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Pomona Valley Hospital Medical Center

Pomona, CA · 435 beds · 92 procedures priced

Sourced from this hospital's machine-readable file, posted Wed Jun 03 2026 00:00:00 GMT+0000 (Coordinated Universal Time) · data quality 73/100 · source file ↗

Category

Procedure ▲	Negotiated i	Cash i	Gross i
Abdominal Hysterectomy	$5,810$2.6k$8.9k	—	—
ACL Reconstruction (Arthroscopic)	$5,279$4.0k$8.9k	—	—
Allergy Skin Testing	$49$25$56	—	—
Basic Metabolic Panel	$86$24$128	$10	—
Bone Marrow Biopsy	$1,569$813$3.7k	$2,443	—
Breast Biopsy (Ultrasound-guided)	$3,656$1.5k$4.9k	—	—
Bunion Correction Surgery	$5,279$3.9k$6.2k	—	—
Cardiac Ablation for Atrial Fibrillation	$9,050$6.1k$13k	$18,373	—
Cardiac Catheterization (Left Heart)	$7,830$3.3k$10k	$3,010	—
Cardiac Stress Test (Treadmill)	$957$787$1.1k	—	—
Carpal Tunnel Release Surgery	$3,660$1.9k$5.0k	—	—
Cataract Surgery with Lens Implant	$7,318$4.8k$10k	—	—
Cervical Spinal Fusion (Anterior)	$7,188$4.0k$9.8k	—	—
Cesarean Delivery (Global Package)	$5,279$4.0k$6.4k	—	—
Chemotherapy Infusion (First Hour)	$1,447$214$1.9k	—	—
Chest X-ray (2 Views)	$285$165$448	$75	—
Colonoscopy with Biopsy	$3,656$1.5k$4.6k	—	—
Complete Abdominal Ultrasound	$816$457$1.1k	$175	—
Complete Blood Count (CBC) with Differential	$79$22$117	—	—
Comprehensive Metabolic Panel	$107$30$159	$12	—
Coronary Angioplasty with Stent	$8,162$5.7k$12k	$11,267	—
Critical Care, First Hour	$6,134$4.7k$6.1k	—	—
CT Abdomen and Pelvis with Contrast	$2,189$1.7k$3.8k	$525	—
CT Cardiac Calcium Scoring	$448$288$1.3k	$125	—
CT Chest without Contrast	$1,689$552$3.2k	$350	—
CT Head without Contrast	$1,351$552$2.6k	$350	—
DEXA Bone Density Scan	$552$343$739	$75	—
Diagnostic Colonoscopy	$3,656$1.5k$4.6k	—	—
Diagnostic Mammogram (Both Breasts)	$1,015$587$1.6k	$120	—
Ear Tube Placement (Tympanostomy)	$4,880$1.5k$5.9k	—	—
Echocardiogram (Complete with Doppler)	$1,701$1.5k$1.9k	$566	—
EKG (Electrocardiogram, 12-lead)	$232$166$278	—	—
Emergency Room Visit (Level 3)	$1,901$1.4k$1.9k	—	—
Group Therapy Session	$108$82$108	—	—
Hemodialysis Treatment	$534$405$534	—	—
Hemoglobin A1c (Diabetes Test)	$99$28$146	$12	—
HIV Antibody Test	$90$25$134	$25	—
Holter Monitor (24-48 Hour Heart Monitor)	$1,504$906$2.0k	—	—
Home Sleep Study	$1,393$1.1k$1.8k	—	—
Inguinal Hernia Repair (Open)	$5,810$4.9k$6.5k	—	—
Intensity-modulated Radiation Therapy (IMRT) Treatment	$5,686$3.0k$9.7k	—	—
IUD Insertion	$1,066$490$2.0k	—	—
IUD Removal	$1,455$813$3.7k	—	—
Knee Arthroscopy with Meniscectomy	$5,810$4.9k$6.5k	—	—
