How many shoppable procedure prices are published for Ballard Rehabilitation Hospital?

Ballard Rehabilitation Hospital in San Bernardino, CA currently has 81 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Ballard Rehabilitation Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Ballard Rehabilitation Hospital's median negotiated commercial rate is 3.3× the regionally adjusted fair BaseRate benchmark.

Hospital Profile General Acute Care Hospital Updated: 2/1/2026

Ballard Rehabilitation Hospital

1760 W 16Th St, San Bernardino, CA 92411 · 81 Priced Procedures

CMS Overall Rating No CMS Rating

High Markup · Shop Alternatives

3.27×vs. Fair Market Price

Typical commercial prices here are +227% above the fair benchmark (3.27×) even after accounting for local nurse/doctor wages and patient complexity.

61/100 · Caution

61/100Self-Pay Cash Beats Insurance 0% of the Time

File Completeness100

Price Logic35

Peer Alignment73

Clean Billing48

Real Cash Discount50

High-Markup · Check Safety

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Ballard Rehabilitation Hospital prices routine shoppable procedures near 4.4× Medicare (p50 3.02×) while skewing captive emergency, lab, and upper-quartile codes to 6.4× Medicare (p75 4.23×, +40% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#239 of 240 in CA · 99th State Percentile#3,362 of 3,385 in U.S. · 99th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 2.13× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 0% of shoppable procedures (50/100 Cash Honesty)
CMS clinical safety score (54/100 safety score) with 72% patient recommendation
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (3.27× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Captive ER (6.4×) & laboratory (0.9×) services average 1.45× higher multiples than routine shoppable care (4.4×)
Upper-quartile procedures (Q75 4.23×) jump +40% above the median procedure ratio (Q50 3.02×)
Unnegotiated chargemaster list prices average 6.9× Medicare (31¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

4.4× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.45× Divergence

6.4× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+40% Upper Tail

Q25 2.13× · Q50 3.02× · Q75 4.23×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

4.4× MedicareWatchout

Outpatient Surgery & ORBack-Door Captive

0.9× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.0× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

