Cost of care estimates

Montage Health offers resources to estimate the cost of health services you may receive from Community Hospital of the Monterey Peninsula or Montage Medical Group. Pricing estimates may change, and the amount you or your insurance provider pays may be higher or lower than the estimate.

To make sure you and everyone who comes through our doors can access high-quality care, Montage Health strives to keep prices affordable and comparable to those of other Northern California hospitals.

How to estimate cost of care

You can determine what different procedures, treatments, and services may cost before insurance:

  • Online via MyChart, a free, user-friendly web portal. Use the “Guest Estimates” button to search for and view estimated costs for a wide range of services
  • By phone. Call the estimate phone line at (831) 625-4715

How much will I pay?

The amount you’re responsible for paying depends on many factors, including if you have insurance coverage and what’s covered under your specific plan.

Read policies that cover patient rights and responsibilities, including financial responsibilities.

Protections against surprise bills

When you get emergency care or get treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing.

Read more about your rights and protections against surprise medical bills.

Self-pay estimates

Under the law, healthcare providers are required to give patients who do not have insurance or who are not using insurance an estimate of the bill for medical items and services.

You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

Ask your healthcare provider to give you a Good Faith Estimate in writing at least one business-day before your medical service or item. You can also ask your healthcare provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.

If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.

Keep a copy or picture of your Good Faith Estimate.

For questions or more information about your right to a Good Faith Estimate, visit, email, or call (877) 696-6775.

Standard hospital charges

To see hospital charges and expected payments, download our standard pricing spreadsheet [.xls]. The Centers for Medicare and Medicaid Services (CMS) requires Montage Health to display this information online in a file that a machine (computer) can easily download and read.

How to understand this spreadsheet

This spreadsheet doesn’t show:

  • Portion of the cost your insurance provider might cover and how much of the payment is your responsibility as a patient
  • Discounts for prompt payment
  • Charges for services by doctors who aren’t employed by Community Hospital

The list reflects charges as of January 1, 2021. They may have changed since then due to changes by supply vendors, new technology, added or eliminated services, etc. It may be difficult to compare the charges with those of other hospitals, which may not use the same procedure names or descriptions we use.

Average charges for common services

See the average charge for 25 services we frequently provide. (The following estimated charges may vary depending on many factors and are not necessarily what patients or insurers actually pay.)

Actual costs may vary based on individual circumstances.
Evaluation & Management Services (CPT Codes 99201-99499) 2018 CPT Code Average Charge
Emergency Room Visit, Level 2 (low to moderate severity) 99282 $1,045.00
Emergency Room Visit, Level 3 (moderate severity) 99283 $1,670.00
Emergency Room Visit, Level 4 (high severity without significant threat) 99284 $2,254.00
Emergency Room Visit, Level 4 (high severity with significant threat) 99285
Outpatient Visit, established patient, 15 minutes 99213 $496.00
Laboratory & Pathology Services (CPT Codes 80047-89398) 2018 CPT Code Average Charge
Basic Metabolic Panel 80048 $66.00
Blood Gas Analysis, including 02 saturation 82805
Complete Blood Count, automated 85027 $79.00
Complete Blood Count, with differential WBC, automated 85025 $87.00
Comprehensive Metabolic Panel 80053 $82.00
Creatine Kinase (CK), (CPK), Total 82550 $249.00
Lipid Panel 80061 $142.00
Partial Thromboplastin Time 85730 $187.00
Prothrombin Time 85610 $79.00
Thyroid Stimulating Hormone 84443 $198.00
Troponin, Quantitative 84484 $150.00
Urinalysis, without microscopy 81002 or 81003
Urinalysis, with microscopy 81000 or 81001
Radiology Services (CPT Codes 70010-79999) 2018 CPT Code Average Charge
CT Scan, Abdomen, with contrast 74160
CT Scan, Head or Brain, without contrast 70450 $2,065.00
CT Scan, Pelvis, with contrast 72193 $3,115.00
Mammography, Screening, Bilateral 77067
MRI, Brain, without contrast, followed by contrast 70553 $1,313.00
Ultrasound, Abdomen, Complete 76700 $1,223.00
Ultrasound, OB, 14 weeks or more, transabdominal 76805 $936.00
X-Ray, Lower Back, minimum four views 72110 $553.00
X-Ray, Chest, two views 71046 $443.00
Medicine Services (CPT Codes 90281-99607) 2018 CPT Code Average Charge
Cardiac Catheterization, Left Heart, percutaneous 93452
Echocardiography, Transthoracic, complete, without Doppler 93307
Electrocardiogram, routine, with interpretation and report 93000
Inhalation Treatment, pressurized or nonpressurized 94640 $285.00
Physical Therapy, Evaluation 97161-97163
Physical Therapy, Gait Training 97116 $172.00
Physical Therapy, Therapeutic Exercise 97110 $172.00
Surgery Services (CPT Codes 10021-69990) 2018 CPT Code Average Charge
Arthroscopy, Knee, with meniscectomy (medial or lateral) 29881
Arthroscopy, Shoulder, with partial acromioplasty 29826
Carpal Tunnel Surgery 64721
Cataract Removal with Insertion of Intraocular Lens, 1 Stage 66984
Colonoscopy, diagnostic 45378
Colonoscopy, with biopsy 45380
Colonoscopy, with lesion removal, by snare technique 45385
Discission, secondary membranous cataract, laser surgery 66821
Endoscopy, Upper GI, with biopsy 43239
Endoscopy, Upper GI, diagnostic 43235
Excision, Breast Lesion, without preoperative radiological marker 19120
Hernia Repair, Inguinal, 5 years and older 49505
Injection, Diagnostic or Therapeutic substance, epidural, lumbar 62322-62323
Injection, Anesthetic or Steroid, transforaminal epidural, lumbar 64483 $3,415.00
Laparoscopic Cholecystectomy 47562
Tympanostomy (insert ventilating tube, general anesthesia) 69436
Tonsillectomy with Adenoidectomy, less than 12 years old 42820

MoGo Urgent Care billing

Read information about paying for your MoGo Urgent Care visit, including which insurance plans we accept and how much you may pay.

Talk to a patient advocate

Call (831) 625-4922 or email us if you need help to:

  • Understand your Community Hospital or MoGo Urgent Care bill or our billing process
  • Find state and federal financial assistance programs you may qualify for
  • Complete financial assistance applications
  • Set up a personalized repayment plan if you don’t qualify for assistance