Cosyntropin 0.25 mg solution for injection 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

$233.44

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.

$701.00

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.

$53.38 with Molina vs $595.85 with Blue Shield CA — 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
Molina Medicaid|< 21 $53.38 ↓ -77%
Molina Medicaid|> 21 $53.38 ↓ -77%
United Commercial|HMO $55.16 ↓ -76%
United Commercial|All Other Plans $55.16 ↓ -76%
HPN Medicaid|All Plans $55.54 ↓ -76%
BCBS - Anthem Medicaid|All Plans $55.71 ↓ -76%
Health Net Medicaid|All Plans $57.28 ↓ -75%
Aetna Commercial|Non-Gatekeeper $72.34 ↓ -69%
Aetna Commercial|Gatekeeper $72.34 ↓ -69%
Inland Empire Health Plan Medicaid|All Plans $75.72 ↓ -68%
Blue Shield CA Commercial|All Other Plans $96.24 ↓ -59%
Blue Shield CA Commercial|Exchange $96.24 ↓ -59%
Health Net Commercial|EPPO $137.62 ↓ -41%
Redlands Commercial|All Plans $140.20 ↓ -40%
PrimeCare Medicare|All Plans $154.22 ↓ -34%
PrimeCare Commercial|All Plans $154.22 ↓ -34%
Health Net Commercial|Care Product $155.90 ↓ -33%
HPN Medicare|Senior $168.24 ↓ -28%
Health Net Commercial|All Other Plans $170.35 ↓ -27%
HPN Commercial|All Plans $189.27 ↓ -19%
Care 1st Medicaid|All Plans $189.30 ↓ -19%
BCBS - Anthem Commercial|Exchange $193.70 ↓ -17%
Kaiser Commercial|All Plans $210.30 ↓ -10%
BCBS - Anthem Commercial|Non-MCS PPO $276.72 ↑ +19%
BCBS - Anthem Commercial|Non-MCS HMO $276.72 ↑ +19%
Cigna Commercial|All Other Plans $315.45 ↑ +35%
Cigna Commercial|PPO $315.45 ↑ +35%
BCBS - Anthem Commercial|MCS $445.36 ↑ +91%
First Health Commercial|All Plans $462.66 ↑ +98%
MultiPlan Commercial|All Plans $560.80 ↑ +140%
Healthsmart Commercial|All Plans $574.82 ↑ +146%
Blue Shield CA Medicare|BlueShield Promise $595.85 ↑ +155%

Visitor-reported prices

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Cosyntropin 0.25 mg solution for injection at other California hospitals

Hospital City Cash price Negotiated range
Community Hospital San Bernardino San Bernardino $441.83 $53.00 – $1,130.00
St. John's Camarillo Hospital Camarillo $168.20 $52.97 – $299.52
Petaluma Valley Hospital Petaluma $114.30 $66.79 – $141.80
Arroyo Grande Hospital Santa Maria $547.42 $30.76 – $943.74
French Hospital San Luis Obispo $501.37 $30.76 – $1,253.42
Mercy Hospitals – Bakersfield Bakersfield $189.21 $37.86 – $283.20
Bakersfield Memorial Hospital Bakersfield $187.17 $50.01 – $279.66
Queen of The Valley Medical Center Napa $159.60 $66.79 – $153.49

All California hospitals for this procedure →