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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Clovis Commuity Medical Center

Clovis, CA

2755 Herndon Avenue, Clovis, CA 93611(559) 324-4000

2 of 5

CMS star rating

352

Beds

22,833

Inpatient discharges a year

$804M

Net patient revenue a year

36

In-network payers

About this hospital

Clovis Commuity Medical Center is a 352-bed voluntary non-profit - private hospital in Clovis, CA. Below you'll find publicly disclosed negotiated rates and facility details, including 36 in-network payers and 360 disclosed rate categories.

  • Disproportionate share hospital
  • 340B participant
  • Helipad
CCN
050492
NPI
1316027709
Teaching
No Medicare-funded residents
County
Fresno County
Metro area
Fresno, CA MSA
Medicare contractor
Jurisdiction E, Noridian Healthcare Solutions (01011)
In Medicare since
1967
Last CMS survey
2025

Prices for common services

The 24 services Clovis Commuity Medical Center most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$1,077 - $4,465

from 4 insurers · median $3,936

Aetna$1,077
Insurer A*$3,775
Insurer B*$4,097
Insurer C*$4,465
Medicare $458Nearby hospitals $1,800119% above nearby hospitals

Common here, based on CMS Medicare volume

Gynecology

Hysteroscopy with sampling of the uterine lining

CPT 58558

$1,538 - $6,799

from 4 insurers · median $5,093

Anthem / Blue Shield$1,538
Insurer A*$4,976
Insurer B*$5,210
Insurer C*$6,799
Medicare $4,253Nearby hospitals $6,02615% below nearby hospitals

59 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$3,549 - $10,931

from 4 insurers · median $7,261

Aetna$3,549
Insurer A*$5,229
Insurer B*$9,293
Insurer C*$10,931

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

CT imaging

CT head or brain without contrast

CPT 70450

$665 - $1,799

from 4 insurers · median $1,585

Aetna$665
Insurer A*$1,520
Insurer B*$1,650
Insurer C*$1,799
Medicare $137Nearby hospitals $619156% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Clovis Commuity Medical Center

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*24
455%
81
Insurer B*24
332%
1110
Insurer C*24
327%
1010
Insurer D*24
301%
129

How we chose these services: 5 appear in this hospital's own Medicare claims, 16 are common here based on CMS Medicare volume, and 3 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Clovis Commuity Medical Center, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthCenteneGroup Health Cooperative of South Central Wisconsin

More about this hospital

  • Quality

    2 of 5 stars

    • 242 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.13%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 33 services
    • 929 affiliated clinicians
    See doctors and services
  • Finances

    $804M net patient revenue

    • Operating margin on patient care -3.1%
    • $55.7M unreimbursed and uncompensated care
    • -$17M net income
    See finances
  • Ownership and leadership

    Owned by Community Hospitals Of Central California

    • Private (not for profit)
    • Craig Wagoner, chief executive
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Clovis Commuity Medical Center in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
94-1156276Community Regional Medical Center63Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan and 58 more1104906569 Fresno Community Hospital And Medical Center1316027709 Fresno Community Hospital And Medical Center1295816569 Fresno Community Hospital And Medical Centerand 24 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

2755 Herndon Avenue, Clovis, CA 93611

(559) 324-4000

Get directions

Frequently asked questions

About Clovis Commuity Medical Center's rates and hospital price transparency.

How much does an MRI cost at Clovis Commuity Medical Center?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Clovis Commuity Medical Center range from $4,150 to $5,148 across 4 insurers. UnitedHealthcare's rate is $4,352. The median at nearby comparable hospitals is $1,027. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Clovis Commuity Medical Center?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Clovis Commuity Medical Center range from $1,077 to $4,465 across 4 insurers. Aetna's rate is $1,077. The median at nearby comparable hospitals is $1,800. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Clovis Commuity Medical Center?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Clovis Commuity Medical Center range from $531 to $5,091 across 4 insurers. Cigna's rate is $5,091. The median at nearby comparable hospitals is $4,538. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Clovis Commuity Medical Center?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Clovis Commuity Medical Center range from $3,549 to $10,931 across 4 insurers. Aetna's rate is $3,549. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Clovis Commuity Medical Center?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Clovis Commuity Medical Center range from $301 to $430 across 4 insurers. UnitedHealthcare's rate is $301. The median at nearby comparable hospitals is $276. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Clovis Commuity Medical Center's CMS star rating?

Clovis Commuity Medical Center has a CMS overall hospital star rating of 2 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 73% of US hospitals.

Is Clovis Commuity Medical Center a teaching hospital?

CMS reports no Medicare-funded interns or residents at Clovis Commuity Medical Center for fiscal year 2027.

Does Medicare penalize Clovis Commuity Medical Center for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Clovis Commuity Medical Center's base inpatient payments by an estimated 0.13% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Clovis Commuity Medical Center?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (457 discharges), heart failure and shock with mcc (259 discharges), simple pneumonia and pleurisy with mcc (149 discharges).

What is Clovis Commuity Medical Center's case mix index?

Clovis Commuity Medical Center's Medicare case mix index is 1.86 for fiscal year 2027, higher than 67% of hospitals paid under the inpatient prospective payment system.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
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  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Chargemaster analysis

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Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

What a review covers

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
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