CMS Price Transparency Data

Varicella (chickenpox) vaccine

Facility: Clovis Community Medical Center

Billing Code: 90716 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90716
Insurance Median: $178
Cash Discount Price: Unavailable
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Varicella (chickenpox) vaccine at Clovis Community Medical Center is $178. 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 N/A, this hospital’s rate is N/A 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

$178

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

N/A

Standard federal government reimbursement rate for this code.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

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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
Medi-Cal Community Health Group	$178	N/A
Ccs Stanislaus	$178	N/A
Santa Clara Family Health Plan - Valley Health	$178	N/A
Ccs Tulare	$178	N/A
Blue Cross Blue Shield	$178 - $209	N/A
Ccs Mariposa	$178	N/A
Ccs Fresno	$178	N/A
Medi-Cal Health Plan of San Mateo	$178	N/A
Medi-Cal Partnership Health Plan of Ca	$178	N/A
Ccs Kings	$178	N/A
Ccs Kern	$178	N/A
Gold Coast Medi-Cal	$178	N/A
Genetically Handicapped Person	$178	N/A
Santa Clara Family Health Plan - Premier Health	$178	N/A
Medi-Cal Molina	$178	N/A
Chdp	$178	N/A
Medi-Cal Alameda Alliance for Health	$178	N/A
Medi-Cal California Health & Wellness Plan	$178	N/A
San Francisco Health Plan Medi-Cal	$178	N/A
Medi-Cal La Care Health	$178	N/A
Medi-Cal Blue Shield Promise Health	$178	N/A
Medi-Cal Cencal Health	$178	N/A
Medi-Cal Inland Empire Health	$178	N/A
Blue Shield	$178 - $219	N/A
Medi-Cal Contra Costa Health Plan	$178	N/A
Medi-Cal Kern Family Health	$178	N/A
Ccs Madera/Sacramento	$178	N/A
Generic Care Out of County	$178	N/A
Fresno County Funded Specialty Care	$178	N/A
Ccs Merced	$178	N/A
Cal Caloptima	$178	N/A
Generic Ccs Other Counties	$178	N/A
Sante	$223	N/A
Sequoia Pace	$267	N/A
Health Plan of San Joaquin	$267	N/A
Adventist -McL Calviva Sub Cap	$294	N/A
Healthnet	$343	N/A
Aetna	$645 - $811	N/A

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $X.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90716.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Clovis Community Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code 90716.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.