99393 periodic comp preventive med 5 to 11 years est at 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

$27.00

Cash price

?

Discounted cash price

What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge.

Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.

Full explanation →

What you pay up front if you don't use insurance.

$150.00

Gross charge

?

Gross charge (chargemaster price)

The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this.

Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$35.22 with BLUE SHIELD EPN vs $226.44 with HEALTHNET MCR ADV — same scan, same building. Share

Negotiated rates by payer
?

Negotiated rate

The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.

Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.

Full explanation →

Payer
?

Payer

The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on.

Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509.

Full explanation →
Plan
?

Plan

The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates.

Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible.

Full explanation →
Negotiated rate vs. cash
BLUE SHIELD EPN BLUE SHIELD EPN $35.22 ↑ +30%
BLUE SHIELD - ALL OTHER PLANS BLUE SHIELD - ALL OTHER PLANS $41.00 ↑ +52%
BLUE SHIELD MCR ADV BLUE SHIELD MCR ADV $44.40 ↑ +64%
PROSPECT MG COM/POS PROFEE ONLY-ALL OTHER PLAN PROSPECT MG COM/POS PROFEE ONLY-ALL OTHER PLAN $45.00 ↑ +67%
PROSPECT MG MCR ADV PROFEE ONLY PROSPECT MG MCR ADV PROFEE ONLY $45.00 ↑ +67%
UHC JLL UHC JLL $56.24 ↑ +108%
PACIFIC IPA - ALL OTHER PLANS PACIFIC IPA - ALL OTHER PLANS $56.24 ↑ +108%
UHC HMO UHC HMO $59.14 ↑ +119%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $59.20 ↑ +119%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $60.01 ↑ +122%
KAISER- ALL PLANS KAISER- ALL PLANS $60.68 ↑ +125%
AETNA - ALL PLANS AETNA - ALL PLANS $62.26 ↑ +131%
BLUE CROSS NON MCS BLUE CROSS NON MCS $66.67 ↑ +147%
BLUE CROSS MCS - ALL OTHER PLANS BLUE CROSS MCS - ALL OTHER PLANS $66.67 ↑ +147%
HEALTHNET - ALL OTHER PLANS HEALTHNET - ALL OTHER PLANS $66.93 ↑ +148%
HEALTHNET COMM CARE HEALTHNET COMM CARE $69.04 ↑ +156%
OPTUM HMO - ALL OTHER PLANS OPTUM HMO - ALL OTHER PLANS $71.04 ↑ +163%
OPTUM MCR ADV OPTUM MCR ADV $71.04 ↑ +163%
CAREMORE MCARE - ALL PLANS CAREMORE MCARE - ALL PLANS $74.00 ↑ +174%
UHC SIGNATURE UHC SIGNATURE $74.00 ↑ +174%
HCPAMG - ALL PLANS HCPAMG - ALL PLANS $74.15 ↑ +175%
MOLINA BENEFIT EXCHANGE - ALL OTHER PLANS MOLINA BENEFIT EXCHANGE - ALL OTHER PLANS $75.00 ↑ +178%
MOLINA MCARE MOLINA MCARE $75.00 ↑ +178%
LA CARE MCR ADV - ALL PLANS LA CARE MCR ADV - ALL PLANS $81.40 ↑ +201%
HEALTHCARE INC - ALL OTHER PLANS HEALTHCARE INC - ALL OTHER PLANS $81.40 ↑ +201%
WESTERN GROWERS/PINNACLE - ALL PLANS WESTERN GROWERS/PINNACLE - ALL PLANS $82.88 ↑ +207%
FIRST HEATLH PPO - ALL PLANS FIRST HEATLH PPO - ALL PLANS $85.84 ↑ +218%
CIGNA CIGNA $91.03 ↑ +237%
CIGNA ALL OTHER - ALL OTHER PLANS CIGNA ALL OTHER - ALL OTHER PLANS $91.03 ↑ +237%
PHCS PPO - ALL PLANS PHCS PPO - ALL PLANS $96.20 ↑ +256%
