San Antonio Regional Hospital
San Antonio Regional Hospital in Upland, CA charges 10.1x the Medicare reimbursement rate across 72 analyzed procedures, with 47% showing significant price variations from standard benchmarks.
Upland, CA 91786 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Kevin Nyk analyzes hospital pricing data at BillRazor Research. He specializes in Medicare reimbursement patterns and chargemaster pricing across U.S. hospitals. Expertise: hospital pricing, Medicare rates, chargemaster analysis.
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Pricing grade
F
Very high
Avg markup vs Medicare
10.12x
Charge / Medicare rate
Max markup
16.38x
Worst procedure
Procedures analyzed
72
With pricing data
Outlier procedures
47.2%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $89,477 | $44,739 | — | 16.4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $81,286 | $40,643 | — | 16.2x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $116,187 | $58,093 | — | 15.6x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $126,755 | $63,377 | — | 15.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $79,850 | $39,925 | — | 14.4x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $115,093 | $57,547 | — | 14.2x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $198,553 | $99,276 | — | 13.7x |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | 372 | $104,319 | $52,159 | — | 12.7x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $86,536 | $43,268 | — | 12.5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $191,295 | $95,648 | — | 11.8x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $136,498 | $68,249 | — | 11.7x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $113,291 | $56,645 | — | 11.6x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $96,711 | $48,355 | — | 11.6x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $72,713 | $36,357 | — | 11.5x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $46,101 | $23,051 | — | 11.4x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $69,219 | $34,610 | — | 11.3x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $67,596 | $33,798 | — | 11.3x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $261,480 | $130,740 | — | 11.3x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $82,900 | $41,450 | — | 11x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $64,422 | $32,211 | — | 11x |
| CHEST PAIN | 313 | $57,454 | $28,727 | — | 10.9x |
| HYPERTENSION WITHOUT MCC | 305 | $61,000 | $30,500 | — | 10.8x |
| RENAL FAILURE WITH CC | 683 | $74,658 | $37,329 | — | 10.7x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $57,382 | $28,691 | — | 10.7x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $139,308 | $69,654 | — | 10.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $40,729 | $20,364 | — | 10.7x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $62,598 | $31,299 | — | 10.3x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $78,704 | $39,352 | — | 10.3x |
| DIABETES WITH CC | 638 | $68,926 | $34,463 | — | 10.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $96,225 | $48,112 | — | 10.2x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | 070 | $158,506 | $79,253 | — | 10.1x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $104,145 | $52,072 | — | 10.1x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $434,830 | $217,415 | — | 10.1x |
| CELLULITIS WITHOUT MCC | 603 | $59,379 | $29,689 | — | 10.1x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $60,359 | $30,180 | — | 10x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $127,274 | $63,637 | — | 10x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $131,892 | $65,946 | — | 9.9x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $74,091 | $37,046 | — | 9.9x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $125,584 | $62,792 | — | 9.7x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $57,137 | $28,569 | — | 9.7x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $86,292 | $43,146 | — | 9.7x |
| DIABETES WITH MCC | 637 | $108,655 | $54,328 | — | 9.6x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | 417 | $173,864 | $86,932 | — | 9.6x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $208,509 | $104,254 | — | 9.6x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | 207 | $512,204 | $256,102 | — | 9.5x |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | 371 | $126,778 | $63,389 | — | 9.4x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | 482 | $118,731 | $59,366 | — | 9.2x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $395,246 | $197,623 | — | 9.2x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $94,761 | $47,380 | — | 8.9x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | 981 | $313,468 | $156,734 | — | 8.8x |
Showing 50 of 72 procedures
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use