St. Bernardine Medical Center
2101 N Waterman Ave, San Bernardino, CA · CommonSpirit Health · · NPI 1689769911
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| X-ray mandible complete > 4 views CPT 70110 | $116.55 | $350.00 | $48.83 – $569.81 | 24 |
| X-ray mandible ltd <4 views CPT 70100 | $92.91 | $279.00 | $36.00 – $423.34 | 24 |
| X-ray nasal bones complete > 3 views CPT 70160 | $255.75 | $768.00 | $35.56 – $423.34 | 24 |
| X-ray neck soft tissue CPT 70360 | $232.11 | $697.00 | $24.82 – $423.34 | 24 |
| X-ray nose to rectum for foreign body child CPT 76010 | $87.58 | $263.00 | $33.48 – $423.34 | 24 |
| X-ray pelvis 1-2 views CPT 72170 | $257.75 | $774.00 | $31.01 – $569.81 | 24 |
| X-ray pelvis complete > 3 views CPT 72190 | $383.95 | $1,153.00 | $45.26 – $569.81 | 24 |
| Xray place prox ext thor ao CPT 75958 | $180.16 | $541.00 | $156.89 – $931.70 | 16 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $441.56 | $1,326.00 | $80.93 – $1,927.25 | 24 |
| X-ray ribs 3 views bilateral CPT 71110 | $306.70 | $921.00 | $47.78 – $759.90 | 24 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $544.79 | $1,636.00 | $60.82 – $569.81 | 24 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $367.64 | $1,104.00 | $42.42 – $569.81 | 24 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $310.69 | $933.00 | $35.89 – $423.34 | 24 |
| X-ray sella turcica CPT 70240 | $129.87 | $390.00 | $31.01 – $423.34 | 24 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $367.64 | $1,104.00 | $47.27 – $423.34 | 24 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $530.47 | $1,593.00 | $59.94 – $2,528.83 | 24 |
| X-ray skull < 4 views CPT 70250 | $203.13 | $610.00 | $37.27 – $569.81 | 24 |
| X-ray skull > 4 views complete CPT 70260 | $466.87 | $1,402.00 | $56.55 – $569.81 | 24 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $468.54 | $1,407.00 | $102.08 – $934.85 | 24 |
| X-ray small intestine follow-through study CPT 74248 | $590.41 | $1,773.00 | $74.76 – $1,507.05 | 16 |
| X-ray spine single view CPT 72020 | $195.48 | $587.00 | $24.82 – $423.34 | 24 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $186.82 | $561.00 | $37.27 – $423.34 | 24 |
| X-ray sternum > 2 views CPT 71120 | $258.75 | $777.00 | $37.27 – $423.34 | 24 |
| X-ray surgical specimen CPT 76098 | $562.77 | $1,690.00 | $20.77 – $2,528.83 | 24 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $438.57 | $1,317.00 | $74.46 – $1,087.15 | 24 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $300.37 | $902.00 | $46.98 – $423.34 | 24 |
| X-ray thoracic spine 2 views CPT 72070 | $366.30 | $1,100.00 | $40.22 – $569.81 | 24 |
| X-ray thoracic spine 3 views CPT 72072 | $285.72 | $858.00 | $44.22 – $569.81 | 24 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $340.33 | $1,022.00 | $39.29 – $423.34 | 24 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $574.43 | $1,725.00 | $34.72 – $423.34 | 24 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $717.95 | $2,156.00 | $56.31 – $569.81 | 24 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $169.17 | $508.00 | $142.97 – $934.85 | 24 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $490.51 | $1,473.00 | $146.35 – $1,214.65 | 24 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $63.94 | $192.00 | $0.02 – $157.44 | 13 |
| Zika virus dna/rna amp probe CPT 87662 | $43.96 | $132.00 | $34.32 – $228.05 | 26 |
| Zika virus igm antibody CPT 86794 | $24.91 | $74.80 | $14.49 – $74.85 | 26 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $22.65 | $68.00 | $11.22 – $55.76 | 16 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $2,157.18 | $6,478.00 | $9.24 – $2,641.22 | 16 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.