CMS Price Transparency Data
X-ray, chest (two views)
Facility: Clovis Community Medical Center
Billing Code: 71046 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 71046
- Insurance Median: $35
- Cash Discount Price: $478
- vs. Medicare Baseline: 0.39x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (two views) at Clovis Community Medical Center is $35. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $478. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.39x the Medicare baseline. Located in 2755 Herndon Ave, Clovis, CA.
Cash / Self-Pay
$478
Average discount available for prompt cash payment at this facility.
Insurance Median
$35
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$88.91
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $88.91 (100%)
Cash / Self-Pay: $478 (538%)
Insurance Median: $35 (39%)
Cash: $478 (538% of Medicare)
Ins. Median: $35 (39% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $88.91 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 |
|---|---|---|
| Advantek Table Mountain Rancheria Tribal Member | $10 - $112 | 11% |
| Aetna | $10 - $113 | 11% |
| Blue Cross Blue Shield | $10 - $380 | 11% |
| Blue Shield | $10 - $340 | 11% |
| Blue Shield 65 Plus Hmo Ehs | $10 - $112 | 11% |
| Blue Shield 65 Plus Hmo First Choice | $10 - $112 | 11% |
| Blue Shield Hmo-Cvmp/Medpro | $10 - $112 | 11% |
| Blue Shield Promise - Imperial | $10 - $112 | 11% |
| Blue Shield Saint Agnes | $10 - $112 | 11% |
| Blue Shield Sante | $10 - $112 | 11% |
| Brand New Day | $10 - $112 | 11% |
| Bscphp - Dhmso | $10 - $112 | 11% |
| Bscphp - First Choice | $10 - $112 | 11% |
| Bscphp Hmo - First Choice | $10 - $112 | 11% |
| Care1St Hmo - Ehs | $10 - $112 | 11% |
| Cares Act Provider Relief Fund | $10 - $112 | 11% |
| Cigna | $10 - $370 | 11% |
| Gemcare Hmo | $10 - $112 | 11% |
| Generic | $10 - $112 | 11% |
| Generic Bscphp | $10 - $112 | 11% |
| Generic Victims Of Crime | $10 - $112 | 11% |
| Hartford Life Supplement | $10 - $112 | 11% |
| Healthnet Hmo - Cvmp/Medpro | $10 - $112 | 11% |
| Healthnet Hmo - Dhmso | $10 - $112 | 11% |
| Healthnet Hmo - La Salle | $10 - $112 | 11% |
| Healthnet Hmo - Sante | $10 - $112 | 11% |
| Healthnet Sante | $10 - $112 | 11% |
| Healthnet Sante - Sub Cap Dual Risk | $10 - $112 | 11% |
| Healthnet Sante Dual Risk | $10 - $112 | 11% |
| Humana | $10 - $507 | 11% |
| Medi-Cal Innovative Integrated Health | $10 - $112 | 11% |
| Medicare (plans) | $10 - $112 | 11% |
| Meritage Blue Shield 65 Plus | $10 - $112 | 11% |
| Meritage Brand New Day | $10 - $112 | 11% |
| Meritage Healthnet Hmo | $10 - $112 | 11% |
| Railroad Part A | $10 - $112 | 11% |
| Railroad Part A & B | $10 - $112 | 11% |
| Railroad Part B | $10 - $112 | 11% |
| Sante | $10 - $112 | 11% |
| Sante Sub Cap Healthnet Seniority | $10 - $112 | 11% |
| Sante Sub Cap-Blue Shield/Sante | $10 - $112 | 11% |
| Sante-Blue Shield/Sante | $10 - $112 | 11% |
| Sante-Healthnet Seniority | $10 - $112 | 11% |
| Sante-Sub Cap Ma Brand New Day | $10 - $112 | 11% |
| Scan Health Plan | $10 - $112 | 11% |
| Sequoia Pace - Peak Tpa | $10 - $112 | 11% |
| Todays Pyramid | $10 - $112 | 11% |
| UnitedHealthcare | $10 - $313 | 11% |
| Us Marshal | $10 - $112 | 11% |
| Victims Of Crime | $10 - $112 | 11% |
| Well Path (Cfmg) | $10 - $657 | 11% |
| Wellcare | $10 - $112 | 11% |
| Alignment Health Plan | $11 - $123 | 12% |
| Champion Health Plan Of California Ma | $11 - $123 | 12% |
| Innovative Integrated Health Community Plans Hmo | $11 - $123 | 12% |
| Imperial Health Plan Hmo | $12 - $129 | 13% |
| Correctcare Integrated Health | $13 - $146 | 15% |
| Coalinga State Hospital | $20 - $224 | 22% |
| Naphcare Inc-Mendota | $22 - $241 | 25% |
| Cal Caloptima | $27 | 30% |
| Ccs Fresno | $27 | 30% |
| Ccs Kern | $27 | 30% |
| Ccs Kings | $27 | 30% |
| Ccs Madera/Sacramento | $27 | 30% |
| Ccs Mariposa | $27 | 30% |
| Ccs Merced | $27 | 30% |
| Ccs Stanislaus | $27 | 30% |
| Ccs Tulare | $27 | 30% |
| Chdp | $27 | 30% |
| Fresno County Funded Specialty Care | $27 | 30% |
| Generic Care Out Of County | $27 | 30% |
| Generic Ccs Other Counties | $27 | 30% |
| Genetically Handicapped Person | $27 | 30% |
| Gold Coast Medi-Cal | $27 | 30% |
| Medi-Cal Alameda Alliance For Health | $27 | 30% |
| Medi-Cal Blue Shield Promise Health | $27 | 30% |
| Medi-Cal California Health & Wellness Plan | $27 | 30% |
| Medi-Cal Cencal Health | $27 | 30% |
| Medi-Cal Community Health Group | $27 | 30% |
| Medi-Cal Contra Costa Health Plan | $27 | 30% |
| Medi-Cal Health Plan Of San Mateo | $27 | 30% |
| Medi-Cal Inland Empire Health | $27 | 30% |
| Medi-Cal Kern Family Health | $27 | 30% |
| Medi-Cal La Care Health | $27 | 30% |
| Medi-Cal Molina | $27 | 30% |
| Medi-Cal Partnership Health Plan Of Ca | $27 | 30% |
| San Francisco Health Plan Medi-Cal | $27 | 30% |
| Santa Clara Family Health Plan - Premier Health | $27 | 30% |
| Santa Clara Family Health Plan - Valley Health | $27 | 30% |
| Health Plan Of San Joaquin | $41 | 46% |
| Sequoia Pace | $41 | 46% |
| Adventist -Mcl Calviva Sub Cap | $45 | 51% |
| Healthnet | $53 - $350 | 60% |
| Kaiser | $89 | 100% |
| Central Valley Medical Providers | $149 - $418 | 168% |
| Community Care | $152 | 171% |
| Employer 90/40 | $239 | 269% |
| Central Ca Indian Health | $328 | 369% |
| Nx Health Network Ppo | $328 | 369% |
| Healthsmart | $406 - $478 | 457% |
| Coventry Health Care (First Health Network) | $448 | 504% |
| Network By Design | $448 | 504% |
| Generic Multiplan | $507 | 570% |
| Phcs | $507 | 570% |