10/100
#2,401 nationally
Pomona Valley Hospital Medical Center
1798 N Garey Ave, Pomona, CA 91767 · (909) 865-9500
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Pomona Valley Hospital Medical Center billed $9.05 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 9.0x
- volume-weighted across all its priced work
- Procedures priced
- 92
- inpatient and outpatient combined
- Rank in CA
- #204
- lower markup ranks higher
- CMS quality stars
- 3/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 8% of U.S. hospitals.
Better than 15% of U.S. hospitals.
Better than 6% of U.S. hospitals.
Better than 13% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
435 | $176,011 | $20,299 | +170% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
384 | $53,548 | $3,332 | +176% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
200 | $44,542 | $2,831 | +279% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
144 | $98,727 | $13,612 | +127% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
109 | $130,658 | $17,055 | +113% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
92 | $527,915 | $52,764 | +197% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
76 | $140,350 | $17,039 | +155% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
75 | $230,297 | $21,886 | +202% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
75 | $89,422 | $4,013 | +254% |
|
Level 2 Intraocular Procedures
APC 5492 · Hospital outpatient visit |
73 | $51,192 | $4,999 | +148% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Other Cerebrovascular Disorders with Complications
MS-DRG 071 · Inpatient stay |
$173,617 | $14,672 | +291% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$44,542 | $2,831 | +279% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$89,422 | $4,013 | +254% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
$155,290 | $12,795 | +228% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
$179,922 | $17,171 | +217% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$93,863 | $9,262 | +215% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$40,710 | $2,504 | +215% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
$69,840 | $4,604 | +208% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major
MS-DRG 981 · Inpatient stay |
$229,816 | $37,111 | +25% |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
$47,972 | $6,756 | +33% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$87,250 | $15,947 | +40% |
|
Percutaneous and Other Intracardiac Procedures without Major Complications
MS-DRG 274 · Inpatient stay |
$184,495 | $34,032 | +48% |
|
Other Kidney and Urinary Tract Procedures with Major Complications
MS-DRG 673 · Inpatient stay |
$238,015 | $39,385 | +55% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$42,502 | $6,362 | +55% |
|
Other Vascular Procedures with Major Complications
MS-DRG 252 · Inpatient stay |
$225,405 | $35,823 | +55% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
$37,062 | $4,468 | +55% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.