Casa Colina Hospital
Pomona, CA
Posts prices for 35 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-03.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| CT head/brain without contrast (70450) | $174.80 | $532.78 | 1.3× |
| MRI brain without contrast (70551) range across 2 matching MRF lines |
$398.95 | $700.56–$1,264 | 1.3× |
| MRI brain with contrast (70552) | $583.32 | $1,516.25 | 1.3× |
| MRI brain without and with contrast (70553) range across 2 matching MRF lines |
$583.32 | $1,105.29–$2,807.88 | 1.3× |
| X-ray lower spine, 4+ views (72110) range across 2 matching MRF lines |
$174.80 | $97.14–$320.64 | 1.3× |
| MRI lumbar spine without contrast (72148) | $398.95 | $1,402.88 | 1.3× |
| CT pelvis with contrast (72193) range across 2 matching MRF lines |
$293.27 | $640.80–$771.93 | 1.3× |
| MRI lower-extremity joint without contrast (73721) range across 3 matching MRF lines |
$398.95 | $700.56–$1,512 | 1.3× |
| CT abdomen and pelvis with contrast (74177) range across 2 matching MRF lines |
$583.32 | $1,105.29–$1,110.24 | 1.3× |
| Ultrasound, abdomen complete (76700) | $174.80 | $314.67 | 1.3× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $174.80 | $320.64 | 1.3× |
| Ultrasound, transvaginal (76830) | $174.80 | $108.40 | 1.3× |
| Mammography, one breast (diagnostic) (77065) | $184.35 | $307.47 | 2.1× |
| Mammography, both breasts (diagnostic) (77066) | $233.58 | $392.10 | 2.1× |
| Mammography, screening (bilateral) (77067) range across 2 matching MRF lines |
$188.47 | $325.11–$352.11 | 2.1× |
| Basic metabolic panel (80048) | $11 | $50.76 | 1.3× |
| Comprehensive metabolic panel (80053) | $13.73 | $63.36 | 1.3× |
| Lipid panel (80061) range across 2 matching MRF lines |
$17.41 | $80.34–$169.75 | 1.3× |
| Hepatic function panel (80076) | $10.62 | $49.02 | 1.3× |
| PSA, total (84153) range across 2 matching MRF lines |
$23.91 | $55.17–$110.34 | 1.3× |
| Thyroid stimulating hormone (TSH) (84443) | $21.84 | $100.80 | 1.3× |
| CBC with automated differential (85025) | $10.10 | $46.62 | 1.3× |
| CBC, automated (85027) | $8.41 | $38.82 | 1.3× |
| Prothrombin time (PT) (85610) | $5.58 | $25.74 | 1.3× |
| Partial thromboplastin time (PTT) (85730) | $7.81 | $36.06 | 1.3× |
| Psychotherapy, 30 minutes (90832) | $296.78 | $437.10 | 1.3× |
| Psychotherapy, 45 minutes (90834) | $150 | $437.10 | 0.7× |
| Psychotherapy, 60 minutes (90837) | $296.78 | $437.10 | 1.3× |
| Family psychotherapy, without patient (50 min) (90846) | $296.78 | $437.10 | 1.3× |
| Family psychotherapy, with patient (50 min) (90847) | $296.78 | $437.10 | 1.3× |
| Group psychotherapy (90853) | $169.86 | $227.55 | 1.3× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $135 | $110 | 4.6× |
| Office visit, new patient (low complexity, ~30 min) (99203) range across 2 matching MRF lines |
$96.46 | $64.90–$362.58 | 0.6× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) range across 2 matching MRF lines |
$158.34 | $216–$362.58 | 0.9× |
| Office visit, new patient (high complexity, ~60 min) (99205) range across 2 matching MRF lines |
$216.87 | $253–$362.58 | 1.3× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.
More prices at this hospital
- Imaging: 248 codes with posted prices and Medicare benchmarks
- Lab & pathology: 355 codes with posted prices and Medicare benchmarks
- Visits & medical services: 152 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 115 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 9 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 99.3 MB) ↓ — captured 2026-09-03
File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.