5' nucleotidase - sendout 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

$4.12

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.

Full explanation →

What you pay up front if you don't use insurance.

$12.35

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.

Full explanation →

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

$3.22 with Blue Shield CA vs $71.05 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 →

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.

Full explanation →
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 $3.22 ↓ -22%
Kaiser Commercial|All Plans $3.71 ↓ -10%
Blue Shield CA Commercial|All Other Plans $4.82 ↑ +17%
HPN Medicare|Senior $7.29 ↑ +77%
BCBS - Anthem Commercial|Exchange $7.29 ↑ +77%
HPN Commercial|All Plans $7.79 ↑ +89%
First Health Commercial|All Plans $8.16 ↑ +98%
Kaiser Medicaid|All Plans $9.59 ↑ +133%
MultiPlan Commercial|All Plans $9.88 ↑ +140%
Healthsmart Commercial|All Plans $10.13 ↑ +146%
BCBS - Anthem Commercial|Non-MCS PPO $10.38 ↑ +152%
BCBS - Anthem Commercial|Non-MCS HMO $10.38 ↑ +152%
Blue Shield CA Medicare|BlueShield Promise $10.50 ↑ +155%
IHCG Medicare|All Plans $11.15 ↑ +171%
Humana Medicare|All Plans $11.15 ↑ +171%
First Health Medicare|All Plans $11.15 ↑ +171%
Molina Medicare|All Plans $11.15 ↑ +171%
United Medicare|All Plans $11.15 ↑ +171%
Health Net Medicare|All Plans $11.15 ↑ +171%
Kaiser Medicare|All Plans $11.15 ↑ +171%
Central Health Plan Medicare|All Plans $11.15 ↑ +171%
BCBS - Anthem Medicare|All Plans $11.15 ↑ +171%
Blue Shield CA Medicare|All Other Plans $11.15 ↑ +171%
Scan Health Plan Medicare|All Plans $11.15 ↑ +171%
Inland Empire Health Plan Medicare|All Plans $11.15 ↑ +171%
Epic Health Medicare|All Plans $11.15 ↑ +171%
Patton Medicare|All Plans $11.15 ↑ +171%
IHCG Medicaid|All Plans $11.15 ↑ +171%
United Commercial|HMO $12.35 ↑ +200%
United Commercial|All Other Plans $12.35 ↑ +200%
Molina Medicaid|> 21 $12.35 ↑ +200%
Partnership Health Plan Medicaid|< 21 $12.35 ↑ +200%
Partnership Health Plan Medicaid|> 21 $12.35 ↑ +200%
Aetna Commercial|Non-Gatekeeper $12.35 ↑ +200%
Aetna Commercial|Gatekeeper $12.35 ↑ +200%
LA Care Medicaid|< 21 $12.35 ↑ +200%
LA Care Medicaid|> 21 $12.35 ↑ +200%
Inland Empire Health Plan Medicaid|All Plans $12.35 ↑ +200%
BCBS - Anthem Medicaid|All Plans $12.35 ↑ +200%
BCBS - Anthem Commercial|MCS $12.35 ↑ +200%
Molina Medicaid|< 21 $12.35 ↑ +200%
Health Net Medicaid|All Plans $15.20 ↑ +269%
Redlands Commercial|All Plans $16.17 ↑ +292%
DHMG Commercial|All Plans $16.17 ↑ +292%
EPIC Health Commercial|All Plans $18.95 ↑ +360%
HPN Medicaid|All Plans $20.85 ↑ +406%
Naphcare Commercial|All Plans $21.74 ↑ +428%
Cigna Commercial|PPO $31.99 ↑ +676%
Cigna Commercial|All Other Plans $31.99 ↑ +676%
Care 1st Medicaid|All Plans $71.05 ↑ +1625%

Visitor-reported prices

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5' nucleotidase - sendout at other California hospitals

Hospital City Cash price Negotiated range
Community Hospital San Bernardino San Bernardino $4.83 $2.47 – $71.05
St. John's Camarillo Hospital Camarillo $5.41 $3.34 – $29.59
Banner Lassen Medical Center Susanville $30.67 $2.23 – $47.53
Arroyo Grande Hospital Santa Maria $5.29 $6.18 – $28.74
Mark Twain Medical Center San Andreas $8.23 $6.69 – $12.35
French Hospital San Luis Obispo $4.85 $3.34 – $33.79
Mercy Hospitals – Bakersfield Bakersfield $4.59 $5.00 – $32.05
Bakersfield Memorial Hospital Bakersfield $4.54 $5.00 – $32.05

All California hospitals for this procedure →