Does Montclair Hospital Medical Center publish its standard charges and chargemaster?

Yes. Montclair Hospital Medical Center publishes a machine-readable file with 6,331 standard-charge rows — gross charges, cash prices, and payer-negotiated rates, earning a CMS price transparency compliance grade of A. Browse the negotiated rates by procedure and payer on this page.

How much does Montclair Hospital Medical Center charge for procedures?

Montclair Hospital Medical Center (Montclair, CA) publishes a separately negotiated rate for each insurance payer, plus a discounted cash price and a gross (list) charge, for every procedure in its price transparency file. This page compares each procedure's negotiated median against the national median so you can see whether a price is above or below market.

▸ Hospital · CA · CCN 050758

Montclair Hospital Medical Center

Montclair, CA, 91763

106 bedsAcute Care Hospitals4

Compliance grade

100/100

Rates published

6,331

last crawl 2026-05-22

Procedures tracked

145

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All CA hospitalsJSON

The report bundles all published codes × every payer rate + compliance grade as a downloadable PDF + CSV with a data-version manifest.

Source MRF: https://montclair-hospital.org/wp-content/uploads/2026/04/202898771_MontclairHospitalMedicalCenter_standardcharges.JSON · JSON

Procedures & rates

vs nat'l shows this hospital's negotiated median against the national median for that code (green = at/below market, amber = 1–1.5×, red = >1.5× the national median).

