San Gorgonio Memorial Hospital
600 North Highland Springs Avenue, Banning, CA 92220 · Acute care hospital · Emergency room
These are San Gorgonio Memorial Hospital's own posted figures from its standard-charges file dated May 20, 2026. They are not a quote. Source: the hospital's file · its price transparency page.
169 of the services we track have a posted price here; 142 of them have a discounted cash price. Tap a service to compare it with nearby hospitals. How to read these numbers.
Emergency room
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Critical care, first 30 to 74 minutes CPT 99291 | $2,018.61 | $10,093.04 | $649.00 – $3,171.60 |
| Emergency room visit, level 1 (minor) CPT 99281 | $61.89 | $309.47 | $97.00 – $649.00 |
| Emergency room visit, level 2 CPT 99282 | $149.25 | $746.24 | $97.00 – $649.00 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $236.62 | $1,183.09 | $229.00 – $1,048.11 |
| Emergency room visit, level 4 CPT 99284 | $660.85 | $3,304.26 | $507.34 – $2,095.00 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $1,038.53 | $5,192.66 | $649.00 – $3,108.00 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | $243.52 | $1,217.61 | $243.95 – $1,208.00 |
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Abdominal X-ray, 1 view CPT 74018 | $121.53 | $607.65 | $105.81 – $334.14 |
| Ankle X-ray, 3 or more views CPT 73610 | $121.53 | $607.65 | $105.81 – $334.14 |
| Breast ultrasound, one breast, complete CPT 76641 | $272.63 | $1,363.16 | $127.11 – $401.40 |
| Breast ultrasound, one breast, limited CPT 76642 | $190.00 | $950.00 | $105.81 – $334.14 |
| Chest X-ray, 1 view CPT 71045 | $121.53 | $607.65 | $26.99 – $334.14 |
| Chest X-ray, 2 views CPT 71046 | $121.53 | $607.65 | $105.81 – $334.14 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $1,162.96 | $5,814.82 | $213.26 – $931.00 |
| CT angiogram of the head CPT 70496 | $1,162.96 | $5,814.82 | $213.26 – $931.00 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $2,397.55 | $11,987.74 | $225.00 – $1,339.53 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $2,397.55 | $11,987.74 | $225.00 – $1,339.53 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $1,498.12 | $7,490.61 | $225.00 – $931.00 |
| CT scan of the abdomen, without contrast CPT 74150 | $708.84 | $3,544.22 | $127.11 – $931.00 |
| CT scan of the chest, with contrast CPT 71260 | $1,162.96 | $5,814.82 | $213.26 – $931.00 |
| CT scan of the chest, without contrast CPT 71250 | $708.84 | $3,544.22 | $127.11 – $931.00 |
| CT scan of the head, without contrast CPT 70450 | $811.89 | $4,059.43 | $127.11 – $931.00 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $708.84 | $3,544.22 | $127.11 – $931.00 |
| CT scan of the pelvis, with contrast CPT 72193 | $1,162.96 | $5,814.82 | $213.26 – $931.00 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $708.84 | $3,544.22 | $127.11 – $931.00 |
| Diagnostic mammogram, both breasts CPT 77066 | $136.95 | $684.74 | $45.45 – $210.21 |
| Diagnostic mammogram, one breast CPT 77065 | $83.83 | $419.15 | $36.96 – $164.20 |
| Foot X-ray, 3 or more views CPT 73630 | $121.53 | $607.65 | $105.81 – $334.14 |
| Hand X-ray, 3 or more views CPT 73130 | $121.53 | $607.65 | $105.81 – $334.14 |
| Knee X-ray, 3 views CPT 73562 | $121.53 | $607.65 | $105.81 – $334.14 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $576.20 | $2,881.01 | $290.11 – $916.14 |
| Leg or arm vein ultrasound, one side CPT 93971 | $272.63 | $1,363.16 | $127.11 – $401.40 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $163.58 | $817.90 | $127.11 – $401.40 |
| MRI of the abdomen, without and with contrast CPT 74183 | $1,383.20 | $6,916.01 | $354.00 – $1,339.53 |
| MRI of the brain, without and with contrast CPT 70553 | $1,383.20 | $6,916.01 | $300.00 – $1,339.53 |
| MRI of the brain, without contrast CPT 70551 | $864.30 | $4,321.50 | $290.11 – $916.14 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $864.30 | $4,321.50 | $290.11 – $916.14 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $864.30 | $4,321.50 | $290.11 – $916.14 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $864.30 | $4,321.50 | $290.11 – $916.14 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $821.74 | $4,108.70 | $290.11 – $916.14 |
