CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: San Antonio Regional Hospital

Billing Code: 74177 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$595
about 1.7× the $356 Medicare rate · typically $439–$781
modeled estimate · not a bill or quote
What this hospital charges insurers
$622
About the fair price
about $27 over the fair price · 1.7× Medicare
Medicare pays $356 Fair price $595 This hospital $622 Cash price $1,243 Hospital's list price $19,755

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 $114 Priciest $622

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

A fair price for a CT scan, abdomen and pelvis (with contrast) is about $595 (about 1.7× the $356 Medicare rate). San Antonio Regional Hospital charges insurers about $622, or about $1,243 in cash — about the fair price. Located in Upland, CA.

What each insurance company pays

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

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

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

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 $420 - $1,345 118%
Blue Cross Blue Shieldmajor $449 - $10,737 126%
Aetnamajor $606 - $19,755 170%
Humanamajor $449 126%
Kaiser Permanentemajor $1,252 351%
Ambetter (Centene) $2,730 766%
Health Net $449 - $1,074 126%
Molina $449 - $583 126%
Oscar Health $20,743 5820%
WellCare $19,360 5432%
+ 33 smaller / regional plans $445 - $36,300
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.

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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