Biopsy of heart lining at St. Bernardine Medical Center
2101 N Waterman Ave, San Bernardino, CA · CommonSpirit Health · · NPI 1689769911
$1,632.70
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.
$4,903.00
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.
$272.83 with Partnership Health Plan vs $12,827.00 with BCBS - Anthem — 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 |
|---|---|---|---|
| Partnership Health Plan | Medicaid|< 21 | $272.83 | ↓ -83% |
| LA Care | Medicaid|< 21 | $272.83 | ↓ -83% |
| Partnership Health Plan | Medicaid|> 21 | $272.83 | ↓ -83% |
| LA Care | Medicaid|> 21 | $272.83 | ↓ -83% |
| Health Net | Medicaid|All Plans | $335.58 | ↓ -79% |
| BCBS - Anthem | Medicaid|All Plans | $511.56 | ↓ -69% |
| Molina | Medicaid|> 21 | $609.88 | ↓ -63% |
| Molina | Medicaid|< 21 | $609.88 | ↓ -63% |
| HPN | Medicaid|All Plans | $634.54 | ↓ -61% |
| Inland Empire Health Plan | Medicaid|All Plans | $682.09 | ↓ -58% |
| Redlands | Commercial|All Plans | $1,421.87 | ↓ -13% |
| Kaiser | Commercial|All Plans | $1,470.90 | ↓ -10% |
| Blue Shield CA | Commercial|All Other Plans | $1,846.00 | ↑ +13% |
| BCBS - Anthem | Commercial|Non-MCS HMO | $2,097.00 | ↑ +28% |
| Blue Shield CA | Commercial|Exchange | $2,148.00 | ↑ +32% |
| Care 1st | Medicaid|All Plans | $2,162.70 | ↑ +32% |
| United | Commercial|All Other Plans | $2,255.38 | ↑ +38% |
| Health Net | Commercial|EPPO | $2,990.00 | ↑ +83% |
| IHCG | Medicaid|All Plans | $3,204.10 | ↑ +96% |
| IHCG | Medicare|All Plans | $3,213.24 | ↑ +97% |
| First Health | Commercial|All Plans | $3,235.98 | ↑ +98% |
| HPN | Medicare|Senior | $3,285.01 | ↑ +101% |
| Health Net | Commercial|Care Product | $3,405.00 | ↑ +109% |
| Kaiser | Medicaid|All Plans | $3,439.32 | ↑ +111% |
| HPN | Commercial|All Plans | $3,579.19 | ↑ +119% |
| Health Net | Commercial|All Other Plans | $3,711.00 | ↑ +127% |
| MultiPlan | Commercial|All Plans | $3,922.40 | ↑ +140% |
| Humana | Medicare|All Plans | $3,999.21 | ↑ +145% |
| BCBS - Anthem | Medicare|All Plans | $3,999.21 | ↑ +145% |
| Blue Shield CA | Medicare|All Other Plans | $3,999.21 | ↑ +145% |
| Inland Empire Health Plan | Medicare|All Plans | $3,999.21 | ↑ +145% |
| First Health | Medicare|All Plans | $3,999.21 | ↑ +145% |
| Epic Health | Medicare|All Plans | $3,999.21 | ↑ +145% |
| Central Health Plan | Medicare|All Plans | $3,999.21 | ↑ +145% |
| Kaiser | Medicare|All Plans | $3,999.21 | ↑ +145% |
| Scan Health Plan | Medicare|All Plans | $3,999.21 | ↑ +145% |
| Health Net | Medicare|All Plans | $3,999.21 | ↑ +145% |
| Patton | Medicare|All Plans | $3,999.21 | ↑ +145% |
| United | Medicare|All Plans | $3,999.21 | ↑ +145% |
| Molina | Medicare|All Plans | $3,999.21 | ↑ +145% |
| Healthsmart | Commercial|All Plans | $4,020.46 | ↑ +146% |
| Blue Shield CA | Medicare|BlueShield Promise | $4,167.55 | ↑ +155% |
| United | Commercial|HMO | $4,706.88 | ↑ +188% |
| BCBS - Anthem | Commercial|Exchange | $5,577.00 | ↑ +242% |
| DHMG | Commercial|All Plans | $5,798.85 | ↑ +255% |
| EPIC Health | Commercial|All Plans | $6,798.66 | ↑ +316% |
| Naphcare | Commercial|All Plans | $7,798.46 | ↑ +378% |
| BCBS - Anthem | Commercial|Non-MCS PPO | $7,967.00 | ↑ +388% |
| BCBS - Anthem | Commercial|MCS | $12,827.00 | ↑ +686% |
Visitor-reported prices
Comments
Biopsy of heart lining at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Community Hospital San Bernardino | San Bernardino | $1,861.16 | $272.83 – $7,798.46 |
| Arroyo Grande Hospital | Santa Maria | $2,223.46 | $272.83 – $5,091.10 |
| French Hospital | San Luis Obispo | $1,973.72 | $272.83 – $4,934.30 |
| Bakersfield Memorial Hospital | Bakersfield | $2,251.55 | $272.83 – $4,846.65 |
| St. Joseph's Medical Center Stockton | Stockton | $1,803.69 | $272.83 – $5,153.40 |
| Santa Rosa Memorial Hospital | Santa Rosa | $3,796.44 | $2,238.00 – $11,377.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $2,006.88 | $3,429.00 – $7,883.00 |
| Mercy Medical Center Merced | Merced | $3,159.53 | $272.83 – $6,073.65 |