Fibrinolytic plasminogen xcpt antgnc asa 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

$1.05

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.

$5.81

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.

$1.38 with BLUE SHIELD EPN vs $72.93 with BLUE CROSS MCS - ALL OTHER PLANS — 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 EPN BLUE SHIELD EPN $1.38 ↑ +31%
BC MEDI-CAL BC MEDI-CAL $1.58 ↑ +50%
BLUE SHIELD - ALL OTHER PLANS BLUE SHIELD - ALL OTHER PLANS $1.61 ↑ +53%
BLUE SHIELD MCR ADV BLUE SHIELD MCR ADV $1.74 ↑ +66%
UHC JLL UHC JLL $2.21 ↑ +110%
PACIFIC IPA - ALL OTHER PLANS PACIFIC IPA - ALL OTHER PLANS $2.21 ↑ +110%
UHC HMO UHC HMO $2.32 ↑ +121%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $2.32 ↑ +121%
KAISER- ALL PLANS KAISER- ALL PLANS $2.38 ↑ +127%
HEALTHNET - ALL OTHER PLANS HEALTHNET - ALL OTHER PLANS $2.63 ↑ +150%
HEALTHNET COMM CARE HEALTHNET COMM CARE $2.71 ↑ +158%
OPTUM MCR ADV OPTUM MCR ADV $2.79 ↑ +166%
OPTUM HMO - ALL OTHER PLANS OPTUM HMO - ALL OTHER PLANS $2.79 ↑ +166%
CAREMORE MCARE - ALL PLANS CAREMORE MCARE - ALL PLANS $2.91 ↑ +177%
HCPAMG - ALL PLANS HCPAMG - ALL PLANS $2.91 ↑ +177%
UHC SIGNATURE UHC SIGNATURE $2.91 ↑ +177%
WESTERN GROWERS/PINNACLE - ALL PLANS WESTERN GROWERS/PINNACLE - ALL PLANS $2.96 ↑ +182%
LA CARE MCR ADV - ALL PLANS LA CARE MCR ADV - ALL PLANS $3.20 ↑ +205%
HEALTHCARE INC - ALL OTHER PLANS HEALTHCARE INC - ALL OTHER PLANS $3.20 ↑ +205%
FIRST HEATLH PPO - ALL PLANS FIRST HEATLH PPO - ALL PLANS $3.37 ↑ +221%
PHCS PPO - ALL PLANS PHCS PPO - ALL PLANS $3.78 ↑ +260%
SCAN HEALTH MCARE - ALL PLANS SCAN HEALTH MCARE - ALL PLANS $3.78 ↑ +260%
INTERPLAN PPO - ALL PLANS INTERPLAN PPO - ALL PLANS $4.36 ↑ +315%
AHF - ALL PLANS AHF - ALL PLANS $4.36 ↑ +315%
BEECH STREET - ALL PLANS BEECH STREET - ALL PLANS $4.36 ↑ +315%
CORVEL CORP - ALL PLANS CORVEL CORP - ALL PLANS $4.65 ↑ +343%
MULTIPLAN PPO - ALL PLANS MULTIPLAN PPO - ALL PLANS $4.82 ↑ +359%
NEXT INC PPO - ALL PLANS NEXT INC PPO - ALL PLANS $4.94 ↑ +370%
TRPN - ALL PLANS TRPN - ALL PLANS $4.94 ↑ +370%
HEALTHMANNET - ALL PLANS HEALTHMANNET - ALL PLANS $4.94 ↑ +370%
FPN PPO - ALL PLANS FPN PPO - ALL PLANS $5.23 ↑ +398%
AHP - ALL OTHER PLANS AHP - ALL OTHER PLANS $5.55 ↑ +429%
