CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Mountains Community Hospital

Billing Code: 45378 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$359
about 0.4× the $950 Medicare rate · typically $193–$1,673
modeled estimate · not a bill or quote
What this hospital charges insurers
$295
Below the fair price — a good deal
about $64 under the fair price · 0.3× Medicare
Medicare pays $950 Fair price $359 This hospital $295 Cash price $161 Hospital's list price $402

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $148 Priciest $295

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

A fair price for a Colonoscopy (diagnostic) is about $359 (about 0.4× the $950 Medicare rate). Mountains Community Hospital charges insurers about $295, or about $161 in cash — below the fair price — a good deal. Located in Lake Arrowhead, CA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Kaiser Permanente UnitedHealthcareHumana

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
Blue Cross Blue Shieldmajor $250 - $308 26%
Aetnamajor $193 - $281 20%
Cignamajor $281 30%
Kaiser Permanentemajor $257 - $295 27%
Health Net $324 34%
Molina $181 19%
+ 1 smaller / regional plan $302
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 29101 Hospital Road, Lake Arrowhead, CA 92352
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals