Sheath below knee at St. Bernardine Medical Center
2101 N Waterman Ave, San Bernardino, CA · CommonSpirit Health · · NPI 1689769911
$38.30
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.
$115.00
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.
$13.00 with Redlands vs $85.20 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 →
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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 |
|---|---|---|---|
| Redlands | Commercial|All Plans | $13.00 | ↓ -66% |
| PrimeCare | Commercial|All Plans | $14.30 | ↓ -63% |
| PrimeCare | Medicare|All Plans | $14.30 | ↓ -63% |
| Molina | Medicaid|< 21 | $14.95 | ↓ -61% |
| Molina | Medicaid|> 21 | $14.95 | ↓ -61% |
| BCBS - Anthem | Medicaid|All Plans | $16.25 | ↓ -58% |
| Partnership Health Plan | Medicaid|< 21 | $17.04 | ↓ -56% |
| LA Care | Medicaid|> 21 | $17.04 | ↓ -56% |
| LA Care | Medicaid|< 21 | $17.04 | ↓ -56% |
| Partnership Health Plan | Medicaid|> 21 | $17.04 | ↓ -56% |
| BCBS - Anthem | Commercial|Exchange | $19.50 | ↓ -49% |
| Kaiser | Commercial|All Plans | $19.50 | ↓ -49% |
| Blue Shield CA | Commercial|Exchange | $22.10 | ↓ -42% |
| Aetna | Commercial|Gatekeeper | $24.70 | ↓ -36% |
| HPN | Medicaid|All Plans | $25.00 | ↓ -35% |
| Health Net | Medicaid|All Plans | $25.78 | ↓ -33% |
| BCBS - Anthem | Commercial|Non-MCS HMO | $26.65 | ↓ -30% |
| BCBS - Anthem | Commercial|MCS | $27.95 | ↓ -27% |
| BCBS - Anthem | Commercial|Non-MCS PPO | $27.95 | ↓ -27% |
| Cigna | Commercial|All Other Plans | $28.60 | ↓ -25% |
| Cigna | Commercial|PPO | $28.60 | ↓ -25% |
| Inland Empire Health Plan | Medicaid|All Plans | $29.25 | ↓ -24% |
| Aetna | Commercial|Non-Gatekeeper | $29.90 | ↓ -22% |
| Health Net | Commercial|EPPO | $30.55 | ↓ -20% |
| HPN | Medicare|Senior | $30.55 | ↓ -20% |
| HPN | Commercial|All Plans | $31.20 | ↓ -19% |
| Blue Shield CA | Commercial|All Other Plans | $33.80 | ↓ -12% |
| Health Net | Commercial|Care Product | $34.45 | ↓ -10% |
| Health Net | Commercial|All Other Plans | $37.70 | ↓ -2% |
| United | Commercial|All Other Plans | $37.70 | ↓ -2% |
| United | Commercial|HMO | $39.65 | ↑ +4% |
| First Health | Commercial|All Plans | $42.90 | ↑ +12% |
| MultiPlan | Commercial|All Plans | $52.00 | ↑ +36% |
| Healthsmart | Commercial|All Plans | $53.30 | ↑ +39% |
| Blue Shield CA | Medicare|BlueShield Promise | $55.25 | ↑ +44% |
| Care 1st | Medicaid|All Plans | $85.20 | ↑ +122% |
Visitor-reported prices
Comments
Sheath below knee at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Community Hospital San Bernardino | San Bernardino | $44.97 | $13.65 – $85.20 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $66.13 | $20.40 – $83.30 |
| Dominican Hospital | Santa Cruz | $101.25 | $17.04 – $75.00 |
| St. Mary Medical Center | Long Beach | $49.45 | $13.00 – $85.20 |
| Glendale Memorial Hospital Health Center | Glendale | $37.49 | $13.00 – $72.08 |
| Mercy Medical Center Redding | Redding | $35.49 | $15.40 – $70.00 |
| St. Elizabeth Community Hospital | Red Bluff | $40.88 | $14.70 – $70.00 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | not published | $25.69 – $47.53 |