California / Clovis Community Medical Center
CMS certification 050492 · Clovis, CA · 2 entries in CMS's price-transparency list
Clovis Community Medical Center: charges and Medicare payments
Clovis Community Medical Center reported 4,163 Medicare inpatient stays across 115 DRGs in 2024. Across them it charged 5.75 times what it was paid — mid-range in California, number 99 of 247 hospitals with at least 100 stays (state median 5.18×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 457 stays at an average charge of $129,935, 44% above the national average. It also billed 3,188 outpatient services, charging 6.12 times what Medicare paid.
- 1Medicare inpatient stays 4,163
- 2Charge ÷ paid, inpatient 5.75×
- 3Rank in CA (highest ratio = 1) 99 of 247
- 4CMS price-transparency actions 2
Inpatient stays
For the 115 DRGs that can be compared with the national average, Clovis Community Medical Center charged more than the national average in 95 (83%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 457 | $129,935 | +44% | $20,415 |
| 291 Heart Failure and Shock with MCC | 259 | $81,563 | +45% | $12,723 |
| 193 Simple Pneumonia and Pleurisy with MCC | 149 | $82,364 | +38% | $13,133 |
| 690 Kidney and Urinary Tract Infections without MCC | 139 | $42,124 | +11% | $8,102 |
| 177 Respiratory Infections and Inflammations with MCC | 115 | $111,497 | +58% | $17,065 |
| 683 Renal Failure with CC | 115 | $54,427 | +34% | $9,534 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 101 | $66,489 | +36% | $11,571 |
| 689 Kidney and Urinary Tract Infections with MCC | 92 | $60,430 | +18% | $11,305 |
| 378 Gastrointestinal Hemorrhage with CC | 87 | $66,751 | +37% | $9,749 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 86 | $100,000 | +36% | $17,533 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 81 | $261,721 | +14% | $49,410 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 80 | $87,870 | +46% | $13,758 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 78 | $50,048 | +35% | $8,233 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 77 | $47,714 | +19% | $7,833 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 71 | $57,640 | +3% | $10,203 |
| 682 Renal Failure with MCC | 68 | $88,808 | +35% | $14,969 |
| 603 Cellulitis without MCC | 57 | $44,824 | +20% | $9,996 |
| 189 Pulmonary Edema and Respiratory Failure | 56 | $103,015 | +79% | $14,652 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 55 | $80,445 | +59% | $10,864 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 47 | $93,454 | -9% | $22,571 |
| 194 Simple Pneumonia and Pleurisy with CC | 45 | $51,586 | +34% | $8,236 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 45 | $112,126 | -28% | $31,466 |
| 377 Gastrointestinal Hemorrhage with MCC | 45 | $112,516 | +32% | $17,185 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 44 | $52,159 | +10% | $9,864 |
| 312 Syncope and Collapse | 42 | $54,594 | +20% | $8,696 |
| 481 Hip and Femur Procedures except Major Joint with CC | 41 | $86,246 | -14% | $19,952 |
| 057 Degenerative Nervous System Disorders without MCC | 40 | $51,995 | -8% | $14,211 |
| 432 Cirrhosis and Alcoholic Hepatitis with MCC | 34 | $108,374 | +13% | $20,657 |
| 617 Amputation of Lower Limb for Endocrine, Nutritional and... | 34 | $99,221 | +14% | $18,488 |
| 066 Intracranial Hemorrhage or Cerebral Infarction without... | 32 | $53,323 | +26% | $8,194 |
| 442 Disorders of Liver except Malignancy, Cirrhosis or Alcoholic... | 32 | $43,554 | -9% | $10,163 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 30 | $96,446 | +27% | $15,497 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 30 | $49,262 | +36% | $7,364 |
| 314 Other Circulatory System Diagnoses with MCC | 30 | $133,137 | +40% | $22,309 |
| 389 Gastrointestinal Obstruction with CC | 29 | $54,471 | +40% | $9,716 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 28 | $102,996 | +3% | $20,116 |
| 069 Transient Ischemia without Thrombolytic | 28 | $54,821 | +9% | $8,231 |
| 638 Diabetes with CC | 28 | $46,186 | +11% | $8,586 |
| 394 Other Digestive System Diagnoses with CC | 27 | $73,222 | +56% | $9,301 |
| 552 Medical Back Problems without MCC | 27 | $50,078 | +3% | $9,521 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 26 | $98,403 | +51% | $15,955 |
| 441 Disorders of Liver except Malignancy, Cirrhosis or Alcoholic... | 26 | $136,600 | +58% | $22,241 |
| 981 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 26 | $339,660 | +57% | $66,866 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 25 | $35,559 | -17% | $8,852 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 24 | $102,192 | +10% | $18,514 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 23 | $395,680 | +22% | $70,197 |
| 176 Pulmonary Embolism without MCC | 22 | $44,840 | +8% | $9,023 |
| 300 Peripheral Vascular Disorders with CC | 22 | $56,871 | +15% | $11,234 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 22 | $82,165 | +45% | $11,925 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 22 | $125,869 | +10% | $17,817 |
| 637 Diabetes with MCC | 22 | $105,754 | +59% | $14,457 |
| 329 Major Small and Large Bowel Procedures with MCC | 21 | $322,500 | +50% | $50,081 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 21 | $64,157 | +5% | $13,150 |
| 536 Fractures of Hip and Pelvis without MCC | 21 | $35,607 | -6% | $10,388 |
| 673 Other Kidney and Urinary Tract Procedures with MCC | 21 | $224,987 | +30% | $42,697 |
| 071 Other Cerebrovascular Disorders with CC | 20 | $57,864 | +15% | $10,535 |
| 101 Seizures without MCC | 20 | $51,810 | +6% | $10,468 |
| 163 Major Chest Procedures with MCC | 20 | $300,081 | +43% | $54,176 |
| 178 Respiratory Infections and Inflammations with CC | 19 | $52,068 | +15% | $10,106 |
| 418 Laparoscopic Cholecystectomy without C.D.E. with CC | 19 | $116,259 | +25% | $16,282 |
Showing the 60 most frequent of 115 DRGs.
Outpatient services
Against the California average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Clovis Community Medical Center charged $129,935 on average, 9% less than the California average of $143,063, and was paid $20,415 against a state average of $23,020. For Heart Failure and Shock with MCC (DRG 291), Clovis Community Medical Center charged $81,563 on average, 19% less than the California average of $100,739, and was paid $12,723 against a state average of $15,556. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Clovis Community Medical Center charged $82,364 on average, 21% less than the California average of $103,761, and was paid $13,133 against a state average of $15,112. For Kidney and Urinary Tract Infections without MCC (DRG 690), Clovis Community Medical Center charged $42,124 on average, 34% less than the California average of $63,565, and was paid $8,102 against a state average of $9,722. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $8,729 was 41% below the state average of $14,749. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $26,927 was 34% below the state average of $40,544. For Level 3 Musculoskeletal Procedures (outpatient APC 5113), its average charge of $17,887 was 51% below the state average of $36,238. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $37,694 was 41% below the state average of $64,351.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Clovis Community Medical Center in Clovis, CA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2026-02-09 (CMS case 6977)
- Warning Notice — 2026-06-15 (CMS case 8056)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.