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
FTH GRF FR S/A/L EACH ADDL
Clovis, CA
See all hospitals reporting CPT 15221 →Price type
Clovis Community Medical Center’s median price of $140 is 88% below the median hospital's median price ($1.2k), higher than 23% of the 1,452 hospitals reporting CPT 15221. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 23 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 · outpatient | $112 | $94 | $24 | 26% | — | $60 – $112 |
| 2 | Molina managed medi-cal facility · fee schedule · outpatient | $112 | $112 | — | — | — | $112 – $112 |
| 3 | Aetna medicare advantage facility · case rate · outpatient | $140 | $140 | — | — | — | $140 – $140 |
| 4 | Aetna medicare hmo for chp facility · case rate · outpatient | $140 | $140 | — | — | — | $140 – $140 |
| 5 | Aetna ppo facility · case rate · outpatient | $140 | $140 | — | — | — | $140 – $140 |
| 6 | Blue Cross Blue Shield medicare advantage facility · case rate · outpatient | $140 | $140 | — | — | — | $140 – $140 |
| 7 | Cigna access (pffs) facility · case rate · outpatient | $140 | $140 | — | — | — | $140 – $140 |
| 8 | Cigna healthspring facility · case rate · outpatient | $140 | $140 | — | — | — | $140 – $140 |
| 9 | Humana medicare advantage facility · case rate · outpatient | $140 | $140 | — | — | — | $140 – $140 |
| 10 | Kaiser commercial facility · case rate · outpatient | $140 | $140 | — | — | — | $140 – $140 |
| 11 | Kaiser senior advantage medicare facility · case rate · outpatient | $140 | $140 | — | — | — | $140 – $140 |
| 12 | WellCare medicare advantage facility · case rate · outpatient | $140 | $140 | — | — | — | $140 – $140 |
| 13 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $142 | $142 | — | — | — | $142 – $142 |
| 14 | Aetna medicare hmo for non-chp facility · case rate · outpatient | $147 | $147 | — | — | — | $147 – $147 |
| 15 | Blue Cross Blue Shield epn facility · fee schedule · outpatient | $804 | $804 | — | — | — | $804 – $804 |
| 16 | UnitedHealthcare hmo facility · case rate · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 17 | UnitedHealthcare ppo facility · case rate · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 18 | Blue Cross Blue Shield exchange hmo facility · case rate · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 19 | Blue Cross Blue Shield hmoppo facility · case rate · outpatient | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 20 | Blue Cross Blue Shield hmopos facility · case rate · outpatient | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 21 | Aetna hmoposppo facility · case rate · outpatient | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 22 | Aetna qualified health plan facility · case rate · outpatient | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 23 | Blue Cross Blue Shield epoppo facility · case rate · outpatient | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
Last updated: Sep 11, 2026
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