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    Average Out-of-Pocket Costs For Common Services

    This site gives you an estimate of your out of pocket expenses for hospital services. Please keep in mind that your actual cost will vary depending on the available benefit in your insurance plan and services used during your visit.

    What is your insurance coverage?

    * * Capitation (Cap): Capitation is a method of paying health care providers. Generally a doctor or medical group contracts with a type of insurance company called a health maintenance organization (HMO). The HMO contracts with the providers to have the latter take care of patients enrolled in the HMO

    Commercial: Capitated

    In-patient Services

    Service/Treatment Low Average High
    Birth by Vaginal Delivery $100 $477 $3,460
    Birth by C-Section $100 $516 $3,450
    Septicemia (Blood Infection)/Other Infections $100 $793 $2,445
    Major Joint Procedures $100 $579 $1,800
    Pneumonia $100 $328 $920
    Hysterectomy $100 $403 $3,000
    Neurovascular Procedures
    (Nerves & Circulatory System)
    $250 $767 $1,283
    Arrhythmias (Irregular Heart Rate) $250 $250 $250
    Kidney/Urinary Disorders $300 $525 $750
    GI (Digestive) Disorders/Other Procedures $250 $475 $1,000
    Appendectomy/Hernia $100 $745 $1,533
    Chronic Heart Failure $200 $200 $200
    Skin Disorders $200 $225 $250
    Obstructive Pulmonary (Breathing) Disorders $200 $313 $500
    Divertic (Intestinal)/Gastritis $35 $282 $461
    Cancer-Other $100 $513 $1,500
    Newborns with Problems $100 $616 $3,460
    Orthopedic (Bones & Joint) Disorders $350 $350 $350
    Major Vascular (Heart & Artery)
    Reconstruction
    $250 $250 $250
    Neuroscience (Brain, spine and nerves) $100 $198 $250

     

    Out-patient Services

    Service/Treatment Low Avg High
    Laboratory $5 $17 $150
    Emergency Room $25 $94 $1,500
    Radiology-Diagnostic $5 $38 $1,440
    MAMMOGRAPHY $10 $32 $1,000
    Physical Therapy $5 $80 $360
    Other Imaging Services $5 $54 $952
    MRI $5 $87 $688
    CT Scan $10 $77 $400
    Cardiac Rehabilitation $25 $102 $452
    Speech-Language Pathology $5 $36 $240
    Occupational Health $5 $59 $280
    EKG/ECG $10 $21 $73
    Clinic Services, General $5 $27 $92
    Other Diagnostic Services $20 $22 $30
    Pathology $8 $32 $210
    Cardiology, General $20 $20 $20
    Surgery on eye $50 $401 $2,882
    Surgery on Musculoskeletal System $10 $364 $3,022
    GI Services $10 $204 $1,079
    Surgery on Integument (Skin) $30 $336 $1,009
    Audiology $15 $23 $30
    Nuclear Medicine $10 $21 $42
    Radiation Therapy $39 $151 $600
    IV Therapy $100 $130 $160

    Who to call if you have questions about hospital charges

    Mills-Peninsula Medical Center services

    Last name - A-F
    Lisa Boza  
    650-696-5743 
    BozaL@sutterhealth.org

    Last name - G-O
    Flo Fitzgerald   
    650-696-5869 
    FitzgeF@sutterhealth.org

    Last name - P-Z
    Linda Donato     
    650-696-5364 
    DonatoL@sutterhealth.org

    Mills Health Center services
    Lucy Sanchez
    650-696-4409 
    SancheL1@sutterhealth.org

