San Gabriel Valley Medical Center
San Gabriel, CA
Posts prices for 36 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-03.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| CT head/brain without contrast (70450) range across 2 matching MRF lines |
$966.30–$1,056.60 | $3,221–$3,522 | varies |
| MRI brain without contrast (70551) range across 3 matching MRF lines |
$2,389.50–$2,396.70 | $7,965–$7,989 | varies |
| MRI brain with contrast (70552) range across 2 matching MRF lines |
$2,389.50–$2,718 | $7,965–$9,060 | varies |
| MRI brain without and with contrast (70553) range across 2 matching MRF lines |
$2,598.30–$2,975.40 | $8,661–$9,918 | varies |
| X-ray lower spine, 4+ views (72110) range across 2 matching MRF lines |
$91.20–$407.10 | $304–$1,357 | varies |
| MRI lumbar spine without contrast (72148) | $2,392.80 | $7,976 | 7.8× |
| CT pelvis with contrast (72193) | $1,546.80 | $5,156 | 6.9× |
| MRI lower-extremity joint without contrast (73721) range across 3 matching MRF lines |
$1,515.60–$2,081.10 | $5,052–$6,937 | varies |
| CT abdomen and pelvis with contrast (74177) range across 3 matching MRF lines |
$966.30–$1,490.10 | $3,221–$4,967 | varies |
| Ultrasound, abdomen complete (76700) range across 2 matching MRF lines |
$129.90–$549 | $433–$1,830 | varies |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $512.70 | $1,709 | 3.8× |
| Ultrasound, transvaginal (76830) | $377.10 | $1,257 | 2.8× |
| Basic metabolic panel (80048) range across 2 matching MRF lines |
$4.26–$234.90 | $14.20–$783 | varies |
| Comprehensive metabolic panel (80053) range across 3 matching MRF lines |
$5.31–$307.80 | $17.70–$1,026 | varies |
| Lipid panel (80061) range across 2 matching MRF lines |
$6.75–$152.40 | $22.50–$508 | varies |
| Renal function panel (80069) | $4.38 | $14.60 | 0.5× |
| Hepatic function panel (80076) range across 2 matching MRF lines |
$4.11–$388.80 | $13.70–$1,296 | varies |
| Urinalysis, non-automated, without microscopy (81002) | $20.10 | $67 | 5.8× |
| PSA, total (84153) range across 4 matching MRF lines |
$1.50–$94.20 | $5–$314 | varies |
| Thyroid stimulating hormone (TSH) (84443) range across 3 matching MRF lines |
$5.48–$129.90 | $18.25–$433 | varies |
| CBC with automated differential (85025) range across 3 matching MRF lines |
$3.90–$87.90 | $13–$293 | varies |
| CBC, automated (85027) range across 3 matching MRF lines |
$3.24–$87.30 | $10.80–$291 | varies |
| Prothrombin time (PT) (85610) range across 4 matching MRF lines |
$1.98–$177.60 | $6.60–$592 | varies |
| Partial thromboplastin time (PTT) (85730) range across 5 matching MRF lines |
$1.98–$177.60 | $6.60–$592 | varies |
| Psychotherapy, 30 minutes (90832) range across 2 matching MRF lines |
$264.60–$296.10 | $882–$987 | varies |
| Psychotherapy, 45 minutes (90834) | $307.20 | $1,024 | 1.3× |
| Psychotherapy, 60 minutes (90837) range across 2 matching MRF lines |
$323.10–$330.90 | $1,077–$1,103 | varies |
| Family psychotherapy, without patient (50 min) (90846) | $99.60 | $332 | 0.4× |
| Family psychotherapy, with patient (50 min) (90847) | $231.90 | $773 | 1.0× |
| Sleep study (attended polysomnography) (95810) | $1,596.30 | $5,321 | 1.4× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $93.60 | $312 | 3.2× |
| Office visit, new patient (low complexity, ~30 min) (99203) range across 3 matching MRF lines |
$110.70–$247.50 | $369–$825 | varies |
| Office visit, new patient (moderate complexity, ~45 min) (99204) range across 4 matching MRF lines |
$124.80–$444.30 | $416–$1,481 | varies |
| Office visit, new patient (high complexity, ~60 min) (99205) range across 4 matching MRF lines |
$161.10–$494.40 | $537–$1,648 | varies |
| Office consultation (low complexity, ~30 min) (99243) range across 2 matching MRF lines |
$62.40–$131.10 | $208–$437 | varies |
| Office consultation (moderate complexity, ~40 min) (99244) range across 3 matching MRF lines |
$98.10–$210 | $327–$700 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.
More prices at this hospital
- Imaging: 353 codes with posted prices and Medicare benchmarks
- Lab & pathology: 718 codes with posted prices and Medicare benchmarks
- Visits & medical services: 146 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 46 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 25 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 494.9 MB) ↓ — captured 2026-09-03
File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.