CMS Price Transparency Data

Blood test, magnesium

Facility: San Antonio Regional Hospital

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83735
  • Insurance Median: $49
  • Cash Discount Price: $185
  • vs. Medicare Baseline: 7.31x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at San Antonio Regional Hospital is $49. 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 $6.7, this hospital’s rate is 7.31x 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
$49

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$6.7

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $6.7 (100%)
Cash / Self-Pay: $185 (2761%)
Insurance Median: $49 (731%)
Cash: $185 (2761% of Medicare)
Ins. Median: $49 (731% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $6.7 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 731% of the Medicare baseline (a markup of 631%). 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
UnitedHealthcare $2 - $201 30%
Healthnet Medi-Cal $5 75%
Ambetter / Centene $6 - $76 90%
Blue Cross Blue Shield $7 - $227 104%
Blue Shield Mcr Adv $7 104%
Caremore Mcr Adv - All Plans $7 104%
Choice Phycn Ntwrk Mcr Adv-All Other Plans $7 104%
Healthnet Mcr Adv $7 104%
Humana $7 104%
Iehp Mcr Adv $7 104%
Imperial Health Mcr Adv-All Plans $7 104%
Inter Valley Hp Mcr Adv- All Plans $7 104%
Kasiser Mcr Adv $7 104%
Kindred Mcr Adv-All Plans $7 104%
Molina Mcr Adv $7 104%
Scan Health Plan Mcr Adv-All Plans $7 104%
Tricare $7 104%
Universal Care - All Plans $7 104%
Zelis Mcr Adv $7 104%
Alpha Care Mg Mcal/Hlthy Kids $8 119%
Choice Phycn Ntwrk Op Only $8 119%
Heritage Prov Ntwrk/Regal Mcal $8 119%
Kaiser Medi-Cal $8 119%
Medi-Cal $8 119%
Aetna $9 - $418 134%
Molina Exchange-All Other Plans $9 134%
Molina Medi-Cal $9 134%
Iehp Comm - All Other Plans $10 149%
Iehp Mcal $10 149%
Redlands Employee $10 149%
Redlands Hmo-All Other Plans $10 149%
Epic Health Plan - All Other Plans $11 - $125 164%
Prime Health - All Plans $12 179%
Blue Shield Hmo Pos / Calpers Ppo $13 - $155 194%
Blue Shield Epo Ppo - All Other Plans $14 - $168 209%
Healthnet - All Other Plans $16 239%
Pc Inland Valley Scan $18 - $209 269%
Pc Inland Valley-All Other Plans $18 - $209 269%
Blue Shield Epn $19 284%
Kaiser Comm - All Other Plans $19 284%
Coventry Ccn/First Hlth - All Plans $20 - $230 299%
Cigna $24 358%
Choicecare Ntwrk-All Plans $26 - $301 388%
Multiplan/Phcs - All Plans $26 - $301 388%
Networks By Design - All Plans $27 - $314 403%
Zelis Comm-All Other Plans $27 - $314 403%
Foundation Inland Epo-All Other Plans $29 - $334 433%
Foundation Inland Ppo $30 - $355 448%
Health Payors - All Plans $32 - $376 478%
Interplan - All Plans $32 - $376 478%
Wellcare/Easy Choice-All Plans $35 - $410 522%
Alpha Care Mg Mcr Adv $36 - $418 537%
Central Hlth Plan Mcr Adv-All Plans $36 - $418 537%
Epic Health Plan Mcr Adv $36 - $418 537%
Heritage Prov Ntwrk/Regal Mcr Adv $36 - $424 537%
Prospect Hp-All Plans $36 - $418 537%
Providence Clevercare Mcr Adv $36 - $418 537%
Clever Care Mcr Adv - All Plans $37 - $439 552%
La Salle Hp Mcr Adv-All Plans $37 - $439 552%
Providence Oscar-All Other Plans $37 - $439 552%
Alpha Care Mg-All Other Plans $45 - $522 672%
Heritage Prov Ntwrk/Regal - All Other Plans $66 - $768 985%

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