Sirolimus, oral 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

$62.61

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.

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

$188.00

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.

$1.75 with United vs $27.00 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
United Commercial|All Other Plans $1.75 ↓ -97%
United Commercial|HMO $1.75 ↓ -97%
Aetna Commercial|Gatekeeper $2.47 ↓ -96%
Aetna Commercial|Non-Gatekeeper $2.47 ↓ -96%
Redlands Commercial|All Plans $5.40 ↓ -91%
PrimeCare Commercial|All Plans $5.94 ↓ -91%
PrimeCare Medicare|All Plans $5.94 ↓ -91%
HPN Medicare|Senior $6.48 ↓ -90%
BCBS - Anthem Medicaid|All Plans $6.75 ↓ -89%
HPN Commercial|All Plans $7.29 ↓ -88%
Kaiser Commercial|All Plans $8.10 ↓ -87%
Blue Shield CA Commercial|Exchange $11.77 ↓ -81%
Blue Shield CA Commercial|All Other Plans $11.77 ↓ -81%
Cigna Commercial|PPO $12.15 ↓ -81%
Cigna Commercial|All Other Plans $12.15 ↓ -81%
Health Net Commercial|EPPO $16.83 ↓ -73%
BCBS - Anthem Commercial|Exchange $17.01 ↓ -73%
First Health Commercial|All Plans $17.82 ↓ -72%
Health Net Commercial|Care Product $19.07 ↓ -70%
Health Net Commercial|All Other Plans $20.83 ↓ -67%
MultiPlan Commercial|All Plans $21.60 ↓ -66%
Healthsmart Commercial|All Plans $22.14 ↓ -65%
Blue Shield CA Medicare|BlueShield Promise $22.95 ↓ -63%
BCBS - Anthem Commercial|Non-MCS PPO $24.30 ↓ -61%
BCBS - Anthem Commercial|Non-MCS HMO $24.30 ↓ -61%
BCBS - Anthem Commercial|MCS $27.00 ↓ -57%

Visitor-reported prices

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Sirolimus, oral at other California hospitals

Hospital City Cash price Negotiated range
Community Hospital San Bernardino San Bernardino $58.65 $1.75 – $150.00
French Hospital San Luis Obispo $18.82 $1.75 – $47.04
Mercy Hospitals – Bakersfield Bakersfield $51.94 $1.75 – $28.00
St. Joseph's Medical Center Stockton Stockton $37.05 $1.75 – $22.96
Santa Rosa Memorial Hospital Santa Rosa $25.21 $2.29 – $25.10
Providence Mission Hospital - Mission Viejo Mission Viejo $93.01 $1.64 – $30.91
Mercy Medical Center Merced Merced $77.77 $1.75 – $14.00
Dominican Hospital Santa Cruz $123.30 $1.75 – $115.60

All California hospitals for this procedure →