How many shoppable procedure prices are published for San Gabriel Valley Medical Center?

San Gabriel Valley Medical Center in San Gabriel, CA currently has 94 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do San Gabriel Valley Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, San Gabriel Valley Medical Center's median negotiated commercial rate is 1.1× the regionally adjusted fair BaseRate benchmark.

What is San Gabriel Valley Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns San Gabriel Valley Medical Center an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Proprietary 187 Beds · urban Updated: 2026-03-26

San Gabriel Valley Medical Center

438 W Las Tunas Drive, San Gabriel, CA 91776 · 94 Priced Procedures · 64% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Above Fair Market · Negotiate

1.12×vs. Fair Market Price

Typical commercial prices here are +12% above the fair benchmark (1.12×) even after accounting for local nurse/doctor wages and patient complexity.

79/100 · Corroborated

79/100Self-Pay Cash Beats Insurance 50% of the Time

File Completeness51

Price Logic84

Peer Alignment79

Clean Billing87

Real Cash Discount100

Regional Benchmark Tier

2-Star CMS clinical quality rating paired with 1.12× fair market pricing.

Behavioral Pricing FingerprintHigh Insurer Rate · Deep Cash Discount

Cash-Arbitrage Bifurcated Pricer

San Gabriel Valley Medical Center maintains elevated commercial insurance contracts (1.12× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 50% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.

#130 of 240 in CA · 53rd State Percentile#1,743 of 3,385 in U.S. · 51st National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.03× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 50% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 64% patient recommendation (61/100 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 1.8× markup over Medicare rates
Commercial insurance median sits at 1.12× Fair BaseRate (1.4× Medicare), so insured patients should always compare the self-pay cash price before paying.
Specialty infusion drugs (J-codes) average 1.4× Medicare — verify per-unit billing on itemized statements
Unnegotiated chargemaster list prices average 14.5× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.4× Medicare

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

Back-Door Captive & ER0.86× Divergence

1.2× Medicare

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

Quantile Tail Spread+10% Upper Tail

Q25 1.03× · Q50 1.12× · Q75 1.23×

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

1.4× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.8× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.5× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

2.0× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

0.9× MedicareGood

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

1.4× MedicareGood

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

50% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 61/100Elevated

Procedure Prices at San Gabriel Valley Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 94 published procedures.

Sort:

