CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Redlands Community Hospital

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $8,136
  • Cash Discount Price: $15,173
  • vs. Medicare Baseline: 1.43x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Redlands Community Hospital is $8,136. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $15,173. Compared to the federal Medicare reimbursement reference rate of $5,675.87, this hospital’s rate is 1.43x the Medicare baseline. Located in 350 Terracina Blvd, Redlands, CA.
Cash / Self-Pay
$15,173

Average discount available for prompt cash payment at this facility.

Insurance Median
$8,136

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$5,675.87

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $5,675.87 (100%)
Cash / Self-Pay: $15,173 (267%)
Insurance Median: $8,136 (143%)
Cash: $15,173 (267% of Medicare)
Ins. Median: $8,136 (143% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $5,675.87 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
Holman-All Plans $2,649 47%
Cigna $3,666 - $14,379 65%
Pacificare (Rmg) - All Other Plans $4,780 84%
Molina Medi-Cal $4,829 85%
Iehp Healthy Family And Kids $4,833 85%
Health Net Healthy Families $5,088 90%
Health Net Healthy Kids $5,088 90%
Iehp - All Other Plans $5,592 99%
Pacificare Bmg/Rymg Groups Only $6,369 112%
Kaiser Medi-Cal $6,403 113%
Alinment Health Plan Mcr Adv-All Plans $7,533 133%
Epic Health Plan Senior $7,533 133%
Iehp Health Access Senior $7,533 133%
Iehp Mcr Adv $7,533 133%
Kaiser Senior $7,533 133%
Tricare $7,533 133%
UnitedHealthcare $7,533 - $12,811 133%
Medicare (plans) $7,609 134%
Health Net Mcr Adv $7,759 137%
Aetna $7,831 138%
Caremore Mcr Adv-All Plans $7,910 139%
Universal Care-All Plans $7,910 139%
Llumc Sr $8,362 147%
Blue Cross Blue Shield $8,852 156%
Medi-Cal $9,009 159%
Central Health Plan Sr-All Plans $9,040 159%
Dsh - All Plans $9,793 173%
Epic Health Plan-All Other Plans $9,793 173%
Patton Dsh Mcr Adv-All Plans $9,793 173%
Heritage/Regal Med Grp-All Other Plans $10,455 184%
Llumc-All Other Plans $10,546 186%
Blue Shield Ppo/Epo/Hmo - All Other Plans $11,373 200%
Health Net-All Other Plans $12,532 221%
Heritage/Regal Med Grp Sr $14,555 256%
Blue Shield Mcare $16,085 283%
Kaiser Comm-All Other Plans $20,716 365%
Coventry-All Plans $27,392 483%
Mhn-All Plans $31,611 557%
Interplan - All Plans $45,201 796%
Multiplan Kaiser $45,520 802%
Choicecare-All Plans $53,739 947%
Beech Street-All Plans $56,900 1002%

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