Allograft graftjacket 2x12cm-q4107-cost per sq cm 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

$54.00

Cash price

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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.

$300.00

Gross charge

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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.

$69.00 with BLUE SHIELD MEDI-CAL vs $459.00 with HEALTHNET MCR ADV — same scan, same building. Share

Negotiated rates by payer
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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
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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
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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 MEDI-CAL BLUE SHIELD MEDI-CAL $69.00 ↑ +28%
BLUE SHIELD EPN BLUE SHIELD EPN $71.40 ↑ +32%
BLUE SHIELD - ALL OTHER PLANS BLUE SHIELD - ALL OTHER PLANS $83.10 ↑ +54%
BLUE SHIELD MCR ADV BLUE SHIELD MCR ADV $90.00 ↑ +67%
PACIFIC IPA - ALL OTHER PLANS PACIFIC IPA - ALL OTHER PLANS $114.00 ↑ +111%
KAISER- ALL PLANS KAISER- ALL PLANS $123.00 ↑ +128%
BC MEDI-CAL BC MEDI-CAL $124.24 ↑ +130%
CIGNA CIGNA $126.90 ↑ +135%
CIGNA ALL OTHER - ALL OTHER PLANS CIGNA ALL OTHER - ALL OTHER PLANS $126.90 ↑ +135%
LASALLE MG COMMERCIAL - ALL OTHER PLANS LASALLE MG COMMERCIAL - ALL OTHER PLANS $127.97 ↑ +137%
AHP - ALL OTHER PLANS AHP - ALL OTHER PLANS $127.97 ↑ +137%
ACCESS GROUP ACCESS GROUP $127.97 ↑ +137%
HEALTHNET - ALL OTHER PLANS HEALTHNET - ALL OTHER PLANS $135.66 ↑ +151%
PREFERRED IPA LA CARE MCAL CAP PREFERRED IPA LA CARE MCAL CAP $137.30 ↑ +154%
AHP MEDI-CAL AHP MEDI-CAL $137.30 ↑ +154%
PACIFIC IPA MEDI-CAL PACIFIC IPA MEDI-CAL $137.30 ↑ +154%
ALTA LOS ANGELES MCAL 1/1/19 ALTA LOS ANGELES MCAL 1/1/19 $137.30 ↑ +154%
MEDI-CAL MEDI-CAL $137.30 ↑ +154%
PACIFIC ALLIANCE MEDI-CAL PACIFIC ALLIANCE MEDI-CAL $137.30 ↑ +154%
HEALTHCARE INC MEDI-CAL HEALTHCARE INC MEDI-CAL $137.30 ↑ +154%
AVANTI MCAL AVANTI MCAL $137.30 ↑ +154%
BELLA VISTA MEDI-CAL OP/PROFEE ONLY BELLA VISTA MEDI-CAL OP/PROFEE ONLY $137.30 ↑ +154%
MOLINA MEDI-CAL MOLINA MEDI-CAL $137.30 ↑ +154%
LASALLE MG MEDI-CAL LASALLE MG MEDI-CAL $137.30 ↑ +154%
PREFERRED MEDI-CAL PREFERRED MEDI-CAL $137.30 ↑ +154%
ACCESS MEDI-CAL ACCESS MEDI-CAL $137.30 ↑ +154%
HEALTHNET COMM CARE HEALTHNET COMM CARE $139.95 ↑ +159%
OPTUM MCR ADV OPTUM MCR ADV $144.00 ↑ +167%
OPTUM HMO - ALL OTHER PLANS OPTUM HMO - ALL OTHER PLANS $144.00 ↑ +167%
