CMS Price Transparency Data
Vaginal delivery (full package)
Facility: Clovis Community Medical Center
Billing Code: 59400 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 59400
- Insurance Median: $2,132
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.96x Medicare
The contracted insurance negotiated median rate for a Vaginal delivery (full package) at Clovis Community Medical Center is $2,132. 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 $2,214.42, this hospital’s rate is 0.96x 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
$2,132
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$2,214.42
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $2,214.42 (100%)
Insurance Median: $2,132 (96%)
Ins. Median: $2,132 (96% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $2,214.42 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 |
|---|---|---|
| Blue Cross Blue Shield | $2,091 - $8,531 | 94% |
| Blue Shield | $2,091 - $4,696 | 94% |
| Cal Caloptima | $2,091 | 94% |
| Ccs Fresno | $2,091 | 94% |
| Ccs Kern | $2,091 | 94% |
| Ccs Kings | $2,091 | 94% |
| Ccs Madera/Sacramento | $2,091 | 94% |
| Ccs Mariposa | $2,091 | 94% |
| Ccs Merced | $2,091 | 94% |
| Ccs Stanislaus | $2,091 | 94% |
| Ccs Tulare | $2,091 | 94% |
| Chdp | $2,091 | 94% |
| Fresno County Funded Specialty Care | $2,091 | 94% |
| Generic Care Out Of County | $2,091 | 94% |
| Generic Ccs Other Counties | $2,091 | 94% |
| Genetically Handicapped Person | $2,091 | 94% |
| Gold Coast Medi-Cal | $2,091 | 94% |
| Medi-Cal Alameda Alliance For Health | $2,091 | 94% |
| Medi-Cal Blue Shield Promise Health | $2,091 | 94% |
| Medi-Cal California Health & Wellness Plan | $2,091 | 94% |
| Medi-Cal Cencal Health | $2,091 | 94% |
| Medi-Cal Community Health Group | $2,091 | 94% |
| Medi-Cal Contra Costa Health Plan | $2,091 | 94% |
| Medi-Cal Health Plan Of San Mateo | $2,091 | 94% |
| Medi-Cal Inland Empire Health | $2,091 | 94% |
| Medi-Cal Kern Family Health | $2,091 | 94% |
| Medi-Cal La Care Health | $2,091 | 94% |
| Medi-Cal Molina | $2,091 | 94% |
| Medi-Cal Partnership Health Plan Of Ca | $2,091 | 94% |
| San Francisco Health Plan Medi-Cal | $2,091 | 94% |
| Santa Clara Family Health Plan - Premier Health | $2,091 | 94% |
| Santa Clara Family Health Plan - Valley Health | $2,091 | 94% |
| Advantek Table Mountain Rancheria Tribal Member | $2,132 | 96% |
| Aetna | $2,132 - $8,116 | 96% |
| Blue Shield 65 Plus Hmo Ehs | $2,132 | 96% |
| Blue Shield 65 Plus Hmo First Choice | $2,132 | 96% |
| Blue Shield Hmo-Cvmp/Medpro | $2,132 | 96% |
| Blue Shield Promise - Imperial | $2,132 | 96% |
| Blue Shield Saint Agnes | $2,132 | 96% |
| Blue Shield Sante | $2,132 | 96% |
| Brand New Day | $2,132 | 96% |
| Bscphp - Dhmso | $2,132 | 96% |
| Bscphp - First Choice | $2,132 | 96% |
| Bscphp Hmo - First Choice | $2,132 | 96% |
| Care1St Hmo - Ehs | $2,132 | 96% |
| Cares Act Provider Relief Fund | $2,132 | 96% |
| Cigna | $2,132 | 96% |
| Gemcare Hmo | $2,132 | 96% |
| Generic | $2,132 | 96% |
| Generic Bscphp | $2,132 | 96% |
| Generic Victims Of Crime | $2,132 | 96% |
| Hartford Life Supplement | $2,132 | 96% |
| Healthnet Hmo - Cvmp/Medpro | $2,132 | 96% |
| Healthnet Hmo - Dhmso | $2,132 | 96% |
| Healthnet Hmo - La Salle | $2,132 | 96% |
| Healthnet Hmo - Sante | $2,132 | 96% |
| Healthnet Sante | $2,132 | 96% |
| Healthnet Sante - Sub Cap Dual Risk | $2,132 | 96% |
| Healthnet Sante Dual Risk | $2,132 | 96% |
| Humana | $2,132 | 96% |
| Kaiser | $2,132 | 96% |
| Medi-Cal Innovative Integrated Health | $2,132 | 96% |
| Medicare (plans) | $2,132 | 96% |
| Meritage Blue Shield 65 Plus | $2,132 | 96% |
| Meritage Brand New Day | $2,132 | 96% |
| Meritage Healthnet Hmo | $2,132 | 96% |
| Railroad Part A | $2,132 | 96% |
| Railroad Part A & B | $2,132 | 96% |
| Railroad Part B | $2,132 | 96% |
| Sante | $2,132 - $3,241 | 96% |
| Sante Sub Cap Healthnet Seniority | $2,132 | 96% |
| Sante Sub Cap-Blue Shield/Sante | $2,132 | 96% |
| Sante-Blue Shield/Sante | $2,132 | 96% |
| Sante-Healthnet Seniority | $2,132 | 96% |
| Sante-Sub Cap Ma Brand New Day | $2,132 | 96% |
| Scan Health Plan | $2,132 | 96% |
| Sequoia Pace - Peak Tpa | $2,132 | 96% |
| Todays Pyramid | $2,132 | 96% |
| UnitedHealthcare | $2,132 - $2,164 | 96% |
| Us Marshal | $2,132 | 96% |
| Victims Of Crime | $2,132 | 96% |
| Well Path (Cfmg) | $2,132 | 96% |
| Wellcare | $2,132 | 96% |
| Alignment Health Plan | $2,346 | 106% |
| Champion Health Plan Of California Ma | $2,346 | 106% |
| Innovative Integrated Health Community Plans Hmo | $2,346 | 106% |
| Imperial Health Plan Hmo | $2,452 | 111% |
| Correctcare Integrated Health | $2,772 | 125% |
| Health Plan Of San Joaquin | $3,137 | 142% |
| Sequoia Pace | $3,137 | 142% |
| Adventist -Mcl Calviva Sub Cap | $3,450 | 156% |
| Healthnet | $4,027 | 182% |
| Coalinga State Hospital | $4,265 | 193% |
| Naphcare Inc-Mendota | $4,584 | 207% |