CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Mountains Community Hospital

Billing Code: 99203 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$87
about 0.7× the $118 Medicare rate · typically $57–$220
modeled estimate · not a bill or quote
What this hospital charges insurers
$57
Below the fair price — a good deal
about $30 under the fair price · 0.5× Medicare
Medicare pays $118 Fair price $87 This hospital $57 Cash price $80 Hospital's list price $200

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

One of the lower prices — 6 of 8 other CA hospitals charge more for the same procedure.

Cheapest $34 Priciest $72

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

A fair price for a New patient office visit (30-44 min) is about $87 (about 0.7× the $118 Medicare rate). Mountains Community Hospital charges insurers about $57, or about $80 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 $124 - $153 105%
Aetnamajor $96 - $140 82%
Cignamajor $140 119%
Kaiser Permanentemajor $57 - $128 48%
Health Net $161 137%
Molina $90 77%
+ 1 smaller / regional plan $150
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

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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