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
PDT DSTR PRMLG LES PHYS/QHP
Clovis, CA
See all hospitals reporting CPT 96573 →Price type
Clovis Community Medical Center’s median price of $258 is 10% above the median hospital's median price ($234), higher than 56% of the 1,392 hospitals reporting CPT 96573. 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, 16 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 | $176 | $176 | — | — | — | $176 – $176 |
| 2 | Molina managed medi-cal facility · fee schedule · outpatient | $176 | $176 | — | — | — | $176 – $176 |
| 3 | Aetna medicare advantage facility · case rate · outpatient | $258 | $258 | — | — | — | $258 – $258 |
| 4 | Aetna medicare hmo for chp facility · case rate · outpatient | $258 | $258 | — | — | — | $258 – $258 |
| 5 | Aetna ppo facility · case rate · outpatient | $258 | $258 | — | — | — | $258 – $258 |
| 6 | Blue Cross Blue Shield medicare advantage facility · case rate · outpatient | $258 | $258 | — | — | — | $258 – $258 |
| 7 | Cigna access (pffs) facility · case rate · outpatient | $258 | $258 | — | — | — | $258 – $258 |
| 8 | Cigna healthspring facility · case rate · outpatient | $258 | $258 | — | — | — | $258 – $258 |
| 9 | Humana medicare advantage facility · case rate · outpatient | $258 | $258 | — | — | — | $258 – $258 |
| 10 | Kaiser commercial facility · case rate · outpatient | $258 | $258 | — | — | — | $258 – $258 |
| 11 | Kaiser senior advantage medicare facility · case rate · outpatient | $258 | $258 | — | — | — | $258 – $258 |
| 12 | WellCare medicare advantage facility · case rate · outpatient | $258 | $258 | — | — | — | $258 – $258 |
| 13 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $262 | $262 | — | — | — | $262 – $262 |
| 14 | Aetna medicare hmo for non-chp facility · case rate · outpatient | $271 | $271 | — | — | — | $271 – $271 |
| 15 | UnitedHealthcare hmo facility · case rate · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 16 | UnitedHealthcare ppo facility · case rate · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
Last updated: Sep 11, 2026
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