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	vs nat'l	Neg max
behavioral
Psychoses	MS-DRG	885	20	—	$14,084	$6,518.71	$14,085	1.1×	$28,170
emergency
ED visit level 1	CPT	99281	24	$754.88	$107	$21.77	$107.92	0.77×	$215.84
ED visit level 2	CPT	99282	24	$1,290.44	$196	$34.97	$196.51	0.83×	$393.02
ED visit level 3	CPT	99283	24	$2,284.44	$349	$51	$349.37	0.86×	$698.74
ED visit level 4	CPT	99284	24	$3,409.93	$534	$51	$534.03	0.80×	$1,068.06
ED visit level 5	CPT	99285	24	$5,058.67	$762	$51	$762.2	0.73×	$1,524.4
Critical care, first hour	CPT	99291	24	$7,580.38	$1,057	$51	$1,057.2	0.99×	$2,114.4
imaging
CT head without contrast	CPT	70450	24	$6,964.38	$133	$94.42	$133.8	0.65×	$296.47
CT head with contrast	CPT	70460	24	$3,855.5	$224	$137.27	$224.48	0.96×	$448.96
CT head with and without contrast	CPT	70470	24	$5,598.75	$224	$163.9	$224.48	0.84×	$448.96
CT neck with contrast	CPT	70491	24	$4,639.75	$224	$184.4	$224.48	0.82×	$448.96
MRI brain without contrast	CPT	70551	24	$5,922.5	$305	$188.21	$305.38	0.76×	$767.79
MRI brain with contrast	CPT	70552	24	$2,151.33	$446	$276.68	$446.5	0.93×	$926.42
MRI brain with and without contrast	CPT	70553	24	$8,453.75	$446	$316.79	$446.5	0.76×	$1,435.35
Chest X-ray single view	CPT	71045	24	$745.25	$111	$9.71	$111.37	1.2×	$222.74
Chest X-ray 2 views	CPT	71046	24	$1,036.75	$111	$18.13	$111.37	1.1×	$222.74
CT chest without contrast	CPT	71250	24	$6,179.25	$133	$127.11	$133.8	0.62×	$350.49
CT chest with contrast	CPT	71260	24	$5,910.7	$224	$170.83	$224.48	0.80×	$448.96
CT chest with and without contrast	CPT	71270	24	$5,614.11	$224	$208.88	$224.48	0.77×	$448.96
MRI chest without contrast	CPT	71550	24	$5,103	$305	$290.11	$305.38	0.71×	$867.15
MRI chest with and without contrast	CPT	71552	24	$3,491.88	$446	$387.38	$446.5	0.74×	$893
Lumbosacral spine X-ray	CPT	72100	24	$1,105.02	$133	$29.98	$133.8	1.3×	$267.6
CT cervical spine without contrast	CPT	72125	24	$5,885	$133	$127.11	$133.8	0.66×	$350.49
CT thoracic spine without contrast	CPT	72128	24	$5,260	$133	$127.11	$133.8	0.67×	$350.49
CT lumbar spine without contrast	CPT	72131	24	$5,260	$133	$127.11	$133.8	0.66×	$350.49
MRI cervical spine without contrast	CPT	72141	24	$6,197.5	$305	$181.08	$305.38	0.77×	$867.15
MRI thoracic spine without contrast	CPT	72146	24	$6,197.5	$305	$183.45	$305.38	0.82×	$867.15
MRI lumbar spine without contrast	CPT	72148	24	$6,378.75	$305	$181.42	$305.38	0.81×	$867.15
MRI lumbar spine with and without contrast	CPT	72149	24	$1,785.65	$446	$281.85	$446.5	0.98×	$1,027.55
MRI cervical spine with and without contrast	CPT	72156	24	$6,821.37	$446	$319.01	$446.5	0.83×	$1,462.81
MRI lumbar spine with contrast	CPT	72158	24	$8,359.59	$446	$318.04	$446.5	0.82×	$1,461.3
CT pelvis without contrast	CPT	72192	24	$5,617.5	$133	$117.13	$133.8	0.67×	$350.49
CT pelvis with contrast	CPT	72193	24	$4,823.75	$224	$213.26	$224.48	0.80×	$448.96
Shoulder X-ray	CPT	73030	24	$1,068.38	$111	$25.59	$111.37	1.2×	$222.74
Humerus X-ray	CPT	73060	24	$882.06	$111	$21.46	$111.37	1.2×	$222.74
Hand X-ray 3 views	CPT	73130	24	$1,092.15	$111	$26.32	$111.37	1.2×	$222.74
MRI upper extremity joint without contrast	CPT	73221	24	$6,378.75	$305	$206.55	$305.38	0.73×	$610.76
MRI upper extremity joint with and without contrast	CPT	73223	24	$1,785.65	$446	$301.18	$446.5	0.73×	$893
Knee X-ray 1-2 views	CPT	73560	24	$838.24	$111	$20.19	$111.37	1.2×	$222.74
