CMS Price Transparency Data

X-ray, ankle

Facility: San Antonio Regional Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $270
  • Cash Discount Price: $281
  • vs. Medicare Baseline: 3.04x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at San Antonio Regional Hospital is $270. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $281. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.04x the Medicare baseline. Located in 999 San Bernardino Road, Upland, CA.
Cash / Self-Pay
$281

Average discount available for prompt cash payment at this facility.

Insurance Median
$270

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)
Cash / Self-Pay: $281 (316%)
Insurance Median: $270 (304%)
Cash: $281 (316% of Medicare)
Ins. Median: $270 (304% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 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 304% of the Medicare baseline (a markup of 204%). 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 $36 40%
Healthnet Medi-Cal $38 43%
Kaiser Medi-Cal $38 43%
Alpha Care Mg Mcal/Hlthy Kids $40 45%
Heritage Prov Ntwrk/Regal Mcal $40 45%
Molina Medi-Cal $41 46%
Blue Cross Blue Shield $43 - $703 48%
Iehp Mcal $47 53%
Aetna $52 - $1,293 58%
Blue Shield Epn $98 110%
Tricare $110 124%
Blue Shield Mcr Adv $112 126%
Caremore Mcr Adv - All Plans $112 126%
Choice Phycn Ntwrk Mcr Adv-All Other Plans $112 126%
Healthnet Mcr Adv $112 126%
Humana $112 126%
Iehp Mcr Adv $112 126%
Inter Valley Hp Mcr Adv- All Plans $112 126%
Kindred Mcr Adv-All Plans $112 126%
Molina Mcr Adv $112 126%
Scan Health Plan Mcr Adv-All Plans $112 126%
Universal Care - All Plans $112 126%
Zelis Mcr Adv $118 133%
Kasiser Mcr Adv $120 135%
Imperial Health Mcr Adv-All Plans $123 138%
Choice Phycn Ntwrk Op Only $140 157%
Molina Exchange-All Other Plans $146 164%
Iehp Comm - All Other Plans $162 182%
Redlands Employee $168 189%
Redlands Hmo-All Other Plans $175 197%
Prime Health - All Plans $196 220%
Ambetter / Centene $235 264%
Healthnet - All Other Plans $268 301%
UnitedHealthcare $272 - $491 306%
Kaiser Comm - All Other Plans $312 351%
Epic Health Plan - All Other Plans $388 436%
Blue Shield Hmo Pos / Calpers Ppo $467 525%
Blue Shield Epo Ppo - All Other Plans $502 565%
Cigna $528 594%
Pc Inland Valley Scan $646 727%
Pc Inland Valley-All Other Plans $646 727%
Coventry Ccn/First Hlth - All Plans $711 800%
Choicecare Ntwrk-All Plans $931 1047%
Multiplan/Phcs - All Plans $931 1047%
Networks By Design - All Plans $970 1091%
Zelis Comm-All Other Plans $970 1091%
Foundation Inland Epo-All Other Plans $1,034 1163%
Foundation Inland Ppo $1,099 1236%
Health Payors - All Plans $1,164 1309%
Interplan - All Plans $1,164 1309%
Wellcare/Easy Choice-All Plans $1,267 1425%
Alpha Care Mg Mcr Adv $1,293 1454%
Central Hlth Plan Mcr Adv-All Plans $1,293 1454%
Epic Health Plan Mcr Adv $1,293 1454%
Prospect Hp-All Plans $1,293 1454%
Providence Clevercare Mcr Adv $1,293 1454%
Heritage Prov Ntwrk/Regal Mcr Adv $1,312 1476%
Clever Care Mcr Adv - All Plans $1,358 1527%
La Salle Hp Mcr Adv-All Plans $1,358 1527%
Providence Oscar-All Other Plans $1,358 1527%
Alpha Care Mg-All Other Plans $1,616 1818%
Heritage Prov Ntwrk/Regal - All Other Plans $2,376 2672%

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