Visits & medical services prices at San Antonio Regional Hospital
Upland, CA · every code in this section with a posted price and a Medicare benchmark.
189 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Ablate Heart Dysrhythm Focus (93650) likely a partial charge, not the full procedure |
$1,182 | $34,243 | 0.1× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $50 | $100 | 1.0× |
| Aep threshold estimation mlt frequencies i&r (92652) | $317 | $2,263 | 1.1× |
| Airway Inhalation Treatment (94640) range across 3 matching MRF lines |
$447 | $781–$1,200 | 1.6× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $249 | $257 | 17.3× |
| Application Modality 1/> Areas Infrared (97026) | $249 | $171 | 37.3× |
| Arrhythmia Induction (93618) | $1,182 | $2,384 | 0.8× |
| Assessment of aphasia per hr (96105) | $249 | $500 | 2.6× |
| Behavral qualit analys voice (92524) | $249 | $1,126 | 2.3× |
| Biofeedback training any modality (90901) | $933 | $199 | 22.7× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $417 | $2,383 | 0.9× |
| Bundle of his recording (93600) likely a partial charge, not the full procedure |
$1,182 | $9,611 | 0.1× |
| Canalith repositioning proc (95992) | $249 | $406 | 6.1× |
| Cardiac Stress Tst,Tracing Only (93017) range across 3 matching MRF lines |
$497–$1,263 | $4,390–$4,887 | varies |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$447 | $2,711–$3,525 | 1.6× |
| Cardioversion (92960) range across 2 matching MRF lines |
$1,182 | $7,310–$8,582 | 1.4× |
| Cardioversion elective internal (92961) | $1,182 | $4,073 | 1.4× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $33,161.50 | $66,323 | 8.0× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $22,154.50 | $44,309 | 5.3× |
| Chemo Admin Peritoneal Cavity (96446) | $281 | $2,712 | 0.7× |
| Chemo Anti-Neopl Sq/Im (96401) range across 3 matching MRF lines |
$933 | $295.75–$787 | 10.1× |
| Chemo IV infusion addl hr (96415) | $933 | $702 | 10.1× |
| Chemo IV push addl drug (96411) | $343 | $889 | 3.7× |
| Chemotherapy Into Cns (96450) | $933 | $4,140 | 2.2× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $933 | $1,050 | 10.1× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $933 | $2,461 | 2.2× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) range across 2 matching MRF lines |
$933 | $1,592–$1,753 | 2.2× |
| Chest Wall Manipulation (94668) range across 2 matching MRF lines |
$447 | $311–$386 | 2.6× |
| Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) range across 2 matching MRF lines |
$417–$1,026 | $1,579–$1,892 | varies |
| Color/duplex Doppler, complete (93975) | $1,026 | $3,709 | 3.3× |
| Color/duplex Doppler, limited (93976) | $312 | $2,510 | 2.3× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $249 | $142 | 7.8× |
| Coronary Art/Grft Angio S&I (93455) | $18,901 | $37,802 | 4.5× |
| Coronary Artery Angio S&I (93454) | $15,931 | $31,862 | 3.8× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 3 matching MRF lines |
$447 | $4,330–$6,037 | 1.6× |
| Cpt initial (94667) | $447 | $573 | 2.6× |
| Critical care first hour (99291) | $1,412 | $17,944 | 1.3× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$249 | $557–$861 | 1.0× |
| Developmental tst admin phys/qhp 1st hour (96112) | $933 | $690 | 5.6× |
| Dialysis One Evaluation (90945) | $3,471.50 | $6,943 | 6.5× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $312 | $1,035 | 2.3× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 2 matching MRF lines |
$312–$1,026 | $4,023 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $1,026 | $2,412 | 7.6× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $312 | $4,078 | 1.0× |
| Dup-scan xtr veins unilateral/limited study (93971) | $312 | $2,851 | 2.3× |
| Duplex Scan Hemodialysis Access (93990) | $312 | $2,424 | 2.3× |
