CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: San Dimas Community Hospital

Billing Code: 71250 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$153
about 1.4× the $107 Medicare rate · typically $135–$188
modeled estimate · not a bill or quote
What this hospital charges insurers
$134
Below the fair price — a good deal
about $19 under the fair price · 1.3× Medicare
Medicare pays $107 Fair price $153 This hospital $134 Cash price $133 Hospital's list price $6,179

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 $34 Priciest $134

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, chest (no contrast) is about $153 (about 1.4× the $107 Medicare rate). San Dimas Community Hospital charges insurers about $134, or about $133 in cash — below the fair price — a good deal. 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 $134 - $307 125%
Blue Cross Blue Shieldmajor $133 - $1,070 125%
Aetnamajor $171 160%
Health Net $134 - $195 125%
Molina $133 - $134 125%
+ 17 smaller / regional plans $127 - $201
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