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. The cost estimate is for hospital charges only and does not include any physician or other professional fees. 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.

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. The cost estimate is for hospital charges only and does not include any physician or other professional fees. 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 Grafton City Hospital, an affiliate of Mon Health, has on file for such a plan and final coverage determinations are made by the plan. The use of any information provided by Grafton City Hospital, an affiliate of Mon Health, 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 Grafton City Hospital, an affiliate of Mon Health, as determined by Grafton City Hospital, an affiliate of Mon Health, 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.

Download hospital Charges / price listing in CSV.

Download hospital Shoppables / price listing in CSV.

Download hospital Disclaimer in CSV.

Agree and continue to obtain your estimation