SAN GABRIEL VALLEY MEDICAL CENTER

45 CFR § 180 compliance

B · 85

This hospital published most of what § 180 requires.

●Machine-readable file published

●Gross / standard charges

●Discounted cash price

●Payer-specific negotiated rates

○Min / max negotiated charges

●Free, public, no login required

Procedures listed

13,004

Insurances with rates

CPT / HCPCS codes

Source MRF

csv ↗

Most expensive procedures (gross)

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
1690159	NAIL LAPIDUS	$260,300	$78,090	—	—	19
1690159	NAIL LAPIDUS	$260,300	$78,090	—	—	27
1655997	IMPLANT, KNEE SYSTEM	$177,925	$53,378	—	—	19
1655997	IMPLANT, KNEE SYSTEM	$177,925	$53,378	—	—	27
1646143	IMPLANT, SHOULDER SYSTEM	$173,938	$52,181	—	—	19
1646143	IMPLANT, SHOULDER SYSTEM	$173,938	$52,181	—	—	27
1655086	IMPLANT, HIP SYSTEM	$173,938	$52,181	—	—	19
1655086	IMPLANT, HIP SYSTEM	$173,938	$52,181	—	—	27
1656811	IMPLANT, KNEE SYSTEM	$173,938	$52,181	—	—	19
1656811	IMPLANT, KNEE SYSTEM	$173,938	$52,181	—	—	27
1656977	IMP, HEMI ARTHROPLASTY	$173,938	$52,181	—	—	19
1656977	IMP, HEMI ARTHROPLASTY	$173,938	$52,181	—	—	27
1686103	IMPLANT, SHOULDER SYSTEM	$173,938	$52,181	—	—	19
1686103	IMPLANT, SHOULDER SYSTEM	$173,938	$52,181	—	—	27
1661140	IMPLANT KNEE SYSTEM	$162,840	$48,852	—	—	19
1661140	IMPLANT KNEE SYSTEM	$162,840	$48,852	—	—	27
1669888	IMPLANT KNEE SYSTEM	$156,070	$46,821	—	—	19
1669888	IMPLANT KNEE SYSTEM	$156,070	$46,821	—	—	28
1699360	SYSTEM SPINAL CORD STIMULATOR	$130,000	$39,000	—	—	19
1699360	SYSTEM SPINAL CORD STIMULATOR	$130,000	$39,000	—	—	28
1655532	IMPLANT, KNEE SYSTEM	$129,183	$38,755	—	—	19
1655532	IMPLANT, KNEE SYSTEM	$129,183	$38,755	—	—	27
1666648	IMPLANT KNEE SYSTEM	$117,769	$35,331	—	—	19
1666648	IMPLANT KNEE SYSTEM	$117,769	$35,331	—	—	27
1683964	IMP, DEFIBRILATOR (ACID) DUAL CHAMBER	$117,653	$35,296	—	—	17
1683964	IMP, DEFIBRILATOR (ACID) DUAL CHAMBER	$117,653	$35,296	—	—	28
1686102	IMPLANT, SHOULDER SYSTEM	$112,500	$33,750	—	—	19
1686102	IMPLANT, SHOULDER SYSTEM	$112,500	$33,750	—	—	27
1655060	IMPLANT, HIP SYSTEM	$111,320	$33,396	—	—	19
1655060	IMPLANT, HIP SYSTEM	$111,320	$33,396	—	—	27
1655535	IMPLANT TRANS-PROSTATIC EA	$111,320	$33,396	—	—	19
1655535	IMPLANT TRANS-PROSTATIC EA	$111,320	$33,396	—	—	27
1656969	IMP, HEMI ARTHROPLASTY	$111,320	$33,396	—	—	19
1656969	IMP, HEMI ARTHROPLASTY	$111,320	$33,396	—	—	27
1684153	IMP, PULSE GENERATOR W/ CHG SYSTEM	$105,000	$31,500	—	—	19
1684153	IMP, PULSE GENERATOR W/ CHG SYSTEM	$105,000	$31,500	—	—	28
1655052	IMPLANT, HIP SYSTEM	$104,363	$31,309	—	—	19
1655052	IMPLANT, HIP SYSTEM	$104,363	$31,309	—	—	27
1655367	IMPLANT, KNEE SYSTEM	$104,363	$31,309	—	—	19
1655367	IMPLANT, KNEE SYSTEM	$104,363	$31,309	—	—	27
1656951	IMP, HEMI ARTHROPLASTY	$104,363	$31,309	—	—	19
1656951	IMP, HEMI ARTHROPLASTY	$104,363	$31,309	—	—	27
1686101	IMPLANT, SHOULDER SYSTEM	$104,363	$31,309	—	—	19
1686101	IMPLANT, SHOULDER SYSTEM	$104,363	$31,309	—	—	28
16467112	PALTE, DISTAL FEMORAL	$102,800	$30,840	—	—	19
16467112	PALTE, DISTAL FEMORAL	$102,800	$30,840	—	—	27
1668869	IMPLANT, SHOULDER SYSTEM	$99,000	$29,700	—	—	19
1668869	IMPLANT, SHOULDER SYSTEM	$99,000	$29,700	—	—	28
1655045	IMPLANT, HIP SYSTEM	$97,405	$29,222	—	—	19
1655045	IMPLANT, HIP SYSTEM	$97,405	$29,222	—	—	27

Showing top 50 of 13,004 priced procedures, sorted by gross charge.

Data straight from this hospital's federally-mandated machine-readable file (45 CFR § 180). The compliance grade reflects how completely the hospital published the six required data elements, not the quality of care.