CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Mountains Community Hospital

Billing Code: 99214 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$95
about 0.7× the $136 Medicare rate · typically $40–$261
modeled estimate · not a bill or quote
What this hospital charges insurers
$38
Below the fair price — a good deal
about $57 under the fair price · 0.3× Medicare
Medicare pays $136 Fair price $95 This hospital $38 Cash price $82 Hospital's list price $205

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Lowest price of the 9 CA hospitals we have prices for — a strong deal.

Cheapest $38 Priciest $54

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

A fair price for a Office visit, established patient (30-39 min) is about $95 (about 0.7× the $136 Medicare rate). Mountains Community Hospital charges insurers about $38, or about $82 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 $127 - $157 94%
Aetnamajor $98 - $144 72%
Cignamajor $144 106%
Kaiser Permanentemajor $38 - $131 28%
Health Net $165 122%
Molina $92 68%
+ 1 smaller / regional plan $154
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