Mayo lacosamide therapeutic drug level 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

$17.60

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.

$45.00

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.

$9.00 with Blue Shield CA vs $108.45 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 $9.00 ↓ -49%
Blue Shield CA Commercial|All Other Plans $15.30 ↓ -13%
LA Care Medicaid|< 21 $21.69 ↑ +23%
Kaiser Medicaid|> 21 $21.69 ↑ +23%
Partnership Health Plan Medicaid|> 21 $21.69 ↑ +23%
LA Care Medicaid|> 21 $21.69 ↑ +23%
Partnership Health Plan Medicaid|< 21 $21.69 ↑ +23%
Kaiser Medicaid|< 21 $21.69 ↑ +23%
HPN Medicare|Senior $24.75 ↑ +41%
HPN Commercial|All Plans $26.10 ↑ +48%
Magellan Commercial|All Plans $27.00 ↑ +53%
Inland Empire Health Plan Medicare|All Plans $27.11 ↑ +54%
Humana Medicare|All Plans $27.11 ↑ +54%
Molina Medicare|All Plans $27.11 ↑ +54%
United Medicare|All Plans $27.11 ↑ +54%
Redlands Medicare|All Plans $27.11 ↑ +54%
Patton Medicare|All Plans $27.11 ↑ +54%
Epic Health Medicare|All Plans $27.11 ↑ +54%
Kaiser Medicare|All Plans $27.11 ↑ +54%
Central Health Plan Medicare|All Plans $27.11 ↑ +54%
BCBS - Anthem Medicare|All Plans $27.11 ↑ +54%
Blue Shield CA Medicare|All Other Plans $27.11 ↑ +54%
Scan Health Plan Medicare|All Plans $27.11 ↑ +54%
Kaiser Commercial|All Plans $27.90 ↑ +59%
Ballards Rehab Commercial|All Plans $29.82 ↑ +69%
Molina Medicaid|All Plans $30.37 ↑ +73%
First Health Commercial|All Plans $31.50 ↑ +79%
HPN Medicaid|All Plans $31.82 ↑ +81%
United Commercial|HMO $32.53 ↑ +85%
United Commercial|All Other Plans $32.53 ↑ +85%
BCBS - Anthem Medicaid|All Plans $32.54 ↑ +85%
Health Net Medicaid|> 21 $32.82 ↑ +86%
Health Net Medicaid|< 21 $32.82 ↑ +86%
BCBS - Anthem Commercial|All Other Plans $32.85 ↑ +87%
Blue Shield CA Medicare|BlueShield Promise $33.75 ↑ +92%
MultiPlan Commercial|All Plans $36.00 ↑ +105%
BCBS - Anthem Commercial|MCS $40.95 ↑ +133%
Inland Empire Health Plan Medicaid|All Plans $43.38 ↑ +146%
Aetna Commercial|Gatekeeper $44.28 ↑ +152%
SBMG Commercial|All Plans $45.00 ↑ +156%
Aetna Commercial|Non-Gatekeeper $45.00 ↑ +156%
Redlands Commercial|All Plans $45.00 ↑ +156%
Epic Health Commercial|All Plans $46.09 ↑ +162%
Naphcare Commercial|All Plans $52.86 ↑ +200%
Cigna Commercial|PPO $77.76 ↑ +342%
Cigna Commercial|All Other Plans $77.76 ↑ +342%
Care 1st Medicaid|All Plans $108.45 ↑ +516%

Visitor-reported prices

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Mayo lacosamide therapeutic drug level at other California hospitals

Hospital City Cash price Negotiated range
St. Bernardine Medical Center San Bernardino $14.99 $11.70 – $108.45
St. John's Camarillo Hospital Camarillo $19.71 $12.15 – $71.92
Banner Lassen Medical Center Susanville $13.77 $5.42 – $35.79
Petaluma Valley Hospital Petaluma $79.56 $26.57 – $75.07
Arroyo Grande Hospital Santa Maria $19.26 $21.68 – $69.85
Mark Twain Medical Center San Andreas $29.97 $21.69 – $44.10
French Hospital San Luis Obispo $17.64 $12.15 – $82.11
Mercy Hospitals – Bakersfield Bakersfield $16.70 $21.69 – $77.90

All California hospitals for this procedure →