    Commercial: Non-Capitated

    In-patient Services

    Service/Treatment Low Average High
    Birth by Vaginal Delivery $15 $852 $5,495
    Birth by C-Section $21 $947 $4,335
    Septicemia (Blood Infection)/Other Infections $50 $860 $3,280
    Major Joint Procedures $77 $1,138 $7,182
    Pneumonia $143 $1,236 $2,560
    Hysterectomy $50 $789 $3,992
    Neurovascular Procedures
    (Nerves & Circulatory System)
    $100 $2,000 $20,259
    Arrhythmias (Irregular Heart Rate) $100 $697 $2,691
    Kidney/Urinary Disorders $100 $640 $2,305
    GI (Digestive) Disorders/Other Procedures $24 $625 $3,215
    Appendectomy/Hernia $100 $1,283 $9,131
    Chronic Heart Failure $1,125 $1,125 $1,125
    Skin Disorders $75 $1,071 $4,704
    Obstructive Pulmonary (Breathing) Disorders $100 $2,192 $6,009
    Divertic (Intestinal)/Gastritis $100 $1,108 $3,627
    Cancer-Other $100 $1,006 $3,949
    Newborns with Problems $100 $848 $5,000
    Orthopedic (Bones & Joint) Disorders $100 $404 $1,113
    Major Vascular (Heart & Artery)
    Reconstruction
    $241 $1,258 $3,031
    Neuroscience (Brain, spine and nerves) $25 $1,246 $8,820
    Chemical Dependency $50 $1,348 $11,415
    Adult Mental Health $100 $619 $2,940
    Adolescent Mental Health $100 $681 $2,674

     

    Out-patient Services

    Service/Treatment Low Average High
    Laboratory $1 $118 $2,022
    Emergency Room $5 $245 $7,600
    Radiology-Diagnostic $5 $176 $5,908
    MAMMOGRAPHY $6 $159 $6,309
    Physical Therapy $5 $97 $2,796
    Other Imaging Services $3 $311 $3,743
    MRI $7 $559 $3,914
    CT Scan $8 $802 $7,824
    Cardiac Rehabilitation $15 $156 $1,088
    Speech-Language Pathology $5 $125 $1,812
    Occupational Health $5 $118 $2,547
    EKG/ECG $7 $110 $2,229
    Clinic Services, General $7 $152 $1,432
    Other Diagnostic Services $10 $164 $2,210
    Pathology $5 $36 $149
    Cardiology, General $15 $469 $2,524
    Surgery on eye $15 $874 $4,163
    Surgery on Musculoskeletal System $10 $1,119 $5,747
    GI Services $5 $535 $3,512
    Surgery on Integument (Skin) $15 $840 $3,789
    Behavioral Health, Individual Theraphy $5 $342 $4,843
    Audiology $14 $210 $858
    Nuclear Medicine $20 $517 $2,720
    Radiation Therapy $30 $1,045 $3,019
    IV Therapy $115 $317 $912

    Who to call if you have questions about hospital charges

    Mills-Peninsula Medical Center services

    Last name - A-F
    Lisa Boza  
    650-696-5743 
    BozaL@sutterhealth.org

    Last name - G-O
    Flo Fitzgerald   
    650-696-5869 
    FitzgeF@sutterhealth.org

    Last name - P-Z
    Linda Donato     
    650-696-5364 
    DonatoL@sutterhealth.org

    Mills Health Center services
    Lucy Sanchez
    650-696-4409 
    SancheL1@sutterhealth.org

    Medicare: Capitated

    In-patient Services

    Service/Treatment Low Average High
    Septicemia (Blood Infection)/Other Infections $50 $263 $1,370
    Major Joint Procedures $50 $259 $2,517
    Pneumonia $50 $242 $500
    Hysterectomy $200 $213 $250
    Neurovascular Procedures
    (Nerves & Circulatory System)
    $200 $237 $440
    Arrhythmias (Irregular Heart Rate) $240 $253 $480
    Kidney/Urinary Disorders $50 $262 $720
    GI (Digestive) Disorders/Other Procedures $50 $248 $470
    Appendectomy/Hernia $100 $240 $440
    Chronic Heart Failure $200 $244 $440
    Skin Disorders $50 $220 $370
    Obstructive Pulmonary (Breathing) Disorders $50 $230 $250
    Divertic (Intestinal)/Gastritis $240 $274 $440
    Cancer-Other $50 $221 $480
    Orthopedic (Bones & Joint) Disorders $200 $260 $480
    Major Vascular (Heart & Artery)
    Reconstruction
    $200 $217 $280
    Neuroscience (Brain, spine and nerves) $200 $249 $430
    Chemical Dependency $200 $220 $240
    Adult Mental Health $240 $240 $240
    Skilled Nursing Facility $200 $200 $200

