Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
RL-A-GRASS PAN 55130
San Bernardino, CA
See all hospitals reporting CPT 86003 →Price type
Community Hospital Of San Bernardino’s median price of $5 is 43% below the median hospital's median price ($9), higher than 7% of the 2,575 hospitals reporting CPT 86003. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 29 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Blue Cross Blue Shield commercial|exchange fee schedule · outpatient | $1.13 | $1.33 | $0.88 – $2.29 |
| 2 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $1.92 | $2.27 | $1.50 – $3.89 |
| 3 | Magellan commercial|all plans fee schedule · inpatient | $3.38 | $4.00 | $2.64 – $6.86 |
| 4 | Magellan commercial|all plans fee schedule · outpatient | $3.38 | $4.00 | $2.64 – $6.86 |
| 5 | Kaiser commercial|all plans fee schedule · inpatient | $3.50 | $4.13 | $2.73 – $7.09 |
| 6 | Kaiser commercial|all plans fee schedule · outpatient | $3.50 | $4.13 | $2.73 – $7.09 |
| 7 | First Health commercial|all plans fee schedule · inpatient | $3.95 | $4.66 | $3.08 – $8.00 |
| 8 | First Health commercial|all plans fee schedule · outpatient | $3.95 | $4.66 | $3.08 – $8.00 |
| 9 | Anthem commercial|all other plans fee schedule · outpatient | $4.11 | $4.86 | $3.22 – $8.34 |
| 10 | Blue Cross Blue Shield medicare|blueshield promise fee schedule · outpatient | $4.23 | $5.00 | $3.30 – $8.57 |
| 11 | Anthem medicare|all plans fee schedule · outpatient | $5.22 | $5.06 | $4.40 – $5.22 |
| 12 | Blue Cross Blue Shield medicare|all other plans fee schedule · outpatient | $5.22 | $5.06 | $4.40 – $5.22 |
| 13 | Humana medicare|all plans fee schedule · outpatient | $5.22 | $5.06 | $4.40 – $5.22 |
| 14 | Kaiser medicare|all plans fee schedule · outpatient | $5.22 | $5.06 | $4.40 – $5.22 |
| 15 | Molina medicare|all plans fee schedule · outpatient | $5.22 | $5.06 | $4.40 – $5.22 |
| 16 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $5.22 | $5.06 | $4.40 – $5.22 |
| 17 | MultiPlan commercial|all plans fee schedule · inpatient | $4.51 | $5.33 | $3.52 – $9.14 |
| 18 | MultiPlan commercial|all plans fee schedule · outpatient | $4.51 | $5.33 | $3.52 – $9.14 |
| 19 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $5.63 | $5.59 | $4.40 – $6.26 |
| 20 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $5.63 | $5.59 | $4.40 – $6.26 |
| 21 | Kaiser medicaid|< 21 fee schedule · outpatient | $5.63 | $5.70 | $4.40 – $6.66 |
| 22 | Kaiser medicaid|> 21 fee schedule · outpatient | $5.63 | $5.70 | $4.40 – $6.66 |
| 23 | Anthem commercial|mcs fee schedule · outpatient | $5.13 | $6.06 | $4.01 – $10.40 |
| 24 | Molina medicaid|all plans fee schedule · outpatient | $5.63 | $6.23 | $4.40 – $9.32 |
| 25 | Anthem medicaid|all plans fee schedule · outpatient | $5.63 | $6.35 | $4.40 – $9.89 |
Last updated: Feb 28, 2026
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