CMS Price Transparency Data
X-ray, lower back
Facility: Clovis Community Medical Center
Billing Code: 72110 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 72110
- Insurance Median: $57
- Cash Discount Price: $874
- vs. Medicare Baseline: 0.53x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Clovis Community Medical Center is $57. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $874. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.53x the Medicare baseline. Located in 2755 Herndon Ave, Clovis, CA.
Cash / Self-Pay
$874
Average discount available for prompt cash payment at this facility.
Insurance Median
$57
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: $874 (818%)
Insurance Median: $57 (53%)
Cash: $874 (818% of Medicare)
Ins. Median: $57 (53% 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
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 | $13 - $134 | 12% |
| Aetna | $13 - $230 | 12% |
| Blue Cross Blue Shield | $13 - $694 | 12% |
| Blue Shield | $13 - $621 | 12% |
| Blue Shield 65 Plus Hmo Ehs | $13 - $134 | 12% |
| Blue Shield 65 Plus Hmo First Choice | $13 - $134 | 12% |
| Blue Shield Hmo-Cvmp/Medpro | $13 - $134 | 12% |
| Blue Shield Promise - Imperial | $13 - $134 | 12% |
| Blue Shield Saint Agnes | $13 - $134 | 12% |
| Blue Shield Sante | $13 - $134 | 12% |
| Brand New Day | $13 - $134 | 12% |
| Bscphp - Dhmso | $13 - $134 | 12% |
| Bscphp - First Choice | $13 - $134 | 12% |
| Bscphp Hmo - First Choice | $13 - $134 | 12% |
| Care1St Hmo - Ehs | $13 - $134 | 12% |
| Cares Act Provider Relief Fund | $13 - $134 | 12% |
| Cigna | $13 - $677 | 12% |
| Gemcare Hmo | $13 - $134 | 12% |
| Generic | $13 - $134 | 12% |
| Generic Bscphp | $13 - $134 | 12% |
| Generic Victims Of Crime | $13 - $134 | 12% |
| Hartford Life Supplement | $13 - $134 | 12% |
| Healthnet Hmo - Cvmp/Medpro | $13 - $134 | 12% |
| Healthnet Hmo - Dhmso | $13 - $134 | 12% |
| Healthnet Hmo - La Salle | $13 - $134 | 12% |
| Healthnet Hmo - Sante | $13 - $134 | 12% |
| Healthnet Sante | $13 - $134 | 12% |
| Healthnet Sante - Sub Cap Dual Risk | $13 - $134 | 12% |
| Healthnet Sante Dual Risk | $13 - $134 | 12% |
| Humana | $13 - $928 | 12% |
| Medi-Cal Innovative Integrated Health | $13 - $134 | 12% |
| Medicare (plans) | $13 - $134 | 12% |
| Meritage Blue Shield 65 Plus | $13 - $134 | 12% |
| Meritage Brand New Day | $13 - $134 | 12% |
| Meritage Healthnet Hmo | $13 - $134 | 12% |
| Railroad Part A | $13 - $134 | 12% |
| Railroad Part A & B | $13 - $134 | 12% |
| Railroad Part B | $13 - $134 | 12% |
| Sante | $13 - $134 | 12% |
| Sante Sub Cap Healthnet Seniority | $13 - $134 | 12% |
| Sante Sub Cap-Blue Shield/Sante | $13 - $134 | 12% |
| Sante-Blue Shield/Sante | $13 - $134 | 12% |
| Sante-Healthnet Seniority | $13 - $134 | 12% |
| Sante-Sub Cap Ma Brand New Day | $13 - $134 | 12% |
| Scan Health Plan | $13 - $134 | 12% |
| Sequoia Pace - Peak Tpa | $13 - $134 | 12% |
| Todays Pyramid | $13 - $134 | 12% |
| UnitedHealthcare | $13 - $573 | 12% |
| Us Marshal | $13 - $134 | 12% |
| Victims Of Crime | $13 - $134 | 12% |
| Well Path (Cfmg) | $13 - $1,201 | 12% |
| Wellcare | $13 - $134 | 12% |
| Alignment Health Plan | $14 - $148 | 13% |
| Champion Health Plan Of California Ma | $14 - $148 | 13% |
| Innovative Integrated Health Community Plans Hmo | $14 - $148 | 13% |
| Imperial Health Plan Hmo | $15 - $155 | 14% |
| Correctcare Integrated Health | $17 - $175 | 16% |
| Coalinga State Hospital | $26 - $269 | 24% |
| Naphcare Inc-Mendota | $28 - $289 | 26% |
| Cal Caloptima | $44 | 41% |
| Ccs Fresno | $44 | 41% |
| Ccs Kern | $44 | 41% |
| Ccs Kings | $44 | 41% |
| Ccs Madera/Sacramento | $44 | 41% |
| Ccs Mariposa | $44 | 41% |
| Ccs Merced | $44 | 41% |
| Ccs Stanislaus | $44 | 41% |
| Ccs Tulare | $44 | 41% |
| Chdp | $44 | 41% |
| Fresno County Funded Specialty Care | $44 | 41% |
| Generic Care Out Of County | $44 | 41% |
| Generic Ccs Other Counties | $44 | 41% |
| Genetically Handicapped Person | $44 | 41% |
| Gold Coast Medi-Cal | $44 | 41% |
| Medi-Cal Alameda Alliance For Health | $44 | 41% |
| Medi-Cal Blue Shield Promise Health | $44 | 41% |
| Medi-Cal California Health & Wellness Plan | $44 | 41% |
| Medi-Cal Cencal Health | $44 | 41% |
| Medi-Cal Community Health Group | $44 | 41% |
| Medi-Cal Contra Costa Health Plan | $44 | 41% |
| Medi-Cal Health Plan Of San Mateo | $44 | 41% |
| Medi-Cal Inland Empire Health | $44 | 41% |
| Medi-Cal Kern Family Health | $44 | 41% |
| Medi-Cal La Care Health | $44 | 41% |
| Medi-Cal Molina | $44 | 41% |
| Medi-Cal Partnership Health Plan Of Ca | $44 | 41% |
| San Francisco Health Plan Medi-Cal | $44 | 41% |
| Santa Clara Family Health Plan - Premier Health | $44 | 41% |
| Santa Clara Family Health Plan - Valley Health | $44 | 41% |
| Health Plan Of San Joaquin | $66 | 62% |
| Sequoia Pace | $66 | 62% |
| Adventist -Mcl Calviva Sub Cap | $72 | 67% |
| Healthnet | $84 - $641 | 79% |
| Kaiser | $107 | 100% |
| Central Valley Medical Providers | $273 - $764 | 256% |
| Community Care | $278 | 260% |
| Employer 90/40 | $437 | 409% |
| Central Ca Indian Health | $601 | 563% |
| Nx Health Network Ppo | $601 | 563% |
| Healthsmart | $743 - $874 | 696% |
| Coventry Health Care (First Health Network) | $819 | 767% |
| Network By Design | $819 | 767% |
| Generic Multiplan | $928 | 869% |
| Phcs | $928 | 869% |