Supplies, drugs & other prices at San Antonio Regional Hospital
Upland, CA · every code in this section with a posted price and a Medicare benchmark.
49 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) range across 2 matching MRF lines |
$1,263 | $12,848–$15,675 | 1.3× |
| 2d tte w or w/o fol w/con,fu (C8924) | $1,263 | $3,416 | 2.8× |
| Admin hepatitis b vaccine (G0010) | $1,412 | $250 | 23.4× |
| Admin influenza virus vac (G0008) range across 2 matching MRF lines |
$88.50–$343 | $177–$209 | varies |
| Admin pneumococcal vaccine (G0009) | $125 | $250 | 2.1× |
| Catheterize for urine spec (P9612) | $185 | $3,673 | 19.8× |
| Chemo extend iv infus w/pump (G0498) | $933 | $1,580 | 2.2× |
| Direct refer hospital observ (G0379) range across 2 matching MRF lines |
$2,668 | $1,920–$1,921 | 3.5× |
| Drug test def 1-7 classes (G0480) range across 5 matching MRF lines |
$185 | $43.66–$449 | 1.6× |
| Elec stim other than wound (G0283) range across 2 matching MRF lines |
$249 | $142–$176 | 19.6× |
| Elec stim unattend for press (G0281) range across 2 matching MRF lines |
$249 | $142–$176 | 21.3× |
| Fecal blood scrn immunoassay (G0328) range across 3 matching MRF lines |
$185 | $82.95–$121 | 10.2× |
| Hospital outpt clinic visit (G0463) | $137.50 | $275 | 0.8× |
| Lev 1 hosp type b ed visit (G0380) range across 2 matching MRF lines |
$1,412 | $656–$1,226 | 14.8× |
| Lev 2 hosp type b ed visit (G0381) | $1,412 | $1,260 | 11.8× |
| Lev 3 hosp type b ed visit (G0382) range across 2 matching MRF lines |
$1,412 | $1,805–$3,791 | 6.4× |
| Lev 4 hosp type b ed visit (G0383) range across 2 matching MRF lines |
$1,412 | $2,749–$6,337 | 4.2× |
| Lev 5 hosp type b ed visit (G0384) range across 2 matching MRF lines |
$1,412 | $4,177–$8,996 | 2.7× |
| Mra w/cont, abd (C8900) | $1,461 | $7,591 | 3.3× |
| Mra w/cont, lwr ext (C8912) range across 2 matching MRF lines |
$1,461 | $5,168–$6,678 | 3.3× |
| Mra w/o cont, abd (C8901) | $1,461 | $6,658 | 4.8× |
| Mra w/o cont, lwr ext (C8913) range across 2 matching MRF lines |
$1,461 | $4,452–$7,752 | 4.8× |
| Mra w/o cont, pelvis (C8919) | $1,461 | $4,921 | 4.8× |
| Mra w/o fol w/cont, abd (C8902) | $1,461 | $9,084 | 3.3× |
| Mra w/o fol w/cont, lwr ext (C8914) | $1,461 | $7,326 | 3.3× |
| Mra, w/dye, upper extremity (C8934) | $1,461 | $4,675 | 3.3× |
| Mra, w/o dye, upper extr (C8935) | $1,461 | $4,452 | 4.8× |
| Perc d-e cor revasc chro sin (C9607) | $13,804.50 | $27,609 | 0.6× |
| Perc d-e cor revasc t cabg s (C9604) | $14,962.50 | $29,925 | 1.0× |
| Perc d-e cor stent ather s (C9602) | $36,592 | $73,184 | 1.6× |
| Perc drug-el cor stent sing (C9600) | $35,294.50 | $70,589 | 2.4× |
| Psa screening (G0103) | $185 | $334 | 9.6× |
| Revasc intra lithotrip-ather (C9766) range across 3 matching MRF lines |
$14,305.50–$21,621 | $28,611–$43,242 | varies |
| Revasc intra lithotrip-stent (C9765) range across 2 matching MRF lines |
$14,305.50–$19,181.50 | $28,611–$38,363 | varies |
| Revasc intravasc lithotripsy (C9764) range across 2 matching MRF lines |
$12,444–$13,757 | $24,888–$27,514 | varies |
| Revasc lith-sten-ath tib/per (C9775) range across 2 matching MRF lines |
$14,305.50–$32,733.50 | $28,611–$65,467 | varies |
| Revasc lithotr-ather tib/per (C9774) range across 2 matching MRF lines |
$14,305.50–$21,621 | $28,611–$43,242 | varies |
| Revasc lithotr-stent tib/per (C9773) | $14,305.50 | $28,611 | 0.6× |
| Revasc lithotrip tibi/perone (C9772) range across 2 matching MRF lines |
$13,048.50–$13,757 | $26,097–$27,514 | varies |
| Revasc lithotrip-stent-ather (C9767) range across 2 matching MRF lines |
$14,305.50–$20,407 | $28,611–$40,814 | varies |
| Screen cerv/vag thin layer (G0123) | $68 | $185 | 3.4× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) unusually low: confirm this is the full procedure |
$12,116 | $24,232 | 0.5× |
| Trluml Perip Athrc Iliac Art (0238T) | $12,275 | $46,794 | 0.5× |
| Tte w or w/o contr, cont ecg (C8930) | $1,263 | $3,711 | 1.3× |
| Tte w or w/o fol w/con,stres (C8928) | $1,263 | $4,129 | 1.3× |
| Tte w or w/o fol w/cont, com (C8921) | $1,263 | $2,695 | 1.3× |
| Tte w or w/o fol w/cont, f/u (C8922) | $1,263 | $2,270 | 1.3× |
| Tte w or wo fol wcon,doppler (C8929) range across 4 matching MRF lines |
$1,263 | $4,929–$11,387 | 1.3× |
| Unsched dialysis esrd pt hos (G0257) | $3,038.50 | $6,077 | 3.4× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.