California / San Gabriel Valley Medical Center
CMS certification 050132 · San Gabriel, CA · 5 entries in CMS's price-transparency list
San Gabriel Valley Medical Center: charges and Medicare payments
San Gabriel Valley Medical Center reported 941 Medicare inpatient stays across 26 DRGs in 2024. Across them it charged 5.49 times what it was paid — mid-range in California, number 110 of 247 hospitals with at least 100 stays (state median 5.18×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 326 stays at an average charge of $119,782, 33% above the national average. It also billed 256 outpatient services, charging 8.55 times what Medicare paid.
- 1Medicare inpatient stays 941
- 2Charge ÷ paid, inpatient 5.49×
- 3Rank in CA (highest ratio = 1) 110 of 247
- 4CMS price-transparency actions 5
Inpatient stays
For the 26 DRGs that can be compared with the national average, San Gabriel Valley Medical Center charged more than the national average in 23 (88%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 326 | $119,782 | +33% | $20,203 |
| 177 Respiratory Infections and Inflammations with MCC | 53 | $117,002 | +66% | $17,480 |
| 291 Heart Failure and Shock with MCC | 52 | $65,164 | +16% | $13,355 |
| 682 Renal Failure with MCC | 51 | $74,586 | +13% | $14,932 |
| 193 Simple Pneumonia and Pleurisy with MCC | 33 | $75,292 | +26% | $13,723 |
| 377 Gastrointestinal Hemorrhage with MCC | 31 | $114,176 | +34% | $18,555 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 30 | $253,132 | +11% | $48,779 |
| 070 Other Cerebrovascular Disorders with MCC | 29 | $83,435 | +10% | $17,964 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 27 | $67,615 | +12% | $13,564 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 26 | $70,819 | +44% | $10,693 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 25 | $356,829 | +10% | $64,040 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 24 | $74,258 | -2% | $15,646 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 22 | $111,041 | +19% | $19,039 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 20 | $150,716 | +9% | $29,765 |
| 481 Hip and Femur Procedures except Major Joint with CC | 20 | $114,665 | +14% | $21,565 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 20 | $118,733 | +16% | $21,942 |
| 314 Other Circulatory System Diagnoses with MCC | 17 | $102,281 | +8% | $24,088 |
| 393 Other Digestive System Diagnoses with MCC | 17 | $84,064 | +9% | $17,048 |
| 673 Other Kidney and Urinary Tract Procedures with MCC | 17 | $149,911 | -13% | $40,208 |
| 689 Kidney and Urinary Tract Infections with MCC | 17 | $54,154 | +6% | $12,439 |
| 683 Renal Failure with CC | 16 | $56,446 | +39% | $9,585 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 14 | $90,896 | -9% | $20,199 |
| 091 Other Disorders of Nervous System with MCC | 14 | $95,120 | +15% | $18,783 |
| 189 Pulmonary Edema and Respiratory Failure | 14 | $62,716 | +9% | $13,007 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 14 | $45,883 | +24% | $8,310 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 12 | $64,109 | +15% | $10,554 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 112 | $31,787 | $3,341 |
| Level 3 Vascular Procedures | 49 | $26,449 | $3,919 |
| Level 5 Musculoskeletal Procedures | 26 | $93,905 | $16,148 |
| Level 2 Upper GI Procedures | 18 | $8,337 | $2,339 |
| Level 2 Musculoskeletal Procedures | 13 | $15,101 | $1,900 |
| Level 4 Musculoskeletal Procedures | 13 | $54,401 | $8,793 |
| Level 2 Vascular Procedures | 13 | $12,820 | $1,969 |
| Level 3 Musculoskeletal Procedures | 12 | $25,701 | $3,980 |
Against the California average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), San Gabriel Valley Medical Center charged $119,782 on average, 16% less than the California average of $143,063, and was paid $20,203 against a state average of $23,020. For Respiratory Infections and Inflammations with MCC (DRG 177), San Gabriel Valley Medical Center charged $117,002 on average, 6% less than the California average of $124,302, and was paid $17,480 against a state average of $18,986. For Heart Failure and Shock with MCC (DRG 291), San Gabriel Valley Medical Center charged $65,164 on average, 35% less than the California average of $100,739, and was paid $13,355 against a state average of $15,556. For Renal Failure with MCC (DRG 682), San Gabriel Valley Medical Center charged $74,586 on average, 27% less than the California average of $102,671, and was paid $14,932 against a state average of $17,275. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $31,787 was 24% below the state average of $41,628. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $26,449 was 12% below the state average of $30,190. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $93,905 was 14% below the state average of $109,149. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $8,337 was 56% below the state average of $19,034.
Price-transparency record
CMS's enforcement list records these actions for a hospital named San Gabriel Valley Medical Center in San Gabriel, CA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2023-03-16 (CMS case 252)
- CAP Request — 2023-06-26 (CMS case 252)
- Closure Notice — 2023-11-20 (CMS case 252)
- Warning Notice — 2026-04-29 (CMS case 7635)
- Closure Notice — 2026-07-31 (CMS case 7635)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.