Acetazolamide 500 mg solution for injection at Community Hospital San Bernardino
1805 Medical Center Dr, San Bernardino, CA · CommonSpirit Health · · NPI 1235290818
$172.04
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
?
What you pay up front if you don't use insurance.
$440.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
?
The hospital's undiscounted list price — almost no one pays this.
$32.93 with Molina vs $440.00 with SBMG — same scan, same building. Share
Negotiated rates by payer
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Molina | Medicaid|All Plans | $32.93 | ↓ -81% |
| HPN | Medicaid|All Plans | $34.50 | ↓ -80% |
| Health Net | Medicaid|< 21 | $35.58 | ↓ -79% |
| Health Net | Medicaid|> 21 | $35.58 | ↓ -79% |
| United | Commercial|All Other Plans | $35.67 | ↓ -79% |
| United | Commercial|HMO | $35.67 | ↓ -79% |
| Health Net | Commercial|EPPO | $39.30 | ↓ -77% |
| Aetna | Commercial|Gatekeeper | $41.30 | ↓ -76% |
| Aetna | Commercial|Non-Gatekeeper | $41.30 | ↓ -76% |
| Blue Shield CA | Commercial|All Other Plans | $43.19 | ↓ -75% |
| Blue Shield CA | Commercial|Exchange | $43.19 | ↓ -75% |
| Health Net | Commercial|Care Product | $45.34 | ↓ -74% |
| BCBS - Anthem | Medicaid|All Plans | $46.17 | ↓ -73% |
| Inland Empire Health Plan | Medicaid|All Plans | $47.04 | ↓ -73% |
| Health Net | Commercial|All Other Plans | $47.08 | ↓ -73% |
| BCBS - Anthem | Commercial|All Other Plans | $65.15 | ↓ -62% |
| BCBS - Anthem | Commercial|MCS | $81.42 | ↓ -53% |
| PrimeCare | Medicare|All Plans | $92.40 | ↓ -46% |
| PrimeCare | Commercial|All Plans | $96.80 | ↓ -44% |
| HPN | Medicare|Senior | $105.60 | ↓ -39% |
| Care 1st | Medicaid|All Plans | $117.60 | ↓ -32% |
| HPN | Commercial|All Plans | $118.80 | ↓ -31% |
| Cigna | Commercial|PPO | $198.00 | ↑ +15% |
| Cigna | Commercial|All Other Plans | $198.00 | ↑ +15% |
| Magellan | Commercial|All Plans | $264.00 | ↑ +53% |
| Kaiser | Commercial|All Plans | $272.80 | ↑ +59% |
| First Health | Commercial|All Plans | $308.00 | ↑ +79% |
| Blue Shield CA | Medicare|BlueShield Promise | $330.00 | ↑ +92% |
| MultiPlan | Commercial|All Plans | $352.00 | ↑ +105% |
| Redlands | Commercial|All Plans | $440.00 | ↑ +156% |
| SBMG | Commercial|All Plans | $440.00 | ↑ +156% |
Visitor-reported prices
Comments
Acetazolamide 500 mg solution for injection at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Bernardine Medical Center | San Bernardino | $47.96 | $28.80 – $118.08 |
| St. John's Camarillo Hospital | Camarillo | $65.70 | $18.09 – $52.26 |
| Petaluma Valley Hospital | Petaluma | $186.68 | $38.12 – $40.98 |
| Arroyo Grande Hospital | Santa Maria | $213.15 | $24.30 – $54.00 |
| French Hospital | San Luis Obispo | $103.10 | $14.58 – $52.92 |
| Mercy Hospitals – Bakersfield | Bakersfield | $73.83 | $22.89 – $84.00 |
| Bakersfield Memorial Hospital | Bakersfield | $73.04 | $31.45 – $90.92 |
| Queen of The Valley Medical Center | Napa | $186.68 | $38.12 – $43.79 |