All published prices at Pomona Valley Hospital Medical Center
92 procedures, each showing what the hospital billed, what that care was actually paid for, and how the charge compares with the national middle for the same coded work.
| 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% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
70 | $133,006 | $15,766 | +151% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
68 | $87,250 | $15,947 | +40% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
64 | $27,298 | $2,339 | +132% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
55 | $106,135 | $11,318 | +171% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
54 | $119,579 | $10,996 | +163% |
|
Sepsis
MS-DRG 870 · Inpatient stay |
54 | $626,695 | $65,575 | +133% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
54 | $19,226 | $1,975 | +91% |
|
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major
MS-DRG 981 · Inpatient stay |
53 | $229,816 | $37,111 | +25% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
52 | $32,132 | $3,802 | +68% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
44 | $97,335 | $12,301 | +139% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
42 | $155,380 | $17,776 | +119% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
40 | $113,308 | $13,901 | +134% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
37 | $66,143 | $8,792 | +66% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
37 | $58,715 | $7,094 | +67% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
36 | $168,937 | $21,828 | +103% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
36 | $179,922 | $17,171 | +217% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
35 | $121,451 | $13,809 | +161% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
35 | $90,172 | $10,806 | +118% |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
35 | $47,972 | $6,756 | +33% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
32 | $95,237 | $9,481 | +189% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
31 | $40,622 | $4,254 | +75% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
30 | $93,863 | $9,262 | +215% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
29 | $87,963 | $7,027 | +154% |
|
Respiratory System Diagnosis with Ventilator Support <=96 Hours
MS-DRG 208 · Inpatient stay |
28 | $247,793 | $27,802 | +118% |
|
Fainting
MS-DRG 312 · Inpatient stay |
28 | $77,263 | $9,585 | +111% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
28 | $49,112 | $3,980 | +141% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
27 | $123,149 | $13,204 | +154% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
25 | $67,358 | $8,333 | +120% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
25 | $66,722 | $8,017 | +69% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
25 | $42,502 | $6,362 | +55% |
|
Craniotomy with Major Device Implant or Acute Complex Central Nervous System Principal
MS-DRG 023 · Inpatient stay |
24 | $611,059 | $62,359 | +166% |
|
Diabetes with Major Complications
MS-DRG 637 · Inpatient stay |
24 | $152,792 | $16,562 | +171% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
24 | $37,664 | $4,161 | +82% |
|
Hip or Thigh Bone Surgery (severe)
MS-DRG 480 · Inpatient stay |
23 | $258,862 | $29,587 | +120% |
|
Traumatic Stupor and Coma >1 Hour with Major Complications
MS-DRG 082 · Inpatient stay |
23 | $250,669 | $24,502 | +159% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
23 | $31,762 | $3,494 | +80% |
|
Other Cerebrovascular Disorders with Major Complications
MS-DRG 070 · Inpatient stay |
22 | $151,814 | $17,037 | +129% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
22 | $80,581 | $8,723 | +164% |
|
Seizures with Major Complications
MS-DRG 100 · Inpatient stay |
21 | $143,789 | $20,242 | +78% |
|
Heart Attack (with complications)
MS-DRG 281 · Inpatient stay |
21 | $96,200 | $10,146 | +120% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
21 | $156,311 | $13,503 | +131% |
|
Traumatic Stupor and Coma >1 Hour with Complications
MS-DRG 083 · Inpatient stay |
20 | $147,776 | $14,786 | +147% |
|
Level 3 Intraocular Procedures
APC 5493 · Hospital outpatient visit |
20 | $61,350 | $6,426 | +153% |
|
Heart Catheter Procedure (severe)
MS-DRG 321 · Inpatient stay |
19 | $399,972 | $32,353 | +178% |
|
Cirrhosis and Alcoholic Hepatitis with Major Complications
MS-DRG 432 · Inpatient stay |
19 | $163,152 | $21,384 | +104% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
19 | $207,502 | $29,114 | +56% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
18 | $77,373 | $8,772 | +147% |
|
Respiratory System Diagnosis with Ventilator Support >96 Hours
MS-DRG 207 · Inpatient stay |
18 | $545,393 | $66,194 | +113% |
|
Seizures without Major Complications
MS-DRG 101 · Inpatient stay |
17 | $79,754 | $9,944 | +96% |
|
Other Circulatory System Diagnoses with Major Complications
MS-DRG 314 · Inpatient stay |
17 | $212,421 | $22,185 | +171% |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
17 | $259,341 | $21,676 | +155% |
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
17 | $107,710 | $12,178 | +176% |
|
Tracheostomy with Mechanical Ventilation >96 Hours or Principal Diagnosis Except Face
MS-DRG 004 · Inpatient stay |
17 | $1,130,749 | $130,415 | +110% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
16 | $155,290 | $12,795 | +228% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
16 | $77,476 | $8,751 | +140% |
|
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Major
MS-DRG 441 · Inpatient stay |
16 | $134,154 | $18,269 | +76% |
|
Digestive Disorder (severe)
MS-DRG 391 · Inpatient stay |
15 | $107,118 | $13,896 | +109% |
|
Respiratory Neoplasms with Major Complications
MS-DRG 180 · Inpatient stay |
15 | $173,716 | $18,783 | +134% |
|
Other Cerebrovascular Disorders with Complications
MS-DRG 071 · Inpatient stay |
15 | $173,617 | $14,672 | +291% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
15 | $15,607 | $1,838 | +82% |
|
Other Vascular Procedures with Major Complications
MS-DRG 252 · Inpatient stay |
14 | $225,405 | $35,823 | +55% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay |
14 | $156,408 | $22,642 | +83% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
14 | $37,062 | $4,468 | +55% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
14 | $69,840 | $4,604 | +208% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
14 | $33,408 | $3,844 | +84% |
|
Red Blood Cell Disorders without Major Complications
MS-DRG 812 · Inpatient stay |
13 | $111,709 | $10,065 | +200% |
|
Infection Needing Surgery (with complications)
MS-DRG 854 · Inpatient stay |
13 | $188,309 | $21,905 | +127% |
|
Other Digestive System Diagnoses with Major Complications
MS-DRG 393 · Inpatient stay |
13 | $163,339 | $19,001 | +155% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
13 | $40,710 | $2,504 | +215% |
|
Transient Ischemia without Thrombolytic
MS-DRG 069 · Inpatient stay |
12 | $91,089 | $8,877 | +121% |
|
Percutaneous and Other Intracardiac Procedures without Major Complications
MS-DRG 274 · Inpatient stay |
12 | $184,495 | $34,032 | +48% |
|
Other Kidney and Urinary Tract Procedures with Major Complications
MS-DRG 673 · Inpatient stay |
12 | $238,015 | $39,385 | +55% |
|
Endocrine Disorders with Major Complications
MS-DRG 643 · Inpatient stay |
12 | $144,081 | $16,664 | +119% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
12 | $201,841 | $21,503 | +111% |
|
ECMO or Tracheostomy with Mechanical Ventilation >96 Hours or Principal Diagnosis Except
MS-DRG 003 · Inpatient stay |
11 | $1,667,423 | $208,458 | +90% |
|
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale
MS-DRG 175 · Inpatient stay |
11 | $106,867 | $14,623 | +96% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
11 | $76,815 | $9,335 | +142% |
|
Hypertension without Major Complications
MS-DRG 305 · Inpatient stay |
11 | $77,624 | $8,411 | +132% |
|
Major Small and Large Bowel Procedures with Major Complications
MS-DRG 329 · Inpatient stay |
11 | $367,613 | $41,728 | +105% |
|
Back Problems (severe)
MS-DRG 551 · Inpatient stay |
11 | $139,816 | $15,782 | +101% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
11 | $19,669 | $1,976 | +75% |
|
Level 3 Lower GI Procedures
APC 5313 · Hospital outpatient visit |
11 | $39,149 | $3,452 | +136% |
These figures are averages across this hospital's Medicare patients in the most recent federal data year. They are not a quote and not your bill. For your own case, ask the hospital for a written good-faith estimate and check its published machine-readable price file.