CMS Price Transparency Data

CT scan, head (no contrast)

Facility: San Antonio Regional Hospital

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $2,891
  • Cash Discount Price: $2,067
  • vs. Medicare Baseline: 27.07x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at San Antonio Regional Hospital is $2,891. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,067. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 27.07x the Medicare baseline. Located in 999 San Bernardino Road, Upland, CA.
Cash / Self-Pay
$2,067

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,891

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $2,067 (1935%)
Insurance Median: $2,891 (2707%)
Cash: $2,067 (1935% of Medicare)
Ins. Median: $2,891 (2707% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 2707% of the Medicare baseline (a markup of 2607%). 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
Tricare $132 124%
Blue Shield Mcr Adv $134 125%
Caremore Mcr Adv - All Plans $134 125%
Choice Phycn Ntwrk Mcr Adv-All Other Plans $134 125%
Healthnet Mcr Adv $134 125%
Humana $134 125%
Iehp Mcr Adv $134 125%
Inter Valley Hp Mcr Adv- All Plans $134 125%
Kindred Mcr Adv-All Plans $134 125%
Molina Mcr Adv $134 125%
Scan Health Plan Mcr Adv-All Plans $134 125%
Universal Care - All Plans $134 125%
Blue Cross Blue Shield $137 - $5,256 128%
Zelis Mcr Adv $141 132%
Kasiser Mcr Adv $144 135%
Imperial Health Mcr Adv-All Plans $148 139%
Medi-Cal $166 155%
Choice Phycn Ntwrk Op Only $168 157%
Kaiser Medi-Cal $174 163%
Healthnet Medi-Cal $175 164%
Molina Exchange-All Other Plans $175 164%
Aetna $182 - $9,670 170%
Alpha Care Mg Mcal/Hlthy Kids $182 170%
Heritage Prov Ntwrk/Regal Mcal $182 170%
Molina Medi-Cal $191 179%
Iehp Comm - All Other Plans $195 183%
Redlands Employee $202 189%
Redlands Hmo-All Other Plans $210 197%
Iehp Mcal $216 202%
Prime Health - All Plans $235 220%
UnitedHealthcare $316 - $2,890 296%
Healthnet - All Other Plans $322 301%
Pc Inland Valley Scan $362 339%
Pc Inland Valley-All Other Plans $362 339%
Kaiser Comm - All Other Plans $375 351%
Blue Shield Epn $420 393%
Choicecare Ntwrk-All Plans $550 - $4,162 515%
Ambetter / Centene $1,052 - $1,760 985%
Coventry Ccn/First Hlth - All Plans $1,200 - $3,180 1123%
Epic Health Plan - All Other Plans $1,734 - $2,901 1623%
Blue Shield Hmo Pos / Calpers Ppo $2,087 - $3,244 1954%
Blue Shield Epo Ppo - All Other Plans $2,243 - $3,244 2100%
Multiplan/Phcs - All Plans $4,162 - $6,962 3897%
Networks By Design - All Plans $4,336 - $7,252 4060%
Zelis Comm-All Other Plans $4,336 - $7,252 4060%
Foundation Inland Epo-All Other Plans $4,625 - $7,736 4330%
Foundation Inland Ppo $4,914 - $8,220 4601%
Health Payors - All Plans $5,203 - $8,703 4871%
Interplan - All Plans $5,203 - $8,703 4871%
Wellcare/Easy Choice-All Plans $5,665 - $9,477 5304%
Alpha Care Mg Mcr Adv $5,781 - $9,670 5412%
Central Hlth Plan Mcr Adv-All Plans $5,781 - $9,670 5412%
Epic Health Plan Mcr Adv $5,781 - $9,670 5412%
Prospect Hp-All Plans $5,781 - $9,670 5412%
Providence Clevercare Mcr Adv $5,781 - $9,670 5412%
Heritage Prov Ntwrk/Regal Mcr Adv $5,868 - $9,815 5494%
Clever Care Mcr Adv - All Plans $6,070 - $10,154 5683%
La Salle Hp Mcr Adv-All Plans $6,070 - $10,154 5683%
Providence Oscar-All Other Plans $6,070 - $10,154 5683%
Alpha Care Mg-All Other Plans $7,226 - $12,088 6765%
Heritage Prov Ntwrk/Regal - All Other Plans $10,623 - $17,769 9946%

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