CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: San Dimas Community Hospital

Billing Code: 74177 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$443
about 1.2× the $356 Medicare rate · typically $413–$598
modeled estimate · not a bill or quote
What this hospital charges insurers
$447
About the fair price
about $4 over the fair price · 1.3× Medicare
Medicare pays $356 Fair price $443 This hospital $447 Cash price $446 Hospital's list price $9,567

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 $114 Priciest $447

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 (with contrast) is about $443 (about 1.2× the $356 Medicare rate). San Dimas Community Hospital charges insurers about $447, or about $446 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 $446 - $929 125%
Blue Cross Blue Shieldmajor $203 - $1,316 57%
Aetnamajor $571 160%
Health Net $217 - $652 61%
Molina $203 - $446 57%
+ 17 smaller / regional plans $203 - $670
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