Warde adenosine deaminase pleural fluid 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

$10.77

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.

$32.34

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.

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The hospital's undiscounted list price — almost no one pays this.

$2.23 with Blue Shield CA vs $46.45 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.

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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.

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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
Blue Shield CA Commercial|Exchange $2.23 ↓ -79%
Kaiser Commercial|All Plans $2.57 ↓ -76%
Blue Shield CA Commercial|All Other Plans $3.34 ↓ -69%
HPN Medicare|Senior $5.04 ↓ -53%
BCBS - Anthem Commercial|Exchange $5.04 ↓ -53%
HPN Commercial|All Plans $5.39 ↓ -50%
First Health Commercial|All Plans $5.64 ↓ -48%
MultiPlan Commercial|All Plans $6.84 ↓ -36%
Kaiser Medicaid|All Plans $6.97 ↓ -35%
Healthsmart Commercial|All Plans $7.01 ↓ -35%
BCBS - Anthem Commercial|Non-MCS PPO $7.18 ↓ -33%
BCBS - Anthem Commercial|Non-MCS HMO $7.18 ↓ -33%
Blue Shield CA Medicare|BlueShield Promise $7.26 ↓ -33%
IHCG Medicare|All Plans $8.10 ↓ -25%
Humana Medicare|All Plans $8.10 ↓ -25%
First Health Medicare|All Plans $8.10 ↓ -25%
Molina Medicare|All Plans $8.10 ↓ -25%
United Medicare|All Plans $8.10 ↓ -25%
Health Net Medicare|All Plans $8.10 ↓ -25%
Kaiser Medicare|All Plans $8.10 ↓ -25%
Central Health Plan Medicare|All Plans $8.10 ↓ -25%
BCBS - Anthem Medicare|All Plans $8.10 ↓ -25%
Blue Shield CA Medicare|All Other Plans $8.10 ↓ -25%
Scan Health Plan Medicare|All Plans $8.10 ↓ -25%
Inland Empire Health Plan Medicare|All Plans $8.10 ↓ -25%
Epic Health Medicare|All Plans $8.10 ↓ -25%
Patton Medicare|All Plans $8.10 ↓ -25%
IHCG Medicaid|All Plans $8.10 ↓ -25%
United Commercial|HMO $8.54 ↓ -21%
United Commercial|All Other Plans $8.54 ↓ -21%
Molina Medicaid|> 21 $8.54 ↓ -21%
Partnership Health Plan Medicaid|< 21 $8.54 ↓ -21%
Partnership Health Plan Medicaid|> 21 $8.54 ↓ -21%
Aetna Commercial|Non-Gatekeeper $8.54 ↓ -21%
Aetna Commercial|Gatekeeper $8.54 ↓ -21%
LA Care Medicaid|< 21 $8.54 ↓ -21%
LA Care Medicaid|> 21 $8.54 ↓ -21%
Inland Empire Health Plan Medicaid|All Plans $8.54 ↓ -21%
BCBS - Anthem Medicaid|All Plans $8.54 ↓ -21%
BCBS - Anthem Commercial|MCS $8.54 ↓ -21%
Molina Medicaid|< 21 $8.54 ↓ -21%
Health Net Medicaid|All Plans $10.51 ↓ -2%
Redlands Commercial|All Plans $11.74 ↑ +9%
DHMG Commercial|All Plans $11.74 ↑ +9%
HPN Medicaid|All Plans $13.63 ↑ +27%
EPIC Health Commercial|All Plans $13.77 ↑ +28%
Naphcare Commercial|All Plans $15.79 ↑ +47%
Cigna Commercial|PPO $23.26 ↑ +116%
Cigna Commercial|All Other Plans $23.26 ↑ +116%
Care 1st Medicaid|All Plans $46.45 ↑ +331%

Visitor-reported prices

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Warde adenosine deaminase pleural fluid at other California hospitals

Hospital City Cash price Negotiated range
Community Hospital San Bernardino San Bernardino $12.65 $1.71 – $46.45
St. John's Camarillo Hospital Camarillo $14.17 $2.31 – $21.51
Banner Lassen Medical Center Susanville $66.98 $1.62 – $10.69
Petaluma Valley Hospital Petaluma $35.57 $7.94 – $57.10
Arroyo Grande Hospital Santa Maria $51.36 $4.27 – $20.89
Mark Twain Medical Center San Andreas $101.40 $4.63 – $8.54
French Hospital San Luis Obispo $47.04 $2.31 – $24.56
Mercy Hospitals – Bakersfield Bakersfield $102.61 $1.86 – $23.30

All California hospitals for this procedure →