Homovanillic acid (hva) at Community Hospital San Bernardino
1805 Medical Center Dr, San Bernardino, CA · CommonSpirit Health · · NPI 1235290818
$5.81
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.
$14.85
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.
$2.94 with Blue Shield CA vs $81.75 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 | $2.94 | ↓ -49% |
| Blue Shield CA | Commercial|All Other Plans | $5.00 | ↓ -14% |
| HPN | Medicare|Senior | $8.09 | ↑ +39% |
| HPN | Commercial|All Plans | $8.53 | ↑ +47% |
| Magellan | Commercial|All Plans | $8.82 | ↑ +52% |
| Kaiser | Commercial|All Plans | $9.12 | ↑ +57% |
| First Health | Commercial|All Plans | $10.29 | ↑ +77% |
| BCBS - Anthem | Commercial|All Other Plans | $10.74 | ↑ +85% |
| Blue Shield CA | Medicare|BlueShield Promise | $11.03 | ↑ +90% |
| MultiPlan | Commercial|All Plans | $11.76 | ↑ +102% |
| BCBS - Anthem | Commercial|MCS | $13.38 | ↑ +130% |
| Kaiser | Medicaid|> 21 | $14.70 | ↑ +153% |
| Central Health Plan | Medicare|All Plans | $14.70 | ↑ +153% |
| BCBS - Anthem | Medicaid|All Plans | $14.70 | ↑ +153% |
| BCBS - Anthem | Medicare|All Plans | $14.70 | ↑ +153% |
| LA Care | Medicaid|< 21 | $14.70 | ↑ +153% |
| Humana | Medicare|All Plans | $14.70 | ↑ +153% |
| Aetna | Commercial|Gatekeeper | $14.70 | ↑ +153% |
| Aetna | Commercial|Non-Gatekeeper | $14.70 | ↑ +153% |
| Molina | Medicaid|All Plans | $14.70 | ↑ +153% |
| Molina | Medicare|All Plans | $14.70 | ↑ +153% |
| United | Commercial|All Other Plans | $14.70 | ↑ +153% |
| United | Medicare|All Plans | $14.70 | ↑ +153% |
| United | Commercial|HMO | $14.70 | ↑ +153% |
| Kaiser | Medicare|All Plans | $14.70 | ↑ +153% |
| Kaiser | Medicaid|< 21 | $14.70 | ↑ +153% |
| Scan Health Plan | Medicare|All Plans | $14.70 | ↑ +153% |
| LA Care | Medicaid|> 21 | $14.70 | ↑ +153% |
| Inland Empire Health Plan | Medicaid|All Plans | $14.70 | ↑ +153% |
| Inland Empire Health Plan | Medicare|All Plans | $14.70 | ↑ +153% |
| Epic Health | Medicare|All Plans | $14.70 | ↑ +153% |
| Patton | Medicare|All Plans | $14.70 | ↑ +153% |
| Redlands | Commercial|All Plans | $14.70 | ↑ +153% |
| Redlands | Medicare|All Plans | $14.70 | ↑ +153% |
| SBMG | Commercial|All Plans | $14.70 | ↑ +153% |
| Blue Shield CA | Medicare|All Other Plans | $14.70 | ↑ +153% |
| Partnership Health Plan | Medicaid|< 21 | $14.70 | ↑ +153% |
| Partnership Health Plan | Medicaid|> 21 | $14.70 | ↑ +153% |
| Ballards Rehab | Commercial|All Plans | $16.17 | ↑ +178% |
| Health Net | Medicaid|< 21 | $18.09 | ↑ +211% |
| Health Net | Medicaid|> 21 | $18.09 | ↑ +211% |
| HPN | Medicaid|All Plans | $23.99 | ↑ +313% |
| Epic Health | Commercial|All Plans | $24.99 | ↑ +330% |
| Naphcare | Commercial|All Plans | $28.67 | ↑ +393% |
| Cigna | Commercial|All Other Plans | $64.30 | ↑ +1007% |
| Cigna | Commercial|PPO | $64.30 | ↑ +1007% |
| Care 1st | Medicaid|All Plans | $81.75 | ↑ +1307% |
Visitor-reported prices
Comments
Homovanillic acid (hva) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Bernardine Medical Center | San Bernardino | $4.95 | $3.83 – $81.75 |
| St. John's Camarillo Hospital | Camarillo | $6.44 | $3.97 – $59.47 |
| Banner Lassen Medical Center | Susanville | $10.64 | $4.48 – $18.81 |
| Petaluma Valley Hospital | Petaluma | $6.63 | $21.96 – $134.04 |
| Arroyo Grande Hospital | Santa Maria | $6.36 | $7.35 – $57.76 |
| French Hospital | San Luis Obispo | $5.83 | $3.97 – $67.90 |
| Mercy Hospitals – Bakersfield | Bakersfield | $5.51 | $7.35 – $64.41 |
| Bakersfield Memorial Hospital | Bakersfield | $5.45 | $7.35 – $64.41 |