Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (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

$337.00

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.

$1,012.00

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.

$0.71 with BCBS - Anthem vs $860.20 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
BCBS - Anthem Commercial|Exchange $0.71 ↓ -100%
BCBS - Anthem Commercial|Non-MCS PPO $1.01 ↓ -100%
BCBS - Anthem Commercial|Non-MCS HMO $1.01 ↓ -100%
BCBS - Anthem Commercial|MCS $1.63 ↓ -100%
Blue Shield CA Commercial|Exchange $1.70 ↓ -99%
Blue Shield CA Commercial|All Other Plans $1.70 ↓ -99%
Health Net Commercial|EPPO $2.29 ↓ -99%
Health Net Commercial|Care Product $2.75 ↓ -99%
United Commercial|HMO $2.97 ↓ -99%
United Commercial|All Other Plans $2.97 ↓ -99%
Health Net Commercial|All Other Plans $3.01 ↓ -99%
Aetna Commercial|Non-Gatekeeper $3.68 ↓ -99%
Aetna Commercial|Gatekeeper $3.68 ↓ -99%
Redlands Commercial|All Plans $202.40 ↓ -40%
PrimeCare Commercial|All Plans $222.64 ↓ -34%
PrimeCare Medicare|All Plans $222.64 ↓ -34%
HPN Medicare|Senior $242.88 ↓ -28%
BCBS - Anthem Medicaid|All Plans $253.00 ↓ -25%
HPN Commercial|All Plans $273.24 ↓ -19%
Kaiser Commercial|All Plans $303.60 ↓ -10%
Cigna Commercial|All Other Plans $455.40 ↑ +35%
Cigna Commercial|PPO $455.40 ↑ +35%
First Health Commercial|All Plans $667.92 ↑ +98%
MultiPlan Commercial|All Plans $809.60 ↑ +140%
Healthsmart Commercial|All Plans $829.84 ↑ +146%
Blue Shield CA Medicare|BlueShield Promise $860.20 ↑ +155%

Visitor-reported prices

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Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) at other California hospitals

Hospital City Cash price Negotiated range
Community Hospital San Bernardino San Bernardino $637.73 $0.83 – $1,631.00
St. John's Camarillo Hospital Camarillo $242.66 $0.55 – $432.12
Petaluma Valley Hospital Petaluma $372.89 $0.52 – $4.11
Arroyo Grande Hospital Santa Maria $790.52 $0.92 – $1,810.06
Mark Twain Medical Center San Andreas $554.56 $215.41 – $816.01
French Hospital San Luis Obispo $724.03 $1.70 – $1,810.06
Mercy Hospitals – Bakersfield Bakersfield $272.69 $0.85 – $139.20
Bakersfield Memorial Hospital Bakersfield $269.75 $0.83 – $137.46

All California hospitals for this procedure →