     

    Out-patient Services

    Service/Treatment Low Average High
    Laboratory $1 $10 $ 730
    Emergency Room $7 $47 $250
    Radiology-Diagnostic $5 $17 $145
    Mammography $6 $40 $228
    Physical Therapy $5 $73 $350
    Other Imaging Services $6 $39 $686
    MRI $25 $154 $445
    CT Scan $25 $129 $561
    Cardiac Rehabilitation $15 $148 $414
    Speech-Language Pathology $20 $36 $60
    Occupational Health $15 $91 $221
    EKG/ECG $7 $11 $40
    Clinic Services, General $15 $26 $40
    Other Diagnostic Services $26 $26 $26
    Pathology $10 $80 $149
    Cardiology, General $10 $38 $145
    Surgery on eye $25 $142 $720
    Surgery on Musculoskeletal System $25 $103 $125
    GI Services $10 $97 $125
    Surgery on Integument (Skin) $125 $282 $754
    Behavioral Health, Individual Theraphy $80 $100 $120
    Audiology $20 $20 $20
    Nuclear Medicine $39 $60 $102
    Radiation Therapy $10 $673 $2,734

    Who to call if you have questions about hospital charges

    Mills-Peninsula Medical Center services

    Last name - A-F
    Lisa Boza  
    650-696-5743 
    BozaL@sutterhealth.org

    Last name - G-O
    Flo Fitzgerald   
    650-696-5869 
    FitzgeF@sutterhealth.org

    Last name - P-Z
    Linda Donato     
    650-696-5364 
    DonatoL@sutterhealth.org

    Mills Health Center services
    Lucy Sanchez
    650-696-4409 
    SancheL1@sutterhealth.org

    Medicare: Non-Capitated

    In-patient Services

    Service/Treatment Low Average High
    Septicemia (Blood Infection)/Other Infections $31 $648 $1,125
    Major Joint Procedures $70 $497 $1,100
    Pneumonia $100 $644 $1,100
    Hysterectomy $200 $434 $538
    Neurovascular Procedures
    (Nerves & Circulatory System)
    $100 $696 $1,100
    Arrhythmias (Irregular Heart Rate) $124 $661 $1,100
    Kidney/Urinary Disorders $214 $703 $1,499
    GI (Digestive) Disorders/Other Procedures $40 $578 $1,500
    Appendectomy/Hernia $250 $633 $1,100
    Chronic Heart Failure $5 $489 $1,250
    Skin Disorders $165 $442 $1,100
    Obstructive Pulmonary (Breathing) Disorders $165 $463 $1,400
    Divertic (Intestinal)/Gastritis $220 $807 $1,100
    Cancer-Other $100 $449 $1,750
    Orthopedic (Bones & Joint) Disorders $165 $659 $1,100
    Major Vascular (Heart & Artery)
    Reconstruction
    $- $613 $1,200
    Neuroscience (Brain, spine and nerves) $220 $837 $1,100
    Chemical Dependency $220 $1,005 $1,696
    Adult Mental Health $150 $720 $1,100
    Skilled Nursing Facility $100 $1,007 $1,914

     

