CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Redlands Community Hospital

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $399
  • Cash Discount Price: $2,268
  • vs. Medicare Baseline: 1.64x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Redlands Community Hospital is $399. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,268. 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
$2,268

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: $2,268 (930%)
Insurance Median: $399 (164%)
Cash: $2,268 (930% 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
Health Net-All Other Plans $203 83%
Blue Shield Ppo/Epo/Hmo - All Other Plans $221 91%
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 $2,835 1163%
Mhn-All Plans $4,725 1938%
Coventry-All Plans $6,615 2714%
Multiplan Kaiser $6,804 2791%
Choicecare-All Plans $7,560 3101%
Interplan - All Plans $7,560 3101%
Aps-All Plans $8,032 3295%
Beech Street-All Plans $8,505 3489%
Medi-Cal $9,450 3877%
Iehp Healthy Family And Kids $10,395 4264%
Iehp - All Other Plans $11,056 4535%
Molina Medi-Cal $16,027 6575%

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