Tomosynthesis breast diagnostic left 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

$50.83

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.

$130.00

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.

$47.52 with LA Care vs $4,050.00 with Blue Shield CA — 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
LA Care Medicaid|< 21 $47.52 ↓ -7%
Kaiser Medicaid|< 21 $47.52 ↓ -7%
Kaiser Medicaid|> 21 $47.52 ↓ -7%
LA Care Medicaid|> 21 $47.52 ↓ -7%
Partnership Health Plan Medicaid|< 21 $47.52 ↓ -7%
Partnership Health Plan Medicaid|> 21 $47.52 ↓ -7%
United Commercial|HMO $57.31 ↑ +13%
United Commercial|All Other Plans $57.31 ↑ +13%
Molina Medicaid|All Plans $66.53 ↑ +31%
HPN Medicaid|All Plans $69.71 ↑ +37%
BCBS - Anthem Medicaid|All Plans $71.28 ↑ +40%
HPN Medicare|Senior $71.50 ↑ +41%
Health Net Medicaid|> 21 $71.89 ↑ +41%
Health Net Medicaid|< 21 $71.89 ↑ +41%
HPN Commercial|All Plans $75.40 ↑ +48%
Magellan Commercial|All Plans $78.00 ↑ +53%
Kaiser Commercial|All Plans $80.60 ↑ +59%
First Health Commercial|All Plans $91.00 ↑ +79%
BCBS - Anthem Commercial|All Other Plans $94.90 ↑ +87%
Inland Empire Health Plan Medicaid|All Plans $95.04 ↑ +87%
Blue Shield CA Medicare|BlueShield Promise $97.50 ↑ +92%
MultiPlan Commercial|All Plans $104.00 ↑ +105%
Cigna Commercial|All Other Plans $113.86 ↑ +124%
Cigna Commercial|PPO $113.86 ↑ +124%
BCBS - Anthem Commercial|MCS $118.30 ↑ +133%
SBMG Commercial|All Plans $130.00 ↑ +156%
Redlands Commercial|All Plans $130.00 ↑ +156%
Care 1st Medicaid|All Plans $237.60 ↑ +367%
Blue Shield CA Commercial|Exchange $2,603.00 ↑ +5021%
Blue Shield CA Commercial|All Other Plans $4,050.00 ↑ +7868%

Visitor-reported prices

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Tomosynthesis breast diagnostic left at other California hospitals

Hospital City Cash price Negotiated range
St. Bernardine Medical Center San Bernardino $33.97 $25.47 – $237.60
Banner Lassen Medical Center Susanville $47.91 $23.78 – $78.41
Petaluma Valley Hospital Petaluma $55.59 $13.63 – $2,570.00
Arroyo Grande Hospital Santa Maria $185.33 $47.52 – $404.74
Mark Twain Medical Center San Andreas $58.61 $22.77 – $86.24
French Hospital San Luis Obispo $69.39 $42.66 – $154.84
Mercy Hospitals – Bakersfield Bakersfield $148.40 $47.52 – $292.00
Bakersfield Memorial Hospital Bakersfield $146.80 $47.52 – $288.35

All California hospitals for this procedure →