Supplies, drugs & other prices at San Gabriel Valley Medical Center
San Gabriel, CA · every code in this section with a posted price and a Medicare benchmark.
25 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admin hepatitis b vaccine (G0010) | $36 | $120 | 0.6× |
| Admin influenza virus vac (G0008) | $36 | $120 | 0.6× |
| Admin pneumococcal vaccine (G0009) | $36 | $120 | 0.6× |
| Catheterize for urine spec (P9612) | $21.60 | $72 | 2.3× |
| Cysto impl 4 or more (C9740) unusually low: confirm this is the full procedure |
$5,700 | $19,000 | 0.5× |
| Cystoscopy prostatic imp 1-3 (C9739) | $4,275 | $14,250 | 0.6× |
| Diab manage trn per indiv (G0108) range across 3 matching MRF lines |
$53.10–$154.20 | $177–$514 | varies |
| Ekg tracing for initial prev (G0404) | $151.20 | $504 | 4.1× |
| Mra w/cont, abd (C8900) | $587.10 | $1,957 | 1.3× |
| Mra w/cont, lwr ext (C8912) | $724.20 | $2,414 | 1.6× |
| Mra w/o cont, abd (C8901) | $435.60 | $1,452 | 1.4× |
| Mra w/o cont, lwr ext (C8913) | $724.20 | $2,414 | 2.4× |
| Mra w/o fol w/cont, abd (C8902) | $619.80 | $2,066 | 1.4× |
| Mra w/o fol w/cont, lwr ext (C8914) | $435.60 | $1,452 | 1.0× |
| Neuro csf prion prtn qual (0035U) range across 2 matching MRF lines |
$60.90–$62.29 | $203–$207.63 | varies |
| Perc d-e cor revasc chro sin (C9607) likely a partial charge, not the full procedure |
$5,387.68 | $17,958.93 | 0.2× |
| Perc d-e cor revasc t cabg s (C9604) unusually low: confirm this is the full procedure |
$4,642.50 | $15,475 | 0.3× |
| Perc d-e cor stent ather s (C9602) likely a partial charge, not the full procedure |
$5,539.80 | $18,466 | 0.2× |
| Perc drug-el cor stent sing (C9600) unusually low: confirm this is the full procedure |
$5,539.80 | $18,466 | 0.4× |
| Prostate biopsy, any mthd (G0416) | $204 | $680 | 0.4× |
| Psa screening (G0103) | $9.24 | $30.80 | 0.5× |
| Trluml perip athrc abd aorta (0236T) | $10,622.70 | $35,409 | 0.7× |
| Trluml Perip Athrc Brchiocph (0237T) | $10,622.70 | $35,409 | 0.7× |
| Trluml Perip Athrc Iliac Art (0238T) unusually low: confirm this is the full procedure |
$10,622.70 | $35,409 | 0.5× |
| Trluml Peripheral Atherectomy Renal Artery Ea (0234T) | $10,622.70 | $35,409 | 0.7× |
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.