CMS Price Transparency Data

Blood test, calcium

Facility: San Antonio Regional Hospital

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $18
  • Cash Discount Price: $185
  • vs. Medicare Baseline: 3.49x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at San Antonio Regional Hospital is $18. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $185. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 3.49x the Medicare baseline. Located in 999 San Bernardino Road, Upland, CA.
Cash / Self-Pay
$185

Average discount available for prompt cash payment at this facility.

Insurance Median
$18

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$5.16

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $5.16 (100%)
Cash / Self-Pay: $185 (3585%)
Insurance Median: $18 (349%)
Cash: $185 (3585% of Medicare)
Ins. Median: $18 (349% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $5.16 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 349% of the Medicare baseline (a markup of 249%). 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
Healthnet Medi-Cal $4 78%
Blue Cross Blue Shield $5 - $186 97%
Blue Shield Mcr Adv $5 97%
Caremore Mcr Adv - All Plans $5 97%
Choice Phycn Ntwrk Mcr Adv-All Other Plans $5 97%
Healthnet Mcr Adv $5 97%
Humana $5 97%
Iehp Mcr Adv $5 97%
Inter Valley Hp Mcr Adv- All Plans $5 97%
Kindred Mcr Adv-All Plans $5 97%
Molina Mcr Adv $5 97%
Scan Health Plan Mcr Adv-All Plans $5 97%
Tricare $5 97%
Universal Care - All Plans $5 97%
Zelis Mcr Adv $5 97%
Alpha Care Mg Mcal/Hlthy Kids $6 116%
Choice Phycn Ntwrk Op Only $6 116%
Heritage Prov Ntwrk/Regal Mcal $6 116%
Imperial Health Mcr Adv-All Plans $6 116%
Kaiser Medi-Cal $6 116%
Kasiser Mcr Adv $6 116%
Medi-Cal $6 116%
Aetna $7 - $343 136%
Iehp Comm - All Other Plans $7 136%
Molina Exchange-All Other Plans $7 136%
Molina Medi-Cal $7 136%
Iehp Mcal $8 155%
Redlands Employee $8 155%
Redlands Hmo-All Other Plans $8 155%
Prime Health - All Plans $9 174%
Healthnet - All Other Plans $12 233%
Blue Shield Epn $14 271%
Kaiser Comm - All Other Plans $14 271%
UnitedHealthcare $18 - $201 349%
Cigna $19 368%
Ambetter / Centene $62 1202%
Epic Health Plan - All Other Plans $103 1996%
Blue Shield Hmo Pos / Calpers Ppo $127 2461%
Blue Shield Epo Ppo - All Other Plans $138 2674%
Pc Inland Valley Scan $172 3333%
Pc Inland Valley-All Other Plans $172 3333%
Coventry Ccn/First Hlth - All Plans $189 3663%
Choicecare Ntwrk-All Plans $247 4787%
Multiplan/Phcs - All Plans $247 4787%
Networks By Design - All Plans $257 4981%
Zelis Comm-All Other Plans $257 4981%
Foundation Inland Epo-All Other Plans $274 5310%
Foundation Inland Ppo $292 5659%
Health Payors - All Plans $309 5988%
Interplan - All Plans $309 5988%
Wellcare/Easy Choice-All Plans $336 6512%
Alpha Care Mg Mcr Adv $343 6647%
Central Hlth Plan Mcr Adv-All Plans $343 6647%
Epic Health Plan Mcr Adv $343 6647%
Prospect Hp-All Plans $343 6647%
Providence Clevercare Mcr Adv $343 6647%
Heritage Prov Ntwrk/Regal Mcr Adv $348 6744%
Clever Care Mcr Adv - All Plans $360 6977%
La Salle Hp Mcr Adv-All Plans $360 6977%
Providence Oscar-All Other Plans $360 6977%
Alpha Care Mg-All Other Plans $429 8314%
Heritage Prov Ntwrk/Regal - All Other Plans $630 12209%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 999 San Bernardino Road, Upland, CA 91786
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals