CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: San Gabriel Valley Medical Center

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$115
about 1.0× the $118 Medicare rate · typically $85–$178
modeled estimate · not a bill or quote
What this hospital charges insurers
$184
Above the fair price
about $69 over the fair price · 1.6× Medicare
Medicare pays $118 Fair price $115 This hospital $184 Cash price $216 Hospital's list price $720

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $34 Priciest $184

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

A fair price for a New patient office visit (30-44 min) is about $115 (about 1.0× the $118 Medicare rate). San Gabriel Valley Medical Center charges insurers about $184, or about $216 in cash — above the fair price. Located in San Gabriel, CA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $115. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $127 - $412 108%
Blue Cross Blue Shieldmajor $62 - $156 53%
Aetnamajor $92 - $429 78%
Cignamajor $188 - $421 160%
Health Net $57 - $825 48%
Molina $144 - $322 122%
Presbyterian $66 56%
+ 23 smaller / regional plans $46 - $825
Government programs also on file: Medicaid, Military & VA.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 438 W Las Tunas Drive, San Gabriel, CA 91776
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals