Fosphenytoin 50 mg pe/ml injection (wrapper) at St. Bernardine Medical Center
2101 N Waterman Ave, San Bernardino, CA · CommonSpirit Health · · NPI 1689769911
$27.31
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.
$82.00
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.
$2.13 with IHCG 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 →
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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 |
|---|---|---|---|
| IHCG | Medicaid|All Plans | $2.13 | ↓ -92% |
| IHCG | Medicare|All Plans | $2.13 | ↓ -92% |
| Blue Shield CA | Commercial|All Other Plans | $3.28 | ↓ -88% |
| Blue Shield CA | Commercial|Exchange | $3.28 | ↓ -88% |
| Health Net | Commercial|EPPO | $4.29 | ↓ -84% |
| Health Net | Commercial|Care Product | $5.32 | ↓ -81% |
| Health Net | Commercial|All Other Plans | $5.80 | ↓ -79% |
| Aetna | Commercial|Gatekeeper | $7.10 | ↓ -74% |
| Aetna | Commercial|Non-Gatekeeper | $7.10 | ↓ -74% |
| Redlands | Commercial|All Plans | $11.00 | ↓ -60% |
| PrimeCare | Medicare|All Plans | $12.10 | ↓ -56% |
| PrimeCare | Commercial|All Plans | $12.10 | ↓ -56% |
| HPN | Medicare|Senior | $13.20 | ↓ -52% |
| BCBS - Anthem | Medicaid|All Plans | $13.75 | ↓ -50% |
| United | Commercial|HMO | $13.78 | ↓ -50% |
| United | Commercial|All Other Plans | $13.78 | ↓ -50% |
| HPN | Commercial|All Plans | $14.85 | ↓ -46% |
| BCBS - Anthem | Commercial|Exchange | $15.79 | ↓ -42% |
| Kaiser | Commercial|All Plans | $16.50 | ↓ -40% |
| BCBS - Anthem | Commercial|Non-MCS HMO | $22.56 | ↓ -17% |
| BCBS - Anthem | Commercial|Non-MCS PPO | $22.56 | ↓ -17% |
| Cigna | Commercial|PPO | $24.75 | ↓ -9% |
| Cigna | Commercial|All Other Plans | $24.75 | ↓ -9% |
| BCBS - Anthem | Commercial|MCS | $36.30 | ↑ +33% |
| First Health | Commercial|All Plans | $36.30 | ↑ +33% |
| MultiPlan | Commercial|All Plans | $44.00 | ↑ +61% |
| Healthsmart | Commercial|All Plans | $45.10 | ↑ +65% |
| Blue Shield CA | Medicare|BlueShield Promise | $46.75 | ↑ +71% |
Visitor-reported prices
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Fosphenytoin 50 mg pe/ml injection (wrapper) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Community Hospital San Bernardino | San Bernardino | $281.92 | $2.73 – $51.00 |
| St. John's Camarillo Hospital | Camarillo | $107.31 | $3.28 – $52.26 |
| Petaluma Valley Hospital | Petaluma | $129.73 | $1.31 – $16.51 |
| Arroyo Grande Hospital | Santa Maria | $349.25 | $4.18 – $56.84 |
| French Hospital | San Luis Obispo | $58.80 | $3.28 – $56.84 |
| Mercy Hospitals – Bakersfield | Bakersfield | $850.71 | $1.59 – $20.80 |
| Bakersfield Memorial Hospital | Bakersfield | $841.54 | $3.99 – $20.54 |
| Queen of The Valley Medical Center | Napa | $188.34 | $1.33 – $16.51 |