Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution 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

$18.32

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.

$55.00

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.

$1.45 with Aetna vs $46.75 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
Aetna Commercial|Gatekeeper $1.45 ↓ -92%
Aetna Commercial|Non-Gatekeeper $1.45 ↓ -92%
United Commercial|HMO $2.10 ↓ -89%
United Commercial|All Other Plans $2.10 ↓ -89%
Blue Shield CA Commercial|Exchange $4.03 ↓ -78%
Blue Shield CA Commercial|All Other Plans $4.03 ↓ -78%
BCBS - Anthem Commercial|Exchange $4.71 ↓ -74%
Health Net Commercial|EPPO $5.52 ↓ -70%
Health Net Commercial|Care Product $6.53 ↓ -64%
BCBS - Anthem Commercial|Non-MCS PPO $6.73 ↓ -63%
BCBS - Anthem Commercial|Non-MCS HMO $6.73 ↓ -63%
Health Net Commercial|All Other Plans $7.13 ↓ -61%
Molina Medicaid|> 21 $7.23 ↓ -61%
Molina Medicaid|< 21 $7.23 ↓ -61%
HPN Medicaid|All Plans $7.53 ↓ -59%
Health Net Medicaid|All Plans $7.76 ↓ -58%
BCBS - Anthem Medicaid|All Plans $8.69 ↓ -53%
Inland Empire Health Plan Medicaid|All Plans $10.26 ↓ -44%
BCBS - Anthem Commercial|MCS $10.84 ↓ -41%
Redlands Commercial|All Plans $11.00 ↓ -40%
PrimeCare Commercial|All Plans $12.10 ↓ -34%
PrimeCare Medicare|All Plans $12.10 ↓ -34%
HPN Medicare|Senior $13.20 ↓ -28%
HPN Commercial|All Plans $14.85 ↓ -19%
Kaiser Commercial|All Plans $16.50 ↓ -10%
Cigna Commercial|All Other Plans $24.75 ↑ +35%
Cigna Commercial|PPO $24.75 ↑ +35%
Care 1st Medicaid|All Plans $25.65 ↑ +40%
First Health Commercial|All Plans $36.30 ↑ +98%
MultiPlan Commercial|All Plans $44.00 ↑ +140%
Healthsmart Commercial|All Plans $45.10 ↑ +146%
Blue Shield CA Medicare|BlueShield Promise $46.75 ↑ +155%

Visitor-reported prices

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Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution at other California hospitals

Hospital City Cash price Negotiated range
Community Hospital San Bernardino San Bernardino $16.43 $1.45 – $42.00
St. John's Camarillo Hospital Camarillo $29.35 $1.39 – $20.10
Petaluma Valley Hospital Petaluma $84.15 $1.33 – $3.45
Arroyo Grande Hospital Santa Maria $23.12 $2.10 – $52.92
French Hospital San Luis Obispo $21.17 $2.10 – $52.92
Queen of The Valley Medical Center Napa $84.15 $1.33 – $3.73
Providence St Joseph Hospital Eureka Eureka $84.15 $1.44 – $4.45
Healdsburg Hospital Healdsburg $84.15 $2.54 – $8.80

All California hospitals for this procedure →