Office visit, established patient (30-39 min)
Facility: San Gabriel Valley Medical Center
Billing Code: 99214 (CPT)
Highest price of the 9 CA hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.
A fair price for a Office visit, established patient (30-39 min) is about $145 (about 1.1× the $136 Medicare rate). San Gabriel Valley Medical Center charges insurers about $241, or about $197 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 $145. 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
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 | $147 - $740 | 108% |
| Blue Cross Blue Shieldmajor | $45 - $658 | 33% |
| Aetnamajor | $118 - $770 | 87% |
| Cignamajor | $241 - $755 | 178% |
| Health Net | $38 - $1,481 | 28% |
| Molina | $184 - $578 | 136% |
| Presbyterian | $43 | 32% |
| + 23 smaller / regional plans | $30 - $1,481 |
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.
Other Procedures at San Gabriel Valley Medical Center
Compare: Office visit, established patient (30-39 min) at other CA hospitals
- Tri-City Medical Center · Oceanside $38
- Mountains Community Hospital · Lake Arrowhead $38
- Uc San Diego Health Hillcrest - Hillcrest Med Ctr · San Diego $43
- Plumas District Hospital · Quincy $46
- Paradise Valley Hospital · National City $54
- Saint Francis Medical Center · Lynwood $54
- Encino Hospital Medical Center · Encino $54
- La Palma Intercommunity Hospital · La Palma $54
Insurance negotiated median for the same procedure, sorted lowest first.