healthcosts.net

WHITE MEMORIAL MEDICAL CENTER

1720 E Cesar E Chavez Ave Los Angeles CA 90033|309 W Beverly Blvd, MONTEBELLO, CA · Adventisthealth · · NPI 1215927470

Source: hospital's published price file ↗ · Published May 23, 2026 · Ingested Sep 16, 2026

Published prices by procedure

Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.

Procedure Cash price Gross charge Negotiated range Payers
11-desoxycortisol - sendout CPT 82634 $4.68 $26.02 $10.33 – $326.17 61
17-hydroxypregnenolone CPT 84143 $3.65 $20.28 $8.02 – $254.37 61
17-ketosteroids CPT 83586 $5.35 $29.73 $4.43 – $142.71 61
1st hosp/birthing center care per day nml nb 99460 CPT 99460 $42.48 $236.00 $47.20 – $160.89 77
2d tte w or without fol w/con,co HCPCS C8923 $40.86 $227.00 $204.30 – $2,268.56 63
2nd order venous cath CPT 36012 $1,788.12 $9,934.00 $40.00 – $1,658.35 85
3-d radiotherapy plan CPT 77295 $1,650.24 $9,168.00 $85.22 – $5,834.81 86
3d recon without postprocess indpndt CPT 76376 $352.98 $1,961.00 $24.42 – $6,863.50 63
5% dextrose and 0.45% saline HCPCS S5010 $13.41 $74.50 $3.50 – $260.75 26
5% dextrose with potassium HCPCS S5012 $45.90 $255.00 $12.89 – $892.50 25
5' nucleotidase - sendout CPT 83915 $1.78 $9.91 $3.84 – $124.26 61
88334 ap bill cytologic exam each additional site CPT 88334 $52.20 $290.00 $25.98 – $443.70 64
99381 initial comp preventive med less than 1 year new CPT 99381 $31.14 $173.00 $62.26 – $264.69 39
99382 initial comp preventive med 1 to 4 years new CPT 99382 $39.06 $217.00 $71.16 – $286.11 39
99383 initial comp preventive med 5 to 11 years new CPT 99383 $33.30 $185.00 $71.16 – $283.05 39
99391 periodic comp preventive med less than 1 year est CPT 99391 $24.30 $135.00 $53.51 – $206.55 39
99392 periodic comp preventive med 1 to 4 years est CPT 99392 $27.18 $151.00 $62.26 – $231.03 39
99393 periodic comp preventive med 5 to 11 years est CPT 99393 $27.00 $150.00 $62.26 – $226.44 39
99394 periodic comp preventive med 12 to 17 years est CPT 99394 $29.70 $165.00 $71.16 – $249.39 39
99397 periodic comp preventive med 65+ years est CPT 99397 $36.72 $204.00 $89.62 – $306.00 39
Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 $290.10 $1,611.67 $38.01 – $3,753.58 61
#a/b/c/c/h pnl-candida albicans ab CPT 86628 $1.92 $10.67 $4.14 – $138.06 61
Abciximab injection HCPCS J0130 $354.77 $1,970.93 $1,118.88 – $6,898.26 28
Abd aorta w/runoff s&i CPT 75630 $3,294.00 $18,300.00 $13.24 – $6,091.58 86
Abd/low ext cath 1st CPT 36245 $1,565.64 $8,698.00 $85.22 – $2,627.84 85
Abd/low ext cath 2nd CPT 36246 $2,009.88 $11,166.00 $75.00 – $2,530.89 85
Abd/low ext cath 3rd CPT 36247 $2,868.84 $15,938.00 $40.00 – $3,995.34 85
Abd/low ext cath addl CPT 36248 $2,949.48 $16,386.00 $35.93 – $25,070.58 58
Abdominal CT scan (with and without contrast) CPT 74170 $1,833.66 $10,187.00 $85.22 – $15,586.11 66
Abdominal CT scan (with contrast) CPT 74160 $1,467.18 $8,151.00 $85.22 – $9,352.89 66