| Duplex up extrem art bilat (93930) | $1,026 | $3,470 | 3.3× |
| Duplex up extrem art unilat/ltd (93931) range across 2 matching MRF lines |
$1,026–$1,554 | $2,696 | varies |
| ECG/monitoring and analysis (93271) range across 2 matching MRF lines |
$546–$1,182 | $782 | varies |
| Echo Congenital Complete (93303) | $1,263 | $2,695 | 1.8× |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$1,182–$1,263 | $3,421 | varies |
| Echo r-t 2d w/probe placement only (93313) | $1,263 | $7,012 | 1.8× |
| Echo transesophageal (93312) range across 3 matching MRF lines |
$1,182–$1,263 | $10,361–$10,862 | varies |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $1,263 | $5,225 | 1.8× |
| EEG awake and asleep (95819) | $871 | $4,063 | 3.1× |
| EEG awake drowsy (95816) | $871 | $3,995 | 3.1× |
| EKG signal averaged (93278) | $170 | $702 | 2.2× |
| Electrical Stimulation Ea 15 Min (97032) | $249 | $286 | 16.9× |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$170 | $1,339–$1,616 | 2.2× |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) likely a partial charge, not the full procedure |
$1,182 | $9,611 | 0.1× |
| Electrophysiology Evaluation (93642) | $1,182 | $7,380 | 0.8× |
| Emergency Dept Visit Level 2 (99282) | $1,412 | $2,511 | 7.2× |
| Emergency Dept Visit Level 3 (99283) | $1,412 | $3,791 | 4.0× |
| Emergency Dept Visit Level 4 (99284) | $1,412 | $6,337 | 2.6× |
| Ep & ablate supravent arrhyt (93653) | $51,419.50 | $102,839 | 1.5× |
| Ep & ablate ventric tachy (93654) | $55,368 | $110,736 | 1.6× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) likely a partial charge, not the full procedure |
$1,182 | $35,292 | 0.1× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) likely a partial charge, not the full procedure |
$1,182 | $24,907 | 0.1× |
| Er level 1 (99281) | $1,412 | $1,226 | 13.0× |
| Er level v (99285) | $1,412 | $8,996 | 1.8× |
| Evaluate pt use of inhaler (94664) range across 2 matching MRF lines |
$447 | $623–$773 | 1.6× |
| Evaluate Speech Production (92522) | $249 | $948 | 2.2× |
| Evaluate Swallowing Function (92610) range across 3 matching MRF lines |
$249–$933 | $1,499–$1,643 | varies |
| Evaluation of speech fluency (92521) | $249 | $445 | 1.9× |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$312–$1,026 | $4,036 | varies |
| Extracranial Uni/Ltd Study (93882) | $1,026 | $2,186 | 7.6× |
| F-up/limited tthrc echo congenital car anomaly (93304) range across 2 matching MRF lines |
$1,182–$1,263 | $2,270 | varies |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $2,193.50 | $4,387 | 4.6× |
| Gi tract capsule endoscopy (91110) | $1,854 | $3,708 | 1.6× |
| Group Therapeutic Procedures (97150) | $249 | $420 | 13.8× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $37,870.50 | $75,741 | 9.1× |
| Ilr Device Interrogate (93291) | $1,182 | $5,677 | 31.8× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $67.50 | $135 | 0.7× |
| Immunization administration (90471) range across 2 matching MRF lines |
$103.50–$343 | $207 | varies |
| Insert/Place Heart Catheter (93503) range across 2 matching MRF lines |
$281–$5,542.50 | $11,085 | varies |
| Interrogate Subq Defib (93261) | $1,182 | $295 | 24.6× |
| Intra-atrial pacing (93610) likely a partial charge, not the full procedure |
$1,182 | $9,611 | 0.1× |
| Intra-atrial recording (93602) likely a partial charge, not the full procedure |
$1,182 | $9,611 | 0.1× |
| Intracranial Complete Study (93886) | $312 | $3,751 | 1.0× |
| Intraventricular pacing (93612) likely a partial charge, not the full procedure |
$1,182 | $9,611 | 0.1× |
| Iontophoresis 15 min (97033) | $249 | $439 | 13.1× |
| IV infusion hydration each additional hour (96361) | $621 | $883 | 10.3× |
| IV infusion hydration initial 31 min-1 hour (96360) | $621 | $1,831 | 2.3× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $343 | $1,361 | 3.7× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $621 | $802 | 10.3× |
| IV push initial (96374) range across 3 matching MRF lines |
$343–$1,182 | $238–$1,016 | varies |
| L Hrt Art/Grft Angio (93459) | $29,167 | $58,334 | 7.0× |
| L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) | $6,766.50 | $13,533 | 1.6× |
| Lwr Xtr Vasc Stdy Bilat (93924) range across 2 matching MRF lines |
$312–$1,554 | $1,227 | varies |
| Motion Fluoroscopy/Swallow (92611) range across 2 matching MRF lines |
$249 | $2,102–$2,131 | 2.7× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $249 | $1,125 | 0.5× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $249 | $1,088 | 0.5× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$249 | $436–$541 | 1.0× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$249 | $435–$539 | 0.5× |
| Neuromuscular Reeducation (97112) | $249 | $479 | 7.6× |
| Newborn resuscitation (99465) | $1,412 | $915 | 1.7× |
| Oral Function Therapy (92526) | $249 | $1,232 | 3.0× |
| Oral Speech Device Eval (92597) | $249 | $1,251 | 3.5× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $249 | $312 | 5.0× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $249 | $414 | 5.4× |
| Ot Contrast Bath Ea 15 Min (97034) | $249 | $282 | 17.7× |
| Ot eval high complexity (97167) | $249 | $1,301 | 2.5× |
| Ot Eval Low Complex (97165) range across 2 matching MRF lines |
$249–$514.50 | $1,029 | varies |
| Ot Eval Moderate Complexity (97166) | $249 | $1,166 | 2.5× |
| Ot manual therapy 15 min (97140) range across 2 matching MRF lines |
$249 | $390–$411 | 9.0× |
| Ot paraffin bath (97018) | $249 | $247 | 41.4× |
| Ot Prosthetic Training, Each 15 Min (97761) | $249 | $277 | 6.2× |
| Ot rom hand (95852) | $249 | $176 | 11.6× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $281 | $736 | 1.7× |
| Perq Transcath Cls Aortic (93591) unusually low: confirm this is the full procedure |
$11,283 | $22,566 | 0.5× |
| Perq Transcath Cls Mitral (93590) unusually low: confirm this is the full procedure |
$11,283 | $22,566 | 0.5× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) range across 2 matching MRF lines |
$5,649.50–$17,771 | $11,299–$35,542 | varies |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $13,804.50 | $27,609 | 0.9× |
| Phlebotomy therapeutic (99195) | $343 | $1,393 | 2.0× |
| Physical Performance Test (97750) | $249 | $370 | 7.4× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) | $1,182 | $295 | 24.6× |
| Prq Card Angio/Athrect 1 Art (92924) range across 2 matching MRF lines |
$3,989.50–$14,810 | $7,979–$29,620 | varies |
| Prq Card Stent W/Angio 1 Vsl (92928) | $35,294.50 | $70,589 | 2.4× |
| Prq Card Stent/Ath/Angio (92933) range across 2 matching MRF lines |
$4,097–$36,592 | $8,194–$73,184 | varies |
| Prq Revasc Byp Graft 1 Vsl (92937) range across 2 matching MRF lines |
$3,469–$14,962.50 | $6,938–$29,925 | varies |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) likely a partial charge, not the full procedure |
$1,182 | $38,115 | 0.1× |
| Prq trl rvs ch occ ant&rtrgr (92945) likely a partial charge, not the full procedure |
$2,643 | $5,286 | 0.2× |
| Pt Eval High Complex (97163) | $249 | $1,298 | 2.5× |
| Pt eval low complex 20 min (97161) range across 2 matching MRF lines |
$249 | $949–$1,000 | 2.5× |
| Pt Eval Mod Complex (97162) | $249 | $1,158 | 2.5× |
| Pt gait training 15 min (97116) | $249 | $473 | 8.6× |
| Pt mechanical traction (97012) | $249 | $324 | 17.3× |
| Pulm function test by gas (94727) | $417 | $1,077 | 1.5× |
| R Hrt Art/Grft Angio (93457) | $20,894 | $41,788 | 5.0× |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) | $7,854 | $15,708 | 1.9× |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) | $7,854 | $15,708 | 1.9× |
| R hrt coronary artery angio (93456) | $23,495 | $46,990 | 5.6× |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) | $25,142 | $50,284 | 6.0× |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) | $25,142 | $50,284 | 6.0× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $25,142 | $50,284 | 6.0× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $343 | $1,023 | 0.8× |
| Remote 30 Day Ecg Rev/Report (93270) | $1,182 | $407 | 24.6× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) range across 2 matching MRF lines |
$1,412 | $381–$585 | 18.6× |
| Right Heart Cath (93451) | $11,584.50 | $23,169 | 2.8× |
| Right ventricular recording (93603) | $1,182 | $2,384 | 0.8× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$249 | $329–$408 | 1.0× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $249 | $617 | 2.0× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $249 | $265 | 5.2× |
| Self Care Mngment Training (97535) | $249 | $490 | 7.7× |
| Speech sound lang comprehen (92523) | $249 | $1,697 | 1.1× |
| Spirometry (94010) | $417 | $801 | 1.5× |
| Ssep lower limbs (95926) | $687 | $1,710 | 2.5× |
| Stress Tte Only (93350) range across 2 matching MRF lines |
$497–$1,263 | $3,519–$6,400 | varies |
| Subcutaneous Infusion Each Additional Hour (96370) | $621 | $530 | 10.3× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $621 | $833 | 2.3× |
| Subq Infusion Additional Pump Infusion Site (96371) | $621 | $489 | 6.7× |
| Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) | $312 | $1,091 | 2.3× |
| Temp transcutaneous pacing (92953) | $810.50 | $1,621 | 1.0× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 2 matching MRF lines |
$249 | $186–$580 | 11.1× |
| Ther Ivntj Ea Addl 15 Min (97130) | $249 | $186 | 11.8× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $249 | $278 | 8.4× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $249 | $358 | 2.4× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$286.50–$343 | $573 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $621 | $1,881 | 2.3× |
| Therapeutic Activities (97530) | $249 | $517 | 7.1× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $3,330 | $6,660 | 6.9× |
| Transcath Closure of Asd (93580) likely a partial charge, not the full procedure |
$1,182 | $82,262 | 0.1× |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$1,263 | $3,943–$7,676 | 1.8× |
| Tx atrial fib pulm vein isol (93656) likely a partial charge, not the full procedure |
$1,182 | $118,197 | 0.0× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $249 | $1,069 | 3.3× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $249 | $259 | 10.4× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$343 | $685–$1,016 | 5.7× |
| Unlisted cardiovascular service/procedure (93799) range across 3 matching MRF lines |
$1,182–$11,634 | $1,055–$23,268 | varies |
| Upr/L Xtremity Art 2 Levels (93922) | $312 | $1,744 | 1.8× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 2 matching MRF lines |
$312–$1,554 | $3,408 | varies |
| Valvuloplasty aortic valve (92986) | $9,026 | $18,052 | 1.2× |
| Valvuloplasty mitral valve (92987) unusually low: confirm this is the full procedure |
$7,079 | $14,158 | 0.5× |
| Valvuloplasty pulmonary valve (92990) unusually low: confirm this is the full procedure |
$7,079 | $14,158 | 0.5× |
| Vasopneumatic device (97016) | $249 | $288 | 20.7× |
| Vent Mgmt Inpat Init Day (94002) | $447 | $10,953 | 0.6× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 2 matching MRF lines |
$447 | $10,824–$11,848 | 0.6× |
| Visual Evoked Potential Test (95930) | $1,026 | $2,484 | 3.7× |
| Wheelchair Mgmt Ea 15 Min (97542) | $249 | $229 | 8.0× |
| Whirlpool Therapy (97022) | $249 | $342 | 15.9× |
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.