Tc-99m tilmanocept diag at St. Bernardine Medical Center
2101 N Waterman Ave, San Bernardino, CA · CommonSpirit Health · · NPI 1689769911
$624.71
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.
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What you pay up front if you don't use insurance.
$1,876.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$411.59 with BCBS - Anthem vs $1,800.96 with United — 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 →
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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 ?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 |
|---|---|---|---|
| BCBS - Anthem | Commercial|Exchange | $411.59 | ↓ -34% |
| Care 1st | Medicaid|All Plans | $487.76 | ↓ -22% |
| Redlands | Commercial|All Plans | $544.04 | ↓ -13% |
| Kaiser | Commercial|All Plans | $562.80 | ↓ -10% |
| BCBS - Anthem | Commercial|Non-MCS HMO | $588.00 | ↓ -6% |
| BCBS - Anthem | Commercial|Non-MCS PPO | $588.00 | ↓ -6% |
| United | Commercial|All Other Plans | $862.96 | ↑ +38% |
| BCBS - Anthem | Medicaid|All Plans | $927.41 | ↑ +48% |
| BCBS - Anthem | Commercial|MCS | $946.33 | ↑ +51% |
| HPN | Medicare|Senior | $1,106.84 | ↑ +77% |
| HPN | Commercial|All Plans | $1,181.88 | ↑ +89% |
| First Health | Commercial|All Plans | $1,238.16 | ↑ +98% |
| MultiPlan | Commercial|All Plans | $1,500.80 | ↑ +140% |
| Healthsmart | Commercial|All Plans | $1,538.32 | ↑ +146% |
| Blue Shield CA | Medicare|BlueShield Promise | $1,594.60 | ↑ +155% |
| United | Commercial|HMO | $1,800.96 | ↑ +188% |
Visitor-reported prices
Comments
Tc-99m tilmanocept diag at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Community Hospital San Bernardino | San Bernardino | $733.52 | $485.29 – $1,876.00 |
| St. John's Camarillo Hospital | Camarillo | $800.23 | $321.90 – $1,425.06 |
| Redwood City Medical Center | Redwood City | $1,644.47 | not published |
| Santa Clara Medical Center | SANTA CLARA | $1,644.47 | not published |
| Baldwin Park Medical Center | BALDWIN PARK | $1,527.01 | not published |
| Riverside Medical Center | RIVERSIDE | $1,527.01 | not published |
| Banner Lassen Medical Center | Susanville | $1,672.45 | $983.79 – $2,327.51 |
| Sacramento Medical Center | SACRAMENTO | $1,644.47 | not published |