Tc-99m pentetate dtpa 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

$3,592.74

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.

$10,789.00

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.

$13.00 with Partnership Health Plan vs $9,170.65 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
Partnership Health Plan Medicaid|< 21 $13.00 ↓ -100%
LA Care Medicaid|> 21 $13.00 ↓ -100%
LA Care Medicaid|< 21 $13.00 ↓ -100%
Partnership Health Plan Medicaid|> 21 $13.00 ↓ -100%
Molina Medicaid|> 21 $18.33 ↓ -99%
Molina Medicaid|< 21 $18.33 ↓ -99%
HPN Medicaid|All Plans $19.07 ↓ -99%
BCBS - Anthem Medicaid|All Plans $19.50 ↓ -99%
Health Net Medicaid|All Plans $19.67 ↓ -99%
Inland Empire Health Plan Medicaid|All Plans $26.00 ↓ -99%
BCBS - Anthem Commercial|Exchange $27.35 ↓ -99%
BCBS - Anthem Commercial|Non-MCS PPO $39.07 ↓ -99%
BCBS - Anthem Commercial|Non-MCS HMO $39.07 ↓ -99%
United Commercial|All Other Plans $41.63 ↓ -99%
United Commercial|HMO $41.63 ↓ -99%
BCBS - Anthem Commercial|MCS $62.89 ↓ -98%
Care 1st Medicaid|All Plans $65.00 ↓ -98%
Redlands Commercial|All Plans $3,128.81 ↓ -13%
Kaiser Commercial|All Plans $3,236.70 ↓ -10%
HPN Medicare|Senior $6,365.51 ↑ +77%
HPN Commercial|All Plans $6,797.07 ↑ +89%
First Health Commercial|All Plans $7,120.74 ↑ +98%
MultiPlan Commercial|All Plans $8,631.20 ↑ +140%
Healthsmart Commercial|All Plans $8,846.98 ↑ +146%
Blue Shield CA Medicare|BlueShield Promise $9,170.65 ↑ +155%

Visitor-reported prices

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Tc-99m pentetate dtpa at other California hospitals

Hospital City Cash price Negotiated range
Community Hospital San Bernardino San Bernardino $94.63 $13.00 – $242.00
Fresno Medical Center FRESNO $225.52 $36.00 – $36.00
St. John's Camarillo Hospital Camarillo $136.66 $19.67 – $243.36
Antioch Medical Center ANTIOCH $225.52 $36.00 – $36.00
Redwood City Medical Center Redwood City $225.52 $36.00 – $36.00
Santa Clara Medical Center SANTA CLARA $225.52 $36.00 – $36.00
Baldwin Park Medical Center BALDWIN PARK $209.41 $32.00 – $32.00
Riverside Medical Center RIVERSIDE $209.41 $32.00 – $32.00

All California hospitals for this procedure →