Consultation pathology during surgery at Community Hospital San Bernardino
1805 Medical Center Dr, San Bernardino, CA · CommonSpirit Health · · NPI 1235290818
$54.74
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.
$140.00
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.
$38.65 with SBMG vs $232.95 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 →
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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 |
|---|---|---|---|
| SBMG | Commercial|All Plans | $38.65 | ↓ -29% |
| United | Commercial|All Other Plans | $40.61 | ↓ -26% |
| United | Commercial|HMO | $40.61 | ↓ -26% |
| Kaiser | Medicaid|< 21 | $46.59 | ↓ -15% |
| LA Care | Medicaid|< 21 | $46.59 | ↓ -15% |
| Partnership Health Plan | Medicaid|< 21 | $46.59 | ↓ -15% |
| Kaiser | Medicaid|> 21 | $46.59 | ↓ -15% |
| LA Care | Medicaid|> 21 | $46.59 | ↓ -15% |
| Partnership Health Plan | Medicaid|> 21 | $46.59 | ↓ -15% |
| Aetna | Commercial|Gatekeeper | $56.95 | ↑ +4% |
| Molina | Medicaid|All Plans | $65.23 | ↑ +19% |
| HPN | Medicaid|All Plans | $68.35 | ↑ +25% |
| Aetna | Commercial|Non-Gatekeeper | $68.42 | ↑ +25% |
| Health Net | Medicaid|< 21 | $70.49 | ↑ +29% |
| Health Net | Medicaid|> 21 | $70.49 | ↑ +29% |
| BCBS - Anthem | Medicaid|All Plans | $74.09 | ↑ +35% |
| United | Medicare|All Plans | $75.47 | ↑ +38% |
| Humana | Medicare|All Plans | $75.47 | ↑ +38% |
| Molina | Medicare|All Plans | $75.47 | ↑ +38% |
| Kaiser | Medicare|All Plans | $75.47 | ↑ +38% |
| Central Health Plan | Medicare|All Plans | $75.47 | ↑ +38% |
| BCBS - Anthem | Medicare|All Plans | $75.47 | ↑ +38% |
| Blue Shield CA | Medicare|All Other Plans | $75.47 | ↑ +38% |
| Scan Health Plan | Medicare|All Plans | $75.47 | ↑ +38% |
| Inland Empire Health Plan | Medicare|All Plans | $75.47 | ↑ +38% |
| Epic Health | Medicare|All Plans | $75.47 | ↑ +38% |
| Patton | Medicare|All Plans | $75.47 | ↑ +38% |
| Redlands | Medicare|All Plans | $75.47 | ↑ +38% |
| HPN | Medicare|Senior | $77.00 | ↑ +41% |
| HPN | Commercial|All Plans | $81.20 | ↑ +48% |
| Ballards Rehab | Commercial|All Plans | $83.02 | ↑ +52% |
| Magellan | Commercial|All Plans | $84.00 | ↑ +53% |
| Kaiser | Commercial|All Plans | $86.80 | ↑ +59% |
| Inland Empire Health Plan | Medicaid|All Plans | $93.18 | ↑ +70% |
| First Health | Commercial|All Plans | $98.00 | ↑ +79% |
| BCBS - Anthem | Commercial|All Other Plans | $102.20 | ↑ +87% |
| Cigna | Commercial|PPO | $102.25 | ↑ +87% |
| Cigna | Commercial|All Other Plans | $102.25 | ↑ +87% |
| Blue Shield CA | Medicare|BlueShield Promise | $105.00 | ↑ +92% |
| MultiPlan | Commercial|All Plans | $112.00 | ↑ +105% |
| BCBS - Anthem | Commercial|MCS | $127.40 | ↑ +133% |
| Epic Health | Commercial|All Plans | $128.30 | ↑ +134% |
| Redlands | Commercial|All Plans | $140.00 | ↑ +156% |
| Naphcare | Commercial|All Plans | $147.17 | ↑ +169% |
| Care 1st | Medicaid|All Plans | $232.95 | ↑ +326% |
Visitor-reported prices
Comments
Consultation pathology during surgery at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Bernardine Medical Center | San Bernardino | $27.31 | $23.78 – $232.95 |
| Petaluma Valley Hospital | Petaluma | $351.90 | $66.86 – $236.26 |
| Arroyo Grande Hospital | Santa Maria | $177.62 | $40.61 – $129.36 |
| Mark Twain Medical Center | San Andreas | $162.51 | $46.59 – $239.12 |
| French Hospital | San Luis Obispo | $162.68 | $35.64 – $129.36 |
| Mercy Hospitals – Bakersfield | Bakersfield | $79.77 | $34.50 – $102.43 |
| Bakersfield Memorial Hospital | Bakersfield | $78.91 | $34.50 – $102.43 |
| Queen of The Valley Medical Center | Napa | $286.11 | $66.86 – $298.57 |