SCAN HEALTH MCARE - ALL PLANS SCAN HEALTH MCARE - ALL PLANS $96.20 ↑ +256%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $105.00 ↑ +289%
BEECH STREET - ALL PLANS BEECH STREET - ALL PLANS $111.00 ↑ +311%
AHF - ALL PLANS AHF - ALL PLANS $111.00 ↑ +311%
INTERPLAN PPO - ALL PLANS INTERPLAN PPO - ALL PLANS $111.00 ↑ +311%
CORVEL CORP - ALL PLANS CORVEL CORP - ALL PLANS $118.40 ↑ +339%
MULTIPLAN PPO - ALL PLANS MULTIPLAN PPO - ALL PLANS $122.84 ↑ +355%
NEXT INC PPO - ALL PLANS NEXT INC PPO - ALL PLANS $125.80 ↑ +366%
TRPN - ALL PLANS TRPN - ALL PLANS $125.80 ↑ +366%
HEALTHMANNET - ALL PLANS HEALTHMANNET - ALL PLANS $125.80 ↑ +366%
BELLA VISTA MCR ADV OP/PROFEE ONLY - ALL OTHER PLA BELLA VISTA MCR ADV OP/PROFEE ONLY - ALL OTHER PLA $133.20 ↑ +393%
FPN PPO - ALL PLANS FPN PPO - ALL PLANS $133.20 ↑ +393%
MEDI-CAL MEDI-CAL $148.00 ↑ +448%
AVANTI MCAL AVANTI MCAL $148.00 ↑ +448%
BELLA VISTA MEDI-CAL OP/PROFEE ONLY BELLA VISTA MEDI-CAL OP/PROFEE ONLY $148.00 ↑ +448%
ALTA LOS ANGELES MCAL 1/1/19 ALTA LOS ANGELES MCAL 1/1/19 $148.00 ↑ +448%
AHP MEDI-CAL AHP MEDI-CAL $148.00 ↑ +448%
ACCESS MEDI-CAL ACCESS MEDI-CAL $148.00 ↑ +448%
HEALTHCARE INC MEDI-CAL HEALTHCARE INC MEDI-CAL $148.00 ↑ +448%
LASALLE MG MEDI-CAL LASALLE MG MEDI-CAL $148.00 ↑ +448%
MOLINA MEDI-CAL MOLINA MEDI-CAL $148.00 ↑ +448%
PACIFIC ALLIANCE MEDI-CAL PACIFIC ALLIANCE MEDI-CAL $148.00 ↑ +448%
PACIFIC IPA MEDI-CAL PACIFIC IPA MEDI-CAL $148.00 ↑ +448%
PREFERRED IPA LA CARE MCAL CAP PREFERRED IPA LA CARE MCAL CAP $148.00 ↑ +448%
PREFERRED MEDI-CAL PREFERRED MEDI-CAL $148.00 ↑ +448%
ALTAMED MEDI-CAL - ALL OTHER PLANS ALTAMED MEDI-CAL - ALL OTHER PLANS $150.00 ↑ +456%
PROSPECT MG MCAL PROFEE ONLY PROSPECT MG MCAL PROFEE ONLY $150.00 ↑ +456%
CARE FIRST MEDI-CAL CARE FIRST MEDI-CAL $150.00 ↑ +456%
BLUE SHIELD MEDI-CAL BLUE SHIELD MEDI-CAL $150.00 ↑ +456%
BC MEDI-CAL BC MEDI-CAL $150.00 ↑ +456%
HEALTHNET MCAL HEALTHNET MCAL $176.27 ↑ +553%
FCS IPA MEDI-CAL OP/PROFEE ONLY FCS IPA MEDI-CAL OP/PROFEE ONLY $177.60 ↑ +558%
PREFERRED HEALTHY PREFERRED HEALTHY $185.00 ↑ +585%
ASSOC HISPANIC PHYSCNS MCAL ASSOC HISPANIC PHYSCNS MCAL $207.20 ↑ +667%
EL PROYECTO MCAL PROFEE ONLY EL PROYECTO MCAL PROFEE ONLY $210.00 ↑ +678%
HCLA MCAL PROFEE ONLY HCLA MCAL PROFEE ONLY $210.00 ↑ +678%
GLOBAL CARE MCAL PROFEE ONLY GLOBAL CARE MCAL PROFEE ONLY $210.00 ↑ +678%
HEALTHNET MCR ADV HEALTHNET MCR ADV $226.44 ↑ +739%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

99393 periodic comp preventive med 5 to 11 years est at other California hospitals

Hospital City Cash price Negotiated range
Mark Twain Medical Center San Andreas $115.22 $44.76 – $169.54
Healdsburg Hospital Healdsburg $124.95 not published
Redwood Memorial Hospital Fortuna $109.65 not published
Mercy Medical Center Merced Merced $161.71 $62.90 – $310.86
St. Mary Medical Center Long Beach $138.03 $56.61 – $321.00
Mercy Medical Center Redding Redding $52.23 $82.40 – $103.00
REEDLEY COMMUNITY HOSPITAL Reedley $45.22 $2.19 – $675.81
HANFORD COMMUNITY HOSPITAL Selma $33.82 $81.57 – $299.04

All California hospitals for this procedure →