Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) 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

$4,422.58

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.

$13,281.00

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.

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

$91.08 with BCBS - Anthem vs $11,288.85 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 $91.08 ↓ -98%
BCBS - Anthem Commercial|Non-MCS PPO $130.11 ↓ -97%
BCBS - Anthem Commercial|Non-MCS HMO $130.11 ↓ -97%
IHCG Medicaid|All Plans $145.16 ↓ -97%
IHCG Medicare|All Plans $145.57 ↓ -97%
Kaiser Medicaid|All Plans $187.88 ↓ -96%
Blue Shield CA Commercial|Exchange $199.13 ↓ -95%
Blue Shield CA Commercial|All Other Plans $199.13 ↓ -95%
BCBS - Anthem Commercial|MCS $209.41 ↓ -95%
Scan Health Plan Medicare|All Plans $218.46 ↓ -95%
First Health Medicare|All Plans $218.46 ↓ -95%
Molina Medicare|All Plans $218.46 ↓ -95%
United Medicare|All Plans $218.46 ↓ -95%
Health Net Medicare|All Plans $218.46 ↓ -95%
Patton Medicare|All Plans $218.46 ↓ -95%
Humana Medicare|All Plans $218.46 ↓ -95%
Epic Health Medicare|All Plans $218.46 ↓ -95%
Kaiser Medicare|All Plans $218.46 ↓ -95%
Central Health Plan Medicare|All Plans $218.46 ↓ -95%
Inland Empire Health Plan Medicare|All Plans $218.46 ↓ -95%
BCBS - Anthem Medicare|All Plans $218.46 ↓ -95%
Blue Shield CA Medicare|All Other Plans $218.46 ↓ -95%
United Commercial|HMO $268.01 ↓ -94%
United Commercial|All Other Plans $268.01 ↓ -94%
Health Net Commercial|EPPO $268.64 ↓ -94%
DHMG Commercial|All Plans $316.77 ↓ -93%
Health Net Commercial|Care Product $322.59 ↓ -93%
Aetna Commercial|Gatekeeper $351.89 ↓ -92%
Aetna Commercial|Non-Gatekeeper $351.89 ↓ -92%
Health Net Commercial|All Other Plans $352.46 ↓ -92%
EPIC Health Commercial|All Plans $371.38 ↓ -92%
Naphcare Commercial|All Plans $426.00 ↓ -90%
Redlands Commercial|All Plans $2,656.20 ↓ -40%
PrimeCare Commercial|All Plans $2,921.82 ↓ -34%
PrimeCare Medicare|All Plans $2,921.82 ↓ -34%
HPN Medicare|Senior $3,187.44 ↓ -28%
BCBS - Anthem Medicaid|All Plans $3,320.25 ↓ -25%
HPN Commercial|All Plans $3,585.87 ↓ -19%
Kaiser Commercial|All Plans $3,984.30 ↓ -10%
Cigna Commercial|PPO $5,976.45 ↑ +35%
Cigna Commercial|All Other Plans $5,976.45 ↑ +35%
First Health Commercial|All Plans $8,765.46 ↑ +98%
MultiPlan Commercial|All Plans $10,624.80 ↑ +140%
Healthsmart Commercial|All Plans $10,890.42 ↑ +146%
Blue Shield CA Medicare|BlueShield Promise $11,288.85 ↑ +155%

Visitor-reported prices

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Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) at other California hospitals

Hospital City Cash price Negotiated range
Community Hospital San Bernardino San Bernardino $5,192.88 $107.39 – $13,281.00
St. John's Camarillo Hospital Camarillo $8,531.81 $71.23 – $15,193.62
Petaluma Valley Hospital Petaluma $16,531.64 $66.67 – $349.29
Arroyo Grande Hospital Santa Maria $16,050.00 $118.13 – $36,750.00
Mark Twain Medical Center San Andreas $20,294.63 $7,883.22 – $29,862.97
French Hospital San Luis Obispo $14,700.00 $199.13 – $36,750.00
Mercy Hospitals – Bakersfield Bakersfield $13,073.67 $99.57 – $9,289.60
Bakersfield Memorial Hospital Bakersfield $12,932.72 $106.46 – $9,173.48

All California hospitals for this procedure →