Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
ACETAMN(NOS)1GM/100ML SDV
San Bernardino, CA
See all hospitals reporting HCPCS J0131 →Price type
Community Hospital Of San Bernardino’s median price of $22 is 971% above the median hospital's median price ($2), higher than 65% of the 1,916 hospitals reporting HCPCS J0131. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 22 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Molina medicaid|all plans fee schedule · outpatient | $0.07 | $0.07 | $0.07 – $0.07 |
| 2 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $0.08 | $0.08 | $0.08 – $0.08 |
| 3 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $0.08 | $0.08 | $0.08 – $0.08 |
| 4 | Aetna commercial|gatekeeper fee schedule · outpatient | $0.11 | $0.11 | $0.11 – $0.11 |
| 5 | Aetna commercial|non-gatekeeper fee schedule · outpatient | $0.11 | $0.11 | $0.11 – $0.11 |
| 6 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $0.13 | $0.13 | $0.13 – $0.13 |
| 7 | Blue Cross Blue Shield commercial|exchange fee schedule · outpatient | $0.13 | $0.13 | $0.13 – $0.13 |
| 8 | Anthem commercial|all other plans fee schedule · outpatient | $0.28 | $0.28 | $0.28 – $0.28 |
| 9 | Anthem commercial|mcs fee schedule · outpatient | $0.35 | $0.35 | $0.35 – $0.35 |
| 10 | Anthem medicaid|all plans fee schedule · outpatient | $6.80 | $6.80 | $6.80 – $6.80 |
| 11 | Anthem medicaid|all plans fee schedule · inpatient | $25.25 | $25.25 | $25.25 – $25.25 |
| 12 | Cigna commercial|all other plans fee schedule · outpatient | $45.45 | $45.45 | $45.45 – $45.45 |
| 13 | Cigna commercial|ppo fee schedule · outpatient | $45.45 | $45.45 | $45.45 – $45.45 |
| 14 | Magellan commercial|all plans fee schedule · inpatient | $60.60 | $60.60 | $60.60 – $60.60 |
| 15 | Magellan commercial|all plans fee schedule · outpatient | $60.60 | $60.60 | $60.60 – $60.60 |
| 16 | Kaiser commercial|all plans fee schedule · inpatient | $62.62 | $62.62 | $62.62 – $62.62 |
| 17 | Kaiser commercial|all plans fee schedule · outpatient | $62.62 | $62.62 | $62.62 – $62.62 |
| 18 | First Health commercial|all plans fee schedule · inpatient | $70.70 | $70.70 | $70.70 – $70.70 |
| 19 | First Health commercial|all plans fee schedule · outpatient | $70.70 | $70.70 | $70.70 – $70.70 |
| 20 | Blue Cross Blue Shield medicare|blueshield promise fee schedule · outpatient | $75.75 | $75.75 | $75.75 – $75.75 |
| 21 | MultiPlan commercial|all plans fee schedule · inpatient | $80.80 | $80.80 | $80.80 – $80.80 |
| 22 | MultiPlan commercial|all plans fee schedule · outpatient | $80.80 | $80.80 | $80.80 – $80.80 |
Last updated: Feb 28, 2026
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