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Health Care Costs

Overview

Health Care Costs

We believe healthcare cost transparency is important to help you make informed decisions about your care.

To support this effort, San Mateo Medical Center annually publishes its hospital Charge Description Master, which is a list of all hospital procedures we offer and the costs. San Mateo Medical Center also provides additional pricing information, including:

  1. A comprehensive machine-readable file of all services, including standard charges, the discounted cash price and the Medicare Advantage/Medi-Cal Managed Care negotiated rates; and
  2. A display of 300 common or “shoppable” services in a consumer-friendly format and the associated average charge, discounted cash price and negotiated rates with Medicare Advantage / Medi-Cal Managed Care payers. Please note this data does not reflect out-of-pocket costs for insured patients. The data also does not reflect all of the discounts for which uninsured patients may be eligible.
2022 San Mateo Medical Center Pricing* (Charge Description Master)

 

Federal law gives you protection from surprise medical bills.

Surprise billing happens when a patient gets care from a provider who is not in their health plan’s network. SMMC is not a network provider for any commercial insurance health plans. If you are seeking non-emergency care at SMMC, you will be asked to sign the consent form below to waive federal protections and pay more for out-of-network care. You can choose to get non-emergency care from a provider or facility in your health plan’s network, which may cost you less.

Surprise Billing Consent

 

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost. 

Under the law, health care providers need to give patients who don’t have insurance, or who are not using insurance, an estimate of the bill for medical items and services. 

  • You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
  • Make sure your health care provider gives you a Good Faith Estimate in writing at least one (1) business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
  • If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
  • Make sure to save a copy or picture of your Good Faith Estimate.

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call (650) 573-2525.

* The prices listed in the San Mateo Medical Center Charge Description Master are effective December 31, 2021 and may change at any time.