Pyruvate 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

$8.22

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.

Full explanation →

What you pay up front if you don't use insurance.

$24.68

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$6.42 with Blue Shield CA vs $83.05 with Care 1st — same scan, same building. Share

Negotiated rates by payer
?

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
Blue Shield CA Commercial|Exchange $6.42 ↓ -22%
Kaiser Commercial|All Plans $7.41 ↓ -10%
Blue Shield CA Commercial|All Other Plans $9.63 ↑ +17%
Kaiser Medicaid|All Plans $12.45 ↑ +51%
IHCG Medicare|All Plans $14.48 ↑ +76%
Humana Medicare|All Plans $14.48 ↑ +76%
First Health Medicare|All Plans $14.48 ↑ +76%
Molina Medicare|All Plans $14.48 ↑ +76%
United Medicare|All Plans $14.48 ↑ +76%
Health Net Medicare|All Plans $14.48 ↑ +76%
Kaiser Medicare|All Plans $14.48 ↑ +76%
Central Health Plan Medicare|All Plans $14.48 ↑ +76%
BCBS - Anthem Medicare|All Plans $14.48 ↑ +76%
Blue Shield CA Medicare|All Other Plans $14.48 ↑ +76%
Scan Health Plan Medicare|All Plans $14.48 ↑ +76%
Inland Empire Health Plan Medicare|All Plans $14.48 ↑ +76%
Epic Health Medicare|All Plans $14.48 ↑ +76%
Patton Medicare|All Plans $14.48 ↑ +76%
IHCG Medicaid|All Plans $14.48 ↑ +76%
HPN Medicare|Senior $14.57 ↑ +77%
BCBS - Anthem Commercial|Exchange $14.57 ↑ +77%
HPN Commercial|All Plans $15.55 ↑ +89%
First Health Commercial|All Plans $16.29 ↑ +98%
Partnership Health Plan Medicaid|> 21 $16.61 ↑ +102%
Partnership Health Plan Medicaid|< 21 $16.61 ↑ +102%
LA Care Medicaid|< 21 $16.61 ↑ +102%
LA Care Medicaid|> 21 $16.61 ↑ +102%
United Commercial|All Other Plans $17.38 ↑ +111%
United Commercial|HMO $17.38 ↑ +111%
MultiPlan Commercial|All Plans $19.75 ↑ +140%
Healthsmart Commercial|All Plans $20.24 ↑ +146%
BCBS - Anthem Commercial|Non-MCS PPO $20.74 ↑ +152%
BCBS - Anthem Commercial|Non-MCS HMO $20.74 ↑ +152%
Blue Shield CA Medicare|BlueShield Promise $20.98 ↑ +155%
Redlands Commercial|All Plans $21.00 ↑ +155%
DHMG Commercial|All Plans $21.00 ↑ +155%
BCBS - Anthem Medicaid|All Plans $21.57 ↑ +162%
Molina Medicaid|< 21 $23.42 ↑ +185%
Molina Medicaid|> 21 $23.42 ↑ +185%
HPN Medicaid|All Plans $24.37 ↑ +196%
EPIC Health Commercial|All Plans $24.62 ↑ +200%
Aetna Commercial|Non-Gatekeeper $24.68 ↑ +200%
Aetna Commercial|Gatekeeper $24.68 ↑ +200%
Inland Empire Health Plan Medicaid|All Plans $24.68 ↑ +200%
BCBS - Anthem Commercial|MCS $24.68 ↑ +200%
Health Net Medicaid|All Plans $25.13 ↑ +206%
Naphcare Commercial|All Plans $28.24 ↑ +244%
Cigna Commercial|All Other Plans $41.53 ↑ +405%
Cigna Commercial|PPO $41.53 ↑ +405%
Care 1st Medicaid|All Plans $83.05 ↑ +910%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Pyruvate at other California hospitals

Hospital City Cash price Negotiated range
Community Hospital San Bernardino San Bernardino $9.65 $4.94 – $83.05
St. John's Camarillo Hospital Camarillo $5.27 $3.25 – $38.41
Banner Lassen Medical Center Susanville $13.15 $2.90 – $20.37
Petaluma Valley Hospital Petaluma $51.74 $14.19 – $88.65
Arroyo Grande Hospital Santa Maria $10.57 $9.40 – $37.30
French Hospital San Luis Obispo $9.68 $5.08 – $43.85
Mercy Hospitals – Bakersfield Bakersfield $9.16 $12.34 – $41.60
Bakersfield Memorial Hospital Bakersfield $9.06 $12.34 – $41.60

All California hospitals for this procedure →