Based on public Medicaid payment data.
Pomona Valley Hospital Medical Center
Medicaid Provider in Pomona, CA
Type
Organization
Address
1798 N. Garey Ave.
Pomona, CA 91767
Phone
9098659500
NPI
1407813660
Procedures
25
Total Claims
935.5K
Patients Served
833.7K
About these costs
All amounts reflect Medicaid reimbursement rates, which are typically much lower than private insurance or cash prices. These figures show what state Medicaid programs actually paid this provider per claim.
Procedures & Average Costs
| Procedure | Avg. Paid | Claims | Patients |
|---|---|---|---|
| Blood Work & Lab Tests | $8.57 | 322,330 | 291,846 |
| X-Ray | $14.75 | 127,121 | 118,691 |
| Urinalysis & Urine Tests | $3.84 | 113,303 | 106,919 |
| Ultrasound | $42.57 | 60,943 | 57,909 |
| Emergency Room Visit | $64.60 | 51,691 | 47,223 |
| CT Scan (Computed Tomography) | $117.70 | 50,766 | 49,451 |
| Physical Therapy | $55.79 | 44,180 | 21,463 |
| EKG / ECG (Electrocardiogram) | $20.58 | 41,774 | 38,753 |
| Prescription Medications | $17.77 | 29,200 | 25,119 |
| Speech Therapy | $65.04 | 24,300 | 11,427 |
| Culture & Microbiology Tests | $6.29 | 18,785 | 17,964 |
| Mammogram | $53.18 | 9,655 | 9,606 |
| Pulmonary Function Test | $18.29 | 9,114 | 8,362 |
| MRI (Magnetic Resonance Imaging) | $197.68 | 8,811 | 8,502 |
| Chemotherapy | $30.85 | 7,580 | 4,823 |
| Pathology & Lab Services | $32.19 | 6,646 | 6,518 |
| Vaccines & Immunizations | $21.33 | 3,180 | 3,126 |
| Echocardiogram | $136.48 | 1,969 | 1,917 |
| Sleep Study (Polysomnography) | $230.44 | 1,698 | 1,683 |
| Upper Endoscopy (EGD) | $33.26 | 1,146 | 1,131 |
| Bone Density Scan (DEXA) | $12.99 | 701 | 699 |
| Colonoscopy | $44.70 | 335 | 334 |
| Ambulance Transport | $26.20 | 196 | 160 |
| Cardiac Stress Test | $139.33 | 41 | 40 |
| Gallbladder Removal (Cholecystectomy) | $116.25 | 12 | 12 |
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