California / Pomona Valley Hospital Medical Center

CMS certification 050231 · Pomona, CA · 3 entries in CMS's price-transparency list

Pomona Valley Hospital Medical Center: charges and Medicare payments

Pomona Valley Hospital Medical Center reported 2,288 Medicare inpatient stays across 63 DRGs in 2024. Across them it charged 8.78 times what it was paid — among the higher ratios in California, number 31 of 247 hospitals with at least 100 stays (state median 5.18×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 435 stays at an average charge of $176,011, 95% above the national average. It also billed 1,428 outpatient services, charging 13.17 times what Medicare paid.

1Medicare inpatient stays 2,288
2Charge ÷ paid, inpatient 8.78×
3Rank in CA (highest ratio = 1) 31 of 247
4CMS price-transparency actions 3

Average charge per stay at Pomona Valley Hospital Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 63 DRGs that can be compared with the national average, Pomona Valley Hospital Medical Center charged more than the national average in 63 (100%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRG	Stays	Avg charge	vs US	Avg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC	435	$176,011	+95%	$20,299
291 Heart Failure and Shock with MCC	144	$98,727	+75%	$13,612
280 Acute Myocardial Infarction, Discharged Alive with MCC	109	$130,658	+72%	$17,055
853 Infectious and Parasitic Diseases with O.R. Procedures with...	92	$527,915	+131%	$52,764
177 Respiratory Infections and Inflammations with MCC	76	$140,350	+99%	$17,039
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	75	$230,297	+131%	$21,886
682 Renal Failure with MCC	70	$133,006	+102%	$15,766
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	55	$106,135	+116%	$11,318
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	54	$119,579	+115%	$10,996
870 Septicemia or Severe Sepsis with MV >96 Hours	54	$626,695	+94%	$65,575
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...	53	$229,816	+6%	$37,111
689 Kidney and Urinary Tract Infections with MCC	44	$97,335	+90%	$12,301
377 Gastrointestinal Hemorrhage with MCC	42	$155,380	+82%	$17,776
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	40	$113,308	+88%	$13,901
481 Hip and Femur Procedures except Major Joint with CC	36	$168,937	+68%	$21,828
698 Other Kidney and Urinary Tract Diagnoses with MCC	36	$179,922	+145%	$17,171
193 Simple Pneumonia and Pleurisy with MCC	35	$121,451	+103%	$13,809
378 Gastrointestinal Hemorrhage with CC	35	$90,172	+86%	$10,806
683 Renal Failure with CC	32	$95,237	+134%	$9,481
690 Kidney and Urinary Tract Infections without MCC	30	$93,863	+148%	$9,262
208 Respiratory System Diagnosis with Ventilator Support <=96...	28	$247,793	+83%	$27,802
312 Syncope and Collapse	28	$77,263	+70%	$9,585
189 Pulmonary Edema and Respiratory Failure	27	$123,149	+114%	$13,204
309 Cardiac Arrhythmia and Conduction Disorders with CC	25	$67,358	+87%	$8,333
023 Craniotomy with Major Device Implant or Acute Complex Cns...	24	$611,059	+117%	$62,359
637 Diabetes with MCC	24	$152,792	+130%	$16,562
082 Traumatic Stupor and Coma >1 Hour with MCC	23	$250,669	+117%	$24,502
480 Hip and Femur Procedures except Major Joint with MCC	23	$258,862	+87%	$29,587
070 Other Cerebrovascular Disorders with MCC	22	$151,814	+100%	$17,037
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	22	$80,581	+117%	$8,723
100 Seizures with MCC	21	$143,789	+52%	$20,242
281 Acute Myocardial Infarction, Discharged Alive with CC	21	$96,200	+91%	$10,146
083 Traumatic Stupor and Coma >1 Hour with CC	20	$147,776	+102%	$14,786
321 Percutaneous Cardiovascular Procedures with Intraluminal...	19	$399,972	+144%	$32,353
432 Cirrhosis and Alcoholic Hepatitis with MCC	19	$163,152	+71%	$21,384
207 Respiratory System Diagnosis with Ventilator Support >96...	18	$545,393	+86%	$66,194
389 Gastrointestinal Obstruction with CC	18	$77,372	+99%	$8,772
004 Tracheostomy with MV >96 Hours or Principal Diagnosis except...	17	$1,130,749	+84%	$130,415
101 Seizures without MCC	17	$79,754	+64%	$9,944
314 Other Circulatory System Diagnoses with MCC	17	$212,421	+124%	$22,185
322 Percutaneous Cardiovascular Procedures with Intraluminal...	17	$259,341	+126%	$21,676
552 Medical Back Problems without MCC	17	$107,710	+120%	$12,178
308 Cardiac Arrhythmia and Conduction Disorders with MCC	16	$155,290	+174%	$12,795
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	16	$77,476	+93%	$8,751
441 Disorders of Liver except Malignancy, Cirrhosis or Alcoholic...	16	$134,154	+56%	$18,269
071 Other Cerebrovascular Disorders with CC	15	$173,617	+244%	$14,672
180 Respiratory Neoplasms with MCC	15	$173,716	+98%	$18,783
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	15	$107,118	+76%	$13,896
252 Other Vascular Procedures with MCC	14	$225,405	+32%	$35,823
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	14	$156,408	+53%	$22,642
393 Other Digestive System Diagnoses with MCC	13	$163,339	+113%	$19,001
812 Red Blood Cell Disorders without MCC	13	$111,709	+152%	$10,065
854 Infectious and Parasitic Diseases with O.R. Procedures with...	13	$188,309	+92%	$21,905
069 Transient Ischemia without Thrombolytic	12	$91,089	+81%	$8,877
274 Percutaneous and Other Intracardiac Procedures without MCC	12	$184,495	+18%	$34,032
643 Endocrine Disorders with MCC	12	$144,081	+94%	$16,664
673 Other Kidney and Urinary Tract Procedures with MCC	12	$238,014	+37%	$39,385
003 ECMO or Tracheostomy with MV >96 Hours or Principal...	11	$1,667,423	+58%	$208,458
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	11	$106,867	+64%	$14,623
194 Simple Pneumonia and Pleurisy with CC	11	$76,815	+100%	$9,335

Showing the 60 most frequent of 63 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	384	$53,548	$3,332
Level 1 Intraocular Procedures	200	$44,542	$2,831
Level 1 Endovascular Procedures	75	$89,422	$4,013
Level 2 Intraocular Procedures	73	$51,192	$4,999
Level 5 Musculoskeletal Procedures	68	$87,250	$15,947
Level 2 Upper GI Procedures	64	$27,298	$2,339
Level 2 Excision/ Biopsy/ Incision and Drainage	54	$19,226	$1,975
Level 3 Vascular Procedures	52	$32,132	$3,802
Level 4 Musculoskeletal Procedures	37	$66,143	$8,792
Level 1 Laparoscopy and Related Services	37	$58,715	$7,094
Level 4 Vascular Procedures	35	$47,972	$6,756
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	31	$40,622	$4,254
Level 2 Endovascular Procedures	29	$87,963	$7,027
Level 3 Musculoskeletal Procedures	28	$49,112	$3,980
Level 2 Breast/Lymphatic Surgery and Related Procedures	25	$66,722	$8,017
Level 5 Urology and Related Services	25	$42,502	$6,362
Level 4 Urology and Related Services	24	$37,664	$4,161
Level 3 Excision/ Biopsy/ Incision and Drainage	23	$31,762	$3,494
Level 3 Endovascular Procedures	21	$156,311	$13,503
Level 3 Intraocular Procedures	20	$61,350	$6,426
Level 3 Electrophysiologic Procedures	19	$207,502	$29,114
Level 2 Vascular Procedures	15	$15,607	$1,838
Level 1 Breast/Lymphatic Surgery and Related Procedures	14	$37,062	$4,468
Level 4 Airway Endoscopy	14	$69,840	$4,604
Level 4 Gynecologic Procedures	14	$33,408	$3,844

Against the California average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Pomona Valley Hospital Medical Center charged $176,011 on average, 23% more than the California average of $143,063, and was paid $20,299 against a state average of $23,020. For Heart Failure and Shock with MCC (DRG 291), Pomona Valley Hospital Medical Center charged $98,727 on average, 2% less than the California average of $100,739, and was paid $13,612 against a state average of $15,556. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Pomona Valley Hospital Medical Center charged $130,658 on average, 5% more than the California average of $123,896, and was paid $17,055 against a state average of $19,122. For Infectious and Parasitic Diseases with O.R. Procedures with MCC (DRG 853), Pomona Valley Hospital Medical Center charged $527,915 on average, 41% more than the California average of $375,466, and was paid $52,764 against a state average of $62,077. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $53,548 was 29% above the state average of $41,628. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $44,542 was 112% above the state average of $20,986. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $89,422 was 121% above the state average of $40,544. For Level 2 Intraocular Procedures (outpatient APC 5492), its average charge of $51,192 was 27% above the state average of $40,214.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Pomona Valley Hospital Medical Center in Pomona, CA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

Warning Notice — 2024-10-31 (CMS case 2854)
CAP Request — 2025-02-13 (CMS case 2854)
Closure Notice — 2025-04-01 (CMS case 2854)

A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.

Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.

Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.