Athrectomy fem/pop/unilateral 37225 at St. Bernardine Medical Center
2101 N Waterman Ave, San Bernardino, CA · CommonSpirit Health · · NPI 1689769911
not published by hospital
Cash price 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.
not published by hospital
Gross charge 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.
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The hospital's undiscounted list price — almost no one pays this.
$523.83 with LA Care vs $44,490.83 with Naphcare — 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 →
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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 ?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 ?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 | $523.83 | — |
| LA Care | Medicaid|< 21 | $523.83 | — |
| Partnership Health Plan | Medicaid|> 21 | $523.83 | — |
| Partnership Health Plan | Medicaid|< 21 | $523.83 | — |
| Molina | Medicaid|> 21 | $738.60 | — |
| Molina | Medicaid|< 21 | $738.60 | — |
| HPN | Medicaid|All Plans | $768.46 | — |
| BCBS - Anthem | Medicaid|All Plans | $786.00 | — |
| Health Net | Medicaid|All Plans | $792.50 | — |
| Inland Empire Health Plan | Medicaid|All Plans | $1,047.66 | — |
| Care 1st | Medicaid|All Plans | $2,619.15 | — |
| BCBS - Anthem | Commercial|Non-MCS HMO | $2,776.00 | — |
| Blue Shield CA | Commercial|All Other Plans | $3,491.00 | — |
| Blue Shield CA | Commercial|Exchange | $4,062.00 | — |
| Health Net | Commercial|EPPO | $6,703.00 | — |
| BCBS - Anthem | Commercial|Exchange | $7,390.00 | — |
| Health Net | Commercial|Care Product | $7,635.00 | — |
| Health Net | Commercial|All Other Plans | $8,318.00 | — |
| BCBS - Anthem | Commercial|Non-MCS PPO | $10,557.00 | — |
| IHCG | Medicaid|All Plans | $11,455.99 | — |
| IHCG | Medicare|All Plans | $11,488.68 | — |
| BCBS - Anthem | Commercial|MCS | $16,997.00 | — |
| Kaiser | Medicaid|All Plans | $19,621.60 | — |
| BCBS - Anthem | Medicare|All Plans | $22,815.81 | — |
| Central Health Plan | Medicare|All Plans | $22,815.81 | — |
| Kaiser | Medicare|All Plans | $22,815.81 | — |
| Health Net | Medicare|All Plans | $22,815.81 | — |
| Blue Shield CA | Medicare|All Other Plans | $22,815.81 | — |
| United | Medicare|All Plans | $22,815.81 | — |
| Scan Health Plan | Medicare|All Plans | $22,815.81 | — |
| Molina | Medicare|All Plans | $22,815.81 | — |
| First Health | Medicare|All Plans | $22,815.81 | — |
| Inland Empire Health Plan | Medicare|All Plans | $22,815.81 | — |
| Epic Health | Medicare|All Plans | $22,815.81 | — |
| Patton | Medicare|All Plans | $22,815.81 | — |
| Humana | Medicare|All Plans | $22,815.81 | — |
| DHMG | Commercial|All Plans | $33,082.92 | — |
| EPIC Health | Commercial|All Plans | $38,786.88 | — |
| Naphcare | Commercial|All Plans | $44,490.83 | — |
| Kaiser | Commercial|All Plans | not published by hospital | — |
| First Health | Commercial|All Plans | not published by hospital | — |
| United | Commercial|HMO | not published by hospital | — |
| MultiPlan | Commercial|All Plans | not published by hospital | — |
| Blue Shield CA | Medicare|BlueShield Promise | not published by hospital | — |
| United | Commercial|All Other Plans | not published by hospital | — |
| Healthsmart | Commercial|All Plans | not published by hospital | — |
| HPN | Commercial|All Plans | not published by hospital | — |
| HPN | Medicare|Senior | not published by hospital | — |
| Redlands | Commercial|All Plans | not published by hospital | — |
Visitor-reported prices
Comments
Athrectomy fem/pop/unilateral 37225 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Community Hospital San Bernardino | San Bernardino | not published | $523.83 – $44,490.83 |
| St. John's Camarillo Hospital | Camarillo | $18,189.27 | $792.50 – $32,391.84 |
| Arroyo Grande Hospital | Santa Maria | $15,342.09 | $523.83 – $34,105.96 |
| French Hospital | San Luis Obispo | $13,642.39 | $523.83 – $34,105.96 |
| Mercy Hospitals – Bakersfield | Bakersfield | $32,415.02 | $523.83 – $69,897.60 |
| Bakersfield Memorial Hospital | Bakersfield | $32,065.53 | $523.83 – $69,023.88 |
| Queen of The Valley Medical Center | Napa | $18,036.15 | $9,256.00 – $62,607.00 |
| Providence St Joseph Hospital Eureka | Eureka | $11,337.81 | $11,036.00 – $62,607.00 |