CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: San Antonio Regional Hospital

Billing Code: 94640 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$267
about 1.2× the $224 Medicare rate · typically $42–$456
modeled estimate · not a bill or quote
What this hospital charges insurers
$773
Well above the fair price
about $506 over the fair price · 3.5× Medicare
Medicare pays $224 Fair price $267 This hospital $773 Cash price $447 Hospital's list price $968

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $20 Priciest $773

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

A fair price for a Breathing treatment (nebulizer) is about $267 (about 1.2× the $224 Medicare rate). San Antonio Regional Hospital charges insurers about $773, or about $447 in cash — well above the fair price. Located in Upland, CA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $267. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $297 - $484 133%
Blue Cross Blue Shieldmajor $20 - $360 9%
Aetnamajor $316 - $1,200 141%
Cignamajor $599 268%
Humanamajor $282 126%
Kaiser Permanentemajor $786 351%
Ambetter (Centene) $142 - $218 63%
Health Net $282 - $674 126%
Molina $282 - $366 126%
Oscar Health $1,132 - $1,740 506%
WellCare $765 - $1,176 342%
+ 33 smaller / regional plans $18 - $2,205
Government programs also on file: Medicaid, Military & VA.
Excludes 8 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

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