CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: San Gabriel Valley Medical Center

Billing Code: 99214 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 99214
  • Insurance Median: $376
  • Cash Discount Price: $197
  • vs. Medicare Baseline: 2.77x Medicare
The contracted insurance negotiated median rate for a Office visit, established patient (30-39 min) at San Gabriel Valley Medical Center is $376. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $197. Compared to the federal Medicare reimbursement reference rate of $135.6, this hospital’s rate is 2.77x the Medicare baseline. Located in 438 W Las Tunas Drive, San Gabriel, CA.
Cash / Self-Pay
$197

Average discount available for prompt cash payment at this facility.

Insurance Median
$376

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$135.6

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $135.6 (100%)
Cash / Self-Pay: $197 (145%)
Insurance Median: $376 (277%)
Cash: $197 (145% of Medicare)
Ins. Median: $376 (277% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $135.6 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 277% of the Medicare baseline (a markup of 177%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Allied Physicians $30 22%
Emanate Health $30 22%
Ahmc Medi-Cal Reciprocity $38 28%
Altamed Health Network $38 28%
Beverly Hospital $38 28%
Brand New Day $38 - $889 28%
Healthnet Medi-Cal Non-Contract $38 28%
Non Contracting Medi Cal $38 28%
Aids Healthcare Foundation $43 - $592 32%
Avanti $43 32%
Healthy Way La $43 32%
Hollywood Presbyterian Adv Med Mcal $43 32%
Hollywood Presbyterian Medpoint Mcal $43 32%
La Care Health Plan $43 32%
Medicaid / KanCare $43 32%
Physicians Healthways $43 - $1,037 32%
Blue Cross Blue Shield $45 - $280 33%
Care 1St Health Plan $52 - $963 38%
Athens Administrators $90 66%
Beech Street $90 - $1,185 66%
Health Net $90 - $860 66%
Other Non Contracting Workers Comp $90 66%
Aetna $134 - $770 99%
Ahmc Reciprocity $161 - $444 119%
Pacificare Of California $176 - $484 130%
UnitedHealthcare $177 - $740 131%
Alignment Healthplan $188 - $518 139%
Clever Care $188 - $518 139%
Health Net Inc $207 - $570 153%
Molina Healthcare Of California $209 - $578 154%
Pacific Independent Physician Associates $215 - $592 159%
Facey Medical $268 - $740 198%
Cigna $274 - $755 202%
Central Health Plan $322 - $889 237%
Community Care Network $349 - $963 257%
Choicecare Network $376 - $1,037 277%
Private Healthcare Systems (Phcs) $376 - $1,037 277%
Affiliated Health Fund $403 - $1,111 297%
Private Pay $437 - $1,206 322%
Multiplan $483 - $1,333 356%
Ppo Next $483 - $1,333 356%
Managed Health Network $537 - $1,481 396%
Medi-Cal Sub Acute $537 - $1,481 396%
One Legacy $537 - $1,481 396%
Other Non Contracted Commercial $537 - $1,481 396%
Us Behavioral Health Plan $537 - $1,481 396%
Blue Shield Of California $658 485%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

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