How many shoppable procedure prices are published for Mountains Community Hospital?

Mountains Community Hospital in Lake Arrowhead, CA currently has 113 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Mountains Community Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Mountains Community Hospital's median negotiated commercial rate is 1.0× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Government - Hospital District or Authority 17 Beds · rural Updated: 1/14/2026

Mountains Community Hospital

29101 Hospital Road, Lake Arrowhead, CA 92352 · 113 Priced Procedures

CMS Overall Rating No CMS Rating

Near Fair BaseRate Benchmark

1.00×vs. Fair Market Price

Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.

66/100 · Caution

66/100Self-Pay Cash Beats Insurance 77% of the Time

File Completeness56

Price Logic43

Peer Alignment61

Clean Billing84

Real Cash Discount100

Regional Value Leader

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintUpper-Quartile Spread · +101% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Mountains Community Hospital prices routine shoppable procedures at 1.8× Medicare (median 0.83× Fair BaseRate) while upper-quartile commercial rates jump +101% to 1.67× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#72 of 240 in CA · 29th State Percentile#1,269 of 3,385 in U.S. · 37th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.47× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 77% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (69/100 safety score) with 72% patient recommendation
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 2.2× markup over Medicare rates
Commercial insurance median sits at 0.83× Fair BaseRate (1.8× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.67×) jump +101% above the median procedure ratio (Q50 0.83×)
Unnegotiated chargemaster list prices average 7.3× Medicare (27¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.8× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.50× Divergence

0.9× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+101% Upper Tail

Q25 0.47× · Q50 0.83× · Q75 1.67×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.8× MedicareGood

Outpatient Surgery & ORBack-Door Captive

2.2× MedicareFair

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

3.7× MedicareElevated

Back-Door Captive ER VisitsBack-Door Captive

2.6× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

1.6× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.5× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

77% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 69/100Fair

Procedure Prices at Mountains Community Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 113 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
MRI, brain (with and without contrast) CPT Code: `70553`	—	$2,623	$511	unverified
Vaginal delivery (full package) CPT Code: `59400`	—	$1,390	$2,680	0.5×
C-section delivery (full package) CPT Code: `59510`	—	$1,391	$2,975	0.5×
MRI, lower back (no contrast) CPT Code: `72148`	—	$1,309	$338	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	—	$1,262	$1,021	1.2×
MRI, knee or other leg joint CPT Code: `73721`	—	$1,166	$369	3.2×
MRI, brain (no contrast) CPT Code: `70551`	—	$1,180	$343	unverified
Cataract surgery with lens implant CPT Code: `66984`	—	$1,005	$2,540	0.4×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,600	$745	$258	2.9×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,259	$749	$448	1.7×
Inguinal hernia repair CPT Code: `49505`	$758	$758	$3,629	0.2×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$408	$708	$583	1.2×
CT scan, chest (no contrast) CPT Code: `71250`	$1,504	$623	$167	unverified
CT scan, neck (cervical spine) CPT Code: `72125`	$1,478	$623	$169	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,304	$623	$168	unverified
CT scan, pelvis CPT Code: `72192`	$1,316	$623	$163	unverified
CT scan, head (with contrast) CPT Code: `70460`	$1,245	$596	$242	2.5×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$586	$586	$6,109	0.1×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$551	$3,372	0.2×
CT scan, head (no contrast) CPT Code: `70450`	$1,168	$498	$160	3.1×
CT scan, sinuses CPT Code: `70486`	$742	$498	$166	3.0×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,033	$407	$272	1.5×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,935	$392	$303	1.3×
Blood transfusion CPT Code: `36430`	$396	$396	$498	0.8×
Breast lump removal CPT Code: `19120`	$370	$370	$3,875	0.1×
Rabies immune globulin HCPCS Code: `90375`	$2,414	$341	$322	1.1×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$220	$306	$148	2.1×
Colonoscopy with biopsy CPT Code: `45380`	$302	$330	$1,256	0.3×
Colonoscopy (diagnostic) CPT Code: `45378`	$161	$295	$981	0.3×
Screening mammogram (both breasts) CPT Code: `77067`	$218	$310	$123	unverified
Upper endoscopy with biopsy CPT Code: `43239`	$120	$234	$987	0.2×
Ultrasound, abdomen (complete) CPT Code: `76700`	$497	$208	$134	1.6×
Ultrasound, pelvis CPT Code: `76856`	$388	$161	$130	1.2×
Ultrasound, abdomen (limited) CPT Code: `76705`	$388	$151	$126	1.2×
Ultrasound, thyroid and neck CPT Code: `76536`	$337	$151	$132	1.1×
Hepatitis B immune globulin HCPCS Code: `90371`	—	$155	$151	1.0×
Speech therapy (language evaluation) CPT Code: `92507`	$114	$114	$86	1.3×
Psychiatric evaluation (first visit) CPT Code: `90791`	$100	$128	$185	0.7×
Diagnostic procedure preparation HCPCS Code: `G0279`	$102	$100	$35	2.9×
X-ray, hip CPT Code: `73502`	$175	$85	$93	0.9×
X-ray, lower back CPT Code: `72110`	$342	$96	$112	0.9×
Psychotherapy session (60 minutes) CPT Code: `90837`	$96	$98	$181	0.5×
Typhoid vaccine HCPCS Code: `90675`	$149	$347	$347	1.0×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$88	$143	$203	0.7×
Pneumococcal vaccine HCPCS Code: `90732`	$60	$111	$140	0.8×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$46	$82	$111	0.7×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$54	$25	2.2×
Hospital observation (per hour) HCPCS Code: `G0378`	$64	$64	$86	0.7×
Breathing treatment (nebulizer) CPT Code: `94640`	$30	$55	$201	0.3×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$24	$24	$3	8.0×
Blood test, liver function panel CPT Code: `80076`	$49	$49	$9	5.4×
Blood test, hemoglobin CPT Code: `85018`	$22	$22	$3	7.3×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$24	$24	$5	4.8×
Blood test, basic metabolic panel CPT Code: `80048`	$40	$40	$9	4.4×
X-ray, neck (cervical spine) CPT Code: `72040`	$137	$64	$93	0.7×
X-ray, shoulder CPT Code: `73030`	$200	$61	$92	0.7×
X-ray, foot CPT Code: `73630`	$188	$55	$92	0.6×
X-ray, chest (two views) CPT Code: `71046`	$168	$55	$93	0.6×
X-ray, hand CPT Code: `73130`	$188	$55	$93	0.6×
X-ray, ankle CPT Code: `73610`	$188	$55	$93	0.6×
X-ray, pelvis CPT Code: `72170`	$188	$54	$110	0.5×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$63	$63	$11	unverified
Culture, blood CPT Code: `87040`	$27	$27	$11	2.5×
Speech therapy (group session) CPT Code: `92508`	—	$50	$27	1.9×
Blood antibody screen CPT Code: `86850`	$40	$48	$46	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$21	$21	$6	3.5×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$43	$43	$56	0.8×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$87	$47	$64	0.7×
New patient office visit (30-44 min) CPT Code: `99203`	$80	$57	$110	0.5×
