CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: San Antonio Regional Hospital

Billing Code: 99213 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$115
about 1.2× the $95 Medicare rate · typically $67–$267
modeled estimate · not a bill or quote
What this hospital charges insurers
$79
Below the fair price — a good deal
about $36 under the fair price · 0.8× Medicare
Medicare pays $95 Fair price $115 This hospital $79 Cash price $138 Hospital's list price $275

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 $18 Priciest $79

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

A fair price for a Office visit, established patient (20-29 min) is about $115 (about 1.2× the $95 Medicare rate). San Antonio Regional Hospital charges insurers about $79, or about $138 in cash — below the fair price — a good deal. 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.

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 $138 - $2,060 145%
Blue Cross Blue Shieldmajor $41 - $5,494 43%
Aetnamajor $79 - $275 83%
Cignamajor $4,459 4684%
Humanamajor $59 62%
Kaiser Permanentemajor $164 172%
Ambetter (Centene) $50 53%
Health Net $59 - $141 62%
Molina $59 - $77 62%
Oscar Health $399 419%
WellCare $270 284%
+ 33 smaller / regional plans $38 - $505
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