6.4× MedicareWatchout

Inpatient Lab & PathologyBack-Door Captive

0.9× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

0.8× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

0% Cash Edge · 50/100Elevated

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 54/100Elevated

Procedure Prices at Ballard Rehabilitation Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 81 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
MRI, brain (with and without contrast) CPT Code: `70553`	—	$2,406	$511	4.7×
MRI, knee or other leg joint CPT Code: `73721`	—	$2,071	$369	unverified
MRI, brain (no contrast) CPT Code: `70551`	—	$1,929	$343	unverified
MRI, lower back (no contrast) CPT Code: `72148`	—	$1,930	$338	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	—	$1,808	$448	unverified
Blood transfusion CPT Code: `36430`	—	$1,241	$498	2.5×
CT scan, pelvis CPT Code: `72192`	—	$1,228	$163	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	—	$1,152	$168	6.9×
CT scan, neck (cervical spine) CPT Code: `72125`	—	$1,154	$169	6.8×
CT scan, head (no contrast) CPT Code: `70450`	—	$994	$160	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	—	$609	$134	4.5×
Echocardiogram (heart ultrasound) CPT Code: `93306`	—	—	$583	—
Ultrasound, pelvis CPT Code: `76856`	—	$540	$130	4.2×
Ultrasound, thyroid and neck CPT Code: `76536`	—	$498	$132	3.8×
Diagnostic mammogram (both breasts) CPT Code: `77066`	—	$447	$148	3.0×
Ultrasound, leg veins (duplex) CPT Code: `93970`	—	$451	$272	1.7×
Ultrasound, abdomen (limited) CPT Code: `76705`	—	$451	$126	unverified
New patient office visit (30-44 min) CPT Code: `99203`	—	$301	$110	2.7×
Office visit, established patient (30-39 min) CPT Code: `99214`	—	$308	$123	2.5×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	—	—	$303	unverified
X-ray, lower back CPT Code: `72110`	—	$241	$112	2.2×
CT scan, head (with contrast) CPT Code: `70460`	—	—	$242	unverified
CT scan, head (with and without contrast) CPT Code: `70470`	—	—	$258	unverified
Office visit, established patient (20-29 min) CPT Code: `99213`	—	$199	$87	2.3×
X-ray, hip CPT Code: `73502`	—	$210	$93	2.3×
X-ray, neck (cervical spine) CPT Code: `72040`	—	$198	$93	2.1×
Occupational therapy (self-care training) CPT Code: `97535`	—	$141	$38	3.7×
Orthotic fitting and training CPT Code: `97760`	—	$154	$51	3.0×
X-ray, foot CPT Code: `73630`	—	$160	$92	1.7×
X-ray, chest (two views) CPT Code: `71046`	—	$157	$93	1.7×
CT scan, sinuses CPT Code: `70486`	—	—	$166	unverified
CT scan, chest (no contrast) CPT Code: `71250`	—	—	$167	unverified
Prosthetic fitting and training CPT Code: `97761`	—	$133	$45	3.0×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$106	$25	4.2×
Physical therapy (manual therapy) CPT Code: `97140`	—	$121	$34	3.6×
Occupational therapy (therapeutic activities) CPT Code: `97530`	—	$141	$40	3.5×
Physical therapy (gait training) CPT Code: `97116`	—	$115	$33	3.5×
X-ray, hand CPT Code: `73130`	—	$139	$93	1.5×
X-ray, shoulder CPT Code: `73030`	—	$133	$92	1.4×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	—	$106	$64	1.7×
X-ray, chest (single view) CPT Code: `71045`	—	$120	$92	1.3×
X-ray, pelvis CPT Code: `72170`	—	$120	$110	1.1×
X-ray, ankle CPT Code: `73610`	—	—	$93	—
Speech therapy (language evaluation) CPT Code: `92507`	—	—	$86	—
Blood antibody screen CPT Code: `86850`	—	$342	$46	unverified
Drug screening test HCPCS Code: `G0480`	—	—	$116	unverified
Breathing treatment (nebulizer) CPT Code: `94640`	—	$69	$201	0.3×
Blood test, basic metabolic panel CPT Code: `80048`	—	—	$9	—
Blood test, comprehensive metabolic panel CPT Code: `80053`	—	—	$11	—
Blood test, cholesterol (lipid panel) CPT Code: `80061`	—	—	$14	—
Blood test, liver function panel CPT Code: `80076`	—	—	$9	—
Blood test, vitamin D CPT Code: `82306`	—	—	$31	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	—	—	$3	—
Blood test, amylase CPT Code: `82150`	—	—	$7	unverified
Blood test, calcium CPT Code: `82310`	—	—	$5	—
Blood test, creatinine (kidney) CPT Code: `82565`	—	—	$5	unverified
Blood test, vitamin B12 CPT Code: `82607`	—	—	$16	unverified
Blood test, ferritin (iron stores) CPT Code: `82728`	—	—	$14	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	—	—	$4	—
Blood test, average blood sugar (A1c) CPT Code: `83036`	—	—	$10	unverified
Physical therapy (therapeutic exercise) CPT Code: `97110`	—	—	$35	unverified
Physical therapy (neuromuscular re-education) CPT Code: `97112`	—	—	$38	unverified
Blood test, lipase CPT Code: `83690`	—	—	$7	unverified
Blood test, magnesium CPT Code: `83735`	—	—	$7	—
Blood test, potassium CPT Code: `84132`	—	—	$5	unverified
Blood test, PSA (prostate screen) CPT Code: `84153`	—	—	$19	unverified
Blood test, sodium CPT Code: `84295`	—	—	$5	unverified
Blood test, thyroid (TSH) CPT Code: `84443`	—	—	$18	unverified
Physical therapy (functional capacity test) CPT Code: `97750`	—	—	$38	—
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	—	—	$4	unverified
Blood test, hemoglobin CPT Code: `85018`	—	—	$3	—
Blood test, complete blood count (CBC) CPT Code: `85025`	—	—	$8	—
Blood test, clotting time (PT/INR) CPT Code: `85610`	—	—	$5	—
Blood test, clotting time (PTT) CPT Code: `85730`	—	—	$6	—
Hepatitis C antibody test CPT Code: `86803`	—	—	$15	unverified
Culture, blood CPT Code: `87040`	—	—	$11	—
Culture, bacterial CPT Code: `87070`	—	—	$9	—
Speech therapy (group session) CPT Code: `92508`	—	—	$27	unverified
Prostate cancer screening (blood test) HCPCS Code: `G0103`	—	—	$20	unverified
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	—	$27	unverified
Electrical stimulation therapy HCPCS Code: `G0283`	—	—	$14	—

Showing top 25 high-impact procedures of 81 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Ballard Rehabilitation Hospital (Zero PHI Required)

CMS CCN: 053037

CPT 70553

Select Procedure to Audit:

Fair BaseRate™ $511

Medicare Rate $356

Self-Pay Cash Request Quote

Insurer Median $2,406

1. Amount on Your Bill or Quote ($) Pre-filled with Ballard Rehabilitation Hospital’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Ballard Rehabilitation Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$1,895 Above Fair BaseRate

Negotiate Toward $511 Fair BaseRate ($356 Medicare)

Your bill ($2,406) is $1,895 above the denoised Fair BaseRate ($511) and 6.8× the $356 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 261465945

Public IRS & CMS ownership records classify Ballard Rehabilitation Hospital as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Higher-Quality, Above-Median Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Ballard Rehabilitation Hospital.

Price Index: 1.57× regional baseline

Quality: 54/100 CMS composite

Median Household Income$55,457U.S. Census ACS

Local Uninsured Share13.8%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 61/100 · Caution CMS CCN 053037 EIN 261465945

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 053037) ↗ Verify IRS Form 990 (EIN 261465945) ↗ CMS HCRIS Cost Reports ↗

Published MRF File261465945_vibra-hospital-of-san-bernardino-_standardcharges.csv

Publication / Vintage2/1/2026 · 35.28 MB

Validated Rate Rows1,667 (CMS v3.0.0)

File Integrity Digestd0a953f85915cd38ec98…

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy