Surgical pathology level 5 gross & microscopic examination at Community Hospital San Bernardino
1805 Medical Center Dr, San Bernardino, CA · CommonSpirit Health · · NPI 1235290818
$163.05
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.
$417.00
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.
$125.71 with LA Care vs $813.15 with Naphcare — 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 |
|---|---|---|---|
| LA Care | Medicaid|> 21 | $125.71 | ↓ -23% |
| LA Care | Medicaid|< 21 | $125.71 | ↓ -23% |
| Kaiser | Medicaid|> 21 | $125.71 | ↓ -23% |
| Partnership Health Plan | Medicaid|> 21 | $125.71 | ↓ -23% |
| Kaiser | Medicaid|< 21 | $125.71 | ↓ -23% |
| Partnership Health Plan | Medicaid|< 21 | $125.71 | ↓ -23% |
| Molina | Medicaid|All Plans | $175.99 | ↑ +8% |
| HPN | Medicaid|All Plans | $184.42 | ↑ +13% |
| BCBS - Anthem | Medicaid|All Plans | $188.57 | ↑ +16% |
| Health Net | Medicaid|> 21 | $190.18 | ↑ +17% |
| Health Net | Medicaid|< 21 | $190.18 | ↑ +17% |
| BCBS - Anthem | Commercial|All Other Plans | $196.25 | ↑ +20% |
| HPN | Medicare|Senior | $229.35 | ↑ +41% |
| HPN | Commercial|All Plans | $241.86 | ↑ +48% |
| BCBS - Anthem | Commercial|MCS | $245.39 | ↑ +50% |
| Magellan | Commercial|All Plans | $250.20 | ↑ +53% |
| Inland Empire Health Plan | Medicaid|All Plans | $251.42 | ↑ +54% |
| Aetna | Commercial|Gatekeeper | $258.20 | ↑ +58% |
| Kaiser | Commercial|All Plans | $258.54 | ↑ +59% |
| First Health | Commercial|All Plans | $291.90 | ↑ +79% |
| Aetna | Commercial|Non-Gatekeeper | $310.19 | ↑ +90% |
| Blue Shield CA | Medicare|BlueShield Promise | $312.75 | ↑ +92% |
| SBMG | Commercial|All Plans | $327.67 | ↑ +101% |
| MultiPlan | Commercial|All Plans | $333.60 | ↑ +105% |
| United | Commercial|All Other Plans | $349.51 | ↑ +114% |
| United | Commercial|HMO | $349.51 | ↑ +114% |
| Central Health Plan | Medicare|All Plans | $417.00 | ↑ +156% |
| BCBS - Anthem | Medicare|All Plans | $417.00 | ↑ +156% |
| Kaiser | Medicare|All Plans | $417.00 | ↑ +156% |
| Scan Health Plan | Medicare|All Plans | $417.00 | ↑ +156% |
| Molina | Medicare|All Plans | $417.00 | ↑ +156% |
| Humana | Medicare|All Plans | $417.00 | ↑ +156% |
| Inland Empire Health Plan | Medicare|All Plans | $417.00 | ↑ +156% |
| Epic Health | Medicare|All Plans | $417.00 | ↑ +156% |
| Patton | Medicare|All Plans | $417.00 | ↑ +156% |
| Redlands | Commercial|All Plans | $417.00 | ↑ +156% |
| Redlands | Medicare|All Plans | $417.00 | ↑ +156% |
| Blue Shield CA | Medicare|All Other Plans | $457.06 | ↑ +180% |
| United | Medicare|All Plans | $457.06 | ↑ +180% |
| Ballards Rehab | Commercial|All Plans | $458.70 | ↑ +181% |
| Cigna | Commercial|PPO | $597.56 | ↑ +266% |
| Cigna | Commercial|All Other Plans | $597.56 | ↑ +266% |
| Care 1st | Medicaid|All Plans | $628.55 | ↑ +285% |
| Epic Health | Commercial|All Plans | $777.00 | ↑ +377% |
| Naphcare | Commercial|All Plans | $813.15 | ↑ +399% |
Visitor-reported prices
Comments
Surgical pathology level 5 gross & microscopic examination at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Bernardine Medical Center | San Bernardino | $321.02 | $125.71 – $891.27 |
| St. John's Camarillo Hospital | Camarillo | $222.51 | $137.16 – $813.52 |
| Petaluma Valley Hospital | Petaluma | $653.82 | $163.66 – $566.82 |
| Arroyo Grande Hospital | Santa Maria | $141.24 | $109.34 – $536.77 |
| Mark Twain Medical Center | San Andreas | $291.05 | $56.81 – $215.18 |
| French Hospital | San Luis Obispo | $129.36 | $59.05 – $631.01 |
| Mercy Hospitals – Bakersfield | Bakersfield | $191.44 | $123.13 – $598.65 |
| Bakersfield Memorial Hospital | Bakersfield | $189.38 | $123.13 – $598.65 |