Biotinidase - 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

$11.49

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.

$29.37

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.

$5.88 with Blue Shield CA vs $99.40 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 $5.88 ↓ -49%
Blue Shield CA Commercial|All Other Plans $9.99 ↓ -13%
HPN Medicare|Senior $16.16 ↑ +41%
Blue Shield CA Medicare|All Other Plans $16.87 ↑ +47%
Redlands Medicare|All Plans $16.87 ↑ +47%
Patton Medicare|All Plans $16.87 ↑ +47%
Molina Medicare|All Plans $16.87 ↑ +47%
BCBS - Anthem Medicare|All Plans $16.87 ↑ +47%
United Medicare|All Plans $16.87 ↑ +47%
Epic Health Medicare|All Plans $16.87 ↑ +47%
Central Health Plan Medicare|All Plans $16.87 ↑ +47%
Kaiser Medicare|All Plans $16.87 ↑ +47%
Inland Empire Health Plan Medicare|All Plans $16.87 ↑ +47%
Scan Health Plan Medicare|All Plans $16.87 ↑ +47%
Humana Medicare|All Plans $16.87 ↑ +47%
HPN Commercial|All Plans $17.04 ↑ +48%
Magellan Commercial|All Plans $17.63 ↑ +53%
Kaiser Commercial|All Plans $18.21 ↑ +58%
Ballards Rehab Commercial|All Plans $18.56 ↑ +62%
Kaiser Medicaid|> 21 $19.88 ↑ +73%
LA Care Medicaid|< 21 $19.88 ↑ +73%
LA Care Medicaid|> 21 $19.88 ↑ +73%
Kaiser Medicaid|< 21 $19.88 ↑ +73%
Partnership Health Plan Medicaid|< 21 $19.88 ↑ +73%
Partnership Health Plan Medicaid|> 21 $19.88 ↑ +73%
United Commercial|All Other Plans $20.24 ↑ +76%
United Commercial|HMO $20.24 ↑ +76%
First Health Commercial|All Plans $20.56 ↑ +79%
BCBS - Anthem Commercial|All Other Plans $21.45 ↑ +87%
Blue Shield CA Medicare|BlueShield Promise $22.03 ↑ +92%
MultiPlan Commercial|All Plans $23.50 ↑ +105%
BCBS - Anthem Commercial|MCS $26.73 ↑ +133%
Molina Medicaid|All Plans $27.83 ↑ +142%
Epic Health Commercial|All Plans $28.68 ↑ +150%
HPN Medicaid|All Plans $29.16 ↑ +154%
BCBS - Anthem Medicaid|All Plans $29.37 ↑ +156%
SBMG Commercial|All Plans $29.37 ↑ +156%
Inland Empire Health Plan Medicaid|All Plans $29.37 ↑ +156%
Aetna Commercial|Non-Gatekeeper $29.37 ↑ +156%
Redlands Commercial|All Plans $29.37 ↑ +156%
Aetna Commercial|Gatekeeper $29.37 ↑ +156%
Health Net Medicaid|< 21 $30.07 ↑ +162%
Health Net Medicaid|> 21 $30.07 ↑ +162%
Naphcare Commercial|All Plans $32.90 ↑ +186%
Cigna Commercial|PPO $48.41 ↑ +321%
Cigna Commercial|All Other Plans $48.41 ↑ +321%
Care 1st Medicaid|All Plans $99.40 ↑ +765%

Visitor-reported prices

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Biotinidase - quest at other California hospitals

Hospital City Cash price Negotiated range
St. Bernardine Medical Center San Bernardino $9.79 $7.64 – $99.40
Banner Lassen Medical Center Susanville $11.27 $3.37 – $22.87
Arroyo Grande Hospital Santa Maria $12.58 $14.69 – $43.49
French Hospital San Luis Obispo $11.52 $7.93 – $51.12
Mercy Hospitals – Bakersfield Bakersfield $8.17 $11.00 – $48.50
Bakersfield Memorial Hospital Bakersfield $8.08 $11.00 – $48.50
St. Joseph's Behavioral Health Center Stockton $10.85 $1.90 – $15.20
St. Joseph's Medical Center Stockton Stockton $6.18 $3.84 – $18.25

All California hospitals for this procedure →