Dactinomycin 0.5 mg intravenous 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

$30.97

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.

$93.00

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.

$18.60 with Redlands vs $1,444.00 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
Redlands Commercial|All Plans $18.60 ↓ -40%
PrimeCare Medicare|All Plans $20.46 ↓ -34%
PrimeCare Commercial|All Plans $20.46 ↓ -34%
BCBS - Anthem Commercial|Exchange $22.15 ↓ -28%
HPN Medicare|Senior $22.32 ↓ -28%
BCBS - Anthem Medicaid|All Plans $23.25 ↓ -25%
HPN Commercial|All Plans $25.11 ↓ -19%
Kaiser Commercial|All Plans $27.90 ↓ -10%
BCBS - Anthem Commercial|Non-MCS PPO $31.64 ↑ +2%
BCBS - Anthem Commercial|Non-MCS HMO $31.64 ↑ +2%
Cigna Commercial|All Other Plans $41.85 ↑ +35%
Cigna Commercial|PPO $41.85 ↑ +35%
BCBS - Anthem Commercial|MCS $50.93 ↑ +64%
First Health Commercial|All Plans $61.38 ↑ +98%
MultiPlan Commercial|All Plans $74.40 ↑ +140%
Healthsmart Commercial|All Plans $76.26 ↑ +146%
Blue Shield CA Medicare|BlueShield Promise $79.05 ↑ +155%
Blue Shield CA Commercial|Exchange $93.00 ↑ +200%
Humana Medicare|All Plans $93.00 ↑ +200%
Scan Health Plan Medicare|All Plans $93.00 ↑ +200%
Patton Medicare|All Plans $93.00 ↑ +200%
Aetna Commercial|Gatekeeper $93.00 ↑ +200%
Aetna Commercial|Non-Gatekeeper $93.00 ↑ +200%
First Health Medicare|All Plans $93.00 ↑ +200%
Molina Medicare|All Plans $93.00 ↑ +200%
Molina Medicaid|< 21 $93.00 ↑ +200%
Molina Medicaid|> 21 $93.00 ↑ +200%
United Commercial|All Other Plans $93.00 ↑ +200%
United Commercial|HMO $93.00 ↑ +200%
Health Net Commercial|All Other Plans $93.00 ↑ +200%
Health Net Medicare|All Plans $93.00 ↑ +200%
Health Net Commercial|Care Product $93.00 ↑ +200%
Health Net Commercial|EPPO $93.00 ↑ +200%
Kaiser Medicare|All Plans $93.00 ↑ +200%
Central Health Plan Medicare|All Plans $93.00 ↑ +200%
BCBS - Anthem Medicare|All Plans $93.00 ↑ +200%
Blue Shield CA Commercial|All Other Plans $93.00 ↑ +200%
Inland Empire Health Plan Medicaid|All Plans $93.00 ↑ +200%
Inland Empire Health Plan Medicare|All Plans $93.00 ↑ +200%
Epic Health Medicare|All Plans $93.00 ↑ +200%
Health Net Medicaid|All Plans $114.39 ↑ +269%
DHMG Commercial|All Plans $134.85 ↑ +335%
Naphcare Commercial|All Plans $181.35 ↑ +486%
Kaiser Medicaid|All Plans $331.01 ↑ +969%
United Medicare|All Plans $384.89 ↑ +1143%
Blue Shield CA Medicare|All Other Plans $384.89 ↑ +1143%
HPN Medicaid|All Plans $423.67 ↑ +1268%
EPIC Health Commercial|All Plans $654.31 ↑ +2013%
IHCG Medicaid|All Plans $1,127.44 ↑ +3540%
IHCG Medicare|All Plans $1,130.66 ↑ +3551%
Care 1st Medicaid|All Plans $1,444.00 ↑ +4563%

Visitor-reported prices

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Dactinomycin 0.5 mg intravenous solution at other California hospitals

Hospital City Cash price Negotiated range
St. John's Camarillo Hospital Camarillo $2,446.23 $17.32 – $4,356.30
Mercy Hospitals – Bakersfield Bakersfield $2,722.77 $26.80 – $288.80
Bakersfield Memorial Hospital Bakersfield $2,693.42 $25.89 – $67.00
St. Joseph's Medical Center Stockton Stockton $1,761.95 $16.38 – $63.00
Providence Mission Hospital - Mission Viejo Mission Viejo $536.90 $21.46 – $624.69
Mercy Medical Center Merced Merced $3,703.37 $18.62 – $72.60
Sierra Nevada Memorial Hospital Grass Valley $3,818.82 $29.24 – $321.10
Providence Cedars-Sinai Tarzana Medical Center Tarzana $8,142.42 $45.20 – $752.25

All California hospitals for this procedure →