Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
EXC, BEN LES, T/A/L; 3.1-4.0 CM
Clovis, CA
See all hospitals reporting CPT 11404 →Price type
Clovis Community Medical Center’s median price of $2.1k is 21% above the median hospital's median price ($1.8k), higher than 65% of the 2,265 hospitals reporting CPT 11404. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 28 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield managed medi-cal facility · fee schedule · inpatient | $207 | $147 | $84 | 57% | — | $28 – $207 |
| 2 | Molina managed medi-cal facility · fee schedule · inpatient | $207 | $207 | — | — | — | $207 – $207 |
| 3 | Aetna medicare advantage facility · case rate · inpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 4 | Aetna medicare hmo for chp facility · case rate · inpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 5 | Aetna ppo facility · case rate · inpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 6 | Blue Cross Blue Shield medicare advantage facility · case rate · inpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 7 | Cigna access (pffs) facility · case rate · inpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 8 | Cigna healthspring facility · case rate · inpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 9 | Humana medicare advantage facility · case rate · inpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 10 | Kaiser commercial facility · case rate · inpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 11 | Kaiser senior advantage medicare facility · case rate · inpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 12 | WellCare medicare advantage facility · case rate · inpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 13 | UnitedHealthcare medicare advantage facility · case rate · inpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 14 | Aetna medicare hmo for non-chp facility · case rate · inpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 15 | Blue Cross Blue Shield epn facility · fee schedule · inpatient | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 16 | Blue Cross Blue Shield hmopos facility · case rate · inpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 17 | Blue Cross Blue Shield exchange hmo facility · case rate · inpatient | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 18 | UnitedHealthcare hmo facility · case rate · inpatient | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 19 | UnitedHealthcare ppo facility · case rate · inpatient | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 20 | Cigna hmo facility · case rate · inpatient | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 21 | Blue Cross Blue Shield epoppo facility · case rate · inpatient | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 22 | Aetna hmoposppo facility · case rate · inpatient | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 23 | Aetna qualified health plan facility · case rate · inpatient | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 24 | Cigna ppo facility · case rate · inpatient | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 25 | Humana choice care ppo facility · fee schedule · inpatient | $4.8k | $4.8k | — | — | — | $4.8k – $4.8k |
Last updated: Sep 11, 2026
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