SAN GABRIEL VALLEY MEDICAL CENTER
SAN GABRIEL, CA 91776 · Acute Care Hospitals
36 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024
By BillRazor Research · Last updated March 29, 2026 · Methodology
Procedures Analyzed
36
With CMS pricing data
Avg Charge-to-Medicare Ratio
8.4x
Chargemaster ÷ Medicare
CMS Quality Rating
Patient experience & outcomes
Hospital Type
Acute Care Hospitals
Proprietary
Above 90th Percentile
11%
Compared to CA hospitals
Understanding Your Costs
When you receive a bill from SAN GABRIEL VALLEY MEDICAL CENTER, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, SAN GABRIEL VALLEY MEDICAL CENTER lists chargemaster rates that average 8.4x the corresponding Medicare reimbursement amount across 36 procedures with publicly available pricing data (Source: CMS IPPS Provider Summary, FY2024).
The median hospital in CA has a chargemaster-to-Medicare ratio of 6.3x, with ratios across the state ranging from 1.7x to 17.6x. At 8.4x, this facility’s average ratio is above the state median. 273 hospitals in CA report pricing data to CMS (Source: CMS IPPS Provider Summary).
The procedure with the largest gap between the listed price and Medicare reimbursement at SAN GABRIEL VALLEY MEDICAL CENTER is Gastrointestinal Hemorrhage with Complications (DRG 378). The listed chargemaster rate is $83,349, while Medicare reimburses $6,408 for the same procedure — a ratio of 13.0x (Source: CMS IPPS Provider Summary, FY2024).
What does this actually mean for your bill? Chargemaster rates are rarely what patients pay. If you have insurance, your insurer has negotiated a separate rate — often 40–60% less than the listed price. If you are uninsured, you may be able to negotiate directly with the hospital or request financial assistance. The chargemaster-to-Medicare ratio is a useful reference point for understanding listed pricing, but it does not represent what most patients will owe out of pocket.
4 of 36 procedures (11%) at this facility have listed rates above the 90th percentile compared to other CA hospitals reporting the same procedure data to CMS (Source: CMS IPPS Provider Summary).
SAN GABRIEL VALLEY MEDICAL CENTER is a proprietary acute care hospitals facility with a CMS quality rating of 4/5 stars. Note: CMS quality ratings measure patient outcomes and experience, not pricing. A hospital with high listed prices may provide excellent care, and pricing data alone should not be used to evaluate the quality of a healthcare provider.
Listed Chargemaster Rates vs Medicare Reimbursement — Top Procedures by Ratio
Source: CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Procedure Pricing Lookup
Search for a specific procedure or DRG code to see listed chargemaster rates and Medicare reimbursement amounts.
| Procedure | DRG | Listed Charge | Medicare Reimb. | Ratio | State Position | |
|---|---|---|---|---|---|---|
| Gastrointestinal Hemorrhage with Complications | 378 | $83,349 | $6,408 | 13.0x | 1st | Compare your bill |
| Syncope and Collapse | 312 | $53,816 | $4,363 | 12.3x | 1st | Compare your bill |
| Respiratory System Diagnosis with Ventilator Support up to 96 Hours | 208 | $258,027 | $23,196 | 11.1x | 1st | Compare your bill |
| Cellulitis without Major Complications | 603 | $58,521 | $5,295 | 11.1x | 1st | Compare your bill |
| Other Digestive System Diagnoses with Major Complications or Comorbidities | 393 | $139,795 | $12,900 | 10.8x | 1st | Compare your bill |
| Other Digestive System Diagnoses with Complications | 394 | $67,539 | $6,575 | 10.3x | 1st | Compare your bill |
| Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without Major Complications | 470 | $120,806 | $11,852 | 10.2x | 1st | Compare your bill |
| Cirrhosis and Alcoholic Hepatitis with Major Complications or Comorbidities | 432 | $99,393 | $10,069 | 9.9x | 1st | Compare your bill |
| Gastrointestinal Hemorrhage with Major Complications or Comorbidities | 377 | $121,487 | $12,970 | 9.4x | 1st | Compare your bill |
| Simple Pneumonia and Pleurisy with Major Complications or Comorbidities | 193 | $89,973 | $10,154 | 8.9x | 1st | Compare your bill |
| Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes without Major Complications | 641 | $46,514 | $5,288 | 8.8x | 1st | Compare your bill |
| Heart Failure and Shock with Major Complications or Comorbidities | 291 | $75,924 | $8,687 | 8.7x | 1st | Compare your bill |
| Acute Myocardial Infarction, Discharged Alive with Major Complications or Comorbidities | 280 | $96,205 | $11,045 | 8.7x | 1st | Compare your bill |
| Other Kidney and Urinary Tract Diagnoses with Major Complications or Comorbidities | 698 | $118,530 | $13,675 | 8.7x | 1st | Compare your bill |
| Renal Failure with Complications | 683 | $59,044 | $6,990 | 8.4x | 1st | Compare your bill |
| Pulmonary Edema and Respiratory Failure | 189 | $78,057 | $9,544 | 8.2x | 1st | Compare your bill |
| Septicemia or Severe Sepsis without Mechanical Ventilation over 96 Hours with Major Complications or Comorbidities | 871 | $125,699 | $15,377 | 8.2x | 1st | Compare your bill |
| Nonspecific Cerebrovascular Disorders with Major Complications or Comorbidities | 070 | $114,842 | $14,090 | 8.2x | 1st | Compare your bill |
| Kidney and Urinary Tract Infections without Major Complications | 690 | $53,058 | $6,540 | 8.1x | 1st | Compare your bill |
