31/100
#1,857 nationally
San Gabriel Valley Medical Center
438 W Las Tunas Drive, San Gabriel, CA 91776 · (626) 289-5454
Charges far above the national norm
For every $1 of care Medicare actually paid for here, San Gabriel Valley Medical Center billed $5.59 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 5.6x
- volume-weighted across all its priced work
- Procedures priced
- 34
- inpatient and outpatient combined
- Rank in CA
- #102
- lower markup ranks higher
- CMS quality stars
- 4/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 25% of U.S. hospitals.
Better than 38% of U.S. hospitals.
Better than 24% of U.S. hospitals.
Better than 50% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
326 | $119,782 | $20,203 | +84% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
112 | $31,787 | $3,341 | +64% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
53 | $117,002 | $17,480 | +113% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
52 | $65,164 | $13,355 | +50% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
51 | $74,586 | $14,932 | +41% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
49 | $26,449 | $3,919 | +38% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
33 | $75,292 | $13,723 | +62% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
31 | $114,176 | $18,555 | +61% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
30 | $253,132 | $48,779 | +42% |
|
Other Cerebrovascular Disorders with Major Complications
MS-DRG 070 · Inpatient stay |
29 | $83,435 | $17,964 | +26% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$117,002 | $17,480 | +113% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$119,782 | $20,203 | +84% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
$70,819 | $10,693 | +81% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
$56,446 | $9,585 | +71% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$31,787 | $3,341 | +64% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$75,292 | $13,723 | +62% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
$114,176 | $18,555 | +61% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$93,905 | $16,148 | +50% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$8,337 | $2,339 | -29% |
|
Other Kidney and Urinary Tract Procedures with Major Complications
MS-DRG 673 · Inpatient stay |
$149,911 | $40,208 | about average |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
$90,896 | $20,199 | +19% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
$74,258 | $15,646 | +21% |
|
Other Cerebrovascular Disorders with Major Complications
MS-DRG 070 · Inpatient stay |
$83,435 | $17,964 | +26% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$25,701 | $3,980 | +26% |
|
Hip or Thigh Bone Surgery (severe)
MS-DRG 480 · Inpatient stay |
$150,716 | $29,765 | +28% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$62,716 | $13,007 | +30% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.