Tc-99m pentetate dtpa at Community Hospital San Bernardino
1805 Medical Center Dr, San Bernardino, CA · CommonSpirit Health · · NPI 1235290818
$94.63
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.
$242.00
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 Partnership Health Plan vs $242.00 with SBMG — 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 | $13.00 | ↓ -86% |
| LA Care | Medicaid|> 21 | $13.00 | ↓ -86% |
| LA Care | Medicaid|< 21 | $13.00 | ↓ -86% |
| Kaiser | Medicaid|< 21 | $13.00 | ↓ -86% |
| Kaiser | Medicaid|> 21 | $13.00 | ↓ -86% |
| Partnership Health Plan | Medicaid|> 21 | $13.00 | ↓ -86% |
| Molina | Medicaid|All Plans | $18.20 | ↓ -81% |
| HPN | Medicaid|All Plans | $19.07 | ↓ -80% |
| BCBS - Anthem | Medicaid|All Plans | $19.50 | ↓ -79% |
| Health Net | Medicaid|> 21 | $19.67 | ↓ -79% |
| Health Net | Medicaid|< 21 | $19.67 | ↓ -79% |
| Inland Empire Health Plan | Medicaid|All Plans | $26.00 | ↓ -73% |
| BCBS - Anthem | Commercial|All Other Plans | $32.25 | ↓ -66% |
| BCBS - Anthem | Commercial|MCS | $40.30 | ↓ -57% |
| United | Commercial|All Other Plans | $41.63 | ↓ -56% |
| United | Commercial|HMO | $41.63 | ↓ -56% |
| Care 1st | Medicaid|All Plans | $65.00 | ↓ -31% |
| HPN | Medicare|Senior | $133.10 | ↑ +41% |
| HPN | Commercial|All Plans | $140.36 | ↑ +48% |
| Magellan | Commercial|All Plans | $145.20 | ↑ +53% |
| Kaiser | Commercial|All Plans | $150.04 | ↑ +59% |
| First Health | Commercial|All Plans | $169.40 | ↑ +79% |
| Blue Shield CA | Medicare|BlueShield Promise | $181.50 | ↑ +92% |
| MultiPlan | Commercial|All Plans | $193.60 | ↑ +105% |
| Redlands | Commercial|All Plans | $242.00 | ↑ +156% |
| SBMG | Commercial|All Plans | $242.00 | ↑ +156% |
Visitor-reported prices
Comments
Tc-99m pentetate dtpa at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $136.66 | $19.67 – $243.36 |
| Redwood City Medical Center | Redwood City | $225.52 | $36.00 – $36.00 |
| Santa Clara Medical Center | SANTA CLARA | $225.52 | $36.00 – $36.00 |
| Baldwin Park Medical Center | BALDWIN PARK | $209.41 | $32.00 – $32.00 |
| Riverside Medical Center | RIVERSIDE | $209.41 | $32.00 – $32.00 |
| Banner Lassen Medical Center | Susanville | $240.46 | $21.45 – $334.65 |
| Sacramento Medical Center | SACRAMENTO | $225.52 | $36.00 – $36.00 |
| Oakland Medical Center | Oakland | $225.52 | $36.00 – $36.00 |