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
VANCO 1GM/D5W 200ML PMX
San Bernardino, CA
See all hospitals reporting HCPCS J3373 →Price type
Community Hospital Of San Bernardino’s median price of $113 is 494% above the median hospital's median price ($19), higher than 94% of the 1,717 hospitals reporting HCPCS J3373. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 17 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 | Anthem medicaid|all plans fee schedule · inpatient | $65.25 | $56.43 | $30.25 – $76.50 |
| 2 | Anthem medicaid|all plans fee schedule · outpatient | $65.25 | $56.43 | $30.25 – $76.50 |
| 3 | Cigna commercial|all other plans fee schedule · outpatient | $117.45 | $101.57 | $54.45 – $137.70 |
| 4 | Cigna commercial|ppo fee schedule · outpatient | $117.45 | $101.57 | $54.45 – $137.70 |
| 5 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $135.72 | $117.37 | $62.92 – $159.12 |
| 6 | Magellan commercial|all plans fee schedule · inpatient | $156.60 | $135.43 | $72.60 – $183.60 |
| 7 | Magellan commercial|all plans fee schedule · outpatient | $156.60 | $135.43 | $72.60 – $183.60 |
| 8 | Kaiser commercial|all plans fee schedule · inpatient | $161.82 | $139.94 | $75.02 – $189.72 |
| 9 | Kaiser commercial|all plans fee schedule · outpatient | $161.82 | $139.94 | $75.02 – $189.72 |
| 10 | First Health commercial|all plans fee schedule · inpatient | $182.70 | $158.00 | $84.70 – $214.20 |
| 11 | First Health commercial|all plans fee schedule · outpatient | $182.70 | $158.00 | $84.70 – $214.20 |
| 12 | Blue Cross Blue Shield medicare|blueshield promise fee schedule · outpatient | $195.75 | $169.29 | $90.75 – $229.50 |
| 13 | MultiPlan commercial|all plans fee schedule · inpatient | $208.80 | $180.57 | $96.80 – $244.80 |
| 14 | MultiPlan commercial|all plans fee schedule · outpatient | $208.80 | $180.57 | $96.80 – $244.80 |
| 15 | Anthem commercial|all other plans fee schedule · outpatient | $232.29 | $200.89 | $107.69 – $272.34 |
| 16 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $253.17 | $218.94 | $117.37 – $296.82 |
| 17 | Anthem commercial|mcs fee schedule · outpatient | $261.00 | $225.71 | $121.00 – $306.00 |
Last updated: Feb 28, 2026
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