CMS Price Transparency Data

X-ray, ankle

Facility: Redlands Community Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $182
  • Cash Discount Price: $289
  • vs. Medicare Baseline: 2.05x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Redlands Community Hospital is $182. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $289. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.05x the Medicare baseline. Located in 350 Terracina Blvd, Redlands, CA.
Cash / Self-Pay
$289

Average discount available for prompt cash payment at this facility.

Insurance Median
$182

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)
Cash / Self-Pay: $289 (325%)
Insurance Median: $182 (205%)
Cash: $289 (325% of Medicare)
Ins. Median: $182 (205% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 205% of the Medicare baseline (a markup of 105%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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 $46 52%
Kaiser Medi-Cal $95 107%
Epic Health Plan Senior $112 126%
Health Net Healthy Families $112 126%
Health Net Healthy Kids $112 126%
Iehp Health Access Senior $112 126%
Iehp Mcr Adv $112 126%
Kaiser Senior $112 126%
Tricare $112 126%
UnitedHealthcare $112 - $549 126%
Medicare (plans) $113 127%
Alinment Health Plan Mcr Adv-All Plans $114 128%
Health Net Mcr Adv $121 136%
Universal Care-All Plans $121 136%
Llumc Sr $124 139%
Beaver-All Other Plans $129 145%
Caremore Mcr Adv-All Plans $134 151%
Central Health Plan Sr-All Plans $134 151%
Dsh - All Plans $146 164%
Epic Health Plan-All Other Plans $146 164%
Patton Dsh Mcr Adv-All Plans $146 164%
Llumc-All Other Plans $157 177%
Blue Cross Blue Shield $182 205%
Blue Shield Ppo/Epo/Hmo - All Other Plans $221 249%
Pacificare Bmg/Rymg Groups Only $269 303%
Blue Shield Mcare $318 358%
Pacificare (Rmg) - All Other Plans $361 406%
Holman-All Plans $403 453%
Heritage/Regal Med Grp Sr $602 677%
Heritage/Regal Med Grp-All Other Plans $602 677%
Mhn-All Plans $602 677%
Kaiser Comm-All Other Plans $644 724%
Pinnacle Op Only-All Plans $758 853%
Rymg Op Only-All Plans $758 853%
Aetna $782 880%
Coventry-All Plans $842 947%
Multiplan Kaiser $866 974%
Cigna $902 1015%
Choicecare-All Plans $962 1082%
Interplan - All Plans $962 1082%
Aps-All Plans $1,023 1151%
Beech Street-All Plans $1,083 1218%
Medi-Cal $1,203 1353%
Iehp Healthy Family And Kids $1,323 1488%
Iehp - All Other Plans $1,408 1584%
Molina Medi-Cal $2,040 2294%

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