Assay of silica 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

$37.30

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.

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What you pay up front if you don't use insurance.

$112.00

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.

$21.68 with Kaiser vs $150.05 with Care 1st — 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
Kaiser Medicaid|All Plans $21.68 ↓ -42%
Humana Medicare|All Plans $25.21 ↓ -32%
IHCG Medicare|All Plans $25.21 ↓ -32%
IHCG Medicaid|All Plans $25.21 ↓ -32%
Patton Medicare|All Plans $25.21 ↓ -32%
Epic Health Medicare|All Plans $25.21 ↓ -32%
Inland Empire Health Plan Medicare|All Plans $25.21 ↓ -32%
First Health Medicare|All Plans $25.21 ↓ -32%
Molina Medicare|All Plans $25.21 ↓ -32%
BCBS - Anthem Medicare|All Plans $25.21 ↓ -32%
United Medicare|All Plans $25.21 ↓ -32%
Scan Health Plan Medicare|All Plans $25.21 ↓ -32%
Health Net Medicare|All Plans $25.21 ↓ -32%
Blue Shield CA Medicare|All Other Plans $25.21 ↓ -32%
Kaiser Medicare|All Plans $25.21 ↓ -32%
Central Health Plan Medicare|All Plans $25.21 ↓ -32%
Blue Shield CA Commercial|Exchange $29.12 ↓ -22%
LA Care Medicaid|< 21 $30.01 ↓ -20%
Partnership Health Plan Medicaid|> 21 $30.01 ↓ -20%
Partnership Health Plan Medicaid|< 21 $30.01 ↓ -20%
LA Care Medicaid|> 21 $30.01 ↓ -20%
United Commercial|All Other Plans $30.25 ↓ -19%
United Commercial|HMO $30.25 ↓ -19%
Kaiser Commercial|All Plans $33.60 ↓ -10%
DHMG Commercial|All Plans $36.55 ↓ -2%
Redlands Commercial|All Plans $36.55 ↓ -2%
Molina Medicaid|> 21 $42.31 ↑ +13%
Molina Medicaid|< 21 $42.31 ↑ +13%
EPIC Health Commercial|All Plans $42.86 ↑ +15%
Blue Shield CA Commercial|All Other Plans $43.68 ↑ +17%
HPN Medicaid|All Plans $44.02 ↑ +18%
Health Net Medicaid|All Plans $45.40 ↑ +22%
BCBS - Anthem Medicaid|All Plans $47.87 ↑ +28%
Naphcare Commercial|All Plans $49.16 ↑ +32%
Inland Empire Health Plan Medicaid|All Plans $60.02 ↑ +61%
HPN Medicare|Senior $66.08 ↑ +77%
BCBS - Anthem Commercial|Exchange $66.08 ↑ +77%
HPN Commercial|All Plans $70.56 ↑ +89%
Cigna Commercial|PPO $72.33 ↑ +94%
Cigna Commercial|All Other Plans $72.33 ↑ +94%
First Health Commercial|All Plans $73.92 ↑ +98%
MultiPlan Commercial|All Plans $89.60 ↑ +140%
Healthsmart Commercial|All Plans $91.84 ↑ +146%
BCBS - Anthem Commercial|Non-MCS HMO $94.08 ↑ +152%
BCBS - Anthem Commercial|Non-MCS PPO $94.08 ↑ +152%
Blue Shield CA Medicare|BlueShield Promise $95.20 ↑ +155%
Aetna Commercial|Gatekeeper $95.98 ↑ +157%
BCBS - Anthem Commercial|MCS $112.00 ↑ +200%
Aetna Commercial|Non-Gatekeeper $112.00 ↑ +200%
Care 1st Medicaid|All Plans $150.05 ↑ +302%

Visitor-reported prices

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Assay of silica at other California hospitals

Hospital City Cash price Negotiated range
Community Hospital San Bernardino San Bernardino $43.80 $22.40 – $150.05
St. Mary Medical Center Long Beach $48.16 $25.21 – $150.05
Glendale Memorial Hospital Health Center Glendale $36.52 $22.40 – $112.00
Petaluma Valley Hospital Petaluma not published $24.71 – $192.18
Queen of The Valley Medical Center Napa not published $25.21 – $242.87
Providence St Joseph Hospital Eureka Eureka not published $25.21 – $275.42
Healdsburg Hospital Healdsburg not published $25.21 – $109.87
Redwood Memorial Hospital Fortuna not published $276.06 – $276.06

All California hospitals for this procedure →