CMS Price Transparency Data
Digestive disorders treatment (inpatient stay)
Facility: San Antonio Regional Hospital
Billing Code: 392 (MS-DRG)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 392
- Insurance Median: $10,168
- Cash Discount Price: $75,656
- vs. Medicare Baseline: 1.79x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at San Antonio Regional Hospital is $10,168. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $75,656. Compared to the federal Medicare reimbursement reference rate of $5,675.87, this hospital’s rate is 1.79x the Medicare baseline. Located in 999 San Bernardino Road, Upland, CA.
Cash / Self-Pay
$75,656
Average discount available for prompt cash payment at this facility.
Insurance Median
$10,168
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$5,675.87
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $5,675.87 (100%)
Cash / Self-Pay: $75,656 (1333%)
Insurance Median: $10,168 (179%)
Cash: $75,656 (1333% of Medicare)
Ins. Median: $10,168 (179% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $5,675.87 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.
Out-of-Pocket Cost Estimator
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| San Bernardino Cnty Ip Only-All Plans | $4,500 | 79% |
| Foundation Inland Epo-All Other Plans | $5,687 | 100% |
| Tricare | $7,577 | 133% |
| Foundation Inland Ppo | $7,608 | 134% |
| Aetna | $7,732 - $27,652 | 136% |
| Alpha Care Mg Mcr Adv | $7,732 | 136% |
| Blue Shield Mcr Adv | $7,732 | 136% |
| Caremore Mcr Adv - All Plans | $7,732 | 136% |
| Central Hlth Plan Mcr Adv-All Plans | $7,732 | 136% |
| Choice Phycn Ntwrk Mcr Adv-All Other Plans | $7,732 | 136% |
| Epic Health Plan Mcr Adv | $7,732 | 136% |
| Healthnet Mcr Adv | $7,732 | 136% |
| Humana | $7,732 | 136% |
| Iehp Mcr Adv | $7,732 | 136% |
| Imperial Health Mcr Adv-All Plans | $7,732 | 136% |
| Inter Valley Hp Mcr Adv- All Plans | $7,732 | 136% |
| Kindred Mcr Adv-All Plans | $7,732 | 136% |
| Molina Mcr Adv | $7,732 | 136% |
| Prospect Hp-All Plans | $7,732 | 136% |
| Providence Clevercare Mcr Adv | $7,732 | 136% |
| Scan Health Plan Mcr Adv-All Plans | $7,732 | 136% |
| Universal Care - All Plans | $7,732 | 136% |
| Heritage Prov Ntwrk/Regal Mcr Adv | $7,848 | 138% |
| Blue Cross Blue Shield | $7,886 - $36,637 | 139% |
| Wellcare/Easy Choice-All Plans | $7,886 | 139% |
| Clever Care Mcr Adv - All Plans | $8,118 | 143% |
| La Salle Hp Mcr Adv-All Plans | $8,118 | 143% |
| Zelis Mcr Adv | $8,118 | 143% |
| Kasiser Mcr Adv | $8,273 | 146% |
| Blue Shield Epn | $9,079 | 160% |
| Medi-Cal | $9,435 | 166% |
| Alpha Care Mg-All Other Plans | $9,665 | 170% |
| Kaiser Medi-Cal | $9,907 | 175% |
| Healthnet Medi-Cal | $9,954 | 175% |
| Molina Exchange-All Other Plans | $10,051 | 177% |
| Molina Medi-Cal | $10,284 | 181% |
| Alpha Care Mg Mcal/Hlthy Kids | $10,378 | 183% |
| Heritage Prov Ntwrk/Regal Mcal | $10,378 | 183% |
| Iehp Mcal | $10,944 | 193% |
| Iehp Comm - All Other Plans | $11,211 | 198% |
| Providence Oscar-All Other Plans | $11,211 | 198% |
| Redlands Employee | $11,598 | 204% |
| Choicecare Ntwrk-All Plans | $11,712 | 206% |
| Redlands Hmo-All Other Plans | $12,062 | 213% |
| Healthnet - All Other Plans | $12,147 | 214% |
| Prime Health - All Plans | $13,531 | 238% |
| Ambetter / Centene | $13,678 | 241% |
| Pc Inland Valley Scan | $14,388 | 253% |
| Pc Inland Valley-All Other Plans | $14,388 | 253% |
| UnitedHealthcare | $14,480 - $27,369 | 255% |
| Cigna | $21,503 | 379% |
| Kaiser Comm - All Other Plans | $21,572 | 380% |
| Epic Health Plan - All Other Plans | $22,252 | 392% |
| Networks By Design - All Plans | $24,945 | 439% |
| Heritage Prov Ntwrk/Regal - All Other Plans | $28,317 | 499% |
| Coventry Ccn/First Hlth - All Plans | $30,035 | 529% |
| Multiplan/Phcs - All Plans | $52,299 | 921% |
| Zelis Comm-All Other Plans | $55,630 | 980% |
| Interplan - All Plans | $59,338 | 1045% |
| Health Payors - All Plans | $63,047 | 1111% |
| Blue Shield Hmo Pos / Calpers Ppo | $64,638 | 1139% |
| Blue Shield Epo Ppo - All Other Plans | $66,318 | 1168% |