Vaccine pneumonococcal conjugate 20 valent (pcv20) im 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

$545.13

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.

$1,637.00

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.

$327.40 with Redlands vs $1,637.00 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
Redlands Commercial|All Plans $327.40 ↓ -40%
PrimeCare Medicare|All Plans $360.14 ↓ -34%
PrimeCare Commercial|All Plans $360.14 ↓ -34%
HPN Medicare|Senior $392.88 ↓ -28%
BCBS - Anthem Medicaid|All Plans $409.25 ↓ -25%
HPN Commercial|All Plans $441.99 ↓ -19%
Kaiser Commercial|All Plans $491.10 ↓ -10%
Cigna Commercial|PPO $736.65 ↑ +35%
Cigna Commercial|All Other Plans $736.65 ↑ +35%
United Commercial|All Other Plans $753.02 ↑ +38%
BCBS - Anthem Commercial|Exchange $1,031.31 ↑ +89%
First Health Commercial|All Plans $1,080.42 ↑ +98%
MultiPlan Commercial|All Plans $1,309.60 ↑ +140%
Healthsmart Commercial|All Plans $1,342.34 ↑ +146%
Blue Shield CA Medicare|BlueShield Promise $1,391.45 ↑ +155%
BCBS - Anthem Commercial|Non-MCS HMO $1,473.30 ↑ +170%
BCBS - Anthem Commercial|Non-MCS PPO $1,473.30 ↑ +170%
United Commercial|HMO $1,571.52 ↑ +188%
BCBS - Anthem Commercial|MCS $1,637.00 ↑ +200%

Visitor-reported prices

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Vaccine pneumonococcal conjugate 20 valent (pcv20) im at other California hospitals

Hospital City Cash price Negotiated range
Community Hospital San Bernardino San Bernardino $1,031.46 $553.98 – $2,638.00
Fresno Medical Center FRESNO $540.73 not published
St. John's Camarillo Hospital Camarillo $392.45 $100.00 – $698.88
Antioch Medical Center ANTIOCH $540.73 not published
Redwood City Medical Center Redwood City $540.73 not published
Santa Clara Medical Center SANTA CLARA $540.73 not published
Baldwin Park Medical Center BALDWIN PARK $502.11 not published
Riverside Medical Center RIVERSIDE $502.11 not published

All California hospitals for this procedure →