Leucovorin calcium 100 mg solution for injection (1 mg rounding) 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

$21.73

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.

$120.73

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.

$10.46 with UHC JLL vs $227.50 with CARE FIRST MEDI-CAL — 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
UHC JLL UHC JLL $10.46 ↓ -52%
UHC HMO UHC HMO $10.46 ↓ -52%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $10.46 ↓ -52%
BC MEDI-CAL BC MEDI-CAL $11.54 ↓ -47%
BLUE SHIELD MEDI-CAL BLUE SHIELD MEDI-CAL $14.95 ↓ -31%
BLUE SHIELD EPN BLUE SHIELD EPN $15.47 ↓ -29%
BLUE SHIELD - ALL OTHER PLANS BLUE SHIELD - ALL OTHER PLANS $18.01 ↓ -17%
BLUE SHIELD MCR ADV BLUE SHIELD MCR ADV $19.50 ↓ -10%
PACIFIC IPA - ALL OTHER PLANS PACIFIC IPA - ALL OTHER PLANS $24.70 ↑ +14%
KAISER- ALL PLANS KAISER- ALL PLANS $26.65 ↑ +23%
CIGNA ALL OTHER - ALL OTHER PLANS CIGNA ALL OTHER - ALL OTHER PLANS $27.50 ↑ +27%
CIGNA CIGNA $27.50 ↑ +27%
HEALTHNET - ALL OTHER PLANS HEALTHNET - ALL OTHER PLANS $29.39 ↑ +35%
HEALTHNET COMM CARE HEALTHNET COMM CARE $30.32 ↑ +40%
OPTUM HMO - ALL OTHER PLANS OPTUM HMO - ALL OTHER PLANS $31.20 ↑ +44%
OPTUM MCR ADV OPTUM MCR ADV $31.20 ↑ +44%
UHC SIGNATURE UHC SIGNATURE $32.50 ↑ +50%
CAREMORE MCARE - ALL PLANS CAREMORE MCARE - ALL PLANS $32.50 ↑ +50%
HCPAMG - ALL PLANS HCPAMG - ALL PLANS $32.57 ↑ +50%
LA CARE MCR ADV - ALL PLANS LA CARE MCR ADV - ALL PLANS $35.75 ↑ +65%
HEALTHCARE INC - ALL OTHER PLANS HEALTHCARE INC - ALL OTHER PLANS $35.75 ↑ +65%
WESTERN GROWERS/PINNACLE - ALL PLANS WESTERN GROWERS/PINNACLE - ALL PLANS $36.40 ↑ +68%
FIRST HEATLH PPO - ALL PLANS FIRST HEATLH PPO - ALL PLANS $37.70 ↑ +73%
PHCS PPO - ALL PLANS PHCS PPO - ALL PLANS $42.25 ↑ +94%
SCAN HEALTH MCARE - ALL PLANS SCAN HEALTH MCARE - ALL PLANS $42.25 ↑ +94%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $44.96 ↑ +107%
BEECH STREET - ALL PLANS BEECH STREET - ALL PLANS $48.75 ↑ +124%
INTERPLAN PPO - ALL PLANS INTERPLAN PPO - ALL PLANS $48.75 ↑ +124%
AHF - ALL PLANS AHF - ALL PLANS $48.75 ↑ +124%
BLUE CROSS NON MCS BLUE CROSS NON MCS $49.95 ↑ +130%
CORVEL CORP - ALL PLANS CORVEL CORP - ALL PLANS $52.00 ↑ +139%
MULTIPLAN PPO - ALL PLANS MULTIPLAN PPO - ALL PLANS $53.95 ↑ +148%
TRPN - ALL PLANS TRPN - ALL PLANS $55.25 ↑ +154%
NEXT INC PPO - ALL PLANS NEXT INC PPO - ALL PLANS $55.25 ↑ +154%
HEALTHMANNET - ALL PLANS HEALTHMANNET - ALL PLANS $55.25 ↑ +154%
FPN PPO - ALL PLANS FPN PPO - ALL PLANS $58.50 ↑ +169%
BELLA VISTA MCR ADV OP/PROFEE ONLY - ALL OTHER PLA BELLA VISTA MCR ADV OP/PROFEE ONLY - ALL OTHER PLA $58.50 ↑ +169%
BLUE CROSS MCS - ALL OTHER PLANS BLUE CROSS MCS - ALL OTHER PLANS $59.94 ↑ +176%
MEDI-CAL MEDI-CAL $65.00 ↑ +199%
ACCESS MEDI-CAL ACCESS MEDI-CAL $65.00 ↑ +199%
AHP MEDI-CAL AHP MEDI-CAL $65.00 ↑ +199%
ALTA LOS ANGELES MCAL 1/1/19 ALTA LOS ANGELES MCAL 1/1/19 $65.00 ↑ +199%
AVANTI MCAL AVANTI MCAL $65.00 ↑ +199%
BELLA