Pomona Valley Hospital Medical Center

Pomona, CA

Posts prices for 29 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-03.

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ProcedurePosted cashPosted gross× Medicare
Upper GI endoscopy (EGD), diagnostic (43235) $1,582 — 1.4×
Upper GI endoscopy (EGD) with biopsy (43239) $1,582 — 1.4×
CT head/brain without contrast (70450) $350 — 2.6×
MRI brain without contrast (70551) $500 — 1.6×
MRI brain with contrast (70552) $600 — 1.3×
MRI brain without and with contrast (70553) $600 — 1.3×
X-ray lower spine, 4+ views (72110) $75 — 0.6×
MRI lumbar spine without contrast (72148) $500 — 1.6×
CT pelvis with contrast (72193) $430 — 1.9×
MRI lower-extremity joint without contrast (73721) $500 — 1.6×
CT abdomen and pelvis with contrast (74177) $525 — 1.2×
Ultrasound, abdomen complete (76700) $175 — 1.3×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $175 — 1.3×
Mammography, one breast (diagnostic) (77065) $120 — 1.4×
Mammography, both breasts (diagnostic) (77066) $120 — 1.1×
Mammography, screening (bilateral) (77067) $120 — 1.3×
Basic metabolic panel (80048) $9.72 — 1.1×
Comprehensive metabolic panel (80053) $12.14 — 1.1×
Lipid panel (80061) $15.39 — 1.1×
Renal function panel (80069) $9.98 — 1.1×
Hepatic function panel (80076) $9.39 — 1.1×
Urinalysis, non-automated, with microscopy (81000) $4.62 — 1.1×
PSA, total (84153)
range across 2 matching MRF lines		 $19.30–$21.14 — varies
Thyroid stimulating hormone (TSH) (84443) $19.32 — 1.2×
CBC, automated (85027) $7.44 — 1.1×
Prothrombin time (PT) (85610)
range across 2 matching MRF lines		 $4.93–$45.28 — varies
Partial thromboplastin time (PTT) (85730)
range across 5 matching MRF lines		 $6.91–$670.12 — varies
Left heart catheterization (93452) $3,010 — 0.7×
Sleep study (attended polysomnography) (95810) $860 — 0.8×

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.

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Download the machine-readable file (CSV, 18.0 MB) ↓ — captured 2026-09-03

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