CMS Price Transparency Data

X-ray, chest (single view)

Facility: San Antonio Regional Hospital

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71045
  • Insurance Median: $373
  • Cash Discount Price: $281
  • vs. Medicare Baseline: 4.20x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (single view) at San Antonio Regional Hospital is $373. 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 4.20x 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
$373

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: $373 (420%)
Cash: $281 (316% of Medicare)
Ins. Median: $373 (420% 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 420% of the Medicare baseline (a markup of 320%). 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
Aetna $23 - $1,009 26%
Medi-Cal $25 28%
Healthnet Medi-Cal $27 30%
Kaiser Medi-Cal $27 30%
Alpha Care Mg Mcal/Hlthy Kids $28 31%
Heritage Prov Ntwrk/Regal Mcal $28 31%
Molina Medi-Cal $29 33%
Blue Cross Blue Shield $30 - $548 34%
Iehp Mcal $33 37%
Ambetter / Centene $96 - $184 108%
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%
Blue Shield Epn $136 153%
Choice Phycn Ntwrk Op Only $140 157%
Molina Exchange-All Other Plans $146 164%
Epic Health Plan - All Other Plans $159 - $303 179%
Iehp Comm - All Other Plans $162 182%
Redlands Employee $168 189%
Redlands Hmo-All Other Plans $175 197%
Blue Shield Hmo Pos / Calpers Ppo $191 - $364 215%
Prime Health - All Plans $196 220%
UnitedHealthcare $201 - $383 226%
Blue Shield Epo Ppo - All Other Plans $206 - $391 232%
Pc Inland Valley Scan $265 - $504 298%
Pc Inland Valley-All Other Plans $265 - $504 298%
Healthnet - All Other Plans $268 301%
Coventry Ccn/First Hlth - All Plans $292 - $555 328%
Kaiser Comm - All Other Plans $312 351%
Choicecare Ntwrk-All Plans $382 - $726 430%
Multiplan/Phcs - All Plans $382 - $726 430%
Networks By Design - All Plans $398 - $757 448%
Zelis Comm-All Other Plans $398 - $757 448%
Foundation Inland Epo-All Other Plans $424 - $807 477%
Foundation Inland Ppo $450 - $858 506%
Health Payors - All Plans $477 - $908 536%
Interplan - All Plans $477 - $908 536%
Wellcare/Easy Choice-All Plans $519 - $989 584%
Cigna $528 594%
Alpha Care Mg Mcr Adv $530 - $1,009 596%
Central Hlth Plan Mcr Adv-All Plans $530 - $1,009 596%
Epic Health Plan Mcr Adv $530 - $1,009 596%
Prospect Hp-All Plans $530 - $1,009 596%
Providence Clevercare Mcr Adv $530 - $1,009 596%
Heritage Prov Ntwrk/Regal Mcr Adv $538 - $1,024 605%
Clever Care Mcr Adv - All Plans $556 - $1,059 625%
La Salle Hp Mcr Adv-All Plans $556 - $1,059 625%
Providence Oscar-All Other Plans $556 - $1,059 625%
Alpha Care Mg-All Other Plans $662 - $1,261 745%
Heritage Prov Ntwrk/Regal - All Other Plans $974 - $1,854 1095%

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