Abdominal CT scan (without contrast) CPT 74150 $1,173.96 $6,522.00 $85.22 – $7,484.76 66
Abdominal MRI (with and without contrast) CPT 74183 $3,305.34 $18,363.00 $85.22 – $28,095.39 65
Abdominal MRI (with contrast) CPT 74182 $2,644.02 $14,689.00 $69.91 – $22,474.17 65
Abdominal MRI (without contrast) CPT 74181 $2,115.72 $11,754.00 $85.22 – $17,983.62 65
Abdominal paracentesis w/image guidance CPT 49083 $835.92 $4,644.00 $85.22 – $10,233.00 58
Abdominal Ultrasound (complete) CPT 76700 $811.80 $4,510.00 $61.97 – $6,900.30 62
Abdominal Ultrasound (limited) CPT 76705 $500.22 $2,779.00 $45.24 – $2,602.53 62
Abdominoplasty 15830 CPT 15830 $105.84 $588.00 $176.40 – $1,912.15 77
Abd paracentesis/w/o image guide 49082 CPT 49082 $898.92 $4,994.00 $58.57 – $7,640.82 53
Abl1 gene CPT 81170 $133.40 $741.13 $255.00 – $3,810.83 61
Ablate arrhythmia add on CPT 93655 $3,042.00 $16,900.00 $85.22 – $25,857.00 58
Ablate heart dysrhythm focus CPT 93650 $5,126.58 $28,481.00 $85.22 – $43,575.93 58
Ablation cardiac vagal inputs atrium CPT 93799 $966.24 $5,368.00 $27.00 – $10,233.00 43
Ablation cryo thigh/knee CPT 27599 $136.08 $756.00 $12.90 – $713.82 39
Ablation of upper extremity nerves rf CPT 64999 $169.38 $941.00 $125.46 – $1,439.73 36
Abrasion lesions add-on CPT 15787 $11.16 $62.00 $12.86 – $89.05 57
Abrasion lesion single CPT 15786 $90.72 $504.00 $32.00 – $358.89 77
Abscess drain retroperitoneal surg code CPT 49406 $1,651.86 $9,177.00 $85.22 – $14,040.81 58
Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 $224.10 $1,245.00 $35.00 – $1,867.50 85
Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 $21.30 $118.33 $0.17 – $414.16 29
Acetaminophen 120 mg rectal suppository HCPCS A9270 $6.66 $37.00 $33.30 – $129.50 22
Acetaminophen level CPT 80143 $138.78 $771.00 $14.91 – $111.69 59
Acetazolamide 500 mg solution for injection HCPCS J1120 $29.81 $165.63 $36.99 – $579.71 29
Acetone qualitative CPT 82009 $56.16 $312.00 $1.38 – $270.81 61
Acetylcholine receptor modulating antibody CPT 86043 $1.55 $8.60 $8.60 – $45.19 56
Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 $109.34 $607.44 $0.74 – $2,126.04 29
Aco annual medicare visit (awv), initial g0438aco HCPCS G0438 $79.20 $440.00 $8.58 – $616.00 83
Aco annual medicare visit (awv), subsq g0439aco HCPCS G0439 $62.82 $349.00 $5.83 – $488.60 83
Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 $130.68 $726.00 $85.22 – $1,110.78 63
Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 $51.30 $285.00 $11.27 – $436.05 59
Acoustic refl threshold tst CPT 92568 $32.40 $180.00 $13.31 – $400.00 60
Acup 1/> w/estim 1st 15 min CPT 97813 $24.12 $134.00 $20.00 – $884.00 59
Acup 1/> w/estim ea addl 15 CPT 97814 $20.34 $113.00 $18.82 – $884.00 59
Acup 1/> without estim ea add 15 CPT 97811 $18.36 $102.00 $15.00 – $56.51 77
Acup 1/> wo estim 1st 15 min CPT 97810 $22.14 $123.00 $20.00 – $72.89 77
Acute hepatitis panel CPT 80074 $283.86 $1,577.00 $16.34 – $450.73 61
Acyclovir 400 mg tablet HCPCS J8499 $227.48 $1,263.78 $174.83 – $1,226.45 23
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 $62.37 $346.50 $0.05 – $255.64 29
Adapter b 8 channel 10cm HCPCS C1883 $546.84 $3,038.00 $1,600.00 – $10,633.00 19
Adding walker to prev cast CPT 29440 $18.00 $100.00 $22.87 – $313.50 85
Adenosine 3 mg/250 ml bag for osm HCPCS J0153 $64.86 $360.36 $0.55 – $227.71 29
Adenovirus antibody,serum - quest CPT 86603 $14.22 $79.00 $4.45 – $143.47 61
Adh-sendout CPT 84588 $8.10 $45.00 $12.02 – $379.75 61
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 $13.79 $76.60 $0.29 – $191.50 30
Admin ecg contrast agent CPT 93352 $36.00 $200.00 $34.77 – $273.95 86
Administration chemotherapy IV infusion each additional hour CPT 96415 $159.12 $884.00 $27.89 – $1,352.52 65
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 $159.12 $884.00 $37.11 – $1,352.52 65
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 $396.54 $2,203.00 $37.11 – $3,370.59 65
Administration chemotherapy IV push single/initial substance/drug CPT 96409 $810.72 $4,504.00 $23.31 – $6,089.40 65
Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 $750.78 $4,171.00 $13.84 – $6,381.63 65
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 $810.72 $4,504.00 $13.84 – $925.65 65
Administration immunization 1 vaccine CPT 90471 $59.94 $333.00 $5.79 – $208.36 59
Administration immunization each additional vaccine CPT 90472 $11.88 $66.00 $10.00 – $100.98 58
Administration immunization intranasal/oral route 1 vaccine CPT 90473 $17.10 $95.00 $10.00 – $332.50 58
Administration immunization intranasal/oral route each additional vaccine CPT 90474 $10.26 $57.00 $10.00 – $199.50 58
_afb id by dna probe rflx ast CPT 87149 $102.42 $569.00 $4.22 – $223.30 61
_afb org id by sequencing rflx ast-sendout CPT 87153 $18.46 $102.54 $26.62 – $1,159.73 61
Air conduction bilat CPT 92552 $130.86 $727.00 $21.95 – $1,112.31 60
Albumin body fluid quantitative each specimen CPT 82042 $28.26 $157.00 $0.74 – $57.63 61
Albumin (human), 25%, 50ml HCPCS P9047 $83.20 $462.20 $45.12 – $594.59 61
Albumin, human 25 % intravenous solution HCPCS P9046 $31.77 $176.50 $18.05 – $411.07 61
Albumin (human), 5%, 250 ml HCPCS P9045 $76.32 $424.00 $45.12 – $649.09 61
Albumin, human 5 % intravenous solution HCPCS P9041 $35.69 $198.30 $9.02 – $461.84 61
Albumin (microalbumin) 24 hour urine quantitative CPT 82043 $40.68 $226.00 $2.08 – $64.53 61
Albumin serum plasma or whole blood CPT 82040 $34.92 $194.00 $1.38 – $55.23 61
Alkaline phosphatase CPT 84075 $32.04 $178.00 $1.69 – $57.63 61
Allergen alpha lactalbumin ige CPT 86008 $7.25 $40.25 $5.00 – $188.26 61
Allergen egg white ige CPT 86003 $30.42 $169.00 $1.71 – $176.18 61
Allergen specific ige qual multi scrn ea CPT 86005 $1.43 $7.97 $6.77 – $180.53 60
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 $3,996.00 $22,200.00 $1,600.00 – $77,700.00 16

A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.