Human epididymis protein 4 (he4) 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

$19.55

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.

$50.00

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.

$10.00 with Blue Shield CA vs $92.50 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 $10.00 ↓ -49%
Blue Shield CA Commercial|All Other Plans $17.00 ↓ -13%
LA Care Medicaid|< 21 $18.50 ↓ -5%
Partnership Health Plan Medicaid|> 21 $18.50 ↓ -5%
Kaiser Medicaid|< 21 $18.50 ↓ -5%
LA Care Medicaid|> 21 $18.50 ↓ -5%
Kaiser Medicaid|> 21 $18.50 ↓ -5%
Partnership Health Plan Medicaid|< 21 $18.50 ↓ -5%
Scan Health Plan Medicare|All Plans $20.81 ↑ +6%
Humana Medicare|All Plans $20.81 ↑ +6%
Redlands Medicare|All Plans $20.81 ↑ +6%
Patton Medicare|All Plans $20.81 ↑ +6%
Epic Health Medicare|All Plans $20.81 ↑ +6%
Molina Medicare|All Plans $20.81 ↑ +6%
United Medicare|All Plans $20.81 ↑ +6%
Inland Empire Health Plan Medicare|All Plans $20.81 ↑ +6%
Kaiser Medicare|All Plans $20.81 ↑ +6%
Central Health Plan Medicare|All Plans $20.81 ↑ +6%
BCBS - Anthem Medicare|All Plans $20.81 ↑ +6%
Blue Shield CA Medicare|All Other Plans $20.81 ↑ +6%
Ballards Rehab Commercial|All Plans $22.89 ↑ +17%
United Commercial|All Other Plans $24.97 ↑ +28%
United Commercial|HMO $24.97 ↑ +28%
Molina Medicaid|All Plans $25.90 ↑ +32%
HPN Medicaid|All Plans $27.14 ↑ +39%
HPN Medicare|Senior $27.50 ↑ +41%
BCBS - Anthem Medicaid|All Plans $27.75 ↑ +42%
Health Net Medicaid|> 21 $27.99 ↑ +43%
Health Net Medicaid|< 21 $27.99 ↑ +43%
HPN Commercial|All Plans $29.00 ↑ +48%
Magellan Commercial|All Plans $30.00 ↑ +53%
Kaiser Commercial|All Plans $31.00 ↑ +59%
First Health Commercial|All Plans $35.00 ↑ +79%
Epic Health Commercial|All Plans $35.38 ↑ +81%
BCBS - Anthem Commercial|All Other Plans $36.50 ↑ +87%
Inland Empire Health Plan Medicaid|All Plans $37.00 ↑ +89%
Blue Shield CA Medicare|BlueShield Promise $37.50 ↑ +92%
MultiPlan Commercial|All Plans $40.00 ↑ +105%
Naphcare Commercial|All Plans $40.58 ↑ +108%
BCBS - Anthem Commercial|MCS $45.50 ↑ +133%
Aetna Commercial|Gatekeeper $47.86 ↑ +145%
SBMG Commercial|All Plans $50.00 ↑ +156%
Aetna Commercial|Non-Gatekeeper $50.00 ↑ +156%
Redlands Commercial|All Plans $50.00 ↑ +156%
Cigna Commercial|PPO $59.71 ↑ +205%
Cigna Commercial|All Other Plans $59.71 ↑ +205%
Care 1st Medicaid|All Plans $92.50 ↑ +373%

Visitor-reported prices

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Human epididymis protein 4 (he4) at other California hospitals

Hospital City Cash price Negotiated range
St. Bernardine Medical Center San Bernardino $16.65 $13.00 – $92.50
St. John's Camarillo Hospital Camarillo $21.90 $6.48 – $55.23
Banner Lassen Medical Center Susanville $29.30 $4.16 – $44.62
Petaluma Valley Hospital Petaluma $130.56 $20.39 – $207.57
Arroyo Grande Hospital Santa Maria $21.40 $16.64 – $53.63
French Hospital San Luis Obispo $19.60 $11.51 – $63.05
Mercy Hospitals – Bakersfield Bakersfield $94.98 $18.50 – $59.82
Bakersfield Memorial Hospital Bakersfield $93.96 $18.50 – $59.82

All California hospitals for this procedure →