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Montclair Hospital Medical Center

5000 San Bernardino Road, Montclair, CA 91763 · (909) 625-8300

Acute Care HospitalsVoluntary non-profit - PrivateCMS rating 3/5Riverside, CA metroWebsite ↗

Price file

Prices published

File dated 2026-09-01

2,265 price rows for 43 procedures

Published prices

cash · negotiated range · list
Basic metabolic panel (blood test)

CPT 80048 · metro median $185

$8
cash
CT scan of the abdomen and pelvis, with contrast

CPT 74177 · metro median $3,180

$446
cash
CT scan of the head, no contrast

CPT 70450 · metro median $2,288

$133
cash
CT scan of the pelvis, with contrast

CPT 72193 · metro median $2,331

$224
cash
Cesarean section hospital stay, no complications

MS-DRG 788 · metro median $9,864

$9,864
cash
Chlamydia test (DNA)

CPT 87491 · metro median $33

$35
cash
Colonoscopy (diagnostic)

CPT 45378 · lowest of 4 lines · metro median $2,080

$1,190
cash
Colonoscopy with biopsy

CPT 45380 · lowest of 2 lines · metro median $2,080

$1,531
cash
Colonoscopy with polyp removal

CPT 45385 · lowest of 2 lines · metro median $2,288

$1,531
cash
$7
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · metro median $73

$10
cash
Diagnostic mammogram (both breasts)

CPT 77066 · metro median $298

$121
cash
Gallbladder removal (laparoscopic)

CPT 47562 · metro median $12,938

$7,737
cash
Gonorrhea test (DNA)

CPT 87591 · metro median $26

$35
cash
Hip or knee replacement, no major complications

MS-DRG 470 · metro median $19,498

$19,211
cash
$8,138
cash
$12,580
cash
Inguinal hernia repair (age 5 and up)

CPT 49505 · metro median $4,582

$4,582
cash
Left heart catheterization

CPT 93452 · metro median $6,226

$4,149
cash
Lipid panel (cholesterol test)

CPT 80061 · metro median $39

$13
cash
Liver function panel

CPT 80076 · metro median $151

$8
cash
MRI of the brain, with and without contrast

CPT 70553 · metro median $3,068

$446
cash
$305
cash
$305
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · metro median $2,444

$305
cash
Neck (cervical) spinal fusion, no complications

MS-DRG 473 · metro median $24,595

$24,148
cash
PSA test (prostate)

CPT 84153 · metro median $14

$18
cash
$6
cash
Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 4 lines · metro median $108

$30
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · metro median $728

$133
cash
Prothrombin time (blood clotting test)

CPT 85610 · metro median $29

$4
cash
Removal of a breast lump (biopsy by excision)

CPT 19120 · metro median $5,011

$5,011
cash
Screening mammogram (both breasts)

CPT 77067 · metro median $187

$99
cash
—
cash
TSH test (thyroid)

CPT 84443 · metro median $24

$16
cash
Transvaginal ultrasound

CPT 76830 · metro median $515

$133
cash
Ultrasound of the abdomen (complete)

CPT 76700 · metro median $1,191

$133
cash
Upper endoscopy (EGD)

CPT 43235 · lowest of 2 lines · metro median $1,872

$1,160
cash
Upper endoscopy with biopsy

CPT 43239 · lowest of 2 lines · metro median $1,768

$1,160
cash
Urinalysis with microscope

CPT 81001 · metro median $61

$3
cash
Vaginal delivery hospital stay, no complications

MS-DRG 807 · metro median $7,122

$7,122
cash
—
cash
X-ray of the lower spine (4 or more views)

CPT 72110 · metro median $455

$133
cash

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.