Cystostomy cystotomy w/drainage 51040 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.
$512.67 with LA Care vs $9,168.00 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 | $512.67 | — |
| Partnership Health Plan | Medicaid|> 21 | $512.67 | — |
| Kaiser | Medicaid|< 21 | $512.67 | — |
| Kaiser | Medicaid|> 21 | $512.67 | — |
| LA Care | Medicaid|> 21 | $512.67 | — |
| Partnership Health Plan | Medicaid|< 21 | $512.67 | — |
| Health Net | Medicaid|> 21 | $630.58 | — |
| Health Net | Medicaid|< 21 | $630.58 | — |
| BCBS - Anthem | Medicaid|All Plans | $961.25 | — |
| Molina | Medicaid|All Plans | $1,131.40 | — |
| HPN | Medicaid|All Plans | $1,185.54 | — |
| Inland Empire Health Plan | Medicaid|All Plans | $1,281.67 | — |
| BCBS - Anthem | Medicare|All Plans | $2,602.84 | — |
| Redlands | Medicare|All Plans | $2,602.84 | — |
| Humana | Medicare|All Plans | $2,602.84 | — |
| Patton | Medicare|All Plans | $2,602.84 | — |
| Epic Health | Medicare|All Plans | $2,602.84 | — |
| Molina | Medicare|All Plans | $2,602.84 | — |
| Inland Empire Health Plan | Medicare|All Plans | $2,602.84 | — |
| United | Medicare|All Plans | $2,602.84 | — |
| Scan Health Plan | Medicare|All Plans | $2,602.84 | — |
| Kaiser | Medicare|All Plans | $2,602.84 | — |
| Central Health Plan | Medicare|All Plans | $2,602.84 | — |
| Blue Shield CA | Medicare|All Other Plans | $2,602.84 | — |
| Ballards Rehab | Commercial|All Plans | $2,863.12 | — |
| Blue Shield CA | Commercial|Exchange | $3,679.00 | — |
| Health Net | Commercial|EPPO | $3,940.00 | — |
| Care 1st | Medicaid|All Plans | $4,040.70 | — |
| Epic Health | Commercial|All Plans | $4,424.83 | — |
| Health Net | Commercial|Care Product | $4,527.00 | — |
| Health Net | Commercial|All Other Plans | $4,696.00 | — |
| Naphcare | Commercial|All Plans | $5,075.54 | — |
| Blue Shield CA | Commercial|All Other Plans | $5,724.00 | — |
| BCBS - Anthem | Commercial|All Other Plans | $7,334.00 | — |
| BCBS - Anthem | Commercial|MCS | $9,168.00 | — |
| Kaiser | Commercial|All Plans | not published by hospital | — |
| United | Commercial|HMO | not published by hospital | — |
| United | Commercial|All Other Plans | not published by hospital | — |
| Blue Shield CA | Medicare|BlueShield Promise | not published by hospital | — |
| First Health | Commercial|All Plans | not published by hospital | — |
| MultiPlan | Commercial|All Plans | not published by hospital | — |
| Redlands | Commercial|All Plans | not published by hospital | — |
| HPN | Commercial|All Plans | not published by hospital | — |
| Magellan | Commercial|All Plans | not published by hospital | — |
| HPN | Medicare|Senior | not published by hospital | — |
Visitor-reported prices
Comments
Cystostomy cystotomy w/drainage 51040 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Bernardine Medical Center | San Bernardino | not published | $512.67 – $5,075.54 |
| Petaluma Valley Hospital | Petaluma | $3,776.04 | $2,817.02 – $6,619.00 |
| Queen of The Valley Medical Center | Napa | $5,395.80 | $2,968.05 – $10,593.00 |
| Providence St Joseph Hospital Eureka | Eureka | $3,584.28 | $2,688.58 – $11,046.00 |
| Healdsburg Hospital | Healdsburg | $1,892.10 | $2,816.47 – $6,323.17 |
| Redwood Memorial Hospital | Fortuna | $2,365.38 | $9,858.00 – $46,797.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $7,674.99 | $2,908.69 – $9,773.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $7,086.72 | $2,285.30 – $9,779.00 |