X-ray surgical specimen 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

$504.00

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.

$1,289.00

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.

$19.45 with Aetna vs $2,528.83 with Cigna — 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
Aetna Commercial|Gatekeeper $19.45 ↓ -96%
Kaiser Medicaid|< 21 $20.77 ↓ -96%
LA Care Medicaid|> 21 $20.77 ↓ -96%
LA Care Medicaid|< 21 $20.77 ↓ -96%
Partnership Health Plan Medicaid|> 21 $20.77 ↓ -96%
Partnership Health Plan Medicaid|< 21 $20.77 ↓ -96%
Kaiser Medicaid|> 21 $20.77 ↓ -96%
Aetna Commercial|Non-Gatekeeper $23.37 ↓ -95%
Molina Medicaid|All Plans $29.08 ↓ -94%
HPN Medicaid|All Plans $30.47 ↓ -94%
Health Net Medicaid|> 21 $31.43 ↓ -94%
Health Net Medicaid|< 21 $31.43 ↓ -94%
Inland Empire Health Plan Medicaid|All Plans $41.54 ↓ -92%
BCBS - Anthem Medicaid|All Plans $60.02 ↓ -88%
Care 1st Medicaid|All Plans $103.85 ↓ -79%
BCBS - Anthem Commercial|All Other Plans $119.08 ↓ -76%
BCBS - Anthem Commercial|MCS $148.90 ↓ -70%
SBMG Commercial|All Plans $556.79 ↑ +10%
HPN Medicare|Senior $680.90 ↑ +35%
Redlands Medicare|All Plans $696.67 ↑ +38%
Patton Medicare|All Plans $696.67 ↑ +38%
Central Health Plan Medicare|All Plans $696.67 ↑ +38%
Epic Health Medicare|All Plans $696.67 ↑ +38%
Inland Empire Health Plan Medicare|All Plans $696.67 ↑ +38%
BCBS - Anthem Medicare|All Plans $696.67 ↑ +38%
Humana Medicare|All Plans $696.67 ↑ +38%
Blue Shield CA Medicare|All Other Plans $696.67 ↑ +38%
United Medicare|All Plans $696.67 ↑ +38%
Molina Medicare|All Plans $696.67 ↑ +38%
Kaiser Medicare|All Plans $696.67 ↑ +38%
Scan Health Plan Medicare|All Plans $696.67 ↑ +38%
HPN Commercial|All Plans $718.04 ↑ +42%
Magellan Commercial|All Plans $742.80 ↑ +47%
Ballards Rehab Commercial|All Plans $766.34 ↑ +52%
Kaiser Commercial|All Plans $767.56 ↑ +52%
First Health Commercial|All Plans $866.60 ↑ +72%
Blue Shield CA Medicare|BlueShield Promise $928.50 ↑ +84%
MultiPlan Commercial|All Plans $990.40 ↑ +97%
United Commercial|All Other Plans $1,086.50 ↑ +116%
United Commercial|HMO $1,086.50 ↑ +116%
Epic Health Commercial|All Plans $1,184.34 ↑ +135%
Redlands Commercial|All Plans $1,238.00 ↑ +146%
Naphcare Commercial|All Plans $1,358.51 ↑ +170%
Cigna Commercial|All Other Plans $2,528.83 ↑ +402%
Cigna Commercial|PPO $2,528.83 ↑ +402%

Visitor-reported prices

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X-ray surgical specimen at other California hospitals

Hospital City Cash price Negotiated range
St. Bernardine Medical Center San Bernardino $562.77 $20.77 – $2,528.83
Fresno Medical Center FRESNO $1,383.20 $731.00 – $731.00
St. John's Camarillo Hospital Camarillo $542.69 $31.43 – $2,339.15
Antioch Medical Center ANTIOCH $1,383.20 $731.00 – $731.00
Redwood City Medical Center Redwood City $1,383.20 $731.00 – $731.00
Santa Clara Medical Center SANTA CLARA $1,383.20 $731.00 – $731.00
Baldwin Park Medical Center BALDWIN PARK $1,222.00 $498.00 – $498.00
Riverside Medical Center RIVERSIDE $1,222.00 $498.00 – $498.00

All California hospitals for this procedure →