Irinotecan 20 mg/ml intravenous solution (wrapper) 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

$65.94

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.

$198.00

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.

$2.31 with Molina vs $165.00 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 →

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 $2.31 ↓ -96%
Molina Medicaid|< 21 $2.31 ↓ -96%
HPN Medicaid|All Plans $2.41 ↓ -96%
Health Net Medicaid|All Plans $2.48 ↓ -96%
United Commercial|HMO $3.25 ↓ -95%
United Commercial|All Other Plans $3.25 ↓ -95%
Inland Empire Health Plan Medicaid|All Plans $3.28 ↓ -95%
Aetna Commercial|Gatekeeper $3.55 ↓ -95%
Aetna Commercial|Non-Gatekeeper $3.55 ↓ -95%
Blue Shield CA Commercial|All Other Plans $7.21 ↓ -89%
Blue Shield CA Commercial|Exchange $7.21 ↓ -89%
Care 1st Medicaid|All Plans $8.20 ↓ -88%
BCBS - Anthem Medicaid|All Plans $9.78 ↓ -85%
Health Net Commercial|EPPO $10.31 ↓ -84%
Health Net Commercial|Care Product $11.68 ↓ -82%
Health Net Commercial|All Other Plans $12.76 ↓ -81%
Redlands Commercial|All Plans $33.00 ↓ -50%
PrimeCare Medicare|All Plans $36.30 ↓ -45%
PrimeCare Commercial|All Plans $36.30 ↓ -45%
HPN Medicare|Senior $39.60 ↓ -40%
HPN Commercial|All Plans $44.55 ↓ -32%
Kaiser Commercial|All Plans $49.50 ↓ -25%
Cigna Commercial|PPO $74.25 ↑ +13%
Cigna Commercial|All Other Plans $74.25 ↑ +13%
BCBS - Anthem Commercial|Exchange $103.95 ↑ +58%
First Health Commercial|All Plans $108.90 ↑ +65%
MultiPlan Commercial|All Plans $132.00 ↑ +100%
Healthsmart Commercial|All Plans $135.30 ↑ +105%
Blue Shield CA Medicare|BlueShield Promise $140.25 ↑ +113%
BCBS - Anthem Commercial|Non-MCS PPO $148.50 ↑ +125%
BCBS - Anthem Commercial|Non-MCS HMO $148.50 ↑ +125%
BCBS - Anthem Commercial|MCS $165.00 ↑ +150%

Visitor-reported prices

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Irinotecan 20 mg/ml intravenous solution (wrapper) at other California hospitals

Hospital City Cash price Negotiated range
Community Hospital San Bernardino San Bernardino $124.73 $2.30 – $265.00
St. John's Camarillo Hospital Camarillo $39.42 $2.48 – $29.41
Arroyo Grande Hospital Santa Maria $154.51 $2.48 – $294.00
French Hospital San Luis Obispo $141.52 $1.64 – $353.78
Mercy Hospitals – Bakersfield Bakersfield $408.10 $1.64 – $50.40
Bakersfield Memorial Hospital Bakersfield $403.70 $2.30 – $49.77
Queen of The Valley Medical Center Napa $507.20 $3.28 – $191.87
Providence St Joseph Hospital Eureka Eureka $507.20 $2.79 – $228.87

All California hospitals for this procedure →