Assay of osteocalcin at St. Bernardine Medical Center

2101 N Waterman Ave, San Bernardino, CA · CommonSpirit Health · · NPI 1689769911

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$12.33

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.

$37.00

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.

$9.62 with Blue Shield CA vs $85.61 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
Blue Shield CA Commercial|Exchange $9.62 ↓ -22%
Kaiser Commercial|All Plans $11.10 ↓ -10%
Blue Shield CA Commercial|All Other Plans $14.43 ↑ +17%
BCBS - Anthem Commercial|Exchange $21.83 ↑ +77%
HPN Medicare|Senior $21.83 ↑ +77%
HPN Commercial|All Plans $23.31 ↑ +89%
First Health Commercial|All Plans $24.42 ↑ +98%
Kaiser Medicaid|All Plans $25.67 ↑ +108%
MultiPlan Commercial|All Plans $29.60 ↑ +140%
IHCG Medicare|All Plans $29.85 ↑ +142%
First Health Medicare|All Plans $29.85 ↑ +142%
Molina Medicare|All Plans $29.85 ↑ +142%
United Medicare|All Plans $29.85 ↑ +142%
Health Net Medicare|All Plans $29.85 ↑ +142%
Kaiser Medicare|All Plans $29.85 ↑ +142%
Central Health Plan Medicare|All Plans $29.85 ↑ +142%
BCBS - Anthem Medicare|All Plans $29.85 ↑ +142%
Blue Shield CA Medicare|All Other Plans $29.85 ↑ +142%
Scan Health Plan Medicare|All Plans $29.85 ↑ +142%
Inland Empire Health Plan Medicare|All Plans $29.85 ↑ +142%
Epic Health Medicare|All Plans $29.85 ↑ +142%
Patton Medicare|All Plans $29.85 ↑ +142%
IHCG Medicaid|All Plans $29.85 ↑ +142%
Humana Medicare|All Plans $29.85 ↑ +142%
Healthsmart Commercial|All Plans $30.34 ↑ +146%
BCBS - Anthem Commercial|Non-MCS PPO $31.08 ↑ +152%
BCBS - Anthem Commercial|Non-MCS HMO $31.08 ↑ +152%
Blue Shield CA Medicare|BlueShield Promise $31.45 ↑ +155%
United Commercial|All Other Plans $35.82 ↑ +191%
United Commercial|HMO $35.82 ↑ +191%
BCBS - Anthem Commercial|MCS $37.00 ↑ +200%
Aetna Commercial|Gatekeeper $37.00 ↑ +200%
Aetna Commercial|Non-Gatekeeper $37.00 ↑ +200%
DHMG Commercial|All Plans $43.28 ↑ +251%
Redlands Commercial|All Plans $43.28 ↑ +251%
EPIC Health Commercial|All Plans $50.74 ↑ +312%
Naphcare Commercial|All Plans $58.21 ↑ +372%
Cigna Commercial|All Other Plans $85.61 ↑ +594%
Cigna Commercial|PPO $85.61 ↑ +594%

Visitor-reported prices

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Assay of osteocalcin at other California hospitals

Hospital City Cash price Negotiated range
Community Hospital San Bernardino San Bernardino $14.47 $7.40 – $85.61
Banner Lassen Medical Center Susanville $8.76 $5.74 – $13.58
Petaluma Valley Hospital Petaluma $73.95 $29.25 – $95.57
Arroyo Grande Hospital Santa Maria $15.84 $18.50 – $76.90
Mark Twain Medical Center San Andreas $24.65 $20.03 – $36.26
French Hospital San Luis Obispo $14.51 $9.99 – $90.40
Mercy Hospitals – Bakersfield Bakersfield $13.73 $18.50 – $85.77
Bakersfield Memorial Hospital Bakersfield $13.58 $18.50 – $85.77

All California hospitals for this procedure →