CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Redlands Community Hospital

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $193
  • Cash Discount Price: $231
  • vs. Medicare Baseline: 1.53x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Redlands Community Hospital is $193. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $231. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.53x the Medicare baseline. Located in 350 Terracina Blvd, Redlands, CA.
Cash / Self-Pay
$231

Average discount available for prompt cash payment at this facility.

Insurance Median
$193

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$126.25

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $126.25 (100%)
Cash / Self-Pay: $231 (183%)
Insurance Median: $193 (153%)
Cash: $231 (183% of Medicare)
Ins. Median: $193 (153% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $126.25 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 $116 92%
Blue Cross Blue Shield $131 104%
Epic Health Plan Senior $136 108%
Health Net Healthy Families $136 108%
Health Net Healthy Kids $136 108%
Iehp Health Access Senior $136 108%
Iehp Mcr Adv $136 108%
Kaiser Senior $136 108%
Tricare $136 108%
UnitedHealthcare $136 - $193 108%
Medicare (plans) $137 109%
Alinment Health Plan Mcr Adv-All Plans $139 110%
Health Net Mcr Adv $147 116%
Universal Care-All Plans $147 116%
Health Net-All Other Plans $151 120%
Llumc Sr $151 120%
Caremore Mcr Adv-All Plans $163 129%
Central Health Plan Sr-All Plans $163 129%
Dsh - All Plans $177 140%
Epic Health Plan-All Other Plans $177 140%
Patton Dsh Mcr Adv-All Plans $177 140%
Llumc-All Other Plans $190 150%
Blue Shield Ppo/Epo/Hmo - All Other Plans $221 175%
Pacificare Bmg/Rymg Groups Only $269 213%
Pacificare (Rmg) - All Other Plans $289 229%
Blue Shield Mcare $387 307%
Holman-All Plans $403 319%
Heritage/Regal Med Grp Sr $482 382%
Heritage/Regal Med Grp-All Other Plans $482 382%
Mhn-All Plans $482 382%
Beaver-All Other Plans $607 481%
Pinnacle Op Only-All Plans $607 481%
Rymg Op Only-All Plans $607 481%
Aetna $627 497%
Coventry-All Plans $675 535%
Multiplan Kaiser $694 550%
Cigna $723 573%
Choicecare-All Plans $771 611%
Interplan - All Plans $771 611%
Kaiser Comm-All Other Plans $782 619%
Aps-All Plans $819 649%
Beech Street-All Plans $868 688%
Medi-Cal $964 764%
Iehp Healthy Family And Kids $1,060 840%
Iehp - All Other Plans $1,128 893%
Molina Medi-Cal $1,635 1295%

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