CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Redlands Community Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $399
  • Cash Discount Price: $1,590
  • vs. Medicare Baseline: 1.64x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Redlands Community Hospital is $399. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,590. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.64x the Medicare baseline. Located in 350 Terracina Blvd, Redlands, CA.
Cash / Self-Pay
$1,590

Average discount available for prompt cash payment at this facility.

Insurance Median
$399

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)
Cash / Self-Pay: $1,590 (652%)
Insurance Median: $399 (164%)
Cash: $1,590 (652% of Medicare)
Ins. Median: $399 (164% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 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
Blue Shield Ppo/Epo/Hmo - All Other Plans $221 91%
Health Net-All Other Plans $233 96%
Kaiser Medi-Cal $261 107%
Pinnacle Op Only-All Plans $300 123%
Rymg Op Only-All Plans $300 123%
Epic Health Plan Senior $307 126%
Health Net Healthy Families $307 126%
Health Net Healthy Kids $307 126%
Iehp Health Access Senior $307 126%
Iehp Mcr Adv $307 126%
Kaiser Senior $307 126%
Tricare $307 126%
UnitedHealthcare $307 - $1,497 126%
Medicare (plans) $310 127%
Alinment Health Plan Mcr Adv-All Plans $313 128%
Beaver-All Other Plans $318 130%
Health Net Mcr Adv $331 136%
Universal Care-All Plans $331 136%
Llumc Sr $341 140%
Caremore Mcr Adv-All Plans $368 151%
Central Health Plan Sr-All Plans $368 151%
Dsh - All Plans $399 164%
Epic Health Plan-All Other Plans $399 164%
Patton Dsh Mcr Adv-All Plans $399 164%
Holman-All Plans $403 165%
Llumc-All Other Plans $430 176%
Blue Cross Blue Shield $499 205%
Pacificare Bmg/Rymg Groups Only $733 301%
Blue Shield Mcare $872 358%
Heritage/Regal Med Grp Sr $893 366%
Heritage/Regal Med Grp-All Other Plans $893 366%
Aetna $1,211 497%
Cigna $1,356 556%
Kaiser Comm-All Other Plans $1,765 724%
Pacificare (Rmg) - All Other Plans $1,988 816%
Mhn-All Plans $3,312 1359%
Coventry-All Plans $4,638 1903%
Multiplan Kaiser $4,770 1957%
Choicecare-All Plans $5,300 2174%
Interplan - All Plans $5,300 2174%
Aps-All Plans $5,631 2310%
Beech Street-All Plans $5,962 2446%
Medi-Cal $6,625 2718%
Iehp Healthy Family And Kids $7,288 2990%
Iehp - All Other Plans $7,751 3180%
Molina Medi-Cal $11,236 4609%

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