Reptilase test 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

$9.77

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.

$24.97

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.

$4.71 with Blue Shield CA vs $62.75 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 →

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 $4.71 ↓ -52%
Blue Shield CA Commercial|All Other Plans $8.01 ↓ -18%
Redlands Medicare|All Plans $9.85 ↑ +1%
Patton Medicare|All Plans $9.85 ↑ +1%
Epic Health Medicare|All Plans $9.85 ↑ +1%
Blue Shield CA Medicare|All Other Plans $9.85 ↑ +1%
Humana Medicare|All Plans $9.85 ↑ +1%
Molina Medicare|All Plans $9.85 ↑ +1%
United Medicare|All Plans $9.85 ↑ +1%
Inland Empire Health Plan Medicare|All Plans $9.85 ↑ +1%
Kaiser Medicare|All Plans $9.85 ↑ +1%
Central Health Plan Medicare|All Plans $9.85 ↑ +1%
Scan Health Plan Medicare|All Plans $9.85 ↑ +1%
BCBS - Anthem Medicare|All Plans $9.85 ↑ +1%
Ballards Rehab Commercial|All Plans $10.84 ↑ +11%
United Commercial|HMO $11.82 ↑ +21%
United Commercial|All Other Plans $11.82 ↑ +21%
LA Care Medicaid|> 21 $12.55 ↑ +28%
Kaiser Medicaid|< 21 $12.55 ↑ +28%
Kaiser Medicaid|> 21 $12.55 ↑ +28%
Partnership Health Plan Medicaid|< 21 $12.55 ↑ +28%
Partnership Health Plan Medicaid|> 21 $12.55 ↑ +28%
LA Care Medicaid|< 21 $12.55 ↑ +28%
HPN Medicare|Senior $12.95 ↑ +33%
HPN Commercial|All Plans $13.66 ↑ +40%
Magellan Commercial|All Plans $14.13 ↑ +45%
Kaiser Commercial|All Plans $14.60 ↑ +49%
First Health Commercial|All Plans $16.48 ↑ +69%
Epic Health Commercial|All Plans $16.75 ↑ +71%
BCBS - Anthem Commercial|All Other Plans $17.19 ↑ +76%
Molina Medicaid|All Plans $17.57 ↑ +80%
Blue Shield CA Medicare|BlueShield Promise $17.66 ↑ +81%
HPN Medicaid|All Plans $18.41 ↑ +88%
MultiPlan Commercial|All Plans $18.84 ↑ +93%
Health Net Medicaid|> 21 $18.99 ↑ +94%
Health Net Medicaid|< 21 $18.99 ↑ +94%
Naphcare Commercial|All Plans $19.21 ↑ +97%
BCBS - Anthem Medicaid|All Plans $19.47 ↑ +99%
BCBS - Anthem Commercial|MCS $21.43 ↑ +119%
Aetna Commercial|Gatekeeper $22.64 ↑ +132%
SBMG Commercial|All Plans $23.54 ↑ +141%
Inland Empire Health Plan Medicaid|All Plans $23.54 ↑ +141%
Aetna Commercial|Non-Gatekeeper $23.54 ↑ +141%
Redlands Commercial|All Plans $23.54 ↑ +141%
Cigna Commercial|PPO $28.24 ↑ +189%
Cigna Commercial|All Other Plans $28.24 ↑ +189%
Care 1st Medicaid|All Plans $62.75 ↑ +542%

Visitor-reported prices

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Reptilase test at other California hospitals

Hospital City Cash price Negotiated range
St. Bernardine Medical Center San Bernardino $8.32 $6.13 – $62.75
Banner Lassen Medical Center Susanville $23.84 $1.97 – $38.80
Arroyo Grande Hospital Santa Maria $10.69 $9.85 – $25.37
French Hospital San Luis Obispo $9.79 $6.36 – $29.82
Mercy Hospitals – Bakersfield Bakersfield $9.27 $9.85 – $28.29
Bakersfield Memorial Hospital Bakersfield $9.17 $9.85 – $28.29
St. Joseph's Behavioral Health Center Stockton $14.26 $2.36 – $18.84
St. Joseph's Medical Center Stockton Stockton $7.35 $4.95 – $23.54

All California hospitals for this procedure →