Assay of silica at Community Hospital San Bernardino
1805 Medical Center Dr, San Bernardino, CA · CommonSpirit Health · · NPI 1235290818
$43.80
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.
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What you pay up front if you don't use insurance.
$112.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$22.40 with Blue Shield CA vs $150.05 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 →
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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 ?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 |
|---|---|---|---|
| Blue Shield CA | Commercial|Exchange | $22.40 | ↓ -49% |
| Humana | Medicare|All Plans | $25.21 | ↓ -42% |
| Patton | Medicare|All Plans | $25.21 | ↓ -42% |
| Blue Shield CA | Medicare|All Other Plans | $25.21 | ↓ -42% |
| Epic Health | Medicare|All Plans | $25.21 | ↓ -42% |
| Inland Empire Health Plan | Medicare|All Plans | $25.21 | ↓ -42% |
| Redlands | Medicare|All Plans | $25.21 | ↓ -42% |
| Scan Health Plan | Medicare|All Plans | $25.21 | ↓ -42% |
| Molina | Medicare|All Plans | $25.21 | ↓ -42% |
| Central Health Plan | Medicare|All Plans | $25.21 | ↓ -42% |
| United | Medicare|All Plans | $25.21 | ↓ -42% |
| Kaiser | Medicare|All Plans | $25.21 | ↓ -42% |
| BCBS - Anthem | Medicare|All Plans | $25.21 | ↓ -42% |
| Ballards Rehab | Commercial|All Plans | $27.73 | ↓ -37% |
| LA Care | Medicaid|> 21 | $30.01 | ↓ -31% |
| LA Care | Medicaid|< 21 | $30.01 | ↓ -31% |
| Partnership Health Plan | Medicaid|> 21 | $30.01 | ↓ -31% |
| Partnership Health Plan | Medicaid|< 21 | $30.01 | ↓ -31% |
| Kaiser | Medicaid|< 21 | $30.01 | ↓ -31% |
| Kaiser | Medicaid|> 21 | $30.01 | ↓ -31% |
| United | Commercial|All Other Plans | $30.25 | ↓ -31% |
| United | Commercial|HMO | $30.25 | ↓ -31% |
| Blue Shield CA | Commercial|All Other Plans | $38.08 | ↓ -13% |
| Molina | Medicaid|All Plans | $42.01 | ↓ -4% |
| Epic Health | Commercial|All Plans | $42.86 | ↓ -2% |
| HPN | Medicaid|All Plans | $44.02 | ↑ +1% |
| Health Net | Medicaid|< 21 | $45.40 | ↑ +4% |
| Health Net | Medicaid|> 21 | $45.40 | ↑ +4% |
| BCBS - Anthem | Medicaid|All Plans | $47.87 | ↑ +9% |
| Naphcare | Commercial|All Plans | $49.16 | ↑ +12% |
| Aetna | Commercial|Gatekeeper | $54.14 | ↑ +24% |
| Inland Empire Health Plan | Medicaid|All Plans | $60.02 | ↑ +37% |
| HPN | Medicare|Senior | $61.60 | ↑ +41% |
| HPN | Commercial|All Plans | $64.96 | ↑ +48% |
| Aetna | Commercial|Non-Gatekeeper | $65.04 | ↑ +48% |
| Magellan | Commercial|All Plans | $67.20 | ↑ +53% |
| Kaiser | Commercial|All Plans | $69.44 | ↑ +59% |
| Cigna | Commercial|PPO | $72.33 | ↑ +65% |
| Cigna | Commercial|All Other Plans | $72.33 | ↑ +65% |
| First Health | Commercial|All Plans | $78.40 | ↑ +79% |
| BCBS - Anthem | Commercial|All Other Plans | $81.76 | ↑ +87% |
| Blue Shield CA | Medicare|BlueShield Promise | $84.00 | ↑ +92% |
| MultiPlan | Commercial|All Plans | $89.60 | ↑ +105% |
| BCBS - Anthem | Commercial|MCS | $101.92 | ↑ +133% |
| Redlands | Commercial|All Plans | $112.00 | ↑ +156% |
| SBMG | Commercial|All Plans | $112.00 | ↑ +156% |
| Care 1st | Medicaid|All Plans | $150.05 | ↑ +243% |
Visitor-reported prices
Comments
Assay of silica at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Bernardine Medical Center | San Bernardino | $37.30 | $21.68 – $150.05 |
| St. Mary Medical Center | Long Beach | $48.16 | $25.21 – $150.05 |
| Glendale Memorial Hospital Health Center | Glendale | $36.52 | $22.40 – $112.00 |
| Petaluma Valley Hospital | Petaluma | not published | $24.71 – $192.18 |
| Queen of The Valley Medical Center | Napa | not published | $25.21 – $242.87 |
| Providence St Joseph Hospital Eureka | Eureka | not published | $25.21 – $275.42 |
| Healdsburg Hospital | Healdsburg | not published | $25.21 – $109.87 |
| Redwood Memorial Hospital | Fortuna | not published | $276.06 – $276.06 |