How many shoppable procedure prices are published for Clovis Community Medical Center?

Clovis Community Medical Center in Clovis, CA currently has 136 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Clovis Community Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Clovis Community Medical Center's median negotiated commercial rate is 1.2× the regionally adjusted fair BaseRate benchmark.

What is Clovis Community Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Clovis Community Medical Center an overall hospital quality rating of 2 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 352 Beds · urban Updated: 2026-06-15

Clovis Community Medical Center

2755 Herndon Ave, Clovis, CA 93611 · 136 Priced Procedures · 79% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

Above Fair Market · Negotiate

1.16×vs. Fair Market Price

Typical commercial prices here are +16% above the fair benchmark (1.16×) even after accounting for local nurse/doctor wages and patient complexity.

80/100 · Corroborated

80/100Self-Pay Cash Beats Insurance 22% of the Time

File Completeness55

Price Logic94

Peer Alignment71

Clean Billing82

Real Cash Discount100

Premium Quality Tier

3-Star CMS clinical quality rating paired with 1.16× fair market pricing.

Behavioral Pricing FingerprintHigh-HHI Market Leverage

Consolidated System Premium Pricer

Operating in a concentrated regional market (CBSA HHI 3,609), Clovis Community Medical Center commands a 1.16× BaseRate commercial premium across insurers. Self-pay cash quotes, in-state peer hospitals, and freestanding outpatient facilities offer critical leverage against consolidated system pricing.

#137 of 240 in CA · 56th State Percentile#1,880 of 3,385 in U.S. · 55th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.65× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 22% of shoppable procedures (99/100 Cash Honesty)
2-Star CMS clinical rating with 79% patient recommendation (66/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (9.2% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.2× markup over Medicare rates
Captive ER (1.3×) & laboratory (1.0×) services average 1.38× higher multiples than routine shoppable care (0.8×)
Even at low-cost facilities (1.16× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Consolidated metro market (HHI 3,609) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

0.8× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.38× Divergence

1.1× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+7% Upper Tail

Q25 0.65× · Q50 0.92× · Q75 0.98×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

0.8× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.2× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.6× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.3× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.0× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

0.7× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

22% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 66/100Fair

Procedure Prices at Clovis Community Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 136 published procedures.

Sort:

Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$31,498	$30,775	1.0×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$19,047	$19,087	1.0×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$18,916	$19,432	1.0×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$17,312	$17,936	1.0×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$7,805	$8,223	0.9×
Behavioral health counseling (group) HCPCS Code: `H0009`	—	$2,839	$269	unverified
C-section delivery (full package) CPT Code: `59510`	—	$2,359	$2,975	0.8×
Total hip replacement CPT Code: `27130`	—	$2,295	$13,413	0.2×
Total knee replacement CPT Code: `27447`	—	$2,290	$13,523	0.2×
Vaginal delivery (full package) CPT Code: `59400`	—	$2,132	$2,680	0.8×
Trauma team activation HCPCS Code: `G0390`	$19,710	$1,714	$1,453	1.2×
Behavioral health counseling (per session) HCPCS Code: `H0008`	—	$1,576	$257	6.1×
Cataract surgery with lens implant CPT Code: `66984`	—	$1,508	$2,540	0.6×
Behavioral health residential care HCPCS Code: `H0011`	—	$1,452	$364	4.0×
Residential mental health treatment HCPCS Code: `H2036`	—	$1,250	$406	3.1×
Bunion correction surgery CPT Code: `28296`	—	$1,071	$3,446	0.3×
Injection procedure for pain management HCPCS Code: `G0260`	$1,754	$908	$855	1.1×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$909	$3,372	0.3×
Behavioral health day treatment HCPCS Code: `H0010`	—	$719	$343	2.1×
Breast lump removal CPT Code: `19120`	—	$674	$3,875	0.2×
Behavioral health assessment HCPCS Code: `H0001`	—	$615	$157	3.9×
Sleep study (overnight, in lab) CPT Code: `95810`	—	$635	$1,021	0.6×
Colonoscopy with biopsy CPT Code: `45380`	—	$636	$1,256	0.5×
Inguinal hernia repair CPT Code: `49505`	—	$647	$3,629	0.2×
Blood transfusion CPT Code: `36430`	$2,770	$567	$498	1.1×
Breathing treatment (nebulizer) CPT Code: `94640`	$541	$541	$201	2.7×
Upper endoscopy with biopsy CPT Code: `43239`	—	$515	$987	0.5×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$398	$981	0.4×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$306	$306	$64	4.8×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$5,760	$315	$448	0.7×
MRI, brain (with and without contrast) CPT Code: `70553`	$6,640	$311	$511	0.6×
Review of medical records for care CPT Code: `90889`	—	$280	$114	2.5×
Rabies immune globulin HCPCS Code: `90375`	$3,438	$275	$322	0.9×
Residential substance abuse treatment HCPCS Code: `H2035`	—	$249	$88	2.8×
Psychiatric evaluation (first visit) CPT Code: `90791`	$430	$186	$185	1.0×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,120	$210	$583	0.4×
Psychotherapy session (60 minutes) CPT Code: `90837`	$367	$173	$181	1.0×
CT scan, head (with and without contrast) CPT Code: `70470`	$3,866	$174	$258	0.7×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$2,299	$183	$272	0.7×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$4,041	$184	$303	0.6×
MRI, brain (no contrast) CPT Code: `70551`	$4,064	$190	$343	0.6×
MRI, lower back (no contrast) CPT Code: `72148`	$3,945	$186	$338	0.6×
MRI, knee or other leg joint CPT Code: `73721`	$4,500	$197	$369	0.5×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$695	$157	$148	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$206	$124	$86	1.4×
Office visit, established patient (30-39 min) CPT Code: `99214`	—	$141	$123	1.1×
Screening mammogram (both breasts) CPT Code: `77067`	$460	$130	$123	1.1×
Hepatitis B immune globulin HCPCS Code: `90371`	$507	$140	$151	0.9×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,378	$107	$134	0.8×
Psychotherapy session (45 minutes) CPT Code: `90834`	$287	$132	$166	0.8×
CT scan, pelvis CPT Code: `72192`	$3,366	$128	$163	0.8×
CT scan, chest (no contrast) CPT Code: `71250`	$2,458	$127	$167	0.8×
CT scan, neck (cervical spine) CPT Code: `72125`	$3,360	$125	$169	0.7×
Family therapy session CPT Code: `90847`	—	$126	$173	0.7×
CT scan, head (with contrast) CPT Code: `70460`	$2,400	$150	$242	0.6×
Office visit, established patient (20-29 min) CPT Code: `99213`	—	$99	$87	1.1×
CT scan, sinuses CPT Code: `70486`	$2,800	$123	$166	0.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$3,000	$124	$168	0.7×
Ultrasound, thyroid and neck CPT Code: `76536`	$998	$96	$132	0.7×
Neurobehavioral status check CPT Code: `96116`	—	$119	$231	0.5×
New patient office visit (30-44 min) CPT Code: `99203`	—	$122	$110	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$367	$80	$86	0.9×
Care planning with family CPT Code: `90887`	—	$92	$107	0.9×
Ultrasound, pelvis CPT Code: `76856`	$1,202	$90	$130	0.7×
Ultrasound, abdomen (limited) CPT Code: `76705`	$992	$87	$126	0.7×
CT scan, head (no contrast) CPT Code: `70450`	$2,320	$104	$160	0.7×
Typhoid vaccine HCPCS Code: `90675`	$1,790	$315	$347	0.9×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$178	$203	0.9×
Pneumococcal vaccine HCPCS Code: `90732`	$668	$133	$140	0.9×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$476	$95	$111	0.9×
Pneumonia vaccine injection HCPCS Code: `G0009`	$104	$60	$49	1.2×
Colorectal cancer screening HCPCS Code: `G0010`	$104	$60	$49	1.2×
Drug screening test HCPCS Code: `G0480`	$72	$72	$116	0.6×
Diagnostic procedure preparation HCPCS Code: `G0279`	$197	$42	$35	1.2×
X-ray, lower back CPT Code: `72110`	$874	$57	$112	0.5×
Blood antibody screen CPT Code: `86850`	$168	$67	$46	unverified
Extended office visit (prolonged) HCPCS Code: `G2212`	—	$35	$33	1.1×
Blood test, complete blood count (CBC) CPT Code: `85025`	$124	$8	$8	1.0×
Blood test, vitamin D CPT Code: `82306`	$63	$30	$31	1.0×
X-ray, hip CPT Code: `73502`	$374	$53	$93	0.6×
Blood test, ferritin (iron stores) CPT Code: `82728`	$84	$14	$14	1.0×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$26	$27	1.0×
Orthotic fitting and training CPT Code: `97760`	$131	$49	$51	1.0×
Prosthetic fitting and training CPT Code: `97761`	$134	$43	$45	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$170	$19	$20	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	$116	$36	$38	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$163	$37	$40	0.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$642	$36	$93	0.4×
Flu vaccine injection HCPCS Code: `G0008`	$80	$60	$48	unverified
Electrical stimulation therapy HCPCS Code: `G0283`	$82	$13	$14	0.9×
Behavioral health living support HCPCS Code: `H2019`	—	$31	$34	0.9×
Physical therapy (gait training) CPT Code: `97116`	$134	$30	$33	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$163	$34	$38	0.9×
Occupational therapy (self-care training) CPT Code: `97535`	$163	$34	$38	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$158	$30	$35	0.9×
Physical therapy (manual therapy) CPT Code: `97140`	$163	$29	$34	0.9×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$161	$32	$39	0.8×
Psychological testing evaluation CPT Code: `96136`	—	$52	$128	0.4×
X-ray, chest (two views) CPT Code: `71046`	$478	$34	$93	0.4×
X-ray, shoulder CPT Code: `73030`	$674	$33	$92	0.4×
Psychological testing by technician CPT Code: `96138`	—	$50	$395	0.1×
Blood test, glucose (blood sugar) CPT Code: `82947`	$70	$4	$4	1.0×
Blood test, lipase CPT Code: `83690`	$108	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$77	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$64	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$26	$4	$4	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$110	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	$32	$9	$9	1.0×
Blood test, vitamin B12 CPT Code: `82607`	$138	$15	$16	0.9×
Hepatitis C antibody test CPT Code: `86803`	$118	$14	$15	0.9×
Speech therapy (group session) CPT Code: `92508`	—	$25	$27	0.9×
Flu vaccine (high dose) HCPCS Code: `90656`	$121	$23	$25	0.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$260	$43	$56	0.8×
X-ray, hand CPT Code: `73130`	$530	$38	$93	0.4×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$165	$11	$11	1.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$60	$13	$14	0.9×
X-ray, foot CPT Code: `73630`	$640	$36	$92	0.4×
Culture, blood CPT Code: `87040`	$176	$10	$11	0.9×
Hepatitis B vaccine HCPCS Code: `90744`	$150	$33	$37	0.9×
X-ray, ankle CPT Code: `73610`	$624	$35	$93	0.4×
Group therapy session CPT Code: `90853`	—	$31	$100	0.3×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$84	$3	$3	1.0×
Blood test, calcium CPT Code: `82310`	$45	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$70	$5	$5	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$56	$10	$10	1.0×
Blood test, magnesium CPT Code: `83735`	$134	$7	$7	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$81	$18	$19	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$85	$17	$18	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	$146	$8	$9	0.9×
Blood test, liver function panel CPT Code: `80076`	$154	$8	$9	0.9×
Blood test, amylase CPT Code: `82150`	$124	$6	$7	0.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$82	$4	$5	0.8×
X-ray, chest (single view) CPT Code: `71045`	$352	$25	$92	0.3×
X-ray, pelvis CPT Code: `72170`	$545	$29	$110	0.3×
Blood test, hemoglobin CPT Code: `85018`	$34	$2	$3	0.7×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$16	$25	0.6×

