Vaccine tdap >=7 years im 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

$184.17

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.

$471.00

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.

$50.36 with Health Net vs $471.00 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
Health Net Commercial|EPPO $50.36 ↓ -73%
Blue Shield CA Commercial|Exchange $56.44 ↓ -69%
Blue Shield CA Commercial|All Other Plans $56.44 ↓ -69%
Health Net Commercial|Care Product $59.27 ↓ -68%
Molina Medicaid|All Plans $60.94 ↓ -67%
Health Net Commercial|All Other Plans $61.52 ↓ -67%
United Commercial|All Other Plans $63.74 ↓ -65%
United Commercial|HMO $63.74 ↓ -65%
HPN Medicaid|All Plans $63.86 ↓ -65%
BCBS - Anthem Medicaid|All Plans $64.70 ↓ -65%
Health Net Medicaid|> 21 $65.85 ↓ -64%
Health Net Medicaid|< 21 $65.85 ↓ -64%
Inland Empire Health Plan Medicaid|All Plans $87.06 ↓ -53%
BCBS - Anthem Commercial|All Other Plans $88.14 ↓ -52%
PrimeCare Medicare|All Plans $98.91 ↓ -46%
PrimeCare Commercial|All Plans $103.62 ↓ -44%
BCBS - Anthem Commercial|MCS $110.14 ↓ -40%
HPN Medicare|Senior $113.04 ↓ -39%
HPN Commercial|All Plans $127.17 ↓ -31%
Cigna Commercial|PPO $211.95 ↑ +15%
Cigna Commercial|All Other Plans $211.95 ↑ +15%
Care 1st Medicaid|All Plans $217.65 ↑ +18%
Magellan Commercial|All Plans $282.60 ↑ +53%
Kaiser Commercial|All Plans $292.02 ↑ +59%
First Health Commercial|All Plans $329.70 ↑ +79%
Blue Shield CA Medicare|BlueShield Promise $353.25 ↑ +92%
MultiPlan Commercial|All Plans $376.80 ↑ +105%
Redlands Commercial|All Plans $471.00 ↑ +156%
SBMG Commercial|All Plans $471.00 ↑ +156%

Visitor-reported prices

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Vaccine tdap >=7 years im at other California hospitals

Hospital City Cash price Negotiated range
St. Bernardine Medical Center San Bernardino $97.57 $56.44 – $240.26
St. John's Camarillo Hospital Camarillo $70.08 $43.20 – $124.80
Petaluma Valley Hospital Petaluma $212.65 $53.65 – $84.00
Arroyo Grande Hospital Santa Maria $228.56 $40.11 – $523.32
Mark Twain Medical Center San Andreas $151.75 $58.95 – $223.30
French Hospital San Luis Obispo $209.33 $40.11 – $523.32
Mercy Hospitals – Bakersfield Bakersfield $79.03 $29.33 – $135.20
Bakersfield Memorial Hospital Bakersfield $78.18 $56.88 – $133.51

All California hospitals for this procedure →