Laparoscopic Appendectomy	$6,505$3.9k$8.5k	—	—
Laparoscopic Gallbladder Removal	$9,791$6.8k$10k	—	—
Laparoscopic Tubal Ligation	$6,840$5.7k$8.4k	—	—
Lipid Panel (Cholesterol Test)	$136$38$202	$15	—
Lumbar Epidural Steroid Injection	$2,633$1.5k$3.7k	—	—
Lumbar Puncture (Spinal Tap)	$2,633$1.5k$3.7k	$420	—
Lumbar Spinal Fusion (Posterior)	$7,925$6.4k$10k	—	—
Lumpectomy (Partial Mastectomy)	$4,880$3.9k$5.9k	—	—
MRI Abdomen with and without Contrast	$5,792$1.9k$13k	$600	—
MRI Brain with and without Contrast	$5,046$1.9k$14k	$600	—
MRI Brain with Contrast	$3,069$1.9k$7.3k	$600	—
MRI Brain without Contrast	$2,814$1.2k$6.1k	$500	—
MRI Cervical Spine (Neck) without Contrast	$2,814$1.2k$6.1k	$500	—
MRI Knee without Contrast	$2,814$1.2k$6.0k	$500	—
MRI Lower Back (Lumbar Spine) without Contrast	$2,841$1.2k$6.8k	$500	—
MRI Thoracic Spine (Mid-back) without Contrast	$2,843$1.2k$6.8k	$500	—
Newborn Circumcision	$3,452$1.9k$5.0k	—	—
Nuclear Cardiac Stress Test	$4,324$2.9k$6.8k	$410	—
Pacemaker Insertion (Dual Chamber)	$10,370$5.8k$14k	$5,547	—
PET/CT Scan, Whole Body	$12,600$5.8k$20k	$1,500	—
Pregnancy Ultrasound (Second or Third Trimester)	$836$475$1.1k	$175	—
Prostate Biopsy	$3,660$1.5k$5.9k	—	—
PSA Prostate Cancer Screening	$187$52$277	$20	—
Pulmonary Function Test with Bronchodilator	$488$282$556	—	—
Rotator Cuff Repair (Arthroscopic)	$7,296$5.7k$8.4k	—	—
Screening Mammogram	$838$487$1.6k	$120	—
Septoplasty (Deviated Septum Repair)	$5,041$4.8k$7.3k	—	—
Sinus Surgery (Endoscopic, with Tissue Removal)	$6,098$3.9k$7.4k	—	—
Skin Biopsy (Tangential)	$1,858$490$4.6k	—	—
Skin Lesion Removal (Benign, up to 0.5 cm)	$3,452$1.5k$3.7k	—	—
Sleep Study (In-lab Polysomnography)	$6,372$1.6k$8.4k	$860	—
Spinal Cord Stimulator Trial	$4,619$1.9k$10k	—	—
Spirometry (Breathing Test)	$291$127$331	—	—
Tonsillectomy and Adenoidectomy (Age 12 and Over)	$6,098$4.8k$7.4k	—	—
Tonsillectomy and Adenoidectomy (Under Age 12)	$5,041$4.0k$5.9k	—	—
Total Hip Replacement	$6,405$4.0k$12k	—	—
Total Knee Replacement	$7,188$4.0k$12k	—	—
Total Mastectomy	$5,810$4.9k$6.5k	—	—
TSH Thyroid Function Test	$171$48$253	$19	—
TURP (Transurethral Prostate Resection)	$6,401$3.9k$7.3k	—	—
Umbilical Hernia Repair	$5,713$5.6k$5.9k	—	—
Upper GI Endoscopy (EGD)	$2,633$1.5k$3.7k	$1,582	—
Urinalysis with Microscopy	$32$9$48	$4	—
Vaginal Birth After Cesarean (VBAC) Global Package	$4,619$3.5k$5.8k	—	—
Vaginal Delivery (Global Package)	$4,619$3.5k$6.4k	—	—
Vaginal Hysterectomy	$6,157$2.6k$10k	—	—
Vasectomy	$3,660$1.9k$5.0k	—	—
Vitamin D Blood Test	$301$84$446	$22	—

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.