Vaccine tdap >=7 years 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

$97.57

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.

$293.00

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.

$56.44 with Blue Shield CA vs $249.05 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
Blue Shield CA Commercial|All Other Plans $56.44 ↓ -42%
Blue Shield CA Commercial|Exchange $56.44 ↓ -42%
Redlands Commercial|All Plans $58.60 ↓ -40%
Molina Medicaid|> 21 $61.38 ↓ -37%
Molina Medicaid|< 21 $61.38 ↓ -37%
United Commercial|All Other Plans $63.74 ↓ -35%
United Commercial|HMO $63.74 ↓ -35%
HPN Medicaid|All Plans $63.86 ↓ -35%
PrimeCare Commercial|All Plans $64.46 ↓ -34%
PrimeCare Medicare|All Plans $64.46 ↓ -34%
BCBS - Anthem Medicaid|All Plans $64.70 ↓ -34%
Health Net Medicaid|All Plans $65.85 ↓ -33%
HPN Medicare|Senior $70.32 ↓ -28%
BCBS - Anthem Commercial|Exchange $74.75 ↓ -23%
HPN Commercial|All Plans $79.11 ↓ -19%
Health Net Commercial|EPPO $79.14 ↓ -19%
Inland Empire Health Plan Medicaid|All Plans $87.06 ↓ -11%
Kaiser Commercial|All Plans $87.90 ↓ -10%
Health Net Commercial|Care Product $91.43 ↓ -6%
Health Net Commercial|All Other Plans $99.90 ↑ +2%
BCBS - Anthem Commercial|Non-MCS HMO $106.79 ↑ +9%
BCBS - Anthem Commercial|Non-MCS PPO $106.79 ↑ +9%
Cigna Commercial|PPO $131.85 ↑ +35%
Cigna Commercial|All Other Plans $131.85 ↑ +35%
BCBS - Anthem Commercial|MCS $171.87 ↑ +76%
First Health Commercial|All Plans $193.38 ↑ +98%
Care 1st Medicaid|All Plans $217.65 ↑ +123%
MultiPlan Commercial|All Plans $234.40 ↑ +140%
Healthsmart Commercial|All Plans $240.26 ↑ +146%
Blue Shield CA Medicare|BlueShield Promise $249.05 ↑ +155%

Visitor-reported prices

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Vaccine tdap >=7 years im at other California hospitals

Hospital City Cash price Negotiated range
Community Hospital San Bernardino San Bernardino $184.17 $50.36 – $471.00
St. John's Camarillo Hospital Camarillo $70.08 $43.20 – $124.80
Petaluma Valley Hospital Petaluma $212.65 $53.65 – $84.00
Arroyo Grande Hospital Santa Maria $228.56 $40.11 – $523.32
Mark Twain Medical Center San Andreas $151.75 $58.95 – $223.30
French Hospital San Luis Obispo $209.33 $40.11 – $523.32
Mercy Hospitals – Bakersfield Bakersfield $79.03 $29.33 – $135.20
Bakersfield Memorial Hospital Bakersfield $78.18 $56.88 – $133.51

All California hospitals for this procedure →