| MRI of the pelvis, without and with contrast CPT 72197 | $1,383.20 | $6,916.01 | $354.00 – $1,339.53 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $864.30 | $4,321.50 | $290.11 – $916.14 |
| Neck X-ray, 2 or 3 views CPT 72040 | $121.53 | $607.65 | $105.81 – $334.14 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $272.63 | $1,363.16 | $127.11 – $401.40 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $272.63 | $1,363.16 | $125.45 – $401.40 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $263.41 | $1,317.06 | $67.15 – $401.40 |
| Screening mammogram, both breasts CPT 77067 | $12.42 | $62.10 | $34.37 – $173.61 |
| Shoulder X-ray, 2 or more views CPT 73030 | $161.33 | $806.64 | $105.81 – $334.14 |
| Transvaginal pregnancy ultrasound CPT 76817 | $272.63 | $1,363.16 | $127.11 – $401.40 |
| Transvaginal ultrasound CPT 76830 | $272.63 | $1,363.16 | $127.11 – $401.40 |
| Ultrasound of the abdomen, complete CPT 76700 | $272.63 | $1,363.16 | $127.11 – $401.40 |
| Ultrasound of the neck or thyroid CPT 76536 | $272.63 | $1,363.16 | $87.08 – $401.40 |
| Wrist X-ray, 3 or more views CPT 73110 | $243.52 | $1,217.61 | $105.81 – $649.00 |
| X-ray of the lower back, 4 or more views CPT 72110 | $163.58 | $817.90 | $127.11 – $401.40 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Blood culture CPT 87040 | $42.18 | $210.88 | $9.80 – $210.88 |
| Blood draw (venipuncture) CPT 36415 | $2,613.76 | $13,068.80 | $4.58 – $28.02 |
| BNP test (heart failure) CPT 83880 | $27.08 | $135.40 | $37.30 – $135.40 |
| C-reactive protein (CRP) test CPT 86140 | $16.11 | $80.55 | $4.92 – $80.55 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $34.36 | $171.81 | $33.34 – $171.81 |
| Complete blood count (CBC) with differential CPT 85025 | $12.12 | $60.62 | $7.38 – $60.62 |
| Complete blood count (CBC), automated CPT 85027 | $6.48 | $32.41 | $6.15 – $32.41 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $52.33 | $261.64 | $10.03 – $261.64 |
| COVID-19 PCR test CPT 87635 | $122.81 | $614.05 | $48.74 – $614.05 |
| D-dimer test (blood clots) CPT 85379 | $15.33 | $76.66 | $9.67 – $76.66 |
| Drug screen, instrument chemistry CPT 80307 | $37.30 | $186.50 | $59.03 – $186.50 |
| Ferritin (iron stores) test CPT 82728 | $21.83 | $109.14 | $12.95 – $109.14 |
| Free T4 (thyroid) test CPT 84439 | $16.10 | $80.50 | $8.57 – $80.50 |
| Glucose (blood sugar) test CPT 82947 | $9.26 | $46.29 | $3.73 – $46.29 |
| Hemoglobin A1c test CPT 83036 | $16.11 | $80.55 | $9.22 – $80.55 |
| Hepatitis C antibody test CPT 86803 | $9.17 | $45.86 | $13.56 – $45.86 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | $22.00 | $110.00 | $22.88 – $110.00 |
| Iron test CPT 83540 | $48.65 | $243.24 | $6.15 – $243.24 |
| Lipase test (pancreas) CPT 83690 | $16.04 | $80.18 | $6.55 – $80.18 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $40.02 | $200.11 | $12.72 – $200.11 |
| Liver function panel CPT 80076 | $16.78 | $83.92 | $7.76 – $83.92 |
| Magnesium test CPT 83735 | $16.55 | $82.76 | $6.36 – $82.76 |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $13.78 | $68.88 | $5.71 – $68.88 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $22.66 | $113.30 | $14.30 – $113.30 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $11.14 | $55.68 | $4.08 – $55.68 |
| PSA (prostate specific antigen), total CPT 84153 | $18.45 | $92.24 | $17.47 – $92.24 |
| TB skin test CPT 86580 | $349.56 | $1,747.81 | $15.22 – $1,747.81 |
| Thyroid stimulating hormone (TSH) CPT 84443 | $127.55 | $637.77 | $15.96 – $637.77 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $58.96 | $294.78 | $28.86 – $294.78 |
| Troponin test (heart damage) CPT 84484 | $74.16 | $370.80 | $11.85 – $370.80 |
| Urinalysis, automated, with microscope CPT 81001 | $15.28 | $76.39 | $3.01 – $76.39 |
| Urinalysis, automated, without microscope CPT 81003 | $5.07 | $25.36 | $2.14 – $25.36 |
| Urinalysis, manual, with microscope CPT 81000 | $2.23 | $11.13 | $3.82 – $12.06 |
| Urinalysis, manual, without microscope CPT 81002 | $16.11 | $80.55 | $3.31 – $80.55 |
| Urine culture, colony count CPT 87086 | $11.67 | $58.34 | $7.67 – $58.34 |
| Urine pregnancy test CPT 81025 | $26.62 | $133.10 | $8.18 – $133.10 |
| Vitamin B12 test CPT 82607 | $15.73 | $78.66 | $14.33 – $78.66 |
| Vitamin D test CPT 82306 | $8.05 | $40.26 | $28.12 – $88.80 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $576.20 | $2,881.01 | $290.11 – $916.14 |
| ECG tracing only (no interpretation) CPT 93005 | $556.23 | $2,781.15 | $33.72 – $226.50 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $1,028.50 | $5,142.49 | $664.37 – $2,098.02 |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $1,963.42 | $9,817.10 | $1,574.12 – $4,970.91 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Appendix removal, laparoscopic CPT 44970 | $2,613.76 | $13,068.80 | $1,611.00 – $23,212.38 |
| Breast biopsy with ultrasound guidance CPT 19083 | $3,523.38 | $17,616.91 | $1,208.00 – $6,341.46 |
| Colonoscopy, diagnostic CPT 45378 | $768.66 | $3,843.30 | $873.00 – $3,570.66 |
| Colposcopy with biopsy CPT 57454 | $832.70 | $4,163.49 | $370.51 – $1,208.00 |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | $795.58 | $3,977.89 | $873.00 – $3,570.66 |
| Gallbladder removal, laparoscopic CPT 47562 | $2,662.41 | $13,312.03 | $4,294.00 – $23,212.38 |
| Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571 | $6,946.71 | $34,733.55 | $2,818.00 – $40,814.25 |
| Hysteroscopy with biopsy or polyp removal CPT 58558 | $1,085.64 | $5,428.19 | $1,208.00 – $12,429.24 |
| Inguinal (groin) hernia repair, laparoscopic CPT 49650 | $3,747.79 | $18,738.95 | $2,080.00 – $23,212.38 |
| Inguinal (groin) hernia repair, open, age 5 or older CPT 49505 | $1,568.24 | $7,841.18 | $2,080.00 – $13,747.29 |
| Removal of a breast lump, open surgery CPT 19120 | $1,366.74 | $6,833.69 | $1,611.00 – $15,033.66 |
| Total hip replacement CPT 27130 | $5,475.49 | $27,377.47 | $2,415.00 – $49,295.34 |
| Total knee replacement CPT 27447 | $5,750.33 | $28,751.66 | $4,294.00 – $49,295.34 |
| Upper endoscopy (EGD) with biopsy CPT 43239 | $1,139.61 | $5,698.07 | $1,102.77 – $3,482.43 |
| Upper endoscopy (EGD), diagnostic CPT 43235 | $422.87 | $2,114.33 | $1,102.77 – $3,482.43 |
Pregnancy and birth
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Fetal non-stress test CPT 59025 | $118.43 | $592.13 | $83.00 – $873.00 |
| IUD insertion CPT 58300 | $861.21 | $4,306.04 |
Hospital stays
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Alcohol or drug use disorder, without rehab, without major complications MS-DRG 897 | not posted | $840.00 – $19,825.78 | |
| C-section, without complications MS-DRG 788 | not posted | $840.00 – $21,297.70 | |
| Chest pain MS-DRG 313 | not posted | $840.00 – $16,672.78 | |
| COPD flare-up, with major complications MS-DRG 190 | not posted | $840.00 – $24,181.48 | |
| COPD flare-up, without complications MS-DRG 192 | not posted | $840.00 – $15,162.16 | |
| Fainting (syncope) MS-DRG 312 | not posted | $840.00 – $19,608.90 | |
| Gastrointestinal bleeding, with complications MS-DRG 378 | not posted | $840.00 – $21,721.84 | |
| Heart failure, with major complications MS-DRG 291 | not posted | $840.00 – $27,592.06 | |
| Heart failure, without complications MS-DRG 293 | not posted | $840.00 – $13,690.26 | |
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 | not posted | $840.00 – $40,085.84 | |
| Irregular heartbeat, without complications MS-DRG 310 | not posted | $840.00 – $13,692.20 | |
| Kidney failure, with complications MS-DRG 683 | not posted | $840.00 – $19,690.24 | |
| Kidney or urinary tract infection, without major complications MS-DRG 690 | not posted | $840.00 – $18,406.18 | |
| Normal newborn care MS-DRG 795 | not posted | $840.00 – $6,598.02 | |
| Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641 | not posted | $840.00 – $17,800.00 | |
| Pneumonia, with complications MS-DRG 194 | not posted | $840.00 – $18,336.46 | |
| Pneumonia, with major complications MS-DRG 193 | not posted | $840.00 – $28,184.68 | |
| Pneumonia, without complications MS-DRG 195 | not posted | $840.00 – $14,900.68 | |
| Psychoses (inpatient psychiatric stay) MS-DRG 885 | not posted | $840.00 – $29,780.54 | |
| Sepsis, with major complications MS-DRG 871 | not posted | $840.00 – $40,349.22 | |
| Sepsis, without major complications MS-DRG 872 | not posted | $840.00 – $22,546.88 | |
| Skin infection (cellulitis), without major complications MS-DRG 603 | not posted | $840.00 – $19,595.30 | |
| Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392 | not posted | $840.00 – $17,827.08 | |
| Stroke, with complications or clot-busting drug MS-DRG 65 | not posted | $840.00 – $22,295.12 | |
| Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743 | not posted | $840.00 – $26,757.32 | |
| Vaginal delivery, without complications MS-DRG 807 | not posted | $840.00 – $15,785.78 | |
| Weight loss surgery, without complications MS-DRG 621 | not posted | $840.00 – $31,941.90 |
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Large joint injection or drainage (knee, shoulder, hip) CPT 20610 | $252.05 | $1,260.23 | $373.22 – $1,611.00 |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | $1,027.95 | $5,139.73 | $858.26 – $2,710.29 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $32.48 | $162.38 | $32.08 – $829.05 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $89.42 | $447.10 | $27.72 – $165.00 |
| Physical therapy evaluation, low complexity CPT 97161 | $139.26 | $696.32 | $98.01 – $309.51 |
| Physical therapy evaluation, moderate complexity CPT 97162 | $132.62 | $663.09 | $98.01 – $309.51 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $80.86 | $404.32 | $29.07 – $165.00 |
| Therapeutic activities, 15 minutes CPT 97530 | $46.28 | $231.38 | $35.35 – $165.00 |
Mental health
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Family psychotherapy, with the patient, 50 minutes CPT 90847 | $32.53 | $162.66 | $215.81 – $884.00 |
| Family psychotherapy, without the patient, 50 minutes CPT 90846 | $32.53 | $162.66 | $215.81 – $884.00 |
| Group psychotherapy CPT 90853 | $192.51 | $962.55 | $123.52 – $390.06 |
| Psychiatric diagnostic evaluation CPT 90791 | $33.51 | $167.53 | $215.81 – $681.51 |
| Psychotherapy, 30 minutes CPT 90832 | $32.53 | $162.66 | $215.81 – $884.00 |
| Psychotherapy, 45 minutes CPT 90834 | $32.53 | $162.66 | $215.81 – $884.00 |
| Psychotherapy, 60 minutes CPT 90837 | $33.51 | $167.53 | $215.81 – $884.00 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $165.71 | $828.54 | $87.54 – $649.00 |
| IV hydration, each additional hour CPT 96361 | $931.40 | $4,657.00 | $56.93 – $179.79 |
| IV hydration, first hour CPT 96360 | $84.89 | $424.43 | $258.62 – $816.69 |
| IV push injection of a drug, first CPT 96374 | $108.01 | $540.07 | $258.62 – $816.69 |
| IV push injection, each additional drug CPT 96375 | $333.17 | $1,665.87 | $56.93 – $649.00 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696 | $160.18 | $800.88 | ? – $7.42 |
| Dexamethasone injection, per 1 mg HCPCS J1100 | $9.65 | $48.25 | |
| Fentanyl injection, per 0.1 mg HCPCS J3010 | $5,788.64 | $28,943.18 | |
| Hydromorphone (Dilaudid) injection, up to 4 mg HCPCS J1170 | $11.24 | $56.21 | |
| Ketorolac (Toradol) injection, per 15 mg HCPCS J1885 | $17.72 | $88.59 | ? – $4.55 |
| Midazolam (Versed) injection, per 1 mg HCPCS J2250 | $155.88 | $779.39 | |
| Morphine injection, up to 10 mg HCPCS J2270 | $47.81 | $239.04 | ? – $4.84 |
| Ondansetron (Zofran) injection, per 1 mg HCPCS J2405 | $8.26 | $41.29 | ? – $3.05 |
| Propofol injection, per 10 mg HCPCS J2704 | $70.15 | $350.74 |
Cash price: the hospital's posted discounted price for people paying themselves. Gross charge: its list price before any discount. Insurer rates: the lowest and highest rates it says it negotiated with any insurer. When the file lists a service on several rows, this page shows one (the facility row for the usual setting); the service's own page lists every row.