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Based on public Medicaid payment data.

San Antonio Regional Hospital

Medicaid Provider in Upland, CA

Type

Organization

Address

999 San Bernardino Rd

Upland, CA 917864920

Phone

9099852811

NPI

1780681189

Procedures

23

Total Claims

706.8K

Patients Served

632.4K

About these costs

All amounts reflect Medicaid reimbursement rates, which are typically much lower than private insurance or cash prices. These figures show what state Medicaid programs actually paid this provider per claim.

Procedures & Average Costs

Procedure Avg. Paid Claims Patients
Blood Work & Lab Tests $13.55 269,844 235,543
X-Ray $16.58 87,668 83,179
Emergency Room Visit $65.73 76,935 69,657
Urinalysis & Urine Tests $4.40 69,708 64,626
EKG / ECG (Electrocardiogram) $27.39 50,580 45,716
CT Scan (Computed Tomography) $137.38 45,473 44,146
Prescription Medications $5.75 33,253 30,182
Ultrasound $52.56 20,979 19,788
Physical Therapy $12.71 19,448 8,525
Culture & Microbiology Tests $9.63 11,549 11,157
Pulmonary Function Test $24.72 6,156 5,106
Pathology & Lab Services $28.36 5,922 5,801
Vaccines & Immunizations $16.10 5,665 5,590
Echocardiogram $178.85 1,906 1,861
MRI (Magnetic Resonance Imaging) $382.01 718 690
Office Visit $3.63 216 186
Cardiac Catheterization $835.22 198 193
Radiation Therapy $27.34 140 12
Cardiac Stress Test $171.85 137 133
Upper Endoscopy (EGD) $23.90 102 102
Ambulance Transport $25.32 97 83
Colonoscopy $37.56 57 56
Mammogram $84.04 29 29

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