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`	—	$20,398	$19,087	1.1×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$20,259	$19,432	1.0×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$18,563	$17,936	1.0×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$8,510	$8,223	1.0×
Sleep study (overnight, in lab) CPT Code: `95810`	$1,596	$1,104	$1,021	1.1×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,530	$755	$583	1.3×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,787	$538	$511	1.1×
Hospital observation (per hour) HCPCS Code: `G0378`	$446	$499	$86	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,228	$442	$448	1.0×
MRI, lower back (no contrast) CPT Code: `72148`	$2,393	$384	$338	1.1×
MRI, brain (no contrast) CPT Code: `70551`	$2,393	$385	$343	1.1×
MRI, knee or other leg joint CPT Code: `73721`	$1,798	$385	$369	1.0×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$966	$350	$272	1.3×
CT scan, head (with contrast) CPT Code: `70460`	$1,334	$282	$242	1.2×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,334	$282	$258	1.1×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,454	$307	$303	1.0×
Psychotherapy session (60 minutes) CPT Code: `90837`	$327	$300	$181	unverified
Psychotherapy session (45 minutes) CPT Code: `90834`	$307	$245	$166	1.5×
Family therapy session CPT Code: `90847`	$232	$230	$173	1.3×
Psychiatric evaluation (first visit) CPT Code: `90791`	$195	$228	$185	1.2×
Office visit, established patient (30-39 min) CPT Code: `99214`	$197	$241	$123	unverified
New patient office visit (30-44 min) CPT Code: `99203`	$216	$184	$110	1.7×
Office visit, established patient (20-29 min) CPT Code: `99213`	$131	$155	$87	1.8×
Ultrasound, pelvis CPT Code: `76856`	$304	$169	$130	1.3×
Ultrasound, abdomen (limited) CPT Code: `76705`	$326	$153	$126	1.2×
Ultrasound, thyroid and neck CPT Code: `76536`	$280	$153	$132	1.2×
Ultrasound, abdomen (complete) CPT Code: `76700`	$339	$155	$134	1.2×
CT scan, pelvis CPT Code: `72192`	$1,025	$177	$163	1.1×
CT scan, head (no contrast) CPT Code: `70450`	$1,011	$170	$160	1.1×
CT scan, sinuses CPT Code: `70486`	$1,021	$169	$166	1.0×
CT scan, chest (no contrast) CPT Code: `71250`	$1,340	$169	$167	1.0×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,124	$169	$168	1.0×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,125	$169	$169	1.0×
X-ray, chest (two views) CPT Code: `71046`	$156	$140	$93	1.5×
Hepatitis B immune globulin HCPCS Code: `90371`	$951	$142	$151	0.9×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$160	$95	$64	1.5×
Speech therapy (language evaluation) CPT Code: `92507`	$166	$111	$86	1.3×
X-ray, hip CPT Code: `73502`	$129	$120	$93	1.3×
X-ray, chest (single view) CPT Code: `71045`	$164	$118	$92	1.3×
X-ray, hand CPT Code: `73130`	$120	$118	$93	1.3×
X-ray, neck (cervical spine) CPT Code: `72040`	$161	$116	$93	1.2×
X-ray, shoulder CPT Code: `73030`	$130	$113	$92	1.2×
X-ray, pelvis CPT Code: `72170`	$152	$134	$110	1.2×
X-ray, ankle CPT Code: `73610`	$123	$113	$93	1.2×
X-ray, lower back CPT Code: `72110`	$407	$134	$112	1.2×
X-ray, foot CPT Code: `73630`	$116	$110	$92	1.2×
Breathing treatment (nebulizer) CPT Code: `94640`	$43	$131	$201	0.7×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$78	$100	$111	0.9×
Culture, bacterial CPT Code: `87070`	$121	$121	$9	unverified
Pneumococcal vaccine HCPCS Code: `90732`	$101	$101	$140	unverified
Blood antibody screen CPT Code: `86850`	$77	$66	$46	1.4×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$70	$71	$56	1.3×
Flu vaccine injection HCPCS Code: `G0008`	$36	$60	$48	1.3×
Pneumonia vaccine injection HCPCS Code: `G0009`	$36	$60	$49	1.2×
Colorectal cancer screening HCPCS Code: `G0010`	$36	$60	$49	1.2×
Prosthetic fitting and training CPT Code: `97761`	$55	$54	$45	1.2×
Orthotic fitting and training CPT Code: `97760`	$55	$59	$51	1.2×
Occupational therapy (self-care training) CPT Code: `97535`	$63	$43	$38	1.1×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$108	$41	$38	1.1×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$43	$41	$39	1.1×
Physical therapy (functional capacity test) CPT Code: `97750`	$81	$38	$38	1.0×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$67	$39	$40	1.0×
Hepatitis B vaccine HCPCS Code: `90744`	$77	$36	$37	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$133	$4	$3	1.3×
Blood test, lipase CPT Code: `83690`	$91	$9	$7	1.3×
Physical therapy (manual therapy) CPT Code: `97140`	$77	$32	$34	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$94	$32	$35	0.9×
Blood test, glucose (blood sugar) CPT Code: `82947`	$116	$5	$4	1.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$80	$5	$4	1.3×
Blood test, complete blood count (CBC) CPT Code: `85025`	$74	$10	$8	1.3×
Blood test, creatinine (kidney) CPT Code: `82565`	$103	$6	$5	1.2×
Blood test, clotting time (PTT) CPT Code: `85730`	$7	$7	$6	1.2×
Blood test, amylase CPT Code: `82150`	$105	$8	$7	1.1×
Blood test, ferritin (iron stores) CPT Code: `82728`	$130	$16	$14	1.1×
Blood test, magnesium CPT Code: `83735`	$9	$8	$7	1.1×
Blood test, basic metabolic panel CPT Code: `80048`	$235	$10	$9	1.1×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$110	$11	$10	1.1×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$308	$12	$11	1.1×
Culture, blood CPT Code: `87040`	$216	$12	$11	1.1×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$152	$15	$14	1.1×
Blood test, vitamin B12 CPT Code: `82607`	$78	$17	$16	1.1×
Blood test, liver function panel CPT Code: `80076`	$389	$9	$9	1.0×
Blood test, sodium CPT Code: `84295`	$116	$5	$5	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$69	$18	$18	1.0×
Physical therapy (gait training) CPT Code: `97116`	$55	$32	$33	1.0×
Blood test, calcium CPT Code: `82310`	$3	$5	$5	1.0×
Blood test, potassium CPT Code: `84132`	$116	$5	$5	1.0×
Blood test, hemoglobin CPT Code: `85018`	$27	$3	$3	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$40	$5	$5	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$9	$19	$20	0.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	$9	$18	$19	0.9×
Hepatitis C antibody test CPT Code: `86803`	$55	$14	$15	0.9×
Blood test, vitamin D CPT Code: `82306`	$9	$9	$31	unverified
Flu vaccine (high dose) HCPCS Code: `90656`	$31	$8	$25	unverified

Showing top 25 high-impact procedures of 94 total

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

Audit a Bill or Quote at San Gabriel Valley Medical Center (Zero PHI Required)

CMS CCN: 050132

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash Request Quote

Insurer Median $20,398

1. Amount on Your Bill or Quote ($) Pre-filled with San Gabriel Valley Medical Center’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 San Gabriel Valley Medical Center'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 +$29,868 Above Fair BaseRate

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

Your bill ($48,955) is $29,868 above the denoised Fair BaseRate ($19,087) and 3.5× 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 San Gabriel Valley Medical Center 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 Overall2/5 Stars (2/5)

Safety Composite61/100

Would Recommend64%

Rated 9 or 10 (HCAHPS)66%

Median ER Wait134 min

Left ER Before Seen3%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.1%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at San Gabriel Valley Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

2026-04-29·warning_notice
Warning Notice
Recorded
2023-11-20·administrative_or_closure
Closure Notice
Recorded
2023-06-26·cap_corrective_action
CAP Request
Recorded
2023-03-16·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (469 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 Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for San Gabriel Valley Medical Center.

Price Index: 1.03× regional baseline

Quality: 46/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Presbyterian

-42.3%

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 79/100 · Corroborated CMS CCN 050132

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 050132) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-03-26

Validated Rate Rows21,820 (CMS v3.0.0)

File Integrity DigestVerified · CCN 050132

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