RECONSTRUCTION OF PYLORUS at Clovis Community Medical Center

Clovis, CA

Pricing by billing methodology

Price type

How this price compares nationally

Clovis Community Medical Center’s median price of $845 is 70% below the median hospital's median price ($2.8k), higher than 8% of the 1,290 hospitals reporting CPT 43800. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 43800 at Clovis Community Medical Center

Negotiated rates from the hospital’s own file: 8 payers, 22 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	$527	$527	—	—	—	$527 – $527
2	Molina managed medi-cal facility · fee schedule · outpatient	$527	$527	—	—	—	$527 – $527
3	Aetna medicare advantage facility · case rate · outpatient	$845	$845	—	—	—	$845 – $845
4	Aetna medicare hmo for chp facility · case rate · outpatient	$845	$845	—	—	—	$845 – $845
5	Aetna ppo facility · case rate · outpatient	$845	$845	—	—	—	$845 – $845
6	Blue Cross Blue Shield medicare advantage facility · case rate · outpatient	$845	$845	—	—	—	$845 – $845
7	Cigna access (pffs) facility · case rate · outpatient	$845	$845	—	—	—	$845 – $845
8	Cigna healthspring facility · case rate · outpatient	$845	$845	—	—	—	$845 – $845
9	Humana medicare advantage facility · case rate · outpatient	$845	$845	—	—	—	$845 – $845
10	Kaiser commercial facility · case rate · outpatient	$845	$845	—	—	—	$845 – $845
11	Kaiser senior advantage medicare facility · case rate · outpatient	$845	$845	—	—	—	$845 – $845
12	WellCare medicare advantage facility · case rate · outpatient	$845	$845	—	—	—	$845 – $845
13	UnitedHealthcare medicare advantage facility · case rate · outpatient	$858	$858	—	—	—	$858 – $858
14	Aetna medicare hmo for non-chp facility · case rate · outpatient	$887	$887	—	—	—	$887 – $887
15	Blue Cross Blue Shield hmopos facility · case rate · outpatient	$3.1k	$3.1k	—	—	—	$3.1k – $3.1k
16	UnitedHealthcare hmo facility · case rate · outpatient	$3.5k	$3.5k	—	—	—	$3.5k – $3.5k
17	UnitedHealthcare ppo facility · case rate · outpatient	$3.5k	$3.5k	—	—	—	$3.5k – $3.5k
18	Blue Cross Blue Shield epoppo facility · case rate · outpatient	$3.5k	$3.5k	—	—	—	$3.5k – $3.5k
19	Blue Cross Blue Shield exchange hmo facility · case rate · outpatient	$6.1k	$6.1k	—	—	—	$6.1k – $6.1k
20	Blue Cross Blue Shield hmoppo facility · case rate · outpatient	$8.5k	$8.5k	—	—	—	$8.5k – $8.5k
21	Cigna hmo facility · case rate · outpatient	$9.3k	$9.3k	—	—	—	$9.3k – $9.3k
22	Cigna ppo facility · case rate · outpatient	$11.0k	$11.0k	—	—	—	$11.0k – $11.0k

Last updated: Sep 11, 2026

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See RECONSTRUCTION OF PYLORUS pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.