CMS Price Transparency Data
X-ray, foot
Facility: Clovis Community Medical Center
Billing Code: 73630 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 73630
- Insurance Median: $37
- Cash Discount Price: $640
- vs. Medicare Baseline: 0.42x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at Clovis Community Medical Center is $37. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $640. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.42x the Medicare baseline. Located in 2755 Herndon Ave, Clovis, CA.
Cash / Self-Pay
$640
Average discount available for prompt cash payment at this facility.
Insurance Median
$37
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: $640 (720%)
Insurance Median: $37 (42%)
Cash: $640 (720% of Medicare)
Ins. Median: $37 (42% 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.
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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 | $8 - $112 | 9% |
| Aetna | $8 - $134 | 9% |
| Blue Cross Blue Shield | $8 - $509 | 9% |
| Blue Shield | $8 - $455 | 9% |
| Blue Shield 65 Plus Hmo Ehs | $8 - $112 | 9% |
| Blue Shield 65 Plus Hmo First Choice | $8 - $112 | 9% |
| Blue Shield Hmo-Cvmp/Medpro | $8 - $112 | 9% |
| Blue Shield Promise - Imperial | $8 - $112 | 9% |
| Blue Shield Saint Agnes | $8 - $112 | 9% |
| Blue Shield Sante | $8 - $112 | 9% |
| Brand New Day | $8 - $112 | 9% |
| Bscphp - Dhmso | $8 - $112 | 9% |
| Bscphp - First Choice | $8 - $112 | 9% |
| Bscphp Hmo - First Choice | $8 - $112 | 9% |
| Care1St Hmo - Ehs | $8 - $112 | 9% |
| Cares Act Provider Relief Fund | $8 - $112 | 9% |
| Cigna | $8 - $496 | 9% |
| Gemcare Hmo | $8 - $112 | 9% |
| Generic | $8 - $112 | 9% |
| Generic Bscphp | $8 - $112 | 9% |
| Generic Victims Of Crime | $8 - $112 | 9% |
| Hartford Life Supplement | $8 - $112 | 9% |
| Healthnet Hmo - Cvmp/Medpro | $8 - $112 | 9% |
| Healthnet Hmo - Dhmso | $8 - $112 | 9% |
| Healthnet Hmo - La Salle | $8 - $112 | 9% |
| Healthnet Hmo - Sante | $8 - $112 | 9% |
| Healthnet Sante | $8 - $112 | 9% |
| Healthnet Sante - Sub Cap Dual Risk | $8 - $112 | 9% |
| Healthnet Sante Dual Risk | $8 - $112 | 9% |
| Humana | $8 - $680 | 9% |
| Medi-Cal Innovative Integrated Health | $8 - $112 | 9% |
| Medicare (plans) | $8 - $112 | 9% |
| Meritage Blue Shield 65 Plus | $8 - $112 | 9% |
| Meritage Brand New Day | $8 - $112 | 9% |
| Meritage Healthnet Hmo | $8 - $112 | 9% |
| Railroad Part A | $8 - $112 | 9% |
| Railroad Part A & B | $8 - $112 | 9% |
| Railroad Part B | $8 - $112 | 9% |
| Sante | $8 - $112 | 9% |
| Sante Sub Cap Healthnet Seniority | $8 - $112 | 9% |
| Sante Sub Cap-Blue Shield/Sante | $8 - $112 | 9% |
| Sante-Blue Shield/Sante | $8 - $112 | 9% |
| Sante-Healthnet Seniority | $8 - $112 | 9% |
| Sante-Sub Cap Ma Brand New Day | $8 - $112 | 9% |
| Scan Health Plan | $8 - $112 | 9% |
| Sequoia Pace - Peak Tpa | $8 - $112 | 9% |
| Todays Pyramid | $8 - $112 | 9% |
| UnitedHealthcare | $8 - $419 | 9% |
| Us Marshal | $8 - $112 | 9% |
| Victims Of Crime | $8 - $112 | 9% |
| Well Path (Cfmg) | $8 - $880 | 9% |
| Wellcare | $8 - $112 | 9% |
| Alignment Health Plan | $9 - $123 | 10% |
| Champion Health Plan Of California Ma | $9 - $123 | 10% |
| Imperial Health Plan Hmo | $9 - $129 | 10% |
| Innovative Integrated Health Community Plans Hmo | $9 - $123 | 10% |
| Correctcare Integrated Health | $11 - $146 | 12% |
| Coalinga State Hospital | $16 - $224 | 18% |
| Naphcare Inc-Mendota | $18 - $241 | 20% |
| Cal Caloptima | $24 | 27% |
| Ccs Fresno | $24 | 27% |
| Ccs Kern | $24 | 27% |
| Ccs Kings | $24 | 27% |
| Ccs Madera/Sacramento | $24 | 27% |
| Ccs Mariposa | $24 | 27% |
| Ccs Merced | $24 | 27% |
| Ccs Stanislaus | $24 | 27% |
| Ccs Tulare | $24 | 27% |
| Chdp | $24 | 27% |
| Fresno County Funded Specialty Care | $24 | 27% |
| Generic Care Out Of County | $24 | 27% |
| Generic Ccs Other Counties | $24 | 27% |
| Genetically Handicapped Person | $24 | 27% |
| Gold Coast Medi-Cal | $24 | 27% |
| Medi-Cal Alameda Alliance For Health | $24 | 27% |
| Medi-Cal Blue Shield Promise Health | $24 | 27% |
| Medi-Cal California Health & Wellness Plan | $24 | 27% |
| Medi-Cal Cencal Health | $24 | 27% |
| Medi-Cal Community Health Group | $24 | 27% |
| Medi-Cal Contra Costa Health Plan | $24 | 27% |
| Medi-Cal Health Plan Of San Mateo | $24 | 27% |
| Medi-Cal Inland Empire Health | $24 | 27% |
| Medi-Cal Kern Family Health | $24 | 27% |
| Medi-Cal La Care Health | $24 | 27% |
| Medi-Cal Molina | $24 | 27% |
| Medi-Cal Partnership Health Plan Of Ca | $24 | 27% |
| San Francisco Health Plan Medi-Cal | $24 | 27% |
| Santa Clara Family Health Plan - Premier Health | $24 | 27% |
| Santa Clara Family Health Plan - Valley Health | $24 | 27% |
| Health Plan Of San Joaquin | $36 | 40% |
| Sequoia Pace | $36 | 40% |
| Adventist -Mcl Calviva Sub Cap | $40 | 45% |
| Healthnet | $47 - $470 | 53% |
| Kaiser | $89 | 100% |
| Central Valley Medical Providers | $200 - $560 | 225% |
| Community Care | $204 | 229% |
| Employer 90/40 | $320 | 360% |
| Central Ca Indian Health | $440 | 495% |
| Nx Health Network Ppo | $440 | 495% |
| Healthsmart | $544 - $640 | 612% |
| Coventry Health Care (First Health Network) | $600 | 675% |
| Network By Design | $600 | 675% |
| Generic Multiplan | $680 | 765% |
| Phcs | $680 | 765% |