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San Gorgonio Memorial Hospital

Banning, CA · 79 beds · 49 procedures priced

Sourced from this hospital's machine-readable file, posted Thu Jun 04 2026 00:00:00 GMT+0000 (Coordinated Universal Time) · data quality 95/100 · source file ↗

49 of 49
Category
Procedure Negotiated iCash iGross i
Breast Biopsy (Ultrasound-guided)
$2,114$1.2k$6.3k
$3,464$17,319
Chest X-ray (2 Views)
$111$106$334
$119$597
Complete Abdominal Ultrasound
$134$127$401
$268$1,340
Complete Blood Count (CBC) with Differential
$8$7$61
$12$59
Comprehensive Metabolic Panel
$11$10$262
$26$131
Critical Care, First Hour
$1,057$649$3.2k
$2,019$10,093
CT Abdomen and Pelvis with Contrast
$447$225$1.3k
$2,357$11,785
CT Chest without Contrast
$140$127$931
$697$3,484
CT Head without Contrast
$140$127$931
$709$3,544
Diagnostic Colonoscopy
$1,190$873$3.6k
$769$3,843
Diagnostic Mammogram (Both Breasts)
$48$45$210
$131$656
Echocardiogram (Complete with Doppler)
$699$664$2.1k
$1,011$5,056
Emergency Room Visit (Level 3)
$349$229$1.0k
$233$1,163
Group Therapy Session
$137$124$884
$154$770
Hemoglobin A1c (Diabetes Test)
$10$9$81
$16$78
HIV Antibody Test
$9$7$54
$6$30
Individual Therapy Session (45 Minutes)
$227$216$884
$32$160
Inguinal Hernia Repair (Open)
$4,812$2.1k$23k
$2,389$11,945
Initial Psychiatric Diagnostic Evaluation
$227$216$682
$33$165
IUD Insertion$861$4,306
Laparoscopic Appendectomy
$7,737$1.6k$23k
$2,010$10,052
Laparoscopic Gallbladder Removal
$7,737$4.3k$23k
$2,638$13,190
Laparoscopic Tubal Ligation
$7,737$2.4k$23k
$3,459$17,296
Lipid Panel (Cholesterol Test)
$14$13$200
$40$200
Lumbar Epidural Steroid Injection
$903$858$2.7k
$835$4,176
Lumbar Puncture (Spinal Tap)
$903$858$2.7k
$252$1,258
Lumpectomy (Partial Mastectomy)
$5,011$1.6k$15k
$2,644$13,220
MRI Abdomen with and without Contrast
$447$354$1.3k
$1,343$6,715
MRI Brain with and without Contrast
$447$300$1.3k
$1,360$6,799
MRI Brain with Contrast
$447$300$1.3k
$1,360$6,799
MRI Brain without Contrast
$305$290$916
$835$4,175
MRI Cervical Spine (Neck) without Contrast
$305$290$916
$794$3,970
MRI Knee without Contrast
$305$290$916
$822$4,109
MRI Lower Back (Lumbar Spine) without Contrast
$305$290$916
$850$4,248
MRI Thoracic Spine (Mid-back) without Contrast
$305$290$916
$850$4,248
Nuclear Cardiac Stress Test
$1,657$1.6k$5.0k
$1,963$9,817
Pregnancy Ultrasound (Second or Third Trimester)
$134$125$401
$263$1,317
PSA Prostate Cancer Screening
$19$17$109
$19$95
Pulmonary Function Test with Bronchodilator
$478$71$1.4k
$137$686
Screening Mammogram
$36$34$174
$105$524
Skin Biopsy (Tangential)
$520$494$1.6k
$141$706
Spirometry (Breathing Test)
$276$32$829
$32$162
Total Hip Replacement
$16,432$2.4k$49k
$3,621$18,105
Total Knee Replacement
$16,432$4.3k$49k
$5,228$26,138
Total Mastectomy
$8,499$2.1k$25k
$2,264$11,321
TSH Thyroid Function Test
$18$16$638
$17$86
Upper GI Endoscopy (EGD)
$1,161$1.1k$3.5k
$423$2,114
Urinalysis with Microscopy
$3$3$76
$15$74
Vitamin D Blood Test
$30$28$89
$8$40

Median facility price per procedure. Negotiated shows the median across payers with the full range. Figures as reported in the hospital's file — not a quote.