California / Community Hospital of the Monterey Peninsula
CMS certification 050145 · Monterey, CA · 5 entries in CMS's price-transparency list
Community Hospital of the Monterey Peninsula: charges and Medicare payments
Community Hospital of the Monterey Peninsula reported 4,375 Medicare inpatient stays across 123 DRGs in 2024. Across them it charged 6.17 times what it was paid — mid-range in California, number 85 of 247 hospitals with at least 100 stays (state median 5.18×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 554 stays at an average charge of $175,068, 94% above the national average. It also billed 3,510 outpatient services, charging 6.09 times what Medicare paid.
- 1Medicare inpatient stays 4,375
- 2Charge ÷ paid, inpatient 6.17×
- 3Rank in CA (highest ratio = 1) 85 of 247
- 4CMS price-transparency actions 5
Inpatient stays
For the 123 DRGs that can be compared with the national average, Community Hospital of the Monterey Peninsula charged more than the national average in 121 (98%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 554 | $175,068 | +94% | $28,009 |
| 291 Heart Failure and Shock with MCC | 245 | $123,140 | +118% | $17,010 |
| 177 Respiratory Infections and Inflammations with MCC | 192 | $136,842 | +94% | $19,659 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 141 | $78,804 | +61% | $11,856 |
| 193 Simple Pneumonia and Pleurisy with MCC | 108 | $95,407 | +60% | $15,160 |
| 603 Cellulitis without MCC | 94 | $69,873 | +87% | $12,510 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 82 | $224,267 | +43% | $35,940 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 79 | $65,910 | +64% | $8,923 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 76 | $385,316 | +68% | $69,596 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 72 | $104,581 | +88% | $11,325 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 72 | $114,337 | +56% | $18,196 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 64 | $113,924 | +89% | $18,870 |
| 378 Gastrointestinal Hemorrhage with CC | 61 | $84,963 | +75% | $11,805 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 60 | $129,394 | +39% | $23,550 |
| 683 Renal Failure with CC | 60 | $91,628 | +125% | $14,807 |
| 689 Kidney and Urinary Tract Infections with MCC | 59 | $71,955 | +40% | $12,948 |
| 690 Kidney and Urinary Tract Infections without MCC | 58 | $65,118 | +72% | $11,061 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 52 | $243,178 | +10% | $53,628 |
| 682 Renal Failure with MCC | 52 | $134,089 | +103% | $17,117 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 51 | $150,897 | +51% | $25,531 |
| 189 Pulmonary Edema and Respiratory Failure | 48 | $94,214 | +64% | $16,162 |
| 481 Hip and Femur Procedures except Major Joint with CC | 48 | $150,846 | +50% | $24,727 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 45 | $134,814 | +78% | $17,704 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 43 | $80,789 | +124% | $9,732 |
| 552 Medical Back Problems without MCC | 42 | $62,480 | +28% | $10,767 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 41 | $62,486 | +69% | $8,898 |
| 178 Respiratory Infections and Inflammations with CC | 39 | $78,343 | +73% | $11,097 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 38 | $97,285 | +92% | $12,265 |
| 194 Simple Pneumonia and Pleurisy with CC | 37 | $74,668 | +95% | $9,351 |
| 377 Gastrointestinal Hemorrhage with MCC | 36 | $181,263 | +112% | $23,205 |
| 069 Transient Ischemia without Thrombolytic | 35 | $79,622 | +58% | $9,093 |
| 389 Gastrointestinal Obstruction with CC | 33 | $54,253 | +39% | $10,095 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 32 | $134,455 | +137% | $14,586 |
| 312 Syncope and Collapse | 32 | $66,815 | +47% | $9,813 |
| 897 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 32 | $50,160 | +35% | $9,777 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 31 | $132,501 | +29% | $23,075 |
| 057 Degenerative Nervous System Disorders without MCC | 30 | $75,389 | +33% | $14,751 |
| 273 Percutaneous and Other Intracardiac Procedures with MCC | 30 | $438,372 | +104% | $58,922 |
| 330 Major Small and Large Bowel Procedures with CC | 30 | $193,286 | +62% | $28,829 |
| 483 Major Joint or Limb Reattachment Procedures of Upper... | 29 | $153,148 | +21% | $27,775 |
| 100 Seizures with MCC | 28 | $126,476 | +34% | $21,871 |
| 071 Other Cerebrovascular Disorders with CC | 27 | $89,638 | +78% | $12,833 |
| 229 Other Cardiothoracic Procedures without MCC | 27 | $222,841 | +35% | $38,907 |
| 418 Laparoscopic Cholecystectomy without C.D.E. with CC | 26 | $140,975 | +51% | $21,473 |
| 455 Combined Anterior and Posterior Spinal Fusion without CC/MCC | 25 | $210,757 | +4% | $57,467 |
| 948 Signs and Symptoms without MCC | 25 | $67,227 | +77% | $10,035 |
| 092 Other Disorders of Nervous System with CC | 24 | $71,105 | +38% | $11,627 |
| 329 Major Small and Large Bowel Procedures with MCC | 24 | $455,433 | +112% | $81,610 |
| 454 Combined Anterior and Posterior Spinal Fusion with CC | 24 | $199,725 | -29% | $69,916 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 24 | $201,006 | +45% | $32,016 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 24 | $72,227 | +52% | $11,191 |
| 314 Other Circulatory System Diagnoses with MCC | 23 | $168,435 | +78% | $24,008 |
| 394 Other Digestive System Diagnoses with CC | 23 | $71,295 | +51% | $10,608 |
| 602 Cellulitis with MCC | 23 | $140,330 | +133% | $17,965 |
| 219 Cardiac Valve and Other Major Cardiothoracic Procedures... | 22 | $568,546 | +43% | $95,888 |
| 372 Major Gastrointestinal Disorders and Peritoneal Infections... | 22 | $72,708 | +53% | $11,659 |
| 543 Pathological Fractures and Musculoskeletal and Connective... | 22 | $76,887 | +57% | $14,264 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 22 | $180,645 | +84% | $23,640 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 21 | $101,640 | +67% | $14,344 |
| 066 Intracranial Hemorrhage or Cerebral Infarction without... | 20 | $74,922 | +77% | $7,870 |
Showing the 60 most frequent of 123 DRGs.
Outpatient services
Against the California average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Community Hospital of the Monterey Peninsula charged $175,068 on average, 22% more than the California average of $143,063, and was paid $28,009 against a state average of $23,020. For Heart Failure and Shock with MCC (DRG 291), Community Hospital of the Monterey Peninsula charged $123,140 on average, 22% more than the California average of $100,739, and was paid $17,010 against a state average of $15,556. For Respiratory Infections and Inflammations with MCC (DRG 177), Community Hospital of the Monterey Peninsula charged $136,842 on average, 10% more than the California average of $124,302, and was paid $19,659 against a state average of $18,986. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Community Hospital of the Monterey Peninsula charged $78,804 on average, 4% more than the California average of $76,120, and was paid $11,856 against a state average of $12,552. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $22,597 was 46% below the state average of $41,628. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $9,874 was 33% below the state average of $14,749. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $69,287 was 37% below the state average of $109,149. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $221,977 was 8% above the state average of $205,167.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Community Hospital of the Monterey Peninsula in Monterey, CA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2024-03-19 (CMS case 2348)
- Closure Notice — 2024-06-21 (CMS case 2348)
- Warning Notice — 2025-08-14 (CMS case 6279)
- CAP Request — 2025-11-18 (CMS case 6279)
- Closure Notice — 2026-02-04 (CMS case 6279)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.