Indigotindisulfonate 8 mg/ml soln 5 ml ampule at St. Bernardine Medical Center
2101 N Waterman Ave, San Bernardino, CA · CommonSpirit Health · · NPI 1689769911
$876.13
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.
$2,631.00
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.
$526.20 with Redlands vs $2,631.00 with BCBS - Anthem — 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 |
|---|---|---|---|
| Redlands | Commercial|All Plans | $526.20 | ↓ -40% |
| PrimeCare | Medicare|All Plans | $578.82 | ↓ -34% |
| PrimeCare | Commercial|All Plans | $578.82 | ↓ -34% |
| HPN | Medicare|Senior | $631.44 | ↓ -28% |
| BCBS - Anthem | Medicaid|All Plans | $657.75 | ↓ -25% |
| HPN | Commercial|All Plans | $710.37 | ↓ -19% |
| Kaiser | Commercial|All Plans | $789.30 | ↓ -10% |
| Cigna | Commercial|PPO | $1,183.95 | ↑ +35% |
| Cigna | Commercial|All Other Plans | $1,183.95 | ↑ +35% |
| United | Commercial|All Other Plans | $1,210.26 | ↑ +38% |
| BCBS - Anthem | Commercial|Exchange | $1,657.53 | ↑ +89% |
| First Health | Commercial|All Plans | $1,736.46 | ↑ +98% |
| MultiPlan | Commercial|All Plans | $2,104.80 | ↑ +140% |
| Healthsmart | Commercial|All Plans | $2,157.42 | ↑ +146% |
| Blue Shield CA | Medicare|BlueShield Promise | $2,236.35 | ↑ +155% |
| BCBS - Anthem | Commercial|Non-MCS HMO | $2,367.90 | ↑ +170% |
| BCBS - Anthem | Commercial|Non-MCS PPO | $2,367.90 | ↑ +170% |
| United | Commercial|HMO | $2,525.76 | ↑ +188% |
| BCBS - Anthem | Commercial|MCS | $2,631.00 | ↑ +200% |
Visitor-reported prices
Comments
Indigotindisulfonate 8 mg/ml soln 5 ml ampule at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Community Hospital San Bernardino | San Bernardino | $1,657.45 | $890.19 – $4,239.00 |
| Arroyo Grande Hospital | Santa Maria | $2,054.40 | $2,160.00 – $4,704.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $505.70 | not published |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $1,241.65 | not published |
| Dominican Hospital | Santa Cruz | $1,728.00 | $1,113.60 – $3,494.40 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $1,222.04 | $9.30 – $17.21 |
| Sequoia Hospital | Redwood City | $1,397.76 | $844.80 – $3,340.80 |
| Providence Saint Joseph Medical Center | Burbank | $1,448.59 | $9.30 – $17.21 |