Ankle X-ray 3 views	CPT	73610	24	$948.44	$111	$26.32	$111.37	1.2×	$222.74
MRI lower extremity joint without contrast	CPT	73721	24	$6,378.75	$305	$206.2	$305.38	0.65×	$610.76
MRI lower extremity joint with and without contrast	CPT	73723	24	$3,491.88	$446	$300.2	$446.5	0.70×	$893
CT abdomen without contrast	CPT	74150	24	$6,743	$133	$116.66	$133.8	0.71×	$350.49
CT abdomen with contrast	CPT	74160	24	$5,759.3	$224	$213.26	$224.48	0.78×	$448.96
CT abdomen with and without contrast	CPT	74170	24	$6,717.5	$224	$213.26	$224.48	0.67×	$448.96
CT abdomen and pelvis without contrast	CPT	74176	24	$7,926.11	$305	$51	$305.38	0.84×	$610.76
CT abdomen and pelvis with contrast	CPT	74177	24	$9,567.25	$446	$51	$446.5	0.81×	$893
CT abdomen and pelvis with and without contrast	CPT	74178	24	$10,298	$446	$233.05	$446.5	0.78×	$893
MRI abdomen without contrast	CPT	74181	24	$5,095	$305	$216.39	$305.38	0.78×	$846.78
MRI abdomen with and without contrast	CPT	74183	24	$6,358.26	$446	$263.48	$446.5	0.79×	$893
Abdominal ultrasound complete	CPT	76700	24	$2,556.13	$133	$82.35	$133.8	0.90×	$267.6
Abdominal ultrasound limited	CPT	76705	24	$2,051.09	$133	$51	$133.8	0.91×	$267.6
Retroperitoneal ultrasound complete	CPT	76770	24	$2,103.49	$133	$79.89	$133.8	0.93×	$267.6
Obstetric ultrasound first trimester	CPT	76801	24	$1,235	$133	$47.84	$133.8	0.95×	$267.6
Obstetric ultrasound after first trimester	CPT	76805	24	$1,479	$133	$90.65	$133.8	0.88×	$267.6
Transvaginal ultrasound	CPT	76830	24	$1,535	$133	$70.84	$133.8	0.91×	$267.6
Pelvic ultrasound complete	CPT	76856	24	$2,142.15	$133	$67.93	$133.8	0.93×	$267.6
Scrotal ultrasound	CPT	76870	24	$1,599.75	$133	$47.16	$133.8	1.0×	$267.6
Diagnostic mammography unilateral	CPT	77065	24	$844.9	$94	$84.3	$94.37	0.63×	$188.74
Diagnostic mammography bilateral	CPT	77066	24	$1,060	$121	$108.06	$121.01	0.64×	$242.02
Screening mammography bilateral	CPT	77067	24	$589.51	$99	$88.39	$99.86	0.63×	$199.72
EKG tracing only	CPT	93005	24	$699.88	$75	$23.52	$75.5	0.64×	$151
Transthoracic echocardiogram complete	CPT	93306	24	$4,329.67	$699	$177.42	$699.34	1.2×	$1,398.68
Transthoracic echocardiogram	CPT	93307	24	$2,600.03	$305	$129.18	$305.38	1.2×	$610.76
inpatient
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	20	—	$20,002	$19,878	$20,003	0.99×	$40,006
Intracranial hemorrhage/CVA w CC	MS-DRG	065	20	—	$10,361	$10,298	$10,361	0.97×	$20,722
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	20	—	$7,220	$7,178.47	$7,220.9	0.95×	$14,442
Respiratory infections & inflammations w MCC	MS-DRG	177	20	—	$15,683	$15,587	$15,683	1.0×	$31,367
COPD w MCC	MS-DRG	190	20	—	$11,299	$11,065	$11,299	1.0×	$22,599
COPD w CC	MS-DRG	191	20	—	$8,749	$8,696.77	$8,749.04	0.99×	$17,498
COPD w/o CC/MCC	MS-DRG	192	20	—	$6,812	$6,135.19	$6,812.37	0.97×	$13,625
Simple pneumonia & pleurisy w CC	MS-DRG	194	20	—	$8,391	$8,341.61	$8,391.58	0.99×	$16,783
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	20	—	$6,682	$6,643.33	$6,682.3	1.0×	$13,365
AMI discharged alive w MCC	MS-DRG	280	20	—	$16,082	$15,983	$16,082	1.0×	$32,165
AMI discharged alive w CC	MS-DRG	281	20	—	$9,482	$9,425.29	$9,482.28	0.98×	$18,965
AMI discharged alive w/o CC/MCC	MS-DRG	282	20	—	$7,593	$7,548.95	$7,593.78	0.97×	$15,188
Heart failure & shock w MCC	MS-DRG	291	20	—	$12,996	$12,917	$12,996	1.0×	$25,992
Heart failure & shock w CC	MS-DRG	292	20	—	$8,806	$8,754.21	$8,806.85	0.98×	$17,614
Heart failure & shock w/o CC/MCC	MS-DRG	293	20	—	$6,080	$6,045.01	$6,080.1	0.98×	$12,160
Cardiac arrhythmia w MCC	MS-DRG	308	20	—	$12,227	$11,752	$12,227	1.0×	$24,455
Cardiac arrhythmia w CC	MS-DRG	309	20	—	$7,715	$6,505.24	$7,715.19	0.99×	$15,430
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	20	—	$6,081	$5,526.21	$6,081.06	0.98×	$12,162
GI hemorrhage w CC	MS-DRG	378	20	—	$10,075	$10,015	$10,076	1.0×	$20,152
GI hemorrhage w/o CC/MCC	MS-DRG	379	20	—	$6,700	$6,661.52	$6,700.6	0.98×	$13,401
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	20	—	$8,138	$7,902.11	$8,138.17	1.0×	$16,276
Fractures of femur w/o MCC	MS-DRG	533	20	—	$15,731	$15,634	$15,732	1.0×	$31,463
Kidney/UTI w MCC	MS-DRG	689	20	—	$11,806	$11,734	$11,806	1.0×	$23,613
Kidney/UTI w/o MCC	MS-DRG	690	20	—	$8,426	$7,704.82	$8,426.26	1.0×	$16,853
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	20	—	$19,342	$19,223	$19,343	1.0×	$38,686
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	20	—	$10,486	$9,219.33	$10,486	1.0×	$20,973
Hospital discharge, >30 min	CPT	99239	7	$571.9	—	$76.6	$79.28	0.65×	$571.9
lab
Basic metabolic panel (BMP)	CPT	80048	24	$809.88	$8	$8.04	$8.46	0.26×	$16.92
Electrolyte panel	CPT	80051	24	$284	$7	$6.66	$7.01	0.29×	$14.02
Comprehensive metabolic panel	CPT	80053	24	$1,150.88	$10	$10.03	$10.56	0.24×	$21.12
Lipid panel	CPT	80061	24	$827.75	$13	$12.72	$13.39	0.35×	$26.78
Renal function panel	CPT	80069	24	$534.88	$8	$8.25	$8.68	0.32×	$17.36
Hepatic function panel	CPT	80076	24	$548.63	$8	$7.32	$8.17	0.31×	$16.34
Urinalysis non-automated	CPT	81002	24	$81.03	$3	$2.47	$3.48	0.50×	$6.96
Urinalysis automated	CPT	81003	24	$126.73	$2	$2.14	$2.25	0.16×	$4.5
Glucose quantitative	CPT	82947	24	$158.21	$3	$3.73	$3.93	0.22×	$7.86
Hemoglobin A1c	CPT	83036	24	$215.88	$9	$9.22	$9.71	0.36×	$19.42
Thyroid stimulating hormone (TSH)	CPT	84443	24	$434.5	$16	$15.96	$16.8	0.36×	$33.6
Complete blood count with automated differential	CPT	85025	24	$301.13	$7	$7.38	$7.77	0.29×	$15.54
Complete blood count without differential	CPT	85027	24	$158.35	$6	$6.15	$6.47	0.30×	$12.94
Urine culture bacterial	CPT	87086	24	$522.5	$8	$6.48	$8.07	0.35×	$16.14
Tissue exam by pathologist level IV	CPT	88305	24	$757.23	$66	$11.76	$66.69	0.65×	$133.38
maternity
Fetal non-stress test	CPT	59025	7	$1,025	—	$19.62	$19.62	0.10×	$34.34
Routine obstetric care including vaginal delivery	CPT	59400	7	$2,921	—	$1,639.5	$1,994.02	0.87×	$2,891.33
Vaginal delivery only	CPT	59409	24	$15,632	$4,143	$780.72	$4,143.08	1.9×	$8,286.16
preventive
Upper GI endoscopy diagnostic	CPT	43235	24	$10,179	$1,160	$321.48	$1,160.81	1.3×	$2,321.62
Upper GI endoscopy with biopsy	CPT	43239	24	$10,819	$1,160	$335.91	$1,160.81	1.2×	$2,321.62
Sigmoidoscopy diagnostic	CPT	45330	25	$5,910.28	$1,190	$78.5	$1,190.22	1.4×	$2,380.44
Sigmoidoscopy with biopsy	CPT	45331	25	$5,112.7	$1,190	$103.61	$1,190.22	1.3×	$2,380.44
Colonoscopy diagnostic	CPT	45378	25	$9,928.6	$1,190	$423.48	$1,190.22	1.4×	$2,380.44
Colonoscopy with biopsy	CPT	45380	25	$9,591.67	$1,531	$473.68	$1,531.54	1.3×	$3,063.08
Colonoscopy with polyp removal	CPT	45385	25	$10,781	$1,531	$574.08	$1,531.54	1.3×	$3,063.08
surgery
Major small/large bowel procedures w MCC	MS-DRG	329	20	—	$44,914	$44,630	$44,915	1.0×	$89,829
Major small/large bowel procedures w CC	MS-DRG	330	20	—	$23,724	$23,575	$23,724	1.0×	$47,448
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	20	—	$16,841	$16,737	$16,842	1.0×	$33,683
