CMS Price Transparency Data

CT scan, pelvis

Facility: Redlands Community Hospital

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72192
  • Insurance Median: $200
  • Cash Discount Price: $1,886
  • vs. Medicare Baseline: 1.87x Medicare
The contracted insurance negotiated median rate for a CT scan, pelvis at Redlands Community Hospital is $200. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,886. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.87x the Medicare baseline. Located in 350 Terracina Blvd, Redlands, CA.
Cash / Self-Pay
$1,886

Average discount available for prompt cash payment at this facility.

Insurance Median
$200

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $1,886 (1766%)
Insurance Median: $200 (187%)
Cash: $1,886 (1766% of Medicare)
Ins. Median: $200 (187% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Kaiser Medi-Cal $114 107%
Epic Health Plan Senior $134 125%
Health Net Healthy Families $134 125%
Health Net Healthy Kids $134 125%
Iehp Health Access Senior $134 125%
Iehp Mcr Adv $134 125%
Kaiser Senior $134 125%
Tricare $134 125%
UnitedHealthcare $134 - $1,133 125%
Medicare (plans) $136 127%
Alinment Health Plan Mcr Adv-All Plans $137 128%
Health Net-All Other Plans $137 128%
Health Net Mcr Adv $145 136%
Universal Care-All Plans $145 136%
Llumc Sr $149 140%
Caremore Mcr Adv-All Plans $161 151%
Central Health Plan Sr-All Plans $161 151%
Dsh - All Plans $175 164%
Epic Health Plan-All Other Plans $175 164%
Patton Dsh Mcr Adv-All Plans $175 164%
Llumc-All Other Plans $188 176%
Pinnacle Op Only-All Plans $200 187%
Rymg Op Only-All Plans $200 187%
Beaver-All Other Plans $212 198%
Blue Cross Blue Shield $219 205%
Blue Shield Ppo/Epo/Hmo - All Other Plans $221 207%
Blue Shield Mcare $382 358%
Holman-All Plans $403 377%
Pacificare Bmg/Rymg Groups Only $579 542%
Aetna $691 647%
Kaiser Comm-All Other Plans $773 724%
Heritage/Regal Med Grp Sr $803 752%
Heritage/Regal Med Grp-All Other Plans $803 752%
Cigna $902 844%
Pacificare (Rmg) - All Other Plans $2,357 2207%
Mhn-All Plans $3,928 3678%
Coventry-All Plans $5,500 5149%
Multiplan Kaiser $5,657 5296%
Choicecare-All Plans $6,286 5885%
Interplan - All Plans $6,286 5885%
Aps-All Plans $6,678 6252%
Beech Street-All Plans $7,071 6620%
Medi-Cal $7,857 7356%
Iehp Healthy Family And Kids $8,643 8092%
Iehp - All Other Plans $9,193 8607%
Molina Medi-Cal $13,325 12475%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 350 Terracina Blvd, Redlands, CA 92373
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals