CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: San Antonio Regional Hospital

Billing Code: 99214 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$165
about 1.2× the $136 Medicare rate · typically $100–$314
modeled estimate · not a bill or quote
What this hospital charges insurers
$117
Below the fair price — a good deal
about $48 under the fair price · 0.9× Medicare
Medicare pays $136 Fair price $165 This hospital $117 Cash price $165 Hospital's list price $330

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 $38 Priciest $117

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 (30-39 min) is about $165 (about 1.2× the $136 Medicare rate). San Antonio Regional Hospital charges insurers about $117, or about $165 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 $165 - $2,060 122%
Blue Cross Blue Shieldmajor $63 - $5,494 46%
Aetnamajor $117 - $330 86%
Cignamajor $4,459 3288%
Humanamajor $86 63%
Kaiser Permanentemajor $241 178%
Ambetter (Centene) $60 44%
Health Net $86 - $207 63%
Molina $86 - $112 63%
Oscar Health $478 353%
WellCare $323 238%
+ 33 smaller / regional plans $59 - $606
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