Closed tx humerus fx with manip 23605 at Community Hospital San Bernardino
1805 Medical Center Dr, San Bernardino, CA · CommonSpirit Health · · NPI 1235290818
not published by hospital
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.
not published by hospital
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.
$247.78 with LA Care vs $5,331.00 with BCBS - Anthem — 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 |
|---|---|---|---|
| LA Care | Medicaid|> 21 | $247.78 | — |
| Partnership Health Plan | Medicaid|< 21 | $247.78 | — |
| Kaiser | Medicaid|> 21 | $247.78 | — |
| Kaiser | Medicaid|< 21 | $247.78 | — |
| LA Care | Medicaid|< 21 | $247.78 | — |
| Partnership Health Plan | Medicaid|> 21 | $247.78 | — |
| Health Net | Medicaid|> 21 | $304.77 | — |
| Health Net | Medicaid|< 21 | $304.77 | — |
| BCBS - Anthem | Medicaid|All Plans | $464.60 | — |
| Molina | Medicaid|All Plans | $546.84 | — |
| HPN | Medicaid|All Plans | $573.01 | — |
| Inland Empire Health Plan | Medicaid|All Plans | $619.46 | — |
| Care 1st | Medicaid|All Plans | $1,953.00 | — |
| Blue Shield CA | Medicare|All Other Plans | $2,033.48 | — |
| Humana | Medicare|All Plans | $2,033.48 | — |
| Molina | Medicare|All Plans | $2,033.48 | — |
| United | Medicare|All Plans | $2,033.48 | — |
| Kaiser | Medicare|All Plans | $2,033.48 | — |
| Central Health Plan | Medicare|All Plans | $2,033.48 | — |
| BCBS - Anthem | Medicare|All Plans | $2,033.48 | — |
| Scan Health Plan | Medicare|All Plans | $2,033.48 | — |
| Inland Empire Health Plan | Medicare|All Plans | $2,033.48 | — |
| Epic Health | Medicare|All Plans | $2,033.48 | — |
| Patton | Medicare|All Plans | $2,033.48 | — |
| Redlands | Medicare|All Plans | $2,033.48 | — |
| Ballards Rehab | Commercial|All Plans | $2,236.83 | — |
| Blue Shield CA | Commercial|Exchange | $2,603.00 | — |
| Epic Health | Commercial|All Plans | $3,456.92 | — |
| Health Net | Commercial|EPPO | $3,940.00 | — |
| Naphcare | Commercial|All Plans | $3,965.29 | — |
| Blue Shield CA | Commercial|All Other Plans | $4,050.00 | — |
| BCBS - Anthem | Commercial|All Other Plans | $4,265.00 | — |
| Health Net | Commercial|Care Product | $4,527.00 | — |
| Health Net | Commercial|All Other Plans | $4,696.00 | — |
| BCBS - Anthem | Commercial|MCS | $5,331.00 | — |
| First Health | Commercial|All Plans | not published by hospital | — |
| MultiPlan | Commercial|All Plans | not published by hospital | — |
| Magellan | Commercial|All Plans | not published by hospital | — |
| Kaiser | Commercial|All Plans | not published by hospital | — |
| HPN | Medicare|Senior | not published by hospital | — |
| Redlands | Commercial|All Plans | not published by hospital | — |
| United | Commercial|All Other Plans | not published by hospital | — |
| HPN | Commercial|All Plans | not published by hospital | — |
| United | Commercial|HMO | not published by hospital | — |
| Blue Shield CA | Medicare|BlueShield Promise | not published by hospital | — |
Visitor-reported prices
Comments
Closed tx humerus fx with manip 23605 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Bernardine Medical Center | San Bernardino | not published | $247.78 – $3,965.29 |
| Petaluma Valley Hospital | Petaluma | $6,053.19 | $2,166.95 – $6,619.00 |
| Mark Twain Medical Center | San Andreas | $813.19 | $247.78 – $1,150.52 |
| Queen of The Valley Medical Center | Napa | $2,435.25 | $2,283.13 – $10,593.00 |
| Providence St Joseph Hospital Eureka | Eureka | $2,993.70 | $2,068.15 – $10,413.00 |
| Healdsburg Hospital | Healdsburg | $1,763.07 | $2,166.52 – $5,198.77 |
| Redwood Memorial Hospital | Fortuna | $3,002.37 | $8,005.00 – $25,998.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $5,397.33 | $2,237.46 – $6,732.00 |