Alpha-fetoprotein tumor marker at Community Hospital San Bernardino

1805 Medical Center Dr, San Bernardino, CA · CommonSpirit Health · · NPI 1235290818

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$44.19

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$113.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$1.00 with Blue Shield CA vs $609.60 with Care 1st — same scan, same building. Share

Negotiated rates by payer
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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
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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
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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
Blue Shield CA Commercial|Exchange $1.00 ↓ -98%
Blue Shield CA Commercial|All Other Plans $1.70 ↓ -96%
HPN Medicare|Senior $2.75 ↓ -94%
HPN Commercial|All Plans $2.90 ↓ -93%
Magellan Commercial|All Plans $3.00 ↓ -93%
Kaiser Commercial|All Plans $3.10 ↓ -93%
First Health Commercial|All Plans $3.50 ↓ -92%
BCBS - Anthem Commercial|All Other Plans $3.65 ↓ -92%
Blue Shield CA Medicare|BlueShield Promise $3.75 ↓ -92%
MultiPlan Commercial|All Plans $4.00 ↓ -91%
BCBS - Anthem Commercial|MCS $4.55 ↓ -90%
Kaiser Medicaid|> 21 $5.00 ↓ -89%
Central Health Plan Medicare|All Plans $5.00 ↓ -89%
BCBS - Anthem Medicaid|All Plans $5.00 ↓ -89%
BCBS - Anthem Medicare|All Plans $5.00 ↓ -89%
LA Care Medicaid|< 21 $5.00 ↓ -89%
Humana Medicare|All Plans $5.00 ↓ -89%
Aetna Commercial|Gatekeeper $5.00 ↓ -89%
Aetna Commercial|Non-Gatekeeper $5.00 ↓ -89%
Molina Medicaid|All Plans $5.00 ↓ -89%
Molina Medicare|All Plans $5.00 ↓ -89%
United Commercial|All Other Plans $5.00 ↓ -89%
United Medicare|All Plans $5.00 ↓ -89%
United Commercial|HMO $5.00 ↓ -89%
Kaiser Medicare|All Plans $5.00 ↓ -89%
Kaiser Medicaid|< 21 $5.00 ↓ -89%
Scan Health Plan Medicare|All Plans $5.00 ↓ -89%
LA Care Medicaid|> 21 $5.00 ↓ -89%
Inland Empire Health Plan Medicaid|All Plans $5.00 ↓ -89%
Inland Empire Health Plan Medicare|All Plans $5.00 ↓ -89%
Epic Health Medicare|All Plans $5.00 ↓ -89%
Patton Medicare|All Plans $5.00 ↓ -89%
Redlands Commercial|All Plans $5.00 ↓ -89%
Redlands Medicare|All Plans $5.00 ↓ -89%
SBMG Commercial|All Plans $5.00 ↓ -89%
Blue Shield CA Medicare|All Other Plans $5.00 ↓ -89%
Partnership Health Plan Medicaid|< 21 $5.00 ↓ -89%
Partnership Health Plan Medicaid|> 21 $5.00 ↓ -89%
Ballards Rehab Commercial|All Plans $5.50 ↓ -88%
Health Net Medicaid|< 21 $6.15 ↓ -86%
Health Net Medicaid|> 21 $6.15 ↓ -86%
Epic Health Commercial|All Plans $8.50 ↓ -81%
Naphcare Commercial|All Plans $9.75 ↓ -78%
Cigna Commercial|All Other Plans $48.10 ↑ +9%
Cigna Commercial|PPO $48.10 ↑ +9%
HPN Medicaid|All Plans $178.86 ↑ +305%
Care 1st Medicaid|All Plans $609.60 ↑ +1279%

Visitor-reported prices

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Alpha-fetoprotein tumor marker at other California hospitals

Hospital City Cash price Negotiated range
St. Bernardine Medical Center San Bernardino $40.63 $1.30 – $609.60
St. John's Camarillo Hospital Camarillo $21.90 $2.16 – $44.49
Banner Lassen Medical Center Susanville $6.89 $3.28 – $140.25
Petaluma Valley Hospital Petaluma $148.92 $16.43 – $136.95
Mark Twain Medical Center San Andreas $295.04 $4.34 – $8.00
Mercy Hospitals – Bakersfield Bakersfield $43.78 $4.00 – $48.19
Bakersfield Memorial Hospital Bakersfield $43.31 $4.00 – $48.19
Queen of The Valley Medical Center Napa $167.79 $16.77 – $173.07

All California hospitals for this procedure →