San Antonio Regional Hospital

999 San Bernardino Road, Upland, CA 91786 · (909) 985-2811

Acute Care HospitalsVoluntary non-profit - OtherCMS rating 3/5Riverside, CA metro Website ↗

Price file

Prices published

File dated 2026-04-02

6,785 price rows for 34 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · metro median $185

$185

cash

$7 to $2,297

210 negotiated rates

$1,250

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · metro median $3,180

$1,243

cash

$404 to $36,300

207 negotiated rates

$19,755

list

CT scan of the head, no contrast

CPT 70450 · metro median $2,288

$2,891

cash

$132 to $17,769

345 negotiated rates

$5,781

list

CT scan of the pelvis, with contrast

CPT 72193 · metro median $2,331

$1,243

cash

$221 to $20,154

138 negotiated rates

$10,968

list

Chlamydia test (DNA)

CPT 87491 · metro median $33

$185

cash

$4 to $538

280 negotiated rates

$293

list

Complete blood count (CBC) with differential

CPT 85025 · metro median $65

$185

cash

$6 to $638

210 negotiated rates

$347

list

Comprehensive metabolic panel (blood test)

CPT 80053 · metro median $73

$185

cash

$8 to $2,679

140 negotiated rates

$1,458

list

Diagnostic mammogram (both breasts)

CPT 77066 · metro median $298

$187

cash

$165 to $3,219

140 negotiated rates

$1,752

list

Established patient office visit (about 40 minutes)

CPT 99215 · metro median $198

$198

cash

$72 to $5,494

69 negotiated rates

$396

list

Gonorrhea test (DNA)

CPT 87591 · metro median $26

$185

cash

$4 to $559

280 negotiated rates

$152

list

Left heart catheterization

CPT 93452 · metro median $6,226

$11,251

cash

$1,094 to $32,626

67 negotiated rates

$22,501

list

Lipid panel (cholesterol test)

CPT 80061 · metro median $39

$185

cash

$7 to $1,691

420 negotiated rates

$920

list

Liver function panel

CPT 80076 · metro median $151

$185

cash

$7 to $1,869

140 negotiated rates

$1,017

list

MRI of the brain, with and without contrast

CPT 70553 · metro median $3,068

$1,461

cash

$440 to $28,553

138 negotiated rates

$15,539

list

MRI of the knee or other lower joint, no contrast

CPT 73721 · metro median $2,392

$1,461

cash

$301 to $24,551

483 negotiated rates

$8,907

list

MRI of the lower back (lumbar spine), no contrast

CPT 72148 · metro median $2,496

$1,461

cash

$301 to $21,436

69 negotiated rates

$11,666

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · metro median $2,444

$1,461

cash

$301 to $21,019

69 negotiated rates

$11,439

list

New patient office visit (about 30 minutes)

CPT 99203 · metro median $152

$152

cash

$55 to $5,494

69 negotiated rates

$303

list

New patient office visit (about 45 minutes)

CPT 99204 · metro median $182

$182

cash

$66 to $5,494

69 negotiated rates

$363

list

New patient office visit (about 60 minutes)

CPT 99205 · metro median $218

$218

cash

$79 to $5,494

69 negotiated rates

$436

list

PSA test (prostate)

CPT 84153 · metro median $14

$185

cash

$2 to $717

210 negotiated rates

$10

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · metro median $6

$185

cash

$1 to $1,016

486 negotiated rates

$30

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · metro median $108

$249

cash

$16 to $978

560 negotiated rates

$532

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · metro median $728

$312

cash

$132 to $6,474

70 negotiated rates

$3,523

list

Prostate biopsy

CPT 55700 · metro median $2,566

$1,684

cash

$787 to $6,271

44 negotiated rates

$4,325

list

Prothrombin time (blood clotting test)

CPT 85610 · metro median $29

$185

cash

$2 to $823

482 negotiated rates

$17

list

Screening mammogram (both breasts)

CPT 77067 · metro median $187

$187

cash

$133 to $2,778

560 negotiated rates

$1,058

list

Spinal injection, lower back, no imaging guidance

CPT 62322 · metro median $1,323

$1,083

cash

$139 to $18,596

68 negotiated rates

$12,825

list

Spinal injection, lower back, with imaging guidance

CPT 62323 · metro median $1,376

$1,083

cash

$220 to $10,752

68 negotiated rates

$7,415

list

TSH test (thyroid)

CPT 84443 · metro median $24

$185

cash

$13 to $1,564

210 negotiated rates

$851

list

Transvaginal ultrasound

CPT 76830 · metro median $515

$312

cash

$97 to $5,332

70 negotiated rates

$2,902

list

Ultrasound of the abdomen (complete)

CPT 76700 · metro median $1,191

$312

cash

$119 to $6,973

70 negotiated rates

$3,795

list

Urinalysis with microscope

CPT 81001 · metro median $61

$185

cash

$3 to $733

70 negotiated rates

$399

list

X-ray of the lower spine (4 or more views)

CPT 72110 · metro median $455

$281

cash

$63 to $3,563

70 negotiated rates

$1,939

list

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.

https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbSACHUPLANDCA&type=CDMWithoutLabel&fileType=CSV
SAN ANTONIO REGIONAL HOSPITAL · parsed · tall v3.0.0 · file dated 2026-04-02 · 416.6 MB · 6785 price rows read · read Nov 2026