Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-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

$2,916.00

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.

$16,200.00

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.

$127.97 with ACCESS GROUP vs $953.19 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
ACCESS GROUP ACCESS GROUP $127.97 ↓ -96%
LASALLE MG COMMERCIAL - ALL OTHER PLANS LASALLE MG COMMERCIAL - ALL OTHER PLANS $127.97 ↓ -96%
AHP - ALL OTHER PLANS AHP - ALL OTHER PLANS $127.97 ↓ -96%
BLUE SHIELD MEDI-CAL BLUE SHIELD MEDI-CAL $143.29 ↓ -95%
BLUE SHIELD EPN BLUE SHIELD EPN $148.27 ↓ -95%
BRAND NEW DAY MCARE - ALL PLANS BRAND NEW DAY MCARE - ALL PLANS $150.55 ↓ -95%
SUNLIGHT LIVING HLTH MCR ADV-ALL OTHER PLANS SUNLIGHT LIVING HLTH MCR ADV-ALL OTHER PLANS $150.55 ↓ -95%
PREFERRED SENIOR PREFERRED SENIOR $150.55 ↓ -95%
UHC MCR ADV UHC MCR ADV $150.55 ↓ -95%
PACIFIC ALLIANCE MCARE - ALL OTHER PLANS PACIFIC ALLIANCE MCARE - ALL OTHER PLANS $150.55 ↓ -95%
MOLINA MCARE MOLINA MCARE $150.55 ↓ -95%
LASALLE MG SENIOR LASALLE MG SENIOR $150.55 ↓ -95%
TRICARE BLUE SHIELD-ALL PLANS TRICARE BLUE SHIELD-ALL PLANS $150.55 ↓ -95%
HUMANA MCARE - ALL PLANS HUMANA MCARE - ALL PLANS $150.55 ↓ -95%
HEALTHCARE INC MEDICARE HEALTHCARE INC MEDICARE $150.55 ↓ -95%
FCS IPA MCR ADVAN OP/PROFEE ONLY FCS IPA MCR ADVAN OP/PROFEE ONLY $150.55 ↓ -95%
ACCESS SENIOR - ALL OTHER PLANS ACCESS SENIOR - ALL OTHER PLANS $150.55 ↓ -95%
AHP SENIOR AHP SENIOR $150.55 ↓ -95%
ALTA LOS ANGELES MCR 1/1/19-ALL OTHER PLANS ALTA LOS ANGELES MCR 1/1/19-ALL OTHER PLANS $150.55 ↓ -95%
ALTAMED CONNECT ALTAMED CONNECT $150.55 ↓ -95%
CLEVER CARE - ALL PLANS CLEVER CARE - ALL PLANS $150.55 ↓ -95%
AVANTI MCR ADV - ALL OTHER PLANS AVANTI MCR ADV - ALL OTHER PLANS $150.55 ↓ -95%
CARE FIRST MCARE - ALL OTHER PLANS CARE FIRST MCARE - ALL OTHER PLANS $150.55 ↓ -95%
BS VA MCARE BS VA MCARE $150.55 ↓ -95%
BLUE CROSS MCR ADV BLUE CROSS MCR ADV $156.57 ↓ -95%
FCS IPA OP/PROFEE ONLY - ALL OTHER PLANS FCS IPA OP/PROFEE ONLY - ALL OTHER PLANS $158.08 ↓ -95%
BLUE SHIELD - ALL OTHER PLANS BLUE SHIELD - ALL OTHER PLANS $172.57 ↓ -94%
BRIGHT HEALTH - ALL PLANS BRIGHT HEALTH - ALL PLANS $173.13 ↓ -94%
BC MEDI-CAL BC MEDI-CAL $174.01 ↓ -94%
PREFERRED COMMERCIAL - ALL OTHER PLANS PREFERRED COMMERCIAL - ALL OTHER PLANS $180.66 ↓ -94%
ASSOC HISPANIC PHYSCNS HMO/MCR ADV-ALL OTHER PLANS ASSOC HISPANIC PHYSCNS HMO/MCR ADV-ALL OTHER PLANS $180.66 ↓ -94%
BLUE SHIELD MCR ADV BLUE SHIELD MCR ADV $186.90 ↓ -94%
INTERGRATED MEDICAL - ALL PLANS INTERGRATED MEDICAL - ALL PLANS $195.72 ↓ -93%
MOLINA MEDI-CAL MOLINA MEDI-CAL $199.44 ↓ -93%
AHP MEDI-CAL AHP MEDI-CAL $199.44 ↓ -93%
MEDI-CAL MEDI-CAL $199.44 ↓ -93%
ALTA LOS ANGELES MCAL 1/1/19 ALTA LOS ANGELES MCAL 1/1/19 $199.44 ↓ -93%
AVANTI MCAL AVANTI MCAL $199.44 ↓ -93%
BELLA VISTA MEDI-CAL OP/PROFEE ONLY BELLA VISTA MEDI-CAL OP/PROFEE ONLY $199.44 ↓ -93%
HEALTHCARE INC MEDI-CAL HEALTHCARE INC MEDI-CAL $199.44 ↓ -93%
PREFERRED MEDI-CAL PREFERRED MEDI-CAL $199.44 ↓ -93%
ACCESS MEDI-CAL ACCESS MEDI-CAL $199.44 ↓ -93%
PREFERRED IPA LA CARE MCAL CAP PREFERRED IPA LA CARE MCAL CAP $199.44 ↓ -93%
PACIFIC IPA MEDI-CAL PACIFIC IPA MEDI-CAL $199.44 ↓ -93%
PACIFIC ALLIANCE MEDI-CAL PACIFIC ALLIANCE MEDI-CAL $199.44 ↓ -93%
LASALLE MG MEDI-CAL LASALLE MG MEDI-CAL $199.44 ↓ -93%
MOLINA BENEFIT EXCHANGE - ALL OTHER PLANS MOLINA BENEFIT EXCHANGE - ALL OTHER PLANS $203.24 ↓ -93%
PHP-PROSPECT HEALTH PLAN CAP - ALL PLANS PHP-PROSPECT HEALTH PLAN CAP - ALL PLANS $225.83 ↓ -92%
ALTAMED MEDI-CAL - ALL OTHER PLANS ALTAMED MEDI-CAL - ALL OTHER PLANS $229.35 ↓ -92%
PACIFIC IPA - ALL OTHER PLANS PACIFIC IPA - ALL OTHER PLANS $236.74 ↓ -92%
HEALTHNET MCAL HEALTHNET MCAL $237.53 ↓ -92%
FCS IPA MEDI-CAL OP/PROFEE ONLY FCS IPA MEDI-CAL OP/PROFEE ONLY $239.33 ↓ -92%
PREFERRED HEALTHY PREFERRED HEALTHY $249.30 ↓ -91%
KAISER- ALL PLANS KAISER- ALL PLANS $255.43 ↓ -91%
CIGNA CIGNA $263.53 ↓ -91%
CIGNA ALL OTHER - ALL OTHER PLANS CIGNA ALL OTHER - ALL OTHER PLANS $263.53 ↓ -91%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $270.99 ↓ -91%
ASSOC HISPANIC PHYSCNS MCAL ASSOC HISPANIC PHYSCNS MCAL $279.21 ↓ -90%
HEALTHNET - ALL OTHER PLANS HEALTHNET - ALL OTHER PLANS $281.72 ↓ -90%
HEALTHNET COMM CARE HEALTHNET COMM CARE $290.63 ↓ -90%
OPTUM MCR ADV OPTUM MCR ADV $299.04 ↓ -90%
OPTUM HMO - ALL OTHER PLANS OPTUM HMO - ALL OTHER PLANS $299.04 ↓ -90%
UHC JLL UHC JLL $301.72 ↓ -90%
AETNA - ALL PLANS AETNA - ALL PLANS $302.78 ↓ -90%
CAREMORE MCARE - ALL PLANS CAREMORE MCARE - ALL PLANS $311.50 ↓ -89%
UHC SIGNATURE UHC SIGNATURE $311.50 ↓ -89%
HCPAMG - ALL PLANS HCPAMG - ALL PLANS $312.12 ↓ -89%
UHC HMO UHC HMO $317.28 ↓ -89%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $317.60 ↓ -89%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $329.06 ↓ -89%
CENTIVO - ALL PLANS CENTIVO - ALL PLANS $338.74 ↓ -88%
LA CARE MCR ADV - ALL PLANS LA CARE MCR ADV - ALL PLANS $342.65 ↓ -88%
HEALTHCARE INC - ALL OTHER PLANS HEALTHCARE INC - ALL OTHER PLANS $342.65 ↓ -88%
WESTERN GROWERS/PINNACLE - ALL PLANS WESTERN GROWERS/PINNACLE - ALL PLANS $348.88 ↓ -88%
FIRST HEATLH PPO - ALL PLANS FIRST HEATLH PPO - ALL PLANS $361.34 ↓ -88%
BLUE CROSS NON MCS BLUE CROSS NON MCS $365.63 ↓ -87%
SCAN HEALTH MCARE - ALL PLANS SCAN HEALTH MCARE - ALL PLANS $404.95 ↓ -86%
PHCS PPO - ALL PLANS PHCS PPO - ALL PLANS $404.95 ↓ -86%
BLUE CROSS MCS - ALL OTHER PLANS BLUE CROSS MCS - ALL OTHER PLANS $438.74 ↓ -85%
INTERPLAN PPO - ALL PLANS INTERPLAN PPO - ALL PLANS $467.25 ↓ -84%
AHF - ALL PLANS AHF - ALL PLANS $467.25 ↓ -84%
BEECH STREET - ALL PLANS BEECH STREET - ALL PLANS $467.25 ↓ -84%
CORVEL CORP - ALL PLANS CORVEL CORP - ALL PLANS $498.40 ↓ -83%
MULTIPLAN PPO - ALL PLANS MULTIPLAN PPO - ALL PLANS $517.09 ↓ -82%
HEALTHMANNET - ALL PLANS HEALTHMANNET - ALL PLANS $529.55 ↓ -82%
NEXT INC PPO - ALL PLANS NEXT INC PPO - ALL PLANS $529.55 ↓ -82%
TRPN - ALL PLANS TRPN - ALL PLANS $529.55 ↓ -82%
BELLA VISTA MCR ADV OP/PROFEE ONLY - ALL OTHER PLA BELLA VISTA MCR ADV OP/PROFEE ONLY - ALL OTHER PLA $560.70 ↓ -81%
FPN PPO - ALL PLANS FPN PPO - ALL PLANS $560.70 ↓ -81%
CARE FIRST MEDI-CAL CARE FIRST MEDI-CAL $623.00 ↓ -79%
HEALTHNET MCR ADV HEALTHNET MCR ADV $953.19 ↓ -67%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm at other California hospitals

Hospital City Cash price Negotiated range
Fresno Medical Center FRESNO $7,140.00 not published
Antioch Medical Center ANTIOCH $7,140.00 not published
Redwood City Medical Center Redwood City $7,140.00 not published
Santa Clara Medical Center SANTA CLARA $7,140.00 not published
Baldwin Park Medical Center BALDWIN PARK $6,630.00 not published
Riverside Medical Center RIVERSIDE $6,630.00 not published
Fremont Medical Center FREMONT $7,140.00 not published
Panorama Medical Center PANORAMA CITY $6,630.00 not published

All California hospitals for this procedure →