Redding, CA
10
Beds
51
Inpatient discharges a year
$8M
Net patient revenue a year
17
In-network payers
PATIENTS HOSPITAL OF REDDING is a 10-bed hospital in Redding, CA. Below you'll find publicly disclosed negotiated rates and facility details, including 17 in-network payers and 166 disclosed rate categories.
The 24 services PATIENTS HOSPITAL OF REDDING most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.
Digestive procedures
CPT 43239
$1,560 - $1,833
from 2 insurers · median $1,697
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 29881
$1,870 - $4,335
from 2 insurers · median $3,102
72 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Orthopedics and pain
CPT 63030
$18,328
negotiated rate
95 Medicare claims in Level 4 Musculoskeletal Procedures (CMS 2024)
Gynecology
CPT 58571
$4,320 - $26,849
from 2 insurers · median $15,584
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$5,814 - $15,270
from 2 insurers · median $10,542
Typical for a hospital with this service line
CT imaging
CPT 74177
$881
negotiated rate
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$825 - $1,337
from 2 insurers · median $1,081
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$67 - $235
from 3 insurers · median $220
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$825 - $1,337
from 2 insurers · median $1,081
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$3,204 - $15,270
from 2 insurers · median $9,237
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$1,380
negotiated rate
Common here, based on CMS Medicare volume
Gynecology
CPT 58558
$3,556 - $8,176
from 2 insurers · median $5,866
Typical for a hospital with this service line
MRI imaging
CPT 72148
$501 - $3,900
from 3 insurers · median $1,105
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$3,598 - $15,270
from 3 insurers · median $8,489
Typical for a hospital with this service line
Orthopedics and pain
CPT 27446
$32,428
negotiated rate
229 Medicare claims in Level 5 Musculoskeletal Procedures (CMS 2024)
Medicine & Surgery
CPT 66984
$961 - $4,058
from 2 insurers · median $2,510
Typical for a hospital with this service line
Gynecology
CPT 58662
$3,403 - $15,270
from 2 insurers · median $9,336
Typical for a hospital with this service line
Medicine & Surgery
CPT 55866
$4,058 - $26,849
from 2 insurers · median $15,453
Typical for a hospital with this service line
Ear, nose and throat
CPT 31231
$504 - $1,337
from 2 insurers · median $921
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$603
negotiated rate
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 20610
$775 - $2,402
from 2 insurers · median $1,589
Common here, based on CMS Medicare volume
Ear, nose and throat
CPT 69436
$1,833 - $3,919
from 2 insurers · median $2,876
Typical for a hospital with this service line
Urology
CPT 50590
$5,814 - $8,903
from 2 insurers · median $7,359
Typical for a hospital with this service line
Orthopedics and pain
CPT 29880
$5,067
negotiated rate
72 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 3 | 264% | 1 | 1 |
| Insurer B* | 24 | 247% | 9 | 6 |
| Insurer C* | 18 | 109% | 2 | 15 |
How we chose these services: 4 appear in this hospital's own Medicare claims, 10 are common here based on CMS Medicare volume, and 10 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for PATIENTS HOSPITAL OF REDDING, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
Medicare readmissions penalty (-1.33%)
See quality ratingsDoctors and services
Accredited by ACHC
Finances
$8M net patient revenue
Ownership and leadership
Private (for profit)
See ownership and leadershipThe employer identification numbers (EINs) health plans and networks list for PATIENTS HOSPITAL OF REDDING in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 94-2677467James D Tate MD | 46Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan, Asuris Northwest Health and 41 more | 1942204490 James D. Tate M.d. |
Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.
2900 EUREKA WAY, Redding, CA 960010220
(530) 225-8700
How Medicare adjusts PATIENTS HOSPITAL OF REDDING's inpatient payments for its readmissions, quality and cost results.
-1.33% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
0.00% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2027 IPPS final rule.
Source: CMS IPPS final rule Impact File (FY 2027).
ACHC (since 2024)
Accreditation
None
Medical school affiliation
Private (for profit)
Ownership type
10
Medicare-certified beds
14
Registered nurses (full-time equivalent)
1992
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What PATIENTS HOSPITAL OF REDDING reported to Medicare in its latest cost report, covering Jan 1, 2025 to Dec 31, 2025.
