CMS Price Transparency Data

Culture, blood

Facility: Mountains Community Hospital

Billing Code: 87040 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$20
about 2.0× the $10 Medicare rate · typically $11–$34
modeled estimate · not a bill or quote
Medicare pays $10 Fair price $20 Cash price $27 Hospital's list price $67

How we calculate the fair BaseRate →

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 $34 - $53 329%
Aetnamajor $8 - $120 78%
Cignamajor $12 - $120 116%
Kaiser Permanentemajor $9 - $110 87%
Health Net $14 - $139 136%
Molina $8 - $77 78%
+ 1 smaller / regional plan $13 - $129
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