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	20	—	$16,925	$16,821	$16,925	1.0×	$33,851
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	20	—	$13,786	$13,702	$13,786	1.0×	$27,573
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	20	—	$33,454	$33,243	$33,455	1.0×	$70,166
Laparoscopic appendectomy	CPT	44970	24	$19,308	$7,737	$391.98	$7,737.45	5.0×	$15,475
Spinal fusion (non-cervical) w MCC	MS-DRG	459	1	—	—	$97,034	$97,034	2.0×	$97,034
Spinal fusion (non-cervical) w/o MCC	MS-DRG	460	1	—	—	$53,517	$53,517	1.6×	$53,517
Major joint replacement w MCC	MS-DRG	469	20	—	$29,851	$29,664	$29,852	1.0×	$59,704
Major joint replacement w/o MCC	MS-DRG	470	20	—	$19,211	$19,092	$19,212	1.0×	$38,424
Laparoscopic cholecystectomy	CPT	47562	24	$17,656	$7,737	$668.6	$7,737.45	4.4×	$15,475
Hip & femur procedures except major joint w MCC	MS-DRG	480	20	—	$28,687	$28,507	$28,687	1.0×	$57,374
Hip & femur procedures except major joint w CC	MS-DRG	481	20	—	$20,807	$20,678	$20,807	1.0×	$41,615
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	20	—	$16,341	$16,240	$16,342	1.0×	$32,683
Lap-assisted vaginal hysterectomy	CPT	58550	24	$7,762.5	$7,737	$838.74	$7,737.45	5.2×	$7,762.5
Lap-assisted vaginal hysterectomy >250g	CPT	58552	24	$35,773	$13,604	$616.65	$13,605	6.1×	$27,210
Lap salpingo-oophorectomy	CPT	58661	24	$19,649	$7,737	$701.38	$7,737.45	3.8×	$15,475
OR procedure for obesity w MCC	MS-DRG	619	20	—	$28,447	$28,268	$28,447	1.0×	$56,894
OR procedure for obesity w CC	MS-DRG	620	20	—	$16,045	$15,947	$16,046	0.99×	$32,092
OR procedure for obesity w/o CC/MCC	MS-DRG	621	20	—	$15,160	$15,067	$15,160	1.00×	$30,321
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	20	—	$12,580	$12,504	$12,581	1.0×	$25,162
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	20	—	$20,370	$18,679	$20,370	1.1×	$40,740
PCI single major coronary artery	CPT	92920	24	$29,530	$7,284	$435.12	$7,284.43	1.3×	$14,569
PCI with drug-eluting stent	CPT	92928	24	$59,846	$14,775	$483.05	$14,775	1.5×	$29,550
PCI bypass graft	CPT	92937	24	$36,925	$14,775	$482.46	$14,775	1.4×	$29,550
Left heart catheterization	CPT	93452	24	$14,792	$4,149	$549.26	$4,149.23	1.3×	$8,298.46
Coronary angiography with cath	CPT	93455	24	$15,282	$4,149	$671.23	$4,149.23	1.3×	$8,298.46
Coronary angiography with bypass cath	CPT	93458	24	$18,229	$4,149	$693.51	$4,149.23	1.3×	$8,298.46

Rate history available after the next quarterly refresh. We re-crawl all hospital MRFs each quarter to track rate changes over time.

Payer mix (top 26)

Payer	Codes covered	Median rate
Health Net	143	$465.58
Empire BCBS	143	$381.89
vantage care	143	$224.48
Molina	143	$305.38
First Health	142	$570.55
brand new day	141	$450.97
epic health plan	140	$6,643.33
worker compensation	140	$588.2
central health plan	140	$446.5
choice physicians network	140	$446.5
elite health plan	140	$446.5
emanate health	140	$610.76
employer direct health care	140	$625.1
imperial health plan of ca	140	$473.29
Medicare	140	$446.5
neighborhood	140	$455.43
renal payor solution	140	$446.5
TRICARE	140	$446.5
alignment	140	$446.5
traditional medi-cal	100	$132.16
Blue Cross Blue Shield	100	$132.16
Anthem BCBS	99	$335.2
rios	97	$213.26
citrus valley physicians group	97	$224.48
national healthcare solutions, inc (nhsi)	43	$20,794
catalina research institute	5	$600

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