Pomona Valley Hospital Medical Center
1798 N Garey Ave, Pomona, CA 91767 · 100 Priced Procedures · 68% Patient Recommendation
Typical commercial prices here are +177% above the fair benchmark (2.77×) even after accounting for local nurse/doctor wages and patient complexity.
2-Star CMS clinical quality rating paired with 2.77× fair market pricing.
Wide Procedure Spread · Upper-Quartile Skew Pricer
Pomona Valley Hospital Medical Center prices routine shoppable procedures at 5.2× Medicare (median 2.87× Fair BaseRate) while upper-quartile commercial rates jump +55% to 4.45× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 1.51× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 99% of shoppable procedures (50/100 Cash Honesty)
- CMS clinical safety score (59/100 safety score) with 68% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (17.9% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 6.5× markup over Medicare rates
- Commercial insurance median sits at 2.87× Fair BaseRate (5.2× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 4.45×) jump +55% above the median procedure ratio (Q50 2.87×)
- Unnegotiated chargemaster list prices average 3.8× Medicare (26¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Pomona Valley Hospital Medical Center
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 100 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Spinal fusion, single level (inpatient stay) MS-DRG Code: 451 | $59,171 | 1.9× |
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $35,332 | 1.8× |
| Heart stent placement (inpatient stay) MS-DRG Code: 322 | $33,831 | 1.9× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $24,520 | 3.0× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $9,791 | 1.6× |
| Cataract surgery with lens implant CPT Code: 66984 | $7,318 | unverified |
| Total knee replacement CPT Code: 27447 | $7,188 | 0.5× |
| Total hip replacement CPT Code: 27130 | $6,405 | 0.5× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $5,810 | 1.7× |
| Inguinal hernia repair CPT Code: 49505 | $5,810 | 1.6× |
| C-section delivery (full package) CPT Code: 59510 | $5,279 | 1.8× |
| Bunion correction surgery CPT Code: 28296 | $5,279 | 1.5× |
| Breast lump removal CPT Code: 19120 | $4,880 | 1.3× |
| Vaginal delivery (full package) CPT Code: 59400 | $4,619 | 1.7× |
| Colonoscopy with biopsy CPT Code: 45380 | $3,656 | 2.9× |
| Upper endoscopy with biopsy CPT Code: 43239 | $3,656 | unverified |
| Colonoscopy (diagnostic) CPT Code: 45378 | $3,656 | unverified |
| Psychological testing by technician CPT Code: 96138 | $3,452 | unverified |
| MRI, brain (no contrast) CPT Code: 70551 | $2,814 | unverified |
| MRI, knee or other leg joint CPT Code: 73721 | $2,814 | unverified |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $2,189 | unverified |
| CT scan, head (with and without contrast) CPT Code: 70470 | $2,156 | unverified |
| CT scan, head (with contrast) CPT Code: 70460 | $1,751 | unverified |
| CT scan, sinuses CPT Code: 70486 | $1,689 | unverified |
| CT scan, chest (no contrast) CPT Code: 71250 | $1,689 | unverified |
Audit a Bill or Quote at Pomona Valley Hospital Medical Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $25,363
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (17.9% of gross = $25,363).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Pomona Valley Hospital Medical Center's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)
Your bill ($142,010) is $111,235 above the denoised Fair BaseRate ($30,775) and 6.0× the $23,504 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Illustrative National Nonprofit Peer Median (17.9% of gross — request this hospital's exact FAP Look-Back AGB percentage)
Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Hospital-specific AGB look-back percentages are published in each facility’s written Financial Assistance Policy (FAP). This figure reflects the national nonprofit peer median benchmark.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Pomona Valley Hospital Medical Center. Prior administrative notices do not necessarily reflect current compliance status.
- 2025-04-01·administrative_or_closure
Closure Notice
Recorded - 2025-02-13·cap_corrective_action
CAP Request
Recorded - 2024-10-31·warning_notice
Warning Notice
Recorded
Source: CMS Hospital Care Compare (1,894 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Pomona Valley Hospital Medical Center.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.