Cataract surg w/iol 1 stage 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.
$1,153.50 with Partnership Health Plan vs $23,567.00 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 | $1,153.50 | — |
| Partnership Health Plan | Medicaid|> 21 | $1,153.50 | — |
| LA Care | Medicaid|> 21 | $1,153.50 | — |
| LA Care | Medicaid|< 21 | $1,153.50 | — |
| Health Net | Medicaid|All Plans | $1,418.81 | — |
| BCBS - Anthem | Medicaid|All Plans | $2,162.81 | — |
| IHCG | Medicaid|All Plans | $2,337.63 | — |
| IHCG | Medicare|All Plans | $2,344.31 | — |
| Health Net | Commercial|EPPO | $2,443.00 | — |
| Kaiser | Medicaid|All Plans | $2,492.19 | — |
| Molina | Medicaid|> 21 | $2,563.83 | — |
| Molina | Medicaid|< 21 | $2,563.83 | — |
| HPN | Medicaid|All Plans | $2,667.48 | — |
| Health Net | Commercial|Care Product | $2,784.00 | — |
| Inland Empire Health Plan | Medicaid|All Plans | $2,883.75 | — |
| Health Net | Medicare|All Plans | $2,897.90 | — |
| Humana | Medicare|All Plans | $2,897.90 | — |
| Patton | Medicare|All Plans | $2,897.90 | — |
| First Health | Medicare|All Plans | $2,897.90 | — |
| Molina | Medicare|All Plans | $2,897.90 | — |
| Epic Health | Medicare|All Plans | $2,897.90 | — |
| United | Medicare|All Plans | $2,897.90 | — |
| Inland Empire Health Plan | Medicare|All Plans | $2,897.90 | — |
| Blue Shield CA | Medicare|All Other Plans | $2,897.90 | — |
| Kaiser | Medicare|All Plans | $2,897.90 | — |
| Central Health Plan | Medicare|All Plans | $2,897.90 | — |
| BCBS - Anthem | Medicare|All Plans | $2,897.90 | — |
| Scan Health Plan | Medicare|All Plans | $2,897.90 | — |
| Health Net | Commercial|All Other Plans | $3,033.00 | — |
| BCBS - Anthem | Commercial|Non-MCS HMO | $3,846.00 | — |
| DHMG | Commercial|All Plans | $4,201.95 | — |
| EPIC Health | Commercial|All Plans | $4,926.43 | — |
| Naphcare | Commercial|All Plans | $5,650.90 | — |
| Blue Shield CA | Commercial|All Other Plans | $5,866.00 | — |
| Blue Shield CA | Commercial|Exchange | $6,859.00 | — |
| Care 1st | Medicaid|All Plans | $9,091.60 | — |
| BCBS - Anthem | Commercial|Exchange | $10,247.00 | — |
| BCBS - Anthem | Commercial|Non-MCS PPO | $14,638.00 | — |
| BCBS - Anthem | Commercial|MCS | $23,567.00 | — |
| United | Commercial|All Other Plans | not published by hospital | — |
| First Health | Commercial|All Plans | not published by hospital | — |
| Redlands | Commercial|All Plans | not published by hospital | — |
| Blue Shield CA | Medicare|BlueShield Promise | not published by hospital | — |
| MultiPlan | Commercial|All Plans | not published by hospital | — |
| HPN | Commercial|All Plans | not published by hospital | — |
| Healthsmart | Commercial|All Plans | not published by hospital | — |
| HPN | Medicare|Senior | not published by hospital | — |
| Kaiser | Commercial|All Plans | not published by hospital | — |
| United | Commercial|HMO | not published by hospital | — |
Visitor-reported prices
Comments
Cataract surg w/iol 1 stage at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Community Hospital San Bernardino | San Bernardino | not published | $1,153.50 – $9,091.60 |
| St. John's Camarillo Hospital | Camarillo | not published | $1,418.81 – $5,420.20 |
| Petaluma Valley Hospital | Petaluma | not published | $3,110.05 – $6,619.00 |
| Arroyo Grande Hospital | Santa Maria | not published | $1,153.50 – $2,897.90 |
| Mark Twain Medical Center | San Andreas | not published | $1,153.50 – $1,153.50 |
| French Hospital | San Luis Obispo | not published | $1,153.50 – $2,897.90 |
| Mercy Hospitals – Bakersfield | Bakersfield | not published | $1,153.50 – $4,382.15 |
| Bakersfield Memorial Hospital | Bakersfield | not published | $1,153.50 – $4,382.15 |