Dextrose 5 % in water (d5w) intravenous solution (non-pvc) 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

$28.44

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.

$158.00

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.

$2.18 with BC MEDI-CAL vs $199.50 with CARE FIRST MEDI-CAL — 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
BC MEDI-CAL BC MEDI-CAL $2.18 ↓ -92%
UHC JLL UHC JLL $4.77 ↓ -83%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $4.77 ↓ -83%
UHC HMO UHC HMO $4.77 ↓ -83%
BLUE SHIELD MEDI-CAL BLUE SHIELD MEDI-CAL $13.11 ↓ -54%
BLUE SHIELD EPN BLUE SHIELD EPN $13.57 ↓ -52%
BLUE SHIELD - ALL OTHER PLANS BLUE SHIELD - ALL OTHER PLANS $15.79 ↓ -44%
BLUE SHIELD MCR ADV BLUE SHIELD MCR ADV $17.10 ↓ -40%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $20.74 ↓ -27%
PACIFIC IPA - ALL OTHER PLANS PACIFIC IPA - ALL OTHER PLANS $21.66 ↓ -24%
BLUE CROSS NON MCS BLUE CROSS NON MCS $23.04 ↓ -19%
KAISER- ALL PLANS KAISER- ALL PLANS $23.37 ↓ -18%
CIGNA ALL OTHER - ALL OTHER PLANS CIGNA ALL OTHER - ALL OTHER PLANS $24.11 ↓ -15%
CIGNA CIGNA $24.11 ↓ -15%
HEALTHNET - ALL OTHER PLANS HEALTHNET - ALL OTHER PLANS $25.78 ↓ -9%
HEALTHNET COMM CARE HEALTHNET COMM CARE $26.59 ↓ -7%
OPTUM HMO - ALL OTHER PLANS OPTUM HMO - ALL OTHER PLANS $27.36 ↓ -4%
OPTUM MCR ADV OPTUM MCR ADV $27.36 ↓ -4%
BLUE CROSS MCS - ALL OTHER PLANS BLUE CROSS MCS - ALL OTHER PLANS $27.65 ↓ -3%
UHC SIGNATURE UHC SIGNATURE $28.50 ↑ +0%
CAREMORE MCARE - ALL PLANS CAREMORE MCARE - ALL PLANS $28.50 ↑ +0%
HCPAMG - ALL PLANS HCPAMG - ALL PLANS $28.56 ↑ +0%
HEALTHCARE INC - ALL OTHER PLANS HEALTHCARE INC - ALL OTHER PLANS $31.35 ↑ +10%
LA CARE MCR ADV - ALL PLANS LA CARE MCR ADV - ALL PLANS $31.35 ↑ +10%
WESTERN GROWERS/PINNACLE - ALL PLANS WESTERN GROWERS/PINNACLE - ALL PLANS $31.92 ↑ +12%
FIRST HEATLH PPO - ALL PLANS FIRST HEATLH PPO - ALL PLANS $33.06 ↑ +16%
PHCS PPO - ALL PLANS PHCS PPO - ALL PLANS $37.05 ↑ +30%
SCAN HEALTH MCARE - ALL PLANS SCAN HEALTH MCARE - ALL PLANS $37.05 ↑ +30%
INTERPLAN PPO - ALL PLANS INTERPLAN PPO - ALL PLANS $42.75 ↑ +50%
AHF - ALL PLANS AHF - ALL PLANS $42.75 ↑ +50%
BEECH STREET - ALL PLANS BEECH STREET - ALL PLANS $42.75 ↑ +50%
CORVEL CORP - ALL PLANS CORVEL CORP - ALL PLANS $45.60 ↑ +60%
MULTIPLAN PPO - ALL PLANS MULTIPLAN PPO - ALL PLANS $47.31 ↑ +66%
TRPN - ALL PLANS TRPN - ALL PLANS $48.45 ↑ +70%
NEXT INC PPO - ALL PLANS NEXT INC PPO - ALL PLANS $48.45 ↑ +70%
HEALTHMANNET - ALL PLANS HEALTHMANNET - ALL PLANS $48.45 ↑ +70%
FPN PPO - ALL PLANS FPN PPO - ALL PLANS $51.30 ↑ +80%
BELLA VISTA MCR ADV OP/PROFEE ONLY - ALL OTHER PLA BELLA VISTA MCR ADV OP/PROFEE ONLY - ALL OTHER PLA $51.30 ↑ +80%
PACIFIC IPA MEDI-CAL PACIFIC IPA MEDI-CAL $57.00 ↑ +100%
MEDI-CAL MEDI-CAL $57.00 ↑ +100%
HEALTHCARE INC MEDI-CAL HEALTHCARE INC MEDI-CAL $57.00 ↑ +100%
ACCESS MEDI-CAL ACCESS MEDI-CAL $57.00 ↑ +100%
BELLA VISTA MEDI-CAL OP/PROFEE ONLY BELLA VISTA MEDI-CAL OP/PROFEE ONLY $57.00 ↑ +100%
AHP MEDI-CAL AHP MEDI-CAL $57.00 ↑ +100%
AVANTI MCAL AVANTI MCAL $57.00 ↑ +100%
LASALLE MG MEDI-CAL LASALLE MG MEDI-CAL $57.00 ↑ +100%
MOLINA MEDI-CAL MOLINA MEDI-CAL $57.00 ↑ +100%
ALTA LOS ANGELES MCAL 1/1/19 ALTA LOS ANGELES MCAL 1/1/19 $57.00 ↑ +100%
PREFERRED MEDI-CAL PREFERRED MEDI-CAL $57.00 ↑ +100%
PACIFIC ALLIANCE MEDI-CAL PACIFIC ALLIANCE MEDI-CAL $57.00 ↑ +100%
PREFERRED IPA LA CARE MCAL CAP PREFERRED IPA LA CARE MCAL CAP $57.00 ↑ +100%
ALTAMED MEDI-CAL - ALL OTHER PLANS ALTAMED MEDI-CAL - ALL OTHER PLANS $65.55 ↑ +130%
HEALTHNET MCAL HEALTHNET MCAL $67.89 ↑ +139%
FCS IPA MEDI-CAL OP/PROFEE ONLY FCS IPA MEDI-CAL OP/PROFEE ONLY $68.40 ↑ +141%
PREFERRED HEALTHY PREFERRED HEALTHY $71.25 ↑ +151%
ASSOC HISPANIC PHYSCNS MCAL ASSOC HISPANIC PHYSCNS MCAL $79.80 ↑ +181%
HEALTHNET MCR ADV HEALTHNET MCR ADV $87.21 ↑ +207%
AETNA - ALL PLANS AETNA - ALL PLANS $132.75 ↑ +367%
CARE FIRST MEDI-CAL CARE FIRST MEDI-CAL $199.50 ↑ +601%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Dextrose 5 % in water (d5w) intravenous solution (non-pvc) at other California hospitals

Hospital City Cash price Negotiated range
Fresno Medical Center FRESNO $74.56 $2.02 – $2.02
St. John's Camarillo Hospital Camarillo $57.38 $1.42 – $19.60
Antioch Medical Center ANTIOCH $74.56 $2.02 – $2.02
Redwood City Medical Center Redwood City $74.56 $2.02 – $2.02
Santa Clara Medical Center SANTA CLARA $74.56 $2.02 – $2.02
Baldwin Park Medical Center BALDWIN PARK $69.24 $2.02 – $2.02
Riverside Medical Center RIVERSIDE $69.24 $2.02 – $2.02
Fremont Medical Center FREMONT $74.56 $2.02 – $2.02

All California hospitals for this procedure →