CMS Price Transparency Data

Ultrasound, pelvis

Facility: San Gabriel Valley Medical Center

Billing Code: 76856 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$139
about 1.3× the $107 Medicare rate · typically $130–$173
modeled estimate · not a bill or quote
What this hospital charges insurers
$169
Above the fair price
about $30 over the fair price · 1.6× Medicare
Medicare pays $107 Fair price $139 This hospital $169 Cash price $304 Hospital's list price $1,012

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 $169

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

A fair price for a Ultrasound, pelvis is about $139 (about 1.3× the $107 Medicare rate). San Gabriel Valley Medical Center charges insurers about $169, or about $304 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 $139. 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $118 - $425 110%
Blue Cross Blue Shieldmajor $21 - $655 20%
Aetnamajor $132 - $195 124%
Cignamajor $241 226%
Humanamajor $132 124%
Health Net $68 - $1,462 64%
Molina $132 - $570 124%
Presbyterian $97 91%
WellCare $132 124%
+ 31 smaller / regional plans $68 - $1,462
Government programs also on file: Medicare, 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