51
Inpatient discharges
Medicare 22%, Medicaid n/a
89
Inpatient days
2% of available bed days used
57
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 839245). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges PATIENTS HOSPITAL OF REDDING reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 26 | 0 | 63 | 89 |
| Discharges | 11 | 0 | 40 | 51 |
| Average length of stay | 2.4 days | 1.6 days | 1.7 days | |
| Average daily census | 0.1 | 0.0 | 0.2 | 0.2 |
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 10 | 89 | 26 | 2% |
Source: CMS cost report (HCRIS, Form 2552-10), report 839245, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
The comprehensive outpatient service groups (APCs) PATIENTS HOSPITAL OF REDDING billed Medicare for most in 2024: 458 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 5 Musculoskeletal ProceduresAPC 5115 | 229 | 224 | $67,344 | $14,014 | $10,772 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 95 | 94 | $36,356 | $6,984 | $5,339 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 72 | 69 | $15,700 | $3,105 | $2,373 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 25 | 25 | $14,367 | $2,724 | $2,141 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 24 | 24 | $128,816 | $20,342 | $15,763 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 13 | 13 | $10,503 | $1,544 | $1,196 |
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.
Staff by profession and the rooms and units PATIENTS HOSPITAL OF REDDING reported at its latest Medicare certification survey (2019). Counts are people, not full-time equivalents.
14
Registered nurses
3
Licensed practical nurses
1
Medical technologists
32
Other personnel
Source: CMS Provider of Services file.
17 clinicians who bill Medicare list PATIENTS HOSPITAL OF REDDING as a hospital affiliation. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
Forrest Monroe, MD
Pain Medicine (Anesthesiology) Physician
NPI 1114362019
See commercial rates for Forrest Monroe, MDJennifer Kang, MD
Obstetrics & Gynecology Physician
NPI 1417132572
See commercial rates for Jennifer Kang, MDGarret Strand, DPM
Foot & Ankle Surgery Podiatrist
NPI 1689106882
See commercial rates for Garret Strand, DPMPaul Schwartz, MD
Orthopaedic Surgery Physician
NPI 1780796904
See commercial rates for Paul Schwartz, MDStephen Ferraro, MD
Orthopaedic Hand Surgery Physician
NPI 1366544595
See commercial rates for Stephen Ferraro, MDGalen Kam, M.D.
Orthopaedic Surgery Physician
NPI 1477617496
See commercial rates for Galen Kam, M.D.Curt Martini, DPM
Foot & Ankle Surgery Podiatrist
NPI 1427583756
See commercial rates for Curt Martini, DPMMario Alvarado, D.O.
Anesthesiology Physician
NPI 1811057912
See commercial rates for Mario Alvarado, D.O.Victor Onuaguluchi, CRNA
Certified Registered Nurse Anesthetist
NPI 1679767701
See commercial rates for Victor Onuaguluchi, CRNAStacy Bax, MD
Anesthesiology Physician
NPI 1972537462
See commercial rates for Stacy Bax, MDLauren Strickland, D.O.
Surgery Physician
NPI 1619947231
See commercial rates for Lauren Strickland, D.O.Sarah Turner, M.D.
Obstetrics & Gynecology Physician
NPI 1720240096
See commercial rates for Sarah Turner, M.D.Jerad Morris, RN
Certified Registered Nurse Anesthetist
NPI 1205288222
See commercial rates for Jerad Morris, RNKenneth Koenig, M.D.
General Practice Physician
NPI 1396961470
See commercial rates for Kenneth Koenig, M.D.Christina Bush, PA-C
Physician Assistant
NPI 1912555079
See commercial rates for Christina Bush, PA-CJames Tate, MD
Specialist
NPI 1649254426
See commercial rates for James Tate, MDAnthony Schwab
Orthopaedic Foot and Ankle Surgery Physician
NPI 1770215527
See commercial rates for Anthony SchwabSource: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Revenue, expenses and income PATIENTS HOSPITAL OF REDDING reported to Medicare for Jan 1, 2025 to Dec 31, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $41.3M | 517.5% |
| Inpatient | $3.8M | 47.5% |
| Outpatient | $37.5M | 470.0% |
| Contractual allowances and discounts | -$33.3M | -417.5% |
| Net patient revenue | $8M | 100.0% |
| Operating expenses | -$12M | -150.1% |
| Operating income from patient care | -$4M | -50.1% |
| Other income | $26,449 | 0.3% |
| Investment income | $250 | 0.0% |
| Other | $26,199 | 0.3% |
| Net income | -$4M | -49.8% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $16.5M | 39.9% |
| Other payers and self-pay | $24.8M | 60.1% |
| Total charges | $41.3M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 839245, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.
Computed from PATIENTS HOSPITAL OF REDDING's latest cost report.
-50.1%
Operating margin
Operating income from patient care / net patient revenue
-49.6%
Total margin
Net income / net patient revenue plus other income
-38.4%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
41% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$35.15
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
-332.6%
Return on assets
Net income for a year / total assets
0.09
Current ratio
Current assets / current liabilities
0.07
Quick ratio
Cash, temporary investments and net receivables / current liabilities
4 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
22 days
Days in patient receivables
Net patient receivables / daily net patient revenue
277 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
6.71
Asset turnover
Total revenue for a year / total assets
1.6 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 839245, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What PATIENTS HOSPITAL OF REDDING owned and owed at the end of its reporting period (Dec 2025), across all fund types: $1.2M in total assets and a -$11.3M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $115,870 | 9.7% |
| Patient receivables, net | $472,360 | 39.6% |
| Inventory | $117,000 | 9.8% |
| Total current assets | $718,139 | 60.2% |
| Property and equipment, net of depreciation | $475,018 | 39.8% |
| Total assets | $1.2M | 100.0% |
| Current liabilities | $8.3M | 697.0% |
| Long-term debt | $4.2M | 351.9% |
| Total liabilities | $12.5M | 1049.0% |
| Fund balance (net assets) | -$11.3M | -949.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 839245, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care PATIENTS HOSPITAL OF REDDING provided without full payment, as reported on Worksheet S-10 of its cost report.
$457,845
Bad debt
Patient bills written off as uncollectible, at charges
$126,437
Total unreimbursed and uncompensated care
1.1% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
Source: CMS cost report (HCRIS, Form 2552-10), report 839245, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
PATIENTS HOSPITAL OF REDDING's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Dec 2020 | Dec 2021 | Dec 2022 | Dec 2023 | Dec 2024 | Dec 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $4.6M | $4M | $1.6M | $3.3M | $9.5M | $8M |
| Operating expenses | $5.3M | $5.9M | $2.8M | $7M | $13.5M | $12M |
| Operating margin | -15.4% | -49.5% | -73.9% | -115.2% | -41.5% | -50.1% |
| Net income | $409,786 | -$175,699 | $859,673 | -$3.8M | -$3.9M | -$4M |
| Total assets | $1.9M | $2.6M | $1.6M | $1.3M | $1.8M | $1.2M |
| Discharges | 165 | 151 | 56 | 90 | 58 | 51 |
| Inpatient days | 343 | 281 | 100 | 221 | 157 | 89 |
| Beds | 10 | 10 | 10 | 10 | 10 | |
| Employees (FTE) | 43 | 43 | 30 | 31 | 53 | 57 |
Source: CMS cost report (HCRIS, Form 2552-10), report 839245, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center PATIENTS HOSPITAL OF REDDING reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Medical supplies charged to patient | $4.6M | $23.9M | 0.19 | ||
| Operating room | $688,352 | $1.7M | $10.5M | 0.16 | 2,761 |
| Anesthesiology | $351,846 | $686,021 | $3M | 0.23 | 145 |
| Laboratory | $160,776 | $366,539 | $137,598 | 2.66 | 198 |
| Drugs charged to patients | $198,600 | $1.5M | 0.13 | ||
| Radiology-diagnostic | $33,627 | $716,354 | 0.05 | 104 | |
| Electrocardiology | $19,078 | $426,713 | 0.04 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $1.3M | $2.7M | $1.1M | 2.61 | 3,296 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $577,203 | $1.8M | 16,673 | $34.62 | 4,415 |
| Cap rel costs-bldg & fixt | $663,821 | 17,482 | |||
| Central services & supply | $387,295 | $577,511 | 12,510 | $30.96 | 2,065 |
| Dietary | $222,180 | $343,860 | 8,608 | $25.81 | 921 |
| Maintenance & repairs | $126,861 | $338,521 | 3,494 | $36.31 | 2,839 |
| Cap rel costs-mvble equip | $229,608 | ||||
| Nursing administration | $162,342 | $195,938 | 3,329 | $48.77 | 225 |
| Housekeeping | $124,500 | $184,826 | 5,764 | $21.60 | 85 |
| Medical records & library | $84,314 | $134,791 | 3,430 | $24.58 | 164 |
| Employee benefits department | $7,995 | $133,330 | 199 | $40.18 | 121 |
| Laundry & linen service | $72,120 | 100 | |||
| Pharmacy | $21,623 | 43 | |||
| Cafeteria | -$26,064 |
Source: CMS cost report (HCRIS, Form 2552-10), report 839245, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
The factors Medicare uses to set what it pays PATIENTS HOSPITAL OF REDDING for an inpatient stay.
2.06
Case mix index
Higher than 82% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
No Medicare-funded residents
Teaching status
Medicare-funded interns and residents per bed (FY 2027).
2.2%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
16
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Urban (metro area)
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 | FY 2027 |
|---|---|---|---|---|---|---|---|
| Case mix index | 1.68 | 1.68 | 1.64 | 1.68 | 1.83 | 1.97 | 2.06 |
| Wage index | 1.359 | 1.340 | 1.341 | 1.519 | 1.451 | 1.431 | 1.399 |
| Readmissions adjustment | 0.00% | 0.00% | 0.00% | 0.00% | 0.00% | 0.00% | -1.33% |
| Value-based purchasing adjustment | 0.00% | 0.00% | 0.00% | 0.00% | 0.00% | 0.00% | 0.00% |
| Medicare inpatient stays | 74 | 74 | 34 | 36 | 36 | 64 | 16 |
Source: CMS IPPS final rule Impact File (FY 2027).
The officers and board members on PATIENTS HOSPITAL OF REDDING's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment.
Helipad
Shasta Rgnl Medical Center
FAA location ID 11CN, a medical-use heliport 0.5 mi from the hospital.
Source: FAA National Airspace System Resource data, cycle 2026-10-01.
About PATIENTS HOSPITAL OF REDDING's rates and hospital price transparency.
For MRI lumbar spine without contrast (CPT 72148), published negotiated rates at PATIENTS HOSPITAL OF REDDING range from $501 to $3,900 across 3 insurers. Cigna's rate is $3,900. The median at nearby comparable hospitals is $1,075. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at PATIENTS HOSPITAL OF REDDING range from $881 to $881 across 1 insurers. UnitedHealthcare's rate is $881. The median at nearby comparable hospitals is $879. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at PATIENTS HOSPITAL OF REDDING range from $825 to $1,337 across 2 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $1,337. The median at nearby comparable hospitals is $2,188. What a patient pays depends on their plan's deductible, coinsurance and network status.
CMS reports no Medicare-funded interns or residents at PATIENTS HOSPITAL OF REDDING for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts PATIENTS HOSPITAL OF REDDING's base inpatient payments by an estimated 1.33% in fiscal year 2027 for more readmissions than expected.
PATIENTS HOSPITAL OF REDDING's Medicare case mix index is 2.06 for fiscal year 2027, higher than 82% of hospitals paid under the inpatient prospective payment system.
PATIENTS HOSPITAL OF REDDING reported 51 inpatient discharges and 89 inpatient days from Jan 1, 2025 to Dec 31, 2025.
PATIENTS HOSPITAL OF REDDING reported 57 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.
PATIENTS HOSPITAL OF REDDING reported $8M in net patient revenue on $41.3M of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of -50.1%, and net income of -$4M.
PATIENTS HOSPITAL OF REDDING reported $126,437 of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025.
Insurers' price transparency files list PATIENTS HOSPITAL OF REDDING under employer identification number 94-2677467 (James D Tate MD). 46 health plans and networks list 94-2677467 for it.
17 clinicians who bill Medicare list PATIENTS HOSPITAL OF REDDING as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are anesthesiology physician (2), certified registered nurse anesthetist (2), foot & ankle surgery podiatrist (2).
Yes. CMS's Provider of Services file lists ACHC as the accrediting organization for PATIENTS HOSPITAL OF REDDING, effective 2024.
PATIENTS HOSPITAL OF REDDING has 10 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. Facility type: HOSPITAL.
PATIENTS HOSPITAL OF REDDING is located at 2900 EUREKA WAY, Redding, CA 960010220. Its main phone number is (530) 225-8700.
PATIENTS HOSPITAL OF REDDING's CMS Certification Number (CCN), also called its Medicare provider number, is 050697.
The National Provider Identifier (NPI) on file for PATIENTS HOSPITAL OF REDDING is 1942204490.
PATIENTS HOSPITAL OF REDDING lists 17 in-network payers, including BCBS, Centene, Cigna, Health Smart, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
166 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers