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Request a Confidential Price Estimate

El Camino Hospital can provide you with a free, confidential estimate for any medical procedure or diagnostic test performed at the hospital, including procedures and tests not listed on our website. To obtain an estimate, please fill out the form below. If you would like us to send you a written estimate, please provide your street address.

















(If you don’t know the name of the test or procedure, please describe it. You may also enter a CPT code or ICD9 code here.)