CMS Price Transparency Data

CT scan, head (with contrast)

Facility: San Antonio Regional Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $481
  • Cash Discount Price: $1,243
  • vs. Medicare Baseline: 2.68x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at San Antonio Regional Hospital is $481. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,243. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 2.68x the Medicare baseline. Located in 999 San Bernardino Road, Upland, CA.
Cash / Self-Pay
$1,243

Average discount available for prompt cash payment at this facility.

Insurance Median
$481

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$179.2

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $179.2 (100%)
Cash / Self-Pay: $1,243 (694%)
Insurance Median: $481 (268%)
Cash: $1,243 (694% of Medicare)
Ins. Median: $481 (268% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $179.2 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 268% of the Medicare baseline (a markup of 168%). 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
Medi-Cal $217 121%
Tricare $221 123%
Blue Shield Mcr Adv $226 126%
Caremore Mcr Adv - All Plans $226 126%
Choice Phycn Ntwrk Mcr Adv-All Other Plans $226 126%
Healthnet Mcr Adv $226 126%
Humana $226 126%
Iehp Mcr Adv $226 126%
Inter Valley Hp Mcr Adv- All Plans $226 126%
Kindred Mcr Adv-All Plans $226 126%
Molina Mcr Adv $226 126%
Scan Health Plan Mcr Adv-All Plans $226 126%
Universal Care - All Plans $226 126%
Kaiser Medi-Cal $228 127%
Healthnet Medi-Cal $229 128%
Blue Cross Blue Shield $230 - $6,302 128%
Zelis Mcr Adv $237 132%
Alpha Care Mg Mcal/Hlthy Kids $238 133%
Heritage Prov Ntwrk/Regal Mcal $238 133%
Kasiser Mcr Adv $241 134%
Imperial Health Mcr Adv-All Plans $248 138%
Molina Medi-Cal $249 139%
Choice Phycn Ntwrk Op Only $282 157%
Iehp Mcal $282 157%
Molina Exchange-All Other Plans $293 164%
Aetna $305 - $11,596 170%
Iehp Comm - All Other Plans $327 182%
Redlands Employee $338 189%
Redlands Hmo-All Other Plans $352 196%
Prime Health - All Plans $395 220%
UnitedHealthcare $420 - $1,345 234%
Pc Inland Valley Scan $481 268%
Pc Inland Valley-All Other Plans $481 268%
Healthnet - All Other Plans $540 301%
Choicecare Ntwrk-All Plans $550 307%
Kaiser Comm - All Other Plans $629 351%
Blue Shield Epn $658 367%
Coventry Ccn/First Hlth - All Plans $1,200 670%
Ambetter / Centene $2,110 1177%
Blue Shield Epo Ppo - All Other Plans $3,244 1810%
Blue Shield Hmo Pos / Calpers Ppo $3,244 1810%
Epic Health Plan - All Other Plans $3,479 1941%
Multiplan/Phcs - All Plans $8,349 4659%
Networks By Design - All Plans $8,574 4785%
Zelis Comm-All Other Plans $8,697 4853%
Foundation Inland Epo-All Other Plans $9,277 5177%
Foundation Inland Ppo $9,857 5501%
Health Payors - All Plans $10,436 5824%
Interplan - All Plans $10,436 5824%
Wellcare/Easy Choice-All Plans $11,364 6342%
Alpha Care Mg Mcr Adv $11,596 6471%
Central Hlth Plan Mcr Adv-All Plans $11,596 6471%
Epic Health Plan Mcr Adv $11,596 6471%
Prospect Hp-All Plans $11,596 6471%
Providence Clevercare Mcr Adv $11,596 6471%
Heritage Prov Ntwrk/Regal Mcr Adv $11,770 6568%
Clever Care Mcr Adv - All Plans $12,176 6795%
La Salle Hp Mcr Adv-All Plans $12,176 6795%
Providence Oscar-All Other Plans $12,176 6795%
Alpha Care Mg-All Other Plans $14,495 8089%
Heritage Prov Ntwrk/Regal - All Other Plans $21,308 11891%

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