Anca screen with reflex to titer -quest 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

$24.58

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.

$62.86

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.

$12.58 with Blue Shield CA vs $95.95 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 $12.58 ↓ -49%
Blue Shield CA Medicare|All Other Plans $15.05 ↓ -39%
Humana Medicare|All Plans $15.05 ↓ -39%
Patton Medicare|All Plans $15.05 ↓ -39%
Epic Health Medicare|All Plans $15.05 ↓ -39%
Inland Empire Health Plan Medicare|All Plans $15.05 ↓ -39%
Central Health Plan Medicare|All Plans $15.05 ↓ -39%
Molina Medicare|All Plans $15.05 ↓ -39%
Redlands Medicare|All Plans $15.05 ↓ -39%
United Medicare|All Plans $15.05 ↓ -39%
BCBS - Anthem Medicare|All Plans $15.05 ↓ -39%
Kaiser Medicare|All Plans $15.05 ↓ -39%
Scan Health Plan Medicare|All Plans $15.05 ↓ -39%
Ballards Rehab Commercial|All Plans $16.56 ↓ -33%
United Commercial|HMO $18.06 ↓ -27%
United Commercial|All Other Plans $18.06 ↓ -27%
Partnership Health Plan Medicaid|< 21 $19.19 ↓ -22%
Partnership Health Plan Medicaid|> 21 $19.19 ↓ -22%
LA Care Medicaid|< 21 $19.19 ↓ -22%
Kaiser Medicaid|< 21 $19.19 ↓ -22%
Kaiser Medicaid|> 21 $19.19 ↓ -22%
LA Care Medicaid|> 21 $19.19 ↓ -22%
Blue Shield CA Commercial|All Other Plans $21.38 ↓ -13%
Epic Health Commercial|All Plans $25.59 ↑ +4%
Molina Medicaid|All Plans $26.87 ↑ +9%
BCBS - Anthem Medicaid|All Plans $28.01 ↑ +14%
HPN Medicaid|All Plans $28.15 ↑ +15%
Health Net Medicaid|< 21 $29.03 ↑ +18%
Health Net Medicaid|> 21 $29.03 ↑ +18%
Naphcare Commercial|All Plans $29.35 ↑ +19%
Aetna Commercial|Gatekeeper $31.42 ↑ +28%
HPN Medicare|Senior $34.58 ↑ +41%
HPN Commercial|All Plans $36.46 ↑ +48%
Magellan Commercial|All Plans $37.72 ↑ +53%
Aetna Commercial|Non-Gatekeeper $37.75 ↑ +54%
Inland Empire Health Plan Medicaid|All Plans $38.38 ↑ +56%
Kaiser Commercial|All Plans $38.98 ↑ +59%
Cigna Commercial|PPO $43.16 ↑ +76%
Cigna Commercial|All Other Plans $43.16 ↑ +76%
First Health Commercial|All Plans $44.01 ↑ +79%
BCBS - Anthem Commercial|All Other Plans $45.89 ↑ +87%
Blue Shield CA Medicare|BlueShield Promise $47.15 ↑ +92%
MultiPlan Commercial|All Plans $50.29 ↑ +105%
BCBS - Anthem Commercial|MCS $57.21 ↑ +133%
Redlands Commercial|All Plans $62.86 ↑ +156%
SBMG Commercial|All Plans $62.86 ↑ +156%
Care 1st Medicaid|All Plans $95.95 ↑ +290%

Visitor-reported prices

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Anca screen with reflex to titer -quest at other California hospitals

Hospital City Cash price Negotiated range
St. Bernardine Medical Center San Bernardino $20.94 $12.94 – $95.95
St. John's Camarillo Hospital Camarillo $27.54 $15.05 – $49.04
Petaluma Valley Hospital Petaluma $51.00 $14.75 – $122.88
Arroyo Grande Hospital Santa Maria $26.91 $15.05 – $61.61
Mark Twain Medical Center San Andreas $41.87 $15.05 – $61.61
French Hospital San Luis Obispo $24.65 $15.05 – $61.61
Mercy Hospitals – Bakersfield Bakersfield $140.24 $12.50 – $43.24
Bakersfield Memorial Hospital Bakersfield $138.73 $12.50 – $43.24

All California hospitals for this procedure →