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 www.cms.gov/nosurprises, email FederalIDRQuestions@cms.hhs.gov, 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 |
|