CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: San Dimas Community Hospital

Billing Code: 74176 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$307
about 1.3× the $244 Medicare rate · typically $271–$386
modeled estimate · not a bill or quote
What this hospital charges insurers
$305
About the fair price
about $2 under the fair price · 1.3× Medicare
Medicare pays $244 Fair price $307 This hospital $305 Cash price $305 Hospital's list price $7,926

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 $73 Priciest $305

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, abdomen and pelvis (no contrast) is about $307 (about 1.3× the $244 Medicare rate). San Dimas Community Hospital charges insurers about $305, or about $305 in cash — about the fair price. Located in San Dimas, CA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser Permanente

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
UnitedHealthcaremajor $305 - $648 125%
Blue Cross Blue Shieldmajor $101 - $690 41%
Aetnamajor $390 160%
Health Net $108 - $446 44%
Molina $101 - $305 41%
+ 17 smaller / regional plans $101 - $458
Government programs also on file: Medicare, Medicaid, Military & VA.

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Facility Profile & Credentials

  • Address: 1350 W Covina Blvd, San Dimas, CA 91773
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals