99394 periodic comp preventive med 12 to 17 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

$29.70

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.

$165.00

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.

$38.79 with BLUE SHIELD EPN vs $249.39 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 $38.79 ↑ +31%
BLUE SHIELD - ALL OTHER PLANS BLUE SHIELD - ALL OTHER PLANS $45.15 ↑ +52%
BLUE SHIELD MCR ADV BLUE SHIELD MCR ADV $48.90 ↑ +65%
PROSPECT MG COM/POS PROFEE ONLY-ALL OTHER PLAN PROSPECT MG COM/POS PROFEE ONLY-ALL OTHER PLAN $49.50 ↑ +67%
PROSPECT MG MCR ADV PROFEE ONLY PROSPECT MG MCR ADV PROFEE ONLY $49.50 ↑ +67%
UHC JLL UHC JLL $61.94 ↑ +109%
PACIFIC IPA - ALL OTHER PLANS PACIFIC IPA - ALL OTHER PLANS $61.94 ↑ +109%
UHC HMO UHC HMO $65.13 ↑ +119%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $65.20 ↑ +120%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $66.10 ↑ +123%
KAISER- ALL PLANS KAISER- ALL PLANS $66.83 ↑ +125%
AETNA - ALL PLANS AETNA - ALL PLANS $71.16 ↑ +140%
BLUE CROSS NON MCS BLUE CROSS NON MCS $73.43 ↑ +147%
BLUE CROSS MCS - ALL OTHER PLANS BLUE CROSS MCS - ALL OTHER PLANS $73.43 ↑ +147%
HEALTHNET - ALL OTHER PLANS HEALTHNET - ALL OTHER PLANS $73.71 ↑ +148%
HEALTHNET COMM CARE HEALTHNET COMM CARE $76.04 ↑ +156%
OPTUM HMO - ALL OTHER PLANS OPTUM HMO - ALL OTHER PLANS $78.24 ↑ +163%
OPTUM MCR ADV OPTUM MCR ADV $78.24 ↑ +163%
CAREMORE MCARE - ALL PLANS CAREMORE MCARE - ALL PLANS $81.50 ↑ +174%
UHC SIGNATURE UHC SIGNATURE $81.50 ↑ +174%
HCPAMG - ALL PLANS HCPAMG - ALL PLANS $81.66 ↑ +175%
MOLINA BENEFIT EXCHANGE - ALL OTHER PLANS MOLINA BENEFIT EXCHANGE - ALL OTHER PLANS $82.50 ↑ +178%
MOLINA MCARE MOLINA MCARE $82.50 ↑ +178%
LA CARE MCR ADV - ALL PLANS LA CARE MCR ADV - ALL PLANS $89.65 ↑ +202%
HEALTHCARE INC - ALL OTHER PLANS HEALTHCARE INC - ALL OTHER PLANS $89.65 ↑ +202%
WESTERN GROWERS/PINNACLE - ALL PLANS WESTERN GROWERS/PINNACLE - ALL PLANS $91.28 ↑ +207%
FIRST HEATLH PPO - ALL PLANS FIRST HEATLH PPO - ALL PLANS $94.54 ↑ +218%
CIGNA CIGNA $102.97 ↑ +247%
CIGNA ALL OTHER - ALL OTHER PLANS CIGNA ALL OTHER - ALL OTHER PLANS $102.97 ↑ +247%
PHCS PPO - ALL PLANS PHCS PPO - ALL PLANS $105.95 ↑ +257%
SCAN HEALTH MCARE - ALL PLANS SCAN HEALTH MCARE - ALL PLANS $105.95 ↑ +257%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $115.50 ↑ +289%
BEECH STREET - ALL PLANS BEECH STREET - ALL PLANS $122.25 ↑ +312%
AHF - ALL PLANS AHF - ALL PLANS $122.25 ↑ +312%
INTERPLAN PPO - ALL PLANS INTERPLAN PPO - ALL PLANS $122.25 ↑ +312%
CORVEL CORP - ALL PLANS CORVEL CORP - ALL PLANS $130.40 ↑ +339%
MULTIPLAN PPO - ALL PLANS MULTIPLAN PPO - ALL PLANS $135.29 ↑ +356%
