vs. Medicare Baseline: 0.86x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Clovis Community Medical Center is $92. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $992. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.86x the Medicare baseline. Located in 2755 Herndon Ave, Clovis, CA.
Cash / Self-Pay
$992
Average discount available for prompt cash payment at this facility.
Insurance Median
$92
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: $992 (929%)
Insurance Median: $92 (86%)
Cash: $992 (929% of Medicare)
Ins. Median: $92 (86% 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 | $28 - $134 | 26% |
| Aetna | $28 - $450 | 26% |
| Blue Cross Blue Shield | $28 - $789 | 26% |
| Blue Shield | $28 - $706 | 26% |
| Blue Shield 65 Plus Hmo Ehs | $28 - $134 | 26% |
| Blue Shield 65 Plus Hmo First Choice | $28 - $134 | 26% |
| Blue Shield Hmo-Cvmp/Medpro | $28 - $134 | 26% |
| Blue Shield Promise - Imperial | $28 - $134 | 26% |
| Blue Shield Saint Agnes | $28 - $134 | 26% |
| Blue Shield Sante | $28 - $134 | 26% |
| Brand New Day | $28 - $134 | 26% |
| Bscphp - Dhmso | $28 - $134 | 26% |
| Bscphp - First Choice | $28 - $134 | 26% |
| Bscphp Hmo - First Choice | $28 - $134 | 26% |
| Care1St Hmo - Ehs | $28 - $134 | 26% |
| Cares Act Provider Relief Fund | $28 - $134 | 26% |
| Cigna | $28 - $769 | 26% |
| Gemcare Hmo | $28 - $134 | 26% |
| Generic | $28 - $134 | 26% |
| Generic Bscphp | $28 - $134 | 26% |
| Generic Victims Of Crime | $28 - $134 | 26% |
| Hartford Life Supplement | $28 - $134 | 26% |
| Healthnet Hmo - Cvmp/Medpro | $28 - $134 | 26% |
| Healthnet Hmo - Dhmso | $28 - $134 | 26% |
| Healthnet Hmo - La Salle | $28 - $134 | 26% |
| Healthnet Hmo - Sante | $28 - $134 | 26% |
| Healthnet Sante | $28 - $134 | 26% |
| Healthnet Sante - Sub Cap Dual Risk | $28 - $134 | 26% |
| Healthnet Sante Dual Risk | $28 - $134 | 26% |
| Humana | $28 - $1,054 | 26% |
| Medi-Cal Innovative Integrated Health | $28 - $134 | 26% |
| Medicare (plans) | $28 - $134 | 26% |
| Meritage Blue Shield 65 Plus | $28 - $134 | 26% |
| Meritage Brand New Day | $28 - $134 | 26% |
| Meritage Healthnet Hmo | $28 - $134 | 26% |
| Railroad Part A | $28 - $134 | 26% |
| Railroad Part A & B | $28 - $134 | 26% |
| Railroad Part B | $28 - $134 | 26% |
| Sante | $28 - $134 | 26% |
| Sante Sub Cap Healthnet Seniority | $28 - $134 | 26% |
| Sante Sub Cap-Blue Shield/Sante | $28 - $134 | 26% |
| Sante-Blue Shield/Sante | $28 - $134 | 26% |
| Sante-Healthnet Seniority | $28 - $134 | 26% |
| Sante-Sub Cap Ma Brand New Day | $28 - $134 | 26% |
| Scan Health Plan | $28 - $134 | 26% |
| Sequoia Pace - Peak Tpa | $28 - $134 | 26% |
| Todays Pyramid | $28 - $134 | 26% |
| UnitedHealthcare | $28 - $650 | 26% |
| Us Marshal | $28 - $134 | 26% |
| Victims Of Crime | $28 - $134 | 26% |
| Well Path (Cfmg) | $28 - $1,364 | 26% |
| Wellcare | $28 - $134 | 26% |
| Alignment Health Plan | $31 - $148 | 29% |
| Champion Health Plan Of California Ma | $31 - $148 | 29% |
| Innovative Integrated Health Community Plans Hmo | $31 - $148 | 29% |
| Imperial Health Plan Hmo | $32 - $155 | 30% |
| Correctcare Integrated Health | $36 - $175 | 34% |
| Coalinga State Hospital | $56 - $269 | 52% |
| Naphcare Inc-Mendota | $60 - $289 | 56% |
| Cal Caloptima | $61 | 57% |
| Ccs Fresno | $61 | 57% |
| Ccs Kern | $61 | 57% |
| Ccs Kings | $61 | 57% |
| Ccs Madera/Sacramento | $61 | 57% |
| Ccs Mariposa | $61 | 57% |
| Ccs Merced | $61 | 57% |
| Ccs Stanislaus | $61 | 57% |
| Ccs Tulare | $61 | 57% |
| Chdp | $61 | 57% |
| Fresno County Funded Specialty Care | $61 | 57% |
| Generic Care Out Of County | $61 | 57% |
| Generic Ccs Other Counties | $61 | 57% |
| Genetically Handicapped Person | $61 | 57% |
| Gold Coast Medi-Cal | $61 | 57% |
| Medi-Cal Alameda Alliance For Health | $61 | 57% |
| Medi-Cal Blue Shield Promise Health | $61 | 57% |
| Medi-Cal California Health & Wellness Plan | $61 | 57% |
| Medi-Cal Cencal Health | $61 | 57% |
| Medi-Cal Community Health Group | $61 | 57% |
| Medi-Cal Contra Costa Health Plan | $61 | 57% |
| Medi-Cal Health Plan Of San Mateo | $61 | 57% |
| Medi-Cal Inland Empire Health | $61 | 57% |
| Medi-Cal Kern Family Health | $61 | 57% |
| Medi-Cal La Care Health | $61 | 57% |
| Medi-Cal Molina | $61 | 57% |
| Medi-Cal Partnership Health Plan Of Ca | $61 | 57% |
| San Francisco Health Plan Medi-Cal | $61 | 57% |
| Santa Clara Family Health Plan - Premier Health | $61 | 57% |
| Santa Clara Family Health Plan - Valley Health | $61 | 57% |
| Health Plan Of San Joaquin | $91 | 85% |
| Sequoia Pace | $91 | 85% |
| Adventist -Mcl Calviva Sub Cap | $100 | 94% |
| Kaiser | $107 | 100% |
| Healthnet | $117 - $728 | 110% |
| Central Valley Medical Providers | $310 - $868 | 290% |
| Community Care | $316 | 296% |
| Employer 90/40 | $496 | 464% |
| Central Ca Indian Health | $682 | 639% |
| Nx Health Network Ppo | $682 | 639% |
| Healthsmart | $843 - $992 | 789% |
| Coventry Health Care (First Health Network) | $930 | 871% |
| Network By Design | $930 | 871% |
| Generic Multiplan | $1,054 | 987% |
| Phcs | $1,054 | 987% |