    Out-patient Services

    Service/Treatment Low Average High
    Laboratory $6 $78 $490
    Emergency Room $5 $70 $925
    Radiology-Diagnostic $3 $40 $1,124
    Mammography $5 $37 $404
    Physical Therapy $6 $67 $666
    Other Imaging Services $6 $70 $1,032
    MRI $18 $156 $529
    CT Scan $11 $103 $650
    Cardiac Rehabilitation $7 $62 $188
    Speech-Language Pathology $12 $49 $174
    Occupational Health $7 $72 $268
    EKG/ECG $6 $25 $456
    Clinic Services, General $6 $42 $155
    Other Diagnostic Services $8 $52 $256
    Pathology $17 $28 $46
    Cardiology, General $6 $120 $395
    Surgery on eye $6 $295 $1,426
    Surgery on Musculoskeletal System $35 $374 $2,040
    GI Services $8 $152 $477
    Surgery on Integument (Skin) $71 $343 $1,123
    Behavioral Health, Individual Theraphy $40 $134 $360
    Audiology $7 $159 $516
    Nuclear Medicine $18 $84 $275
    Radiation Therapy $9 $325 $1,578
    IV Therapy $5 $140 $462

    Who to call if you have questions about hospital charges

    Mills-Peninsula Medical Center services

    Last name - A-F
    Lisa Boza  
    650-696-5743 
    BozaL@sutterhealth.org

    Last name - G-O
    Flo Fitzgerald   
    650-696-5869 
    FitzgeF@sutterhealth.org

    Last name - P-Z
    Linda Donato     
    650-696-5364 
    DonatoL@sutterhealth.org

    Mills Health Center services
    Lucy Sanchez
    650-696-4409 
    SancheL1@sutterhealth.org

    Self-pay

    In-patient Services

    Service/Treatment Low Average High
    Birth by Vaginal Delivery $8,726 $11,261 $13,796
    Major Joint Procedures $51,458 $52,754 $54,049
    Hysterectomy $20,585 $20,585 $20,585
    Neurovascular Procedures
    (Nerves & Circulatory System)
    $30,045 $30,045 $30,045
    Newborns with Problems $3,516 $4,936 $6,356
    Neuroscience (Brain, spine and nerves) $22,773 $22,773 $22,773
    Chemical Dependency $3,218 $8,059 $12,445
    Adult Mental Health $9,625 $9,625 $9,625
    Adolescent Mental Health $4,708 $4,708 $4,708

     

    Out-patient Services

    Service/Treatment Low Average High
    Laboratory $18 $205 $3,878
    Emergency Room $382 $1,317 $6,112
    Radiology-Diagnostic $39 $468 $7,978
    Mammography $182 $338 $707
    Physical Therapy $6 $459 $1,336
    Other Imaging Services $162 $1,116 $2,503
    MRI $1,524 $1,700 $1,876
    CT Scan $251 $3,786 $5,868
    Cardiac Rehabilitation $11 $62 $169
    Speech-Language Pathology $184 $868 $1,812
    Occupational Health $56 $258 $3,070
    EKG/ECG $136 $320 $907
    Clinic Services, General $9 $331 $946
    Other Diagnostic Services $690 $690 $690
    Pathology $81 $106 $112
    Cardiology, General $444 $771 $1,099
    Surgery on eye $2,480 $11,022 $40,967
    Surgery on Musculoskeletal System $11,260 $11,260 $11,260
    Surgery on Integument (Skin) $15,196 $34,108 $72,417
    Behavioral Health, Individual Theraphy $312 $2,713 $8,342
    Audiology $125 $325 $804

    Who to call if you have questions about hospital charges

    Mills-Peninsula Medical Center services

    Last name - A-F
    Lisa Boza  
    650-696-5743 
    BozaL@sutterhealth.org

    Last name - G-O
    Girlie Fernandez   
    650-696-5869 
    FernanGN@sutterhealh.org

    Last name - P-Z
    Linda Donato     
    650-696-5364 
    DonatoL@sutterhealth.org

    Mills Health Center services
    Kathleen Exner
    650 -696-4734 
    Exnerk@sutterhealth.org
    Thomas Pihl
    650-696-4409 
    PihlT@sutterhealth.org