Psychotherapy session (45 minutes) CPT Code: `90834`	$72	$67	$166	0.4×
Care planning with family CPT Code: `90887`	—	$37	$107	0.3×
Family therapy session CPT Code: `90847`	$63	$56	$173	0.3×
Behavioral health outpatient services HCPCS Code: `H2015`	—	$19	$16	1.2×
Office visit, established patient (30-39 min) CPT Code: `99214`	$82	$38	$123	0.3×
Neurobehavioral status check CPT Code: `96116`	—	$56	$231	0.2×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$43	$43	$20	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$10	$10	$4	2.5×
Blood test, sodium CPT Code: `84295`	$11	$11	$5	2.2×
Blood test, potassium CPT Code: `84132`	$10	$10	$5	2.0×
Flu vaccine (high dose) HCPCS Code: `90656`	$11	$20	$25	0.8×
Psychological testing evaluation CPT Code: `96136`	—	$42	$128	0.3×
Hepatitis B vaccine HCPCS Code: `90744`	$11	$11	$37	0.3×
Drug screening test HCPCS Code: `G0480`	$34	$34	$116	0.3×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$11	$11	$39	0.3×
Office visit, established patient (20-29 min) CPT Code: `99213`	$74	$24	$87	0.3×
Group therapy session CPT Code: `90853`	—	$20	$100	0.2×
Psychological testing by technician CPT Code: `96138`	—	$36	$395	0.1×
Blood test, vitamin D CPT Code: `82306`	$35	$35	$31	unverified
Blood test, calcium CPT Code: `82310`	$9	$9	$5	1.8×
Blood test, creatinine (kidney) CPT Code: `82565`	$9	$9	$5	1.8×
Blood test, magnesium CPT Code: `83735`	$12	$12	$7	1.7×
Blood test, lipase CPT Code: `83690`	$11	$11	$7	1.6×
Blood test, glucose (blood sugar) CPT Code: `82947`	$6	$6	$4	1.5×
Blood test, amylase CPT Code: `82150`	$9	$9	$7	1.3×
X-ray, chest (single view) CPT Code: `71045`	$130	$30	$92	0.3×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$29	$29	$14	unverified
Blood test, vitamin B12 CPT Code: `82607`	$10	$10	$16	unverified
Blood test, ferritin (iron stores) CPT Code: `82728`	$22	$22	$14	unverified
Blood test, average blood sugar (A1c) CPT Code: `83036`	$14	$14	$10	unverified
Blood test, PSA (prostate screen) CPT Code: `84153`	$29	$29	$19	unverified
Blood test, thyroid (TSH) CPT Code: `84443`	$15	$15	$18	unverified
Blood test, complete blood count (CBC) CPT Code: `85025`	$15	$15	$8	unverified
Physical therapy (therapeutic exercise) CPT Code: `97110`	$34	$34	$35	unverified
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$36	$36	$38	unverified
Hepatitis C antibody test CPT Code: `86803`	$8	$8	$15	unverified
Culture, bacterial CPT Code: `87070`	$18	$18	$9	unverified
Physical therapy (gait training) CPT Code: `97116`	$30	$30	$33	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$32	$32	$34	unverified
Occupational therapy (therapeutic activities) CPT Code: `97530`	$36	$36	$40	unverified
Occupational therapy (self-care training) CPT Code: `97535`	$30	$30	$38	unverified
Physical therapy (functional capacity test) CPT Code: `97750`	$34	$34	$38	unverified
Orthotic fitting and training CPT Code: `97760`	$40	$40	$51	unverified
Prosthetic fitting and training CPT Code: `97761`	$36	$36	$45	unverified

Showing top 25 high-impact procedures of 113 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Mountains Community Hospital (Zero PHI Required)

CMS CCN: 051312

CPT 70553

Select Procedure to Audit:

Fair BaseRate™ $511

Medicare Rate $356

Self-Pay Cash Request Quote

Insurer Median $2,623

1. Amount on Your Bill or Quote ($) Pre-filled with Mountains Community Hospital’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Mountains Community Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$5,784 Above Fair BaseRate

Negotiate Toward $511 Fair BaseRate ($356 Medicare)

Your bill ($6,295) is $5,784 above the denoised Fair BaseRate ($511) and 17.7× the $356 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Public IRS & CMS ownership records classify Mountains Community Hospital as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

Safety Composite69/100

Median ER Wait132 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Mountains Community Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2024-03-11·administrative_or_closure
Closure Notice
Recorded
2023-09-21·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Value & Quality Leader

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Mountains Community Hospital.

Price Index: 0.82× regional baseline

Quality: 56/100 CMS composite

Median Household Income$82,184U.S. Census ACS

Local Uninsured Share8.5%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 66/100 · Caution CMS CCN 051312

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 051312) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage1/14/2026

Validated Rate Rows846 (CMS v3.0.0)

File Integrity DigestVerified · CCN 051312

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy