CMS Price Transparency Data

CT scan, sinuses

Facility: Mountains Community Hospital

Billing Code: 70486 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$170
about 1.6× the $107 Medicare rate · typically $103–$532
modeled estimate · not a bill or quote
What this hospital charges insurers
$498
Well above the fair price
about $328 over the fair price · 4.7× Medicare
Medicare pays $107 Fair price $170 This hospital $498 Cash price $742 Hospital's list price $1,855

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 $36 Priciest $498

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

A fair price for a CT scan, sinuses is about $170 (about 1.6× the $107 Medicare rate). Mountains Community Hospital charges insurers about $498, or about $742 in cash — well above the fair price. Located in Lake Arrowhead, CA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $170. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $472 - $696 442%
Aetnamajor $890 - $1,298 833%
Cignamajor $1,298 1215%
Kaiser Permanentemajor $123 - $1,187 115%
Health Net $1,494 1399%
Molina $835 782%
+ 1 smaller / regional plan $1,391
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

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