NEXT INC PPO - ALL PLANS NEXT INC PPO - ALL PLANS $138.55 ↑ +366%
TRPN - ALL PLANS TRPN - ALL PLANS $138.55 ↑ +366%
HEALTHMANNET - ALL PLANS HEALTHMANNET - ALL PLANS $138.55 ↑ +366%
BELLA VISTA MCR ADV OP/PROFEE ONLY - ALL OTHER PLA BELLA VISTA MCR ADV OP/PROFEE ONLY - ALL OTHER PLA $146.70 ↑ +394%
FPN PPO - ALL PLANS FPN PPO - ALL PLANS $146.70 ↑ +394%
MEDI-CAL MEDI-CAL $163.00 ↑ +449%
AVANTI MCAL AVANTI MCAL $163.00 ↑ +449%
BELLA VISTA MEDI-CAL OP/PROFEE ONLY BELLA VISTA MEDI-CAL OP/PROFEE ONLY $163.00 ↑ +449%
ALTA LOS ANGELES MCAL 1/1/19 ALTA LOS ANGELES MCAL 1/1/19 $163.00 ↑ +449%
AHP MEDI-CAL AHP MEDI-CAL $163.00 ↑ +449%
ACCESS MEDI-CAL ACCESS MEDI-CAL $163.00 ↑ +449%
HEALTHCARE INC MEDI-CAL HEALTHCARE INC MEDI-CAL $163.00 ↑ +449%
LASALLE MG MEDI-CAL LASALLE MG MEDI-CAL $163.00 ↑ +449%
MOLINA MEDI-CAL MOLINA MEDI-CAL $163.00 ↑ +449%
PACIFIC ALLIANCE MEDI-CAL PACIFIC ALLIANCE MEDI-CAL $163.00 ↑ +449%
PACIFIC IPA MEDI-CAL PACIFIC IPA MEDI-CAL $163.00 ↑ +449%
PREFERRED IPA LA CARE MCAL CAP PREFERRED IPA LA CARE MCAL CAP $163.00 ↑ +449%
PREFERRED MEDI-CAL PREFERRED MEDI-CAL $163.00 ↑ +449%
ALTAMED MEDI-CAL - ALL OTHER PLANS ALTAMED MEDI-CAL - ALL OTHER PLANS $165.00 ↑ +456%
PROSPECT MG MCAL PROFEE ONLY PROSPECT MG MCAL PROFEE ONLY $165.00 ↑ +456%
CARE FIRST MEDI-CAL CARE FIRST MEDI-CAL $165.00 ↑ +456%
BLUE SHIELD MEDI-CAL BLUE SHIELD MEDI-CAL $165.00 ↑ +456%
BC MEDI-CAL BC MEDI-CAL $165.00 ↑ +456%
HEALTHNET MCAL HEALTHNET MCAL $194.13 ↑ +554%
FCS IPA MEDI-CAL OP/PROFEE ONLY FCS IPA MEDI-CAL OP/PROFEE ONLY $195.60 ↑ +559%
PREFERRED HEALTHY PREFERRED HEALTHY $203.75 ↑ +586%
ASSOC HISPANIC PHYSCNS MCAL ASSOC HISPANIC PHYSCNS MCAL $228.20 ↑ +668%
EL PROYECTO MCAL PROFEE ONLY EL PROYECTO MCAL PROFEE ONLY $231.00 ↑ +678%
HCLA MCAL PROFEE ONLY HCLA MCAL PROFEE ONLY $231.00 ↑ +678%
GLOBAL CARE MCAL PROFEE ONLY GLOBAL CARE MCAL PROFEE ONLY $231.00 ↑ +678%
HEALTHNET MCR ADV HEALTHNET MCR ADV $249.39 ↑ +740%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

99394 periodic comp preventive med 12 to 17 years est at other California hospitals

Hospital City Cash price Negotiated range
Mark Twain Medical Center San Andreas $139.20 $54.07 – $204.82
Healdsburg Hospital Healdsburg $139.74 not published
Redwood Memorial Hospital Fortuna $109.65 not published
Mercy Medical Center Merced Merced $161.71 $78.65 – $310.86
St. Mary Medical Center Long Beach $147.92 $70.79 – $393.25
Glendale Memorial Hospital Health Center Glendale $35.86 $27.50 – $332.69
Mercy Medical Center Redding Redding $56.28 $88.80 – $111.00
REEDLEY COMMUNITY HOSPITAL Reedley $58.71 $2.48 – $675.81

All California hospitals for this procedure →