San Dimas Community Hospital

Prime Healthcare Services

Hospital Overview

Facility Details

CCN

050588

NPI

1740447945

Type

Short Term Acute Care Hospital

Ownership

Proprietary

Beds

101

Contact Information

Address

1350 West Covina Boulevard

San Dimas, CA 91773

Phone

(909) 599-6811

Insurance Accepted

💡

Important Notice

Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.

Price Transparency Contract Information

The data below comes from CMS-mandated price transparency data. Learn more.

View this hospital's rates

NOTE: Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.

Payer	Category	Code Type & Group	Contract Type	Rate Compared to State Average
Aetna	Outpatient	CPT Category III Codes Range: 0042T - 0810T	Negotiated	Very Low
Aetna	Outpatient	HCPCS Drugs Administered Other than Oral Method Range: J0120 - J8999	Percentage of Bill Charged
Aetna	Outpatient	HCPCS Enteral and Parenteral Therapy Range: B4034 - B9999	Percentage of Bill Charged
Aetna	Outpatient	HCPCS Outpatient PPS Range: C1713 - C9899	Negotiated	Very Low
Aetna	Facility	RC Pharmacy (Also see 063X, an extension of 250X) Range: 0250 - 0259	Percentage of Bill Charged
Aetna	Outpatient	HCPCS Administrative, Miscellaneous and Investigational Range: A9150 - A9999	Percentage of Bill Charged
Aetna	Facility	RC Physical Therapy Range: 0420 - 0429	Percentage of Bill Charged
Aetna	Facility	RC Room and Board Private (one bed) Range: 0110 - 0119	Per Diem	Very High
Aetna	Outpatient	HCPCS Alcohol and Drug Abuse Treatment Range: H0001 - H2037	Negotiated	Very High
Aetna	Outpatient	HCPCS Procedures / Professional Services Range: G0008 - G9987	Percentage of Bill Charged