Montclair Hospital Medical Center

Prime Healthcare Services

Hospital Overview

Facility Details

CCN

050758

NPI

1992721161

Type

Short Term Acute Care Hospital

Ownership

Voluntary Non-Profit - Private

Beds

106

Contact Information

Address

5000 San Bernardino Street

Montclair, CA 91763

Phone

(909) 625-8300

Insurance Accepted

Ambetter

Ameri Health

Centene

💡

Important Notice

Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.

Price Transparency Contract Information

The data below comes from CMS-mandated price transparency data. Learn more.

View this hospital's rates

NOTE: Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.

Payer	Category	Code Type & Group	Contract Type	Rate Compared to State Average
Aetna	Outpatient	HCPCS Drugs Administered Other than Oral Method Range: J0120 - J8999	Percentage of Bill Charged
Aetna	Outpatient	HCPCS Outpatient PPS Range: C1713 - C9899	Negotiated	Very Low
Aetna	Outpatient	HCPCS Enteral and Parenteral Therapy Range: B4034 - B9999	Percentage of Bill Charged
Aetna	Outpatient	CPT Pathology and Laboratory Procedures Range: 80047 - 89398	Negotiated	Very Low
Aetna	Facility	RC Room and Board Private (one bed) Range: 0110 - 0119	Per Diem	Very High
Aetna	Outpatient	HCPCS Administrative, Miscellaneous and Investigational Range: A9150 - A9999	Percentage of Bill Charged
Aetna	Outpatient	HCPCS Alcohol and Drug Abuse Treatment Range: H0001 - H2037	Negotiated	Very High
Aetna	Outpatient	HCPCS Procedures / Professional Services Range: G0008 - G9987	Percentage of Bill Charged
Aetna	Facility	RC Room and Board Ward Range: 0150 - 0159	Per Diem	Very High
Aetna	Outpatient	CPT Proprietary Laboratory Analyses Range: 0001U - 0401U	Negotiated	Average