| Septicemia or Severe Sepsis without Mechanical Ventilation over 96 Hours without Major Complications | 872 | $65,216 | $8,148 | 8.0x | 1st | Compare your bill |
| Renal Failure with Major Complications or Comorbidities | 682 | $84,127 | $10,662 | 7.9x | 1st | Compare your bill |
| Kidney and Urinary Tract Infections with Major Complications or Comorbidities | 689 | $74,012 | $9,438 | 7.8x | 1st | Compare your bill |
| Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio | 808 | $144,097 | $18,757 | 7.7x | 1st | Compare your bill |
| Chest Pain | 313 | $43,551 | $5,754 | 7.6x | 1st | Compare your bill |
| Hip and Femur Procedures Except Major Joint with Complications | 481 | $135,291 | $17,910 | 7.5x | 1st | Compare your bill |
| Respiratory Infections and Inflammations with Major Complications or Comorbidities | 177 | $105,443 | $13,985 | 7.5x | 1st | Compare your bill |
| Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications | 522 | $123,130 | $16,431 | 7.5x | 1st | Compare your bill |
| Septicemia or Severe Sepsis with Mechanical Ventilation over 96 Hours | 870 | $353,925 | $47,612 | 7.4x | 1st | Compare your bill |
| Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes with Major Complications or Comorbidities | 640 | $66,713 | $9,379 | 7.1x | 1st | Compare your bill |
| Other Disorders of Nervous System with Major Complications or Comorbidities | 091 | $92,137 | $13,816 | 6.7x | 1st | Compare your bill |
| Hip and Femur Procedures Except Major Joint with Major Complications or Comorbidities | 480 | $148,034 | $22,880 | 6.5x | 1st | Compare your bill |
| Infectious and Parasitic Diseases with Operating Room Procedures with Major Complications or Comorbidities | 853 | $263,827 | $42,215 | 6.3x | 1st | Compare your bill |
| Peripheral Vascular Disorders with Major Complications or Comorbidities | 299 | $74,837 | $12,074 | 6.2x | 1st | Compare your bill |
| Cardiac Arrhythmia and Conduction Disorders with Major Complications or Comorbidities | 308 | $54,245 | $9,069 | 6.0x | 1st | Compare your bill |
| Intracranial Hemorrhage or Cerebral Infarction with Major Complications or Comorbidities | 064 | $94,807 | $16,726 | 5.7x | 1st | Compare your bill |
| Other Circulatory System Diagnoses with Major Complications or Comorbidities | 314 | $83,230 | $17,998 | 4.6x | 1st | Compare your bill |
Showing 36 of 36 procedures
All data from CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Statewide Context
Charge-to-Medicare ratio range across CA hospitals
273 hospitals in CA report pricing data to CMS. This facility's average ratio of 8.4x places it at the lower-middle range of the state range (Source: CMS IPPS Provider Summary).
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Data: CMS Inpatient Prospective Payment System (IPPS) Provider Summary, FY2024. All data is publicly available under federal law (45 CFR Part 180).
Important: Listed chargemaster rates are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage terms. This information is for educational purposes only and does not constitute medical, legal, or financial advice.
Frequently Asked Questions About SAN GABRIEL VALLEY MEDICAL CENTER
How much does SAN GABRIEL VALLEY MEDICAL CENTER charge compared to Medicare?
According to CMS IPPS data, SAN GABRIEL VALLEY MEDICAL CENTER's listed chargemaster rates average 8.4x the Medicare reimbursement amount across 36 procedures. Chargemaster rates are list prices and are not what most insured patients pay — actual costs depend on insurance negotiations and coverage terms.
What is the most expensive procedure at SAN GABRIEL VALLEY MEDICAL CENTER?
The procedure with the highest chargemaster-to-Medicare ratio at SAN GABRIEL VALLEY MEDICAL CENTER is Gastrointestinal Hemorrhage with Complications (DRG 378), with a listed charge of $83,349 compared to Medicare reimbursement of $6,408 — a ratio of 13.0x. Source: CMS IPPS Provider Summary.
Is SAN GABRIEL VALLEY MEDICAL CENTER expensive compared to other CA hospitals?
SAN GABRIEL VALLEY MEDICAL CENTER's average chargemaster-to-Medicare ratio is 8.4x. Ratios vary significantly across CA hospitals. This ratio reflects listed chargemaster prices, not what patients actually pay. CMS quality ratings, which measure patient outcomes and experience, are separate from pricing data.
Where does the pricing data for SAN GABRIEL VALLEY MEDICAL CENTER come from?
All pricing data comes from the Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) Provider Summary, published under federal price transparency law (45 CFR Part 180). This data is publicly available and updated annually.
How can I check if my bill from SAN GABRIEL VALLEY MEDICAL CENTER is correct?
You can upload your bill to BillRazor for a free comparison against publicly available Medicare reimbursement data. Our system analyzes every line item in 60 seconds. Research suggests 49-80% of hospital bills contain errors, including duplicate charges, incorrect procedure codes, and unbundling.
Does SAN GABRIEL VALLEY MEDICAL CENTER in SAN GABRIEL, CA accept Medicare?
SAN GABRIEL VALLEY MEDICAL CENTER is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact SAN GABRIEL VALLEY MEDICAL CENTER directly or check with your insurance provider.
Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.