Pricing & Estimates
While we make every effort to ensure the accuracy of our price estimates, the costs associated with diagnostic testing and medical care vary, depending on the medical needs and circumstances of the individual.
Since we can’t anticipate all the charges associated with a course of treatment, we can’t determine the exact total cost of a procedure in advance. As a result, the final bill may differ from the estimate provided. El Camino Hospital makes no guarantees regarding the accuracy of the pricing information posted here and shall not be held liable for any inaccuracies.
How We Obtain Our Estimates
We obtain data from the most recent year to determine pricing on our most common procedures and inpatient stays. The estimates provided include only charges related to your hospital bill. Doctors and other clinicians who provide services will bill you separately. These may include separate bills from:
- Anesthesiologists, radiologists, pathologists, and other specialists.
- Independent lab and radiology services — those not directly associated with El Camino Hospital, but which may be used by your doctor.
If you have questions about those bills, please call the telephone numbers on their statements for assistance.
Out-of-Pocket Expense Estimates
The portion of your bill that’s your responsibility is commonly referred to as your out-of-pocket expense, which varies from person to person and depends on individual insurance policies.
Request a Confidential Estimate
El Camino Hospital can provide you with a free, confidential estimate for any diagnostic test or medical procedure performed at the hospital, including tests and procedures not listed on our website.
You can request an estimate using our online request form or by:
- Calling an El Camino Hospital patient pricing representative at 650-988-8275.
- Emailing us at email@example.com.
Please allow two business days for a response.
A Description of Hospital Charges
A hospital charge description master, also known as a chargemaster or CDM, contains the prices of all services, goods, and procedures for which a separate charge exists. It is used to generate a bill to a hospital patient or a patient's health insurance provider. In compliance with the Centers for Medicare & Medicaid Services rule (CMS-1694-F), the El Camino Hospital CDM is provided below. This document is also available at the El Camino Hospital Health Library and Resource Center. The CDM is updated once a year in July.
The published CDM lists the itemized price of all hospital charges and does not reflect what an insurance company will pay based on contracted rates or what a patient will owe as an estimated out-of-pocket expense.
Typically, a hospital's contracts with insurance companies, including Medicare, specify that the hospital accepts a rate that is less than the published CDM.
Medicare Severity Diagnosis Related Groups (MS-DRG) is a classification system used by Medicare for grouping inpatient discharges, based on various patient attributes, which include principal diagnosis, specific secondary diagnoses, procedures, and other information. The attached file shows El Camino Hospital’s average billed charges by MS-DRG grouping.
We understand that healthcare can be complex and navigating costs, procedures and systems is a daunting task. We encourage the use of our price estimator tool or contacting an El Camino Hospital patient pricing representative at (650) 988-8275 if you have questions or require further assistance with the CDM or MS-DRG.
To view information about hospital charges across the state visit the OSHPD website.