LASALLE MG COMMERCIAL - ALL OTHER PLANS LASALLE MG COMMERCIAL - ALL OTHER PLANS $5.55 ↑ +429%
ACCESS GROUP ACCESS GROUP $5.55 ↑ +429%
AHP MEDI-CAL AHP MEDI-CAL $5.81 ↑ +453%
LASALLE MG MEDI-CAL LASALLE MG MEDI-CAL $5.81 ↑ +453%
ALTA LOS ANGELES MCAL 1/1/19 ALTA LOS ANGELES MCAL 1/1/19 $5.81 ↑ +453%
FCS IPA MEDI-CAL OP/PROFEE ONLY FCS IPA MEDI-CAL OP/PROFEE ONLY $5.81 ↑ +453%
ALTAMED MEDI-CAL - ALL OTHER PLANS ALTAMED MEDI-CAL - ALL OTHER PLANS $5.81 ↑ +453%
PACIFIC ALLIANCE MEDI-CAL PACIFIC ALLIANCE MEDI-CAL $5.81 ↑ +453%
ASSOC HISPANIC PHYSCNS MCAL ASSOC HISPANIC PHYSCNS MCAL $5.81 ↑ +453%
AVANTI MCAL AVANTI MCAL $5.81 ↑ +453%
PACIFIC IPA MEDI-CAL PACIFIC IPA MEDI-CAL $5.81 ↑ +453%
PREFERRED HEALTHY PREFERRED HEALTHY $5.81 ↑ +453%
BELLA VISTA MEDI-CAL OP/PROFEE ONLY BELLA VISTA MEDI-CAL OP/PROFEE ONLY $5.81 ↑ +453%
BLUE SHIELD MEDI-CAL BLUE SHIELD MEDI-CAL $5.81 ↑ +453%
HEALTHCARE INC MEDI-CAL HEALTHCARE INC MEDI-CAL $5.81 ↑ +453%
PREFERRED IPA LA CARE MCAL CAP PREFERRED IPA LA CARE MCAL CAP $5.81 ↑ +453%
PREFERRED MEDI-CAL PREFERRED MEDI-CAL $5.81 ↑ +453%
CARE FIRST MEDI-CAL CARE FIRST MEDI-CAL $5.81 ↑ +453%
HEALTHNET MCAL HEALTHNET MCAL $5.81 ↑ +453%
MEDI-CAL MEDI-CAL $5.81 ↑ +453%
ACCESS MEDI-CAL ACCESS MEDI-CAL $5.81 ↑ +453%
MOLINA MEDI-CAL MOLINA MEDI-CAL $5.81 ↑ +453%
BELLA VISTA MCR ADV OP/PROFEE ONLY - ALL OTHER PLA BELLA VISTA MCR ADV OP/PROFEE ONLY - ALL OTHER PLA $5.88 ↑ +460%
FCS IPA MCR ADVAN OP/PROFEE ONLY FCS IPA MCR ADVAN OP/PROFEE ONLY $6.53 ↑ +522%
CARE FIRST MCARE - ALL OTHER PLANS CARE FIRST MCARE - ALL OTHER PLANS $6.53 ↑ +522%
BS VA MCARE BS VA MCARE $6.53 ↑ +522%
BRAND NEW DAY MCARE - ALL PLANS BRAND NEW DAY MCARE - ALL PLANS $6.53 ↑ +522%
HEALTHCARE INC MEDICARE HEALTHCARE INC MEDICARE $6.53 ↑ +522%
AVANTI MCR ADV - ALL OTHER PLANS AVANTI MCR ADV - ALL OTHER PLANS $6.53 ↑ +522%
HUMANA MCARE - ALL PLANS HUMANA MCARE - ALL PLANS $6.53 ↑ +522%
ALTAMED CONNECT ALTAMED CONNECT $6.53 ↑ +522%
ALTA LOS ANGELES MCR 1/1/19-ALL OTHER PLANS ALTA LOS ANGELES MCR 1/1/19-ALL OTHER PLANS $6.53 ↑ +522%
AHP SENIOR AHP SENIOR $6.53 ↑ +522%
LASALLE MG SENIOR LASALLE MG SENIOR $6.53 ↑ +522%
MOLINA MCARE MOLINA MCARE $6.53 ↑ +522%
ACCESS SENIOR - ALL OTHER PLANS ACCESS SENIOR - ALL OTHER PLANS $6.53 ↑ +522%
TRICARE BLUE SHIELD-ALL PLANS TRICARE BLUE SHIELD-ALL PLANS $6.53 ↑ +522%
PACIFIC ALLIANCE MCARE - ALL OTHER PLANS PACIFIC ALLIANCE MCARE - ALL OTHER PLANS $6.53 ↑ +522%
UHC MCR ADV UHC MCR ADV $6.53 ↑ +522%
PREFERRED SENIOR PREFERRED SENIOR $6.53 ↑ +522%
SUNLIGHT LIVING HLTH MCR ADV-ALL OTHER PLANS SUNLIGHT LIVING HLTH MCR ADV-ALL OTHER PLANS $6.53 ↑ +522%
CLEVER CARE - ALL PLANS CLEVER CARE - ALL PLANS $6.53 ↑ +522%
BLUE CROSS MCR ADV BLUE CROSS MCR ADV $6.79 ↑ +547%
FCS IPA OP/PROFEE ONLY - ALL OTHER PLANS FCS IPA OP/PROFEE ONLY - ALL OTHER PLANS $6.86 ↑ +553%
BRIGHT HEALTH - ALL PLANS BRIGHT HEALTH - ALL PLANS $7.51 ↑ +615%
ASSOC HISPANIC PHYSCNS HMO/MCR ADV-ALL OTHER PLANS ASSOC HISPANIC PHYSCNS HMO/MCR ADV-ALL OTHER PLANS $7.84 ↑ +647%
PREFERRED COMMERCIAL - ALL OTHER PLANS PREFERRED COMMERCIAL - ALL OTHER PLANS $7.84 ↑ +647%
INTERGRATED MEDICAL - ALL PLANS INTERGRATED MEDICAL - ALL PLANS $8.49 ↑ +709%
MOLINA BENEFIT EXCHANGE - ALL OTHER PLANS MOLINA BENEFIT EXCHANGE - ALL OTHER PLANS $8.82 ↑ +740%
HEALTHNET MCR ADV HEALTHNET MCR ADV $8.89 ↑ +747%
PHP-PROSPECT HEALTH PLAN CAP - ALL PLANS PHP-PROSPECT HEALTH PLAN CAP - ALL PLANS $9.80 ↑ +833%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $11.75 ↑ +1019%
CENTIVO - ALL PLANS CENTIVO - ALL PLANS $14.69 ↑ +1299%
CIGNA CIGNA $27.30 ↑ +2500%
CIGNA ALL OTHER - ALL OTHER PLANS CIGNA ALL OTHER - ALL OTHER PLANS $27.30 ↑ +2500%
AETNA - ALL PLANS AETNA - ALL PLANS $34.51 ↑ +3187%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $54.70 ↑ +5110%
BLUE CROSS NON MCS BLUE CROSS NON MCS $60.78 ↑ +5689%
BLUE CROSS MCS - ALL OTHER PLANS BLUE CROSS MCS - ALL OTHER PLANS $72.93 ↑ +6846%

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Fibrinolytic plasminogen xcpt antgnc asa at other California hospitals

Hospital City Cash price Negotiated range
Fresno Medical Center FRESNO $64.96 $6.00 – $6.00
St. John's Camarillo Hospital Camarillo $7.99 $4.92 – $17.31
Antioch Medical Center ANTIOCH $64.96 $6.00 – $6.00
Redwood City Medical Center Redwood City $64.96 $6.00 – $6.00
Santa Clara Medical Center SANTA CLARA $64.96 $6.00 – $6.00
Baldwin Park Medical Center BALDWIN PARK $158.60 $5.00 – $5.00
Riverside Medical Center RIVERSIDE $158.60 $5.00 – $5.00
Fremont Medical Center FREMONT $64.96 $6.00 – $6.00

All California hospitals for this procedure →