Smear gram stain 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

$89.15

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.

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What you pay up front if you don't use insurance.

$228.00

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.

$4.27 with BCBS - Anthem vs $228.00 with SBMG — 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
BCBS - Anthem Medicare|All Plans $4.27 ↓ -95%
Redlands Medicare|All Plans $4.27 ↓ -95%
Humana Medicare|All Plans $4.27 ↓ -95%
Patton Medicare|All Plans $4.27 ↓ -95%
Epic Health Medicare|All Plans $4.27 ↓ -95%
Inland Empire Health Plan Medicare|All Plans $4.27 ↓ -95%
Molina Medicare|All Plans $4.27 ↓ -95%
United Medicare|All Plans $4.27 ↓ -95%
Scan Health Plan Medicare|All Plans $4.27 ↓ -95%
Blue Shield CA Medicare|All Other Plans $4.27 ↓ -95%
Kaiser Medicare|All Plans $4.27 ↓ -95%
Central Health Plan Medicare|All Plans $4.27 ↓ -95%
Ballards Rehab Commercial|All Plans $4.70 ↓ -95%
Kaiser Medicaid|< 21 $4.96 ↓ -94%
Kaiser Medicaid|> 21 $4.96 ↓ -94%
LA Care Medicaid|< 21 $4.96 ↓ -94%
Partnership Health Plan Medicaid|> 21 $4.96 ↓ -94%
LA Care Medicaid|> 21 $4.96 ↓ -94%
Partnership Health Plan Medicaid|< 21 $4.96 ↓ -94%
United Commercial|HMO $5.12 ↓ -94%
United Commercial|All Other Plans $5.12 ↓ -94%
Molina Medicaid|All Plans $6.94 ↓ -92%
Epic Health Commercial|All Plans $7.26 ↓ -92%
HPN Medicaid|All Plans $7.28 ↓ -92%
Health Net Medicaid|< 21 $7.50 ↓ -92%
Health Net Medicaid|> 21 $7.50 ↓ -92%
BCBS - Anthem Medicaid|All Plans $7.91 ↓ -91%
Naphcare Commercial|All Plans $8.33 ↓ -91%
Aetna Commercial|Gatekeeper $9.82 ↓ -89%
Inland Empire Health Plan Medicaid|All Plans $9.93 ↓ -89%
Aetna Commercial|Non-Gatekeeper $11.80 ↓ -87%
Cigna Commercial|PPO $12.27 ↓ -86%
Cigna Commercial|All Other Plans $12.27 ↓ -86%
Blue Shield CA Commercial|Exchange $13.20 ↓ -85%
Blue Shield CA Commercial|All Other Plans $22.44 ↓ -75%
Care 1st Medicaid|All Plans $24.80 ↓ -72%
HPN Medicare|Senior $36.30 ↓ -59%
HPN Commercial|All Plans $38.28 ↓ -57%
Magellan Commercial|All Plans $39.60 ↓ -56%
Kaiser Commercial|All Plans $40.92 ↓ -54%
BCBS - Anthem Commercial|All Other Plans $41.78 ↓ -53%
First Health Commercial|All Plans $46.20 ↓ -48%
Blue Shield CA Medicare|BlueShield Promise $49.50 ↓ -44%
BCBS - Anthem Commercial|MCS $52.24 ↓ -41%
MultiPlan Commercial|All Plans $52.80 ↓ -41%
Redlands Commercial|All Plans $66.00 ↓ -26%
SBMG Commercial|All Plans $228.00 ↑ +156%

Visitor-reported prices

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Smear gram stain at other California hospitals

Hospital City Cash price Negotiated range
St. Bernardine Medical Center San Bernardino $71.27 $3.12 – $24.80
St. John's Camarillo Hospital Camarillo $90.67 $4.27 – $13.33
Banner Lassen Medical Center Susanville $7.25 $0.85 – $5.71
Petaluma Valley Hospital Petaluma $301.92 $4.18 – $34.84
Arroyo Grande Hospital Santa Maria $104.01 $4.27 – $11.76
Mark Twain Medical Center San Andreas $117.22 $4.27 – $10.47
French Hospital San Luis Obispo $95.26 $3.24 – $12.95
Mercy Hospitals – Bakersfield Bakersfield $94.98 $1.51 – $12.29

All California hospitals for this procedure →