Showing top 25 high-impact procedures of 136 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 9.2%

Audit a Bill or Quote at Clovis Community Medical Center (Zero PHI Required)

CMS CCN: 050492

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $31,498

1. Amount on Your Bill or Quote ($) Pre-filled with Clovis Community Medical Center’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $6,955 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $6,955

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (9.2% of gross = $6,955).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Clovis Community Medical Center's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$44,820 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($75,595) is $44,820 above the denoised Fair BaseRate ($30,775) and 3.2× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 941156276

Filing Period: 197403

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (9.2% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Safety Composite66/100

Would Recommend79%

Rated 9 or 10 (HCAHPS)71%

Median ER Wait244 min

Left ER Before Seen1%

30-Day Mortality vs U.S.better

Unplanned Readmissionsame

Hip/Knee Complication Rate3.8%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Clovis Community Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

2026-02-09·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (507 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Higher-Quality, Above-Median Price Tier Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Clovis Community Medical Center.

Price Index: 1.97× regional baseline

Quality: 72/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Kaiser Permanente

-61.4%

Humana

+78.8%

Median Household Income$71,434U.S. Census ACS

Local Uninsured Share7.0%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 80/100 · Corroborated CMS CCN 050492 EIN 941156276

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 050492) ↗ Verify IRS Form 990 (EIN 941156276) ↗ CMS HCRIS Cost Reports ↗

Published MRF File941156276-1316027709_fresno-community-hospital-and-medical-center_standardcharges.csv

Publication / Vintage2026-06-15 · 2162.39 MB

Validated Rate Rows24,162 (CMS v3.0.0)

File Integrity DigestVerified · CCN 050492

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy