How many shoppable procedure prices are published for Greater El Monte Community Hospital?

Greater El Monte Community Hospital in South El Monte, CA currently has 85 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Greater El Monte Community Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Greater El Monte Community Hospital's median negotiated commercial rate is 1.2× the regionally adjusted fair BaseRate benchmark.

What is Greater El Monte Community Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Greater El Monte Community Hospital an overall hospital quality rating of 2 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 104 Beds · urban Updated: 2026-03-03

Greater El Monte Community Hospital

1701 Santa Anita Ave, South El Monte, CA 91733 · 85 Priced Procedures · 66% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

Above Fair Market · Negotiate

1.19×vs. Fair Market Price

Typical commercial prices here are +19% above the fair benchmark (1.19×) even after accounting for local nurse/doctor wages and patient complexity.

61/100 · Caution

61/100Self-Pay Cash Beats Insurance 16% of the Time

File Completeness51

Price Logic72

Peer Alignment69

Clean Billing92

Real Cash Discount13

Regional Value Leader

3-Star CMS clinical quality rating paired with 1.19× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Greater El Monte Community Hospital prices shoppable and inpatient services (1.6× to 1.3× Medicare, divergence 0.81×) in alignment with regional hospital peers (1.19× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#144 of 240 in CA · 59th State Percentile#1,965 of 3,385 in U.S. · 58th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.02× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 16% of shoppable procedures (25/100 Cash Honesty)
2-Star CMS clinical rating with 66% patient recommendation (66/100 safety score)
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 2.0× markup over Medicare rates
Commercial insurance median sits at 1.21× Fair BaseRate (1.6× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.46×) jump +21% above the median procedure ratio (Q50 1.21×)
Unnegotiated chargemaster list prices average 10.7× Medicare (15¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.6× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.81× Divergence

1.3× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+21% Upper Tail

Q25 1.02× · Q50 1.21× · Q75 1.46×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.6× MedicareGood

Outpatient Surgery & ORBack-Door Captive

2.0× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.2× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

2.3× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

1.3× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.7× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

16% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 66/100Fair

Procedure Prices at Greater El Monte Community Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 85 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$22,166	$19,087	1.2×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$21,812	$19,432	1.1×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$20,011	$17,936	1.1×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$9,411	$8,223	1.1×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,839	$801	$583	1.4×
Blood transfusion CPT Code: `36430`	$1,200	$624	$498	1.3×
MRI, brain (with and without contrast) CPT Code: `70553`	$5,532	$561	$511	1.1×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$2,199	$510	$272	1.9×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$4,967	$450	$448	1.0×
MRI, brain (no contrast) CPT Code: `70551`	$5,783	$408	$343	1.2×
MRI, lower back (no contrast) CPT Code: `72148`	$5,881	$388	$338	1.1×
MRI, knee or other leg joint CPT Code: `73721`	$2,888	$386	$369	1.0×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,190	$356	$258	unverified
CT scan, sinuses CPT Code: `70486`	$2,398	$337	$166	unverified
CT scan, head (with contrast) CPT Code: `70460`	$2,020	$300	$242	1.2×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$4,846	$317	$303	1.0×
CT scan, head (no contrast) CPT Code: `70450`	$1,379	$282	$160	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$1,059	$264	$126	unverified
Ultrasound, pelvis CPT Code: `76856`	$1,112	$198	$130	1.5×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,367	$168	$134	1.3×
CT scan, pelvis CPT Code: `72192`	$2,467	$173	$163	1.1×
CT scan, chest (no contrast) CPT Code: `71250`	$3,136	$172	$167	1.0×
CT scan, neck (cervical spine) CPT Code: `72125`	$2,914	$172	$169	1.0×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$3,170	$168	$168	1.0×
X-ray, lower back CPT Code: `72110`	$692	$173	$112	unverified
Ultrasound, thyroid and neck CPT Code: `76536`	$1,045	$198	$132	unverified
Hepatitis B immune globulin HCPCS Code: `90371`	$1,042	$159	$151	1.1×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$502	$118	$64	1.8×
X-ray, pelvis CPT Code: `72170`	$435	$141	$110	1.3×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$975	$148	$148	1.0×
X-ray, chest (two views) CPT Code: `71046`	$526	$118	$93	1.3×
X-ray, hip CPT Code: `73502`	$538	$117	$93	1.3×
X-ray, chest (single view) CPT Code: `71045`	$308	$112	$92	1.2×
Screening mammogram (both breasts) CPT Code: `77067`	$435	$119	$123	1.0×
X-ray, neck (cervical spine) CPT Code: `72040`	$502	$123	$93	unverified
X-ray, shoulder CPT Code: `73030`	$441	$134	$92	unverified
X-ray, hand CPT Code: `73130`	$531	$141	$93	unverified
X-ray, ankle CPT Code: `73610`	$441	$120	$93	unverified
X-ray, foot CPT Code: `73630`	$441	$134	$92	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$186	$88	$86	1.0×
Hospital observation (per hour) HCPCS Code: `G0378`	$129	$81	$86	0.9×
Breathing treatment (nebulizer) CPT Code: `94640`	$145	$86	$201	0.4×
Typhoid vaccine HCPCS Code: `90675`	$1,745	$320	$347	0.9×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$327	$115	$111	1.0×
Occupational therapy (self-care training) CPT Code: `97535`	$185	$61	$38	1.6×
Physical therapy (functional capacity test) CPT Code: `97750`	$150	$60	$38	1.6×
Hepatitis B vaccine HCPCS Code: `90744`	$913	$58	$37	1.6×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$165	$61	$40	1.5×
Pneumonia vaccine injection HCPCS Code: `G0009`	$73	$60	$49	1.2×
Physical therapy (manual therapy) CPT Code: `97140`	$153	$41	$34	1.2×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$183	$55	$56	1.0×
Pneumococcal vaccine HCPCS Code: `90732`	$640	$61	$140	0.4×
Blood antibody screen CPT Code: `86850`	$144	$66	$46	unverified
Physical therapy (therapeutic exercise) CPT Code: `97110`	$198	$61	$35	unverified
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$204	$61	$38	unverified
Physical therapy (gait training) CPT Code: `97116`	$198	$61	$33	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$185	$7	$3	2.3×
Blood test, clotting time (PTT) CPT Code: `85730`	$105	$11	$6	1.8×
Culture, bacterial CPT Code: `87070`	$70	$14	$9	1.6×
Electrical stimulation therapy HCPCS Code: `G0283`	$130	$21	$14	1.5×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$262	$7	$5	1.4×
Blood test, glucose (blood sugar) CPT Code: `82947`	$102	$5	$4	1.3×
Blood test, complete blood count (CBC) CPT Code: `85025`	$271	$10	$8	1.3×
Blood test, basic metabolic panel CPT Code: `80048`	$693	$11	$9	1.2×
Blood test, creatinine (kidney) CPT Code: `82565`	$105	$6	$5	1.2×
Blood test, potassium CPT Code: `84132`	$96	$6	$5	1.2×
Blood test, sodium CPT Code: `84295`	$108	$6	$5	1.2×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$1,016	$13	$11	1.2×
Blood test, liver function panel CPT Code: `80076`	$375	$10	$9	1.1×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$23	$14	$14	1.0×
Blood test, calcium CPT Code: `82310`	$9	$5	$5	1.0×
Blood test, lipase CPT Code: `83690`	$98	$7	$7	1.0×
Blood test, hemoglobin CPT Code: `85018`	$37	$3	$3	1.0×
Culture, blood CPT Code: `87040`	$98	$11	$11	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$31	$20	$20	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$28	$17	$18	0.9×
Blood test, vitamin D CPT Code: `82306`	$30	$29	$31	0.9×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$16	$9	$10	0.9×
Blood test, magnesium CPT Code: `83735`	$10	$6	$7	0.9×
Blood test, amylase CPT Code: `82150`	$112	$5	$7	0.7×
Blood test, PSA (prostate screen) CPT Code: `84153`	$12	$11	$19	0.6×
Blood test, ferritin (iron stores) CPT Code: `82728`	$8	$8	$14	0.6×
Hepatitis C antibody test CPT Code: `86803`	$8	$8	$15	0.5×
Blood test, vitamin B12 CPT Code: `82607`	$8	$8	$16	0.5×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$114	$9	$4	unverified

Showing top 25 high-impact procedures of 85 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Greater El Monte Community Hospital (Zero PHI Required)

CMS CCN: 050738

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash Request Quote

Insurer Median $22,166

1. Amount on Your Bill or Quote ($) Pre-filled with Greater El Monte Community Hospital’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Greater El Monte Community Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$34,111 Above Fair BaseRate

Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)

Your bill ($53,198) is $34,111 above the denoised Fair BaseRate ($19,087) and 3.8× the $14,117 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Public IRS & CMS ownership records classify Greater El Monte Community Hospital as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Safety Composite66/100

Would Recommend66%

Rated 9 or 10 (HCAHPS)68%

Median ER Wait78 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionsame

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Greater El Monte Community Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2026-04-29·warning_notice
Warning Notice
Recorded
2024-06-17·administrative_or_closure
Closure Notice
Recorded
2024-02-16·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (176 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Value & Quality Leader

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Greater El Monte Community Hospital.

Price Index: 0.97× regional baseline

Quality: 57/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Sentara

-53.0%

UnitedHealthcare

+111.3%

Median Household Income$87,760U.S. Census ACS

Local Uninsured Share8.7%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 61/100 · Caution CMS CCN 050738

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 050738) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-03-03

Validated Rate Rows27,335 (CMS v3.0.0)

File Integrity DigestVerified · CCN 050738

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy