Procedures & surgery prices at San Gabriel Valley Medical Center

San Gabriel, CA · every code in this section with a posted price and a Medicare benchmark.

46 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $920.49 $3,068.31 0.2×
Application Finger Splint Dynamic (29131) $96.90 $323 1.3×
Application Short Arm Splint Dynamic (29126) $110.70 $369 0.6×
Application short arm splint forearm-hand static (29125) $83.10 $277 0.5×
Arterial puncture (36600) $60.30 $201 0.4×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $231 $770 0.6×
Bone Marrow; Aspiration Only (38220) $482.64 $1,608.81 0.2×
Bronchoscopy Clear Airways (31645) $480.47 $1,601.55 0.2×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $1,035.33 $3,451.10 0.2×
Cessj Therapy Cath Removal (37214) $1,807.50 $6,025 0.4×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $468.90 $1,563 0.1×
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines
$14.40–$17.10 $48–$57 varies
Debridement subcutaneous tissue 20 sq cm/< (11042) $110.21 $367.35 0.2×
Epidural Blood Patch (62273) $223.45 $744.82 0.2×
Expl po hemrrg thrombosis/infctj xtr (35860) $926.87 $3,089.57 0.2×
Guide Cathet Fluid Drainage (10030) $1,111.19 $3,703.95 1.2×
Image Cath Fluid Colxn Visc (49405) $483.87 $1,612.91 0.2×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $360 $1,200 0.3×
Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) $360 $1,200 0.3×
Injection single/mlt trigger point 1/2 muscles (20552) $92.28 $307.60 0.2×
Injection, anesthetic agent; femoral nerve, single (64447) $360 $1,200 0.4×
Injx anterior chamber eye air/liquid spx (66020) $672.71 $2,242.35 0.2×
Insert cervical dilator (59200) $221.10 $737 0.6×
Insertion indwelling tunneled pleural catheter (32550) $1,034.17 $3,447.24 0.2×
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines
$307.50–$324.90 $1,025–$1,083 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $210.11 $700.38 0.2×
Perq dev breast 1st us imag (19285) $278.10 $927 0.3×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) $610.50 $2,035 0.2×
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) $3,197.40 $10,658 0.7×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $267.22 $890.72 0.2×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $621.60 $2,072 0.2×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223)
unusually low: confirm this is the full procedure
$2,349.90 $7,833 0.3×
Slctv cath carotid/innom art angio xtrcranl art (36222) $1,632.90 $5,443 0.4×
Strapping ankle (29540) $48 $160 0.2×
Strapping elbow or wrist (29260) $49.50 $165 0.7×
Strapping hand/finger (29280) $41.70 $139 0.5×
Strapping Hip (29520) $32.40 $108 0.2×
Strapping knee (29530) $37.50 $125 0.2×
Strapping shoulder (29240) $37.50 $125 0.2×
Strapping toes (29550) $37.50 $125 0.5×
Strapping Unna Boot (29580) $73.80 $246 0.4×
Thromblytic art/ven therapy (37213) $1,807.50 $6,025 0.4×
Tx Superficial Wound Dehiscence Simple Closure (12020) $170.85 $569.51 0.2×
Unlisted Procedure Intestine (44799) $267.22 $890.72 0.2×
Unlisted Procedure Vascular Surgery (37799) $314.70 $1,049 0.4×
Unlisted procedure, abdomen, peritoneum and omentum (49999) $277.06 $923.52 0.2×

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.