San Gabriel Valley Medical Center prices. From its own published file.

San Gabriel Valley Medical Center in San Gabriel, CA publishes its standard charges as required by federal rule. Here's what it lists for common services, and how to check your bill against it.

2,874prices published

Jul 2026file last updated

$2,393cash price for mri lower back without contrast (list $7,976)

Common services

Service	Cash price	List price	Insurers pay
Emergency visit, moderate (level 3) `99283`	$248	$1,481	$19.19–$3,809
Emergency visit, high (level 4) `99284`	$444	$2,435	$29.41–$6,872
Emergency visit, highest (level 5) `99285`	$494	$2,744	$46.51–$6,872
Comprehensive metabolic panel `80053`	$5.31	$1,026	$4.42–$1,026
Basic metabolic panel `80048`	$4.26	$399	$3.55–$783
Complete blood count (CBC) `85025`	$3.90	$247	$3.25–$293
Blood draw (venipuncture) `36415`	$14.40	$52.50	$6.54–$57.00
Urinalysis `81001`	$133	$444	$2.22–$444
Troponin (heart test) `84484`	$4.95	$355	$4.13–$502
EKG tracing `93005`	$145	$581	$7.99–$581
Chest X-ray, 2 views `71046`	$121	$520	$8.63–$634
CT head without contrast `70450`	$966	$3,372	$31.81–$3,522
CT abdomen and pelvis with contrast `74177`	$966	$4,967	$88.52–$4,967
MRI lower back without contrast `72148`	$2,393	$7,976	$58.43–$7,976
Ultrasound, abdomen `76700`	$130	$1,132	$26.14–$1,830
IV push, single drug `96374`	$143	$477	$1.00–$3,548
IV fluids, first hour `96360`	$102	$588	$1.00–$3,548
Ketorolac injection, 15 mg `J1885`	$22.50	$75.00	$0.33–$75.00
Ondansetron injection `J2405`	$5.40	$46.50	$0.09–$75.00

Cash price: the discounted price for self-pay patients. List price: the hospital's gross charge. Insurers pay: the lowest and highest rates it lists for insurance plans. Source: San Gabriel Valley Medical Center price transparency page.

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Common billing problems to look for

Billed above the posted cash priceIf you're paying yourself, ask the hospital to apply its published cash price.
Panels billed inside panelsA basic metabolic panel (80048) billed with a comprehensive one (80053) on the same day.
Duplicate linesThe same service billed twice without explanation.
No itemized billYou can ask for every line with its code, date and amount.