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Community Hospital of the Monterey Peninsula

Community Hospital of the Monterey Peninsula in Monterey, CA charges 7.0x the Medicare reimbursement rate across 127 analyzed procedures, with 41% showing significant pricing variations.

Monterey, CA 93940 · Acute Care Hospitals · CMS Rating: 3/5

By Priya Iyengar , Senior Billing Analyst · ·
Data from CMS files published FY 2024 CMS IPPS. Refreshed weekly.
About the analyst

Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.

127 procedures analyzed
CMS price transparency data
Updated 2026-04-03
Median 4.9x2.8x15.0x
7.0x
Medicare markup ratio
CA lowestCommunity Hospital of ...CA highest
7.0x
Avg markup ratio
7.0x
Median markup
127
Procedures
41%
Outlier procedures
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Pricing grade

D

High

Avg markup vs Medicare

7.05x

Charge / Medicare rate

Max markup

13x

Worst procedure

Procedures analyzed

127

With pricing data

Outlier procedures

40.9%

Above 90th percentile

Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.

ProcedureCodeGross chargeCash priceMedicareMarkup
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC310$63,243$31,62113x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC066$80,919$40,45912.4x
DYSEQUILIBRIUM149$78,416$39,20811.3x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC282$69,326$34,66310.6x
ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WIT062$189,601$94,80110.4x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$100,078$50,03910.2x
SIMPLE PNEUMONIA AND PLEURISY WITH CC194$83,253$41,6279.8x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC281$87,474$43,7379.7x
TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC069$74,288$37,1449.7x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC309$67,567$33,7839.5x
PULMONARY EMBOLISM WITHOUT MCC176$71,850$35,9259.3x
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC287$98,174$49,0879.1x
CHEST PAIN313$58,526$29,2639x
LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC419$105,737$52,8698.9x
GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC390$38,763$19,3818.9x
RENAL FAILURE WITH CC683$76,676$38,3388.7x
PERIPHERAL VASCULAR DISORDERS WITH CC300$89,917$44,9598.5x
GASTROINTESTINAL OBSTRUCTION WITH CC389$63,935$31,9688.5x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC392$65,245$32,6238.3x
GASTROINTESTINAL HEMORRHAGE WITH CC378$79,827$39,9138.3x
PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE175$114,601$57,3008.2x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC872$81,213$40,6078.2x
SYNCOPE AND COLLAPSE312$67,013$33,5078.2x
RED BLOOD CELL DISORDERS WITHOUT MCC812$73,564$36,7828.1x
ENDOCRINE DISORDERS WITH CC644$82,401$41,2018.1x
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC331$123,055$61,5288.1x
COMPLICATIONS OF TREATMENT WITH MCC919$184,855$92,4278.1x
OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC394$75,007$37,5038x
NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC071$110,797$55,3987.9x
DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC439$64,157$32,0797.9x
LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC418$133,428$66,7147.8x
CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC432$192,958$96,4797.8x
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC699$77,901$38,9507.6x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC280$128,064$64,0327.6x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC247$154,071$77,0357.6x
SIGNS AND SYMPTOMS WITHOUT MCC948$60,483$30,2417.6x
LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC417$252,533$126,2677.6x
KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC690$57,193$28,5967.6x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC641$58,137$29,0687.6x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC391$100,227$50,1137.6x
SEIZURES WITHOUT MCC101$69,697$34,8487.5x
BONE DISEASES AND ARTHROPATHIES WITHOUT MCC554$60,774$30,3877.5x
GASTROINTESTINAL OBSTRUCTION WITH MCC388$142,060$71,0307.5x
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC854$183,402$91,7017.5x
TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC605$65,768$32,8847.4x
MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC435$134,727$67,3637.4x
INTERSTITIAL LUNG DISEASE WITH MCC196$135,014$67,5077.4x
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC286$162,920$81,4607.4x
GASTROINTESTINAL HEMORRHAGE WITH MCC377$137,492$68,7467.4x
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC330$199,620$99,8107.4x

Showing 50 of 127 procedures

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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.

Rates shown are from the 2026 Medicare Physician Fee Schedule and CMS IPPS. BillRazor compares your bill against these data sources. See how it works →

Related pricing data

Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.

Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.

This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use

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