I acknowledge this is an estimate and my actual total cost (i.e., the patient responsibility) may be different than the amount shown in the following estimate. Additionally, other services and items may be required for my procedure that are not included in this estimate and for which I may incur additional costs. Further, in the event I submitted information regarding a medical insurance plan, the cost estimate is based on the information Mon Health Medical Center has on file for such a plan and final coverage determinations are made by the plan. The use of any information provided by Mon Health Medical Center’s Patient Cost Estimate tool is confidential and intended to assist patients with their medical and financial decisions. Any attempt to use the Patient Cost Estimate tool for any purposes other than those intended by Mon Health Medical Center, as determined by Mon Health Medical Center in its sole discretion, is prohibited.
In compliance with the CMS Price Transparency rules effective on 01/01/2022, please click the link below that applies to you.