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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Plains Regional Medical Center - Clovis

Presbyterian Healthcare Services · Clovis, NM

2100 North Doctor Martin Luther King Boulevard, Clovis, NM 88101(575) 769-7155

2 of 5

CMS star rating

100

Beds

3,119

Inpatient discharges a year

$176.8M

Net patient revenue a year

29

In-network payers

About this hospital

Plains Regional Medical Center - Clovis is a 100-bed voluntary non-profit - private hospital in Clovis, NM, affiliated with Presbyterian Healthcare Services. Below you'll find publicly disclosed negotiated rates and facility details, including 29 in-network payers and 228 disclosed rate categories.

  • Disproportionate share hospital
  • 340B participant
CCN
320022
NPI
1629053509
Website
phs.org
Health system
Presbyterian Healthcare Services
Teaching
No Medicare-funded residents
County
Curry County
Metro area
Clovis, NM MicroSA
Medicare contractor
Jurisdiction H, Novitas Solutions (04011)
In Medicare since
1966
Last CMS survey
2023

Prices for common services

The 24 services Plains Regional Medical Center - Clovis 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.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$7,102 - $15,631

from 4 insurers · median $10,735

Cigna$9,516
Insurer A*$7,102
Insurer B*$11,955
Insurer C*$15,631

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

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$11,390 - $22,229

from 4 insurers · median $15,075

Cigna$13,149
Insurer A*$11,390
Insurer B*$17,001
Insurer C*$22,229

CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$28,816 - $44,720

from 4 insurers · median $32,357

Blue Cross$34,202
Insurer A*$28,816
Insurer B*$30,512
Insurer C*$44,720
Medicare $10,792Nearby hospitals $15,698106% above nearby hospitals

21 Medicare discharges for this DRG in CMS hospital data

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$1,521 - $6,151

from 4 insurers · median $2,713

Aetna$3,175
Insurer A*$1,521
Insurer B*$2,251
Insurer C*est.$6,151
Medicare $317Nearby hospitals $2,9147% below nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Plains Regional Medical Center - Clovis

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*11
1046%
61
Insurer B*24
447%
181
Insurer C*24
427%
174
Insurer D*20
121%
014

How we chose these services: 3 appear in this hospital's own Medicare claims, 9 are common here based on CMS Medicare volume, and 12 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 Plains Regional Medical Center - Clovis, 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)
AmbetterAmeri HealthAvera Health PlansCenteneHarvard Pilgrim Health Care (Point32Health)Health Smart

More about this hospital

  • Quality

    2 of 5 stars

    • 192 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.04%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 39 services
    • 254 affiliated clinicians
    See doctors and services
  • Finances

    $176.8M net patient revenue

    • Operating margin on patient care 6.4%
    • $12.9M unreimbursed and uncompensated care
    • $33.5M net income
    See finances
  • Ownership and leadership

    Owned by Presbyterian Healthcare Services

    • Private (not for profit)
    • 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 Plains Regional Medical Center - Clovis in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
85-0105601Presbyterian Hospital58Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 53 more1215913470 Presbyterian Healthcare Services1629053509 Presbyterian Healthcare Services1598740482 Presbyterian Healthcare Servicesand 86 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

2100 North Doctor Martin Luther King Boulevard, Clovis, NM 88101

(575) 769-7155

Get directions

Frequently asked questions

About Plains Regional Medical Center - Clovis's rates and hospital price transparency.

How much does a CT scan cost at Plains Regional Medical Center - Clovis?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Plains Regional Medical Center - Clovis range from $1,521 to $6,151 across 4 insurers. Aetna's rate is $3,175. The median at nearby comparable hospitals is $2,914. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Plains Regional Medical Center - Clovis?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Plains Regional Medical Center - Clovis range from $1,703 to $5,216 across 3 insurers. Aetna's rate is $1,703. The median at nearby comparable hospitals is $2,397. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Plains Regional Medical Center - Clovis?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Plains Regional Medical Center - Clovis range from $7,102 to $15,631 across 4 insurers. Cigna's rate is $9,516. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Plains Regional Medical Center - Clovis?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Plains Regional Medical Center - Clovis range from $91 to $702 across 4 insurers. Aetna's rate is $168. The median at nearby comparable hospitals is $281. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Plains Regional Medical Center - Clovis?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Plains Regional Medical Center - Clovis range from $28,816 to $44,720 across 4 insurers. Blue Cross Blue Shield's rate is $34,202. The median at nearby comparable hospitals is $15,698. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Plains Regional Medical Center - Clovis's CMS star rating?

Plains Regional Medical Center - Clovis 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 Plains Regional Medical Center - Clovis a teaching hospital?

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

Does Medicare penalize Plains Regional Medical Center - Clovis for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Plains Regional Medical Center - Clovis's base inpatient payments by an estimated 0.04% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Plains Regional Medical Center - Clovis?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (102 discharges), respiratory infections and inflammations with mcc (34 discharges), heart failure and shock with mcc (34 discharges).

What is Plains Regional Medical Center - Clovis's case mix index?

Plains Regional Medical Center - Clovis's Medicare case mix index is 1.52 for fiscal year 2027, higher than 30% of hospitals paid under the inpatient prospective payment system.

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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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