AETNA - ALL PLANS AETNA - ALL PLANS $145.80 ↑ +170%
CAREMORE MCARE - ALL PLANS CAREMORE MCARE - ALL PLANS $150.00 ↑ +178%
UHC SIGNATURE UHC SIGNATURE $150.00 ↑ +178%
HCPAMG - ALL PLANS HCPAMG - ALL PLANS $150.30 ↑ +178%
CLEVER CARE - ALL PLANS CLEVER CARE - ALL PLANS $150.55 ↑ +179%
SUNLIGHT LIVING HLTH MCR ADV-ALL OTHER PLANS SUNLIGHT LIVING HLTH MCR ADV-ALL OTHER PLANS $150.55 ↑ +179%
PREFERRED SENIOR PREFERRED SENIOR $150.55 ↑ +179%
UHC MCR ADV UHC MCR ADV $150.55 ↑ +179%
PACIFIC ALLIANCE MCARE - ALL OTHER PLANS PACIFIC ALLIANCE MCARE - ALL OTHER PLANS $150.55 ↑ +179%
MOLINA MCARE MOLINA MCARE $150.55 ↑ +179%
TRICARE BLUE SHIELD-ALL PLANS TRICARE BLUE SHIELD-ALL PLANS $150.55 ↑ +179%
LASALLE MG SENIOR LASALLE MG SENIOR $150.55 ↑ +179%
HUMANA MCARE - ALL PLANS HUMANA MCARE - ALL PLANS $150.55 ↑ +179%
ACCESS SENIOR - ALL OTHER PLANS ACCESS SENIOR - ALL OTHER PLANS $150.55 ↑ +179%
AHP SENIOR AHP SENIOR $150.55 ↑ +179%
ALTA LOS ANGELES MCR 1/1/19-ALL OTHER PLANS ALTA LOS ANGELES MCR 1/1/19-ALL OTHER PLANS $150.55 ↑ +179%
ALTAMED CONNECT ALTAMED CONNECT $150.55 ↑ +179%
HEALTHCARE INC MEDICARE HEALTHCARE INC MEDICARE $150.55 ↑ +179%
AVANTI MCR ADV - ALL OTHER PLANS AVANTI MCR ADV - ALL OTHER PLANS $150.55 ↑ +179%
BRAND NEW DAY MCARE - ALL PLANS BRAND NEW DAY MCARE - ALL PLANS $150.55 ↑ +179%
BS VA MCARE BS VA MCARE $150.55 ↑ +179%
CARE FIRST MCARE - ALL OTHER PLANS CARE FIRST MCARE - ALL OTHER PLANS $150.55 ↑ +179%
FCS IPA MCR ADVAN OP/PROFEE ONLY FCS IPA MCR ADVAN OP/PROFEE ONLY $150.55 ↑ +179%
BLUE CROSS MCR ADV BLUE CROSS MCR ADV $156.57 ↑ +190%
ALTAMED MEDI-CAL - ALL OTHER PLANS ALTAMED MEDI-CAL - ALL OTHER PLANS $157.90 ↑ +192%
FCS IPA OP/PROFEE ONLY - ALL OTHER PLANS FCS IPA OP/PROFEE ONLY - ALL OTHER PLANS $158.08 ↑ +193%
HEALTHNET MCAL HEALTHNET MCAL $163.53 ↑ +203%
FCS IPA MEDI-CAL OP/PROFEE ONLY FCS IPA MEDI-CAL OP/PROFEE ONLY $164.76 ↑ +205%
HEALTHCARE INC - ALL OTHER PLANS HEALTHCARE INC - ALL OTHER PLANS $165.00 ↑ +206%
LA CARE MCR ADV - ALL PLANS LA CARE MCR ADV - ALL PLANS $165.00 ↑ +206%
WESTERN GROWERS/PINNACLE - ALL PLANS WESTERN GROWERS/PINNACLE - ALL PLANS $168.00 ↑ +211%
PREFERRED HEALTHY PREFERRED HEALTHY $171.63 ↑ +218%
BRIGHT HEALTH - ALL PLANS BRIGHT HEALTH - ALL PLANS $173.13 ↑ +221%
FIRST HEATLH PPO - ALL PLANS FIRST HEATLH PPO - ALL PLANS $174.00 ↑ +222%
ASSOC HISPANIC PHYSCNS HMO/MCR ADV-ALL OTHER PLANS ASSOC HISPANIC PHYSCNS HMO/MCR ADV-ALL OTHER PLANS $180.66 ↑ +235%
