Ammonia 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

$187.68

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.

$480.00

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.

$14.57 with BCBS - Anthem vs $480.00 with SBMG — 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
BCBS - Anthem Medicare|All Plans $14.57 ↓ -92%
Blue Shield CA Medicare|All Other Plans $14.57 ↓ -92%
Humana Medicare|All Plans $14.57 ↓ -92%
Patton Medicare|All Plans $14.57 ↓ -92%
Epic Health Medicare|All Plans $14.57 ↓ -92%
Scan Health Plan Medicare|All Plans $14.57 ↓ -92%
Inland Empire Health Plan Medicare|All Plans $14.57 ↓ -92%
Central Health Plan Medicare|All Plans $14.57 ↓ -92%
Molina Medicare|All Plans $14.57 ↓ -92%
Redlands Medicare|All Plans $14.57 ↓ -92%
United Medicare|All Plans $14.57 ↓ -92%
Kaiser Medicare|All Plans $14.57 ↓ -92%
Ballards Rehab Commercial|All Plans $16.03 ↓ -91%
United Commercial|HMO $17.48 ↓ -91%
United Commercial|All Other Plans $17.48 ↓ -91%
LA Care Medicaid|> 21 $18.58 ↓ -90%
Partnership Health Plan Medicaid|> 21 $18.58 ↓ -90%
LA Care Medicaid|< 21 $18.58 ↓ -90%
Partnership Health Plan Medicaid|< 21 $18.58 ↓ -90%
Kaiser Medicaid|< 21 $18.58 ↓ -90%
Kaiser Medicaid|> 21 $18.58 ↓ -90%
BCBS - Anthem Medicaid|All Plans $22.80 ↓ -88%
Epic Health Commercial|All Plans $24.77 ↓ -87%
Molina Medicaid|All Plans $26.01 ↓ -86%
Blue Shield CA Commercial|Exchange $26.80 ↓ -86%
HPN Medicaid|All Plans $27.26 ↓ -85%
Health Net Medicaid|< 21 $28.11 ↓ -85%
Health Net Medicaid|> 21 $28.11 ↓ -85%
Naphcare Commercial|All Plans $28.41 ↓ -85%
Aetna Commercial|Gatekeeper $33.50 ↓ -82%
Inland Empire Health Plan Medicaid|All Plans $37.15 ↓ -80%
Aetna Commercial|Non-Gatekeeper $40.25 ↓ -79%
Cigna Commercial|PPO $41.79 ↓ -78%
Cigna Commercial|All Other Plans $41.79 ↓ -78%
Blue Shield CA Commercial|All Other Plans $45.56 ↓ -76%
HPN Medicare|Senior $73.70 ↓ -61%
HPN Commercial|All Plans $77.72 ↓ -59%
Magellan Commercial|All Plans $80.40 ↓ -57%
Kaiser Commercial|All Plans $83.08 ↓ -56%
Care 1st Medicaid|All Plans $92.90 ↓ -51%
First Health Commercial|All Plans $93.80 ↓ -50%
BCBS - Anthem Commercial|All Other Plans $97.82 ↓ -48%
Blue Shield CA Medicare|BlueShield Promise $100.50 ↓ -46%
MultiPlan Commercial|All Plans $107.20 ↓ -43%
BCBS - Anthem Commercial|MCS $121.94 ↓ -35%
Redlands Commercial|All Plans $134.00 ↓ -29%
SBMG Commercial|All Plans $480.00 ↑ +156%

Visitor-reported prices

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Ammonia at other California hospitals

Hospital City Cash price Negotiated range
St. Bernardine Medical Center San Bernardino $160.51 $12.53 – $92.90
St. John's Camarillo Hospital Camarillo $222.95 $14.57 – $45.46
Banner Lassen Medical Center Susanville $40.69 $2.91 – $42.68
Petaluma Valley Hospital Petaluma $507.45 $14.28 – $118.98
Arroyo Grande Hospital Santa Maria $196.03 $14.57 – $45.08
Mark Twain Medical Center San Andreas $226.44 $14.57 – $246.96
French Hospital San Luis Obispo $179.54 $12.42 – $45.08
Mercy Hospitals – Bakersfield Bakersfield $249.32 $4.17 – $41.87

All California hospitals for this procedure →