PREFERRED COMMERCIAL - ALL OTHER PLANS PREFERRED COMMERCIAL - ALL OTHER PLANS $180.66 ↑ +235%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $188.68 ↑ +249%
ASSOC HISPANIC PHYSCNS MCAL ASSOC HISPANIC PHYSCNS MCAL $192.22 ↑ +256%
PHCS PPO - ALL PLANS PHCS PPO - ALL PLANS $195.00 ↑ +261%
SCAN HEALTH MCARE - ALL PLANS SCAN HEALTH MCARE - ALL PLANS $195.00 ↑ +261%
INTERGRATED MEDICAL - ALL PLANS INTERGRATED MEDICAL - ALL PLANS $195.72 ↑ +262%
MOLINA BENEFIT EXCHANGE - ALL OTHER PLANS MOLINA BENEFIT EXCHANGE - ALL OTHER PLANS $203.24 ↑ +276%
BLUE CROSS NON MCS BLUE CROSS NON MCS $209.64 ↑ +288%
AHF - ALL PLANS AHF - ALL PLANS $225.00 ↑ +317%
INTERPLAN PPO - ALL PLANS INTERPLAN PPO - ALL PLANS $225.00 ↑ +317%
BEECH STREET - ALL PLANS BEECH STREET - ALL PLANS $225.00 ↑ +317%
PHP-PROSPECT HEALTH PLAN CAP - ALL PLANS PHP-PROSPECT HEALTH PLAN CAP - ALL PLANS $225.83 ↑ +318%
CORVEL CORP - ALL PLANS CORVEL CORP - ALL PLANS $240.00 ↑ +344%
MULTIPLAN PPO - ALL PLANS MULTIPLAN PPO - ALL PLANS $249.00 ↑ +361%
BLUE CROSS MCS - ALL OTHER PLANS BLUE CROSS MCS - ALL OTHER PLANS $251.56 ↑ +366%
NEXT INC PPO - ALL PLANS NEXT INC PPO - ALL PLANS $255.00 ↑ +372%
TRPN - ALL PLANS TRPN - ALL PLANS $255.00 ↑ +372%
HEALTHMANNET - ALL PLANS HEALTHMANNET - ALL PLANS $255.00 ↑ +372%
BELLA VISTA MCR ADV OP/PROFEE ONLY - ALL OTHER PLA BELLA VISTA MCR ADV OP/PROFEE ONLY - ALL OTHER PLA $270.00 ↑ +400%
FPN PPO - ALL PLANS FPN PPO - ALL PLANS $270.00 ↑ +400%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $270.99 ↑ +402%
CARE FIRST MEDI-CAL CARE FIRST MEDI-CAL $300.00 ↑ +456%
CENTIVO - ALL PLANS CENTIVO - ALL PLANS $338.74 ↑ +527%
UHC JLL UHC JLL $346.14 ↑ +541%
UHC HMO UHC HMO $346.14 ↑ +541%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $346.14 ↑ +541%
HEALTHNET MCR ADV HEALTHNET MCR ADV $459.00 ↑ +750%

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Allograft graftjacket 2x12cm-q4107-cost per sq cm at other California hospitals

Hospital City Cash price Negotiated range
Fresno Medical Center FRESNO $4,677.40 not published
St. John's Camarillo Hospital Camarillo $7,999.20 $119.88 – $4,982.64
Antioch Medical Center ANTIOCH $4,677.40 not published
Redwood City Medical Center Redwood City $4,677.40 not published
Santa Clara Medical Center SANTA CLARA $4,677.40 not published
Baldwin Park Medical Center BALDWIN PARK $4,343.30 not published
Riverside Medical Center RIVERSIDE $4,343.30 not published
Fremont Medical Center FREMONT $4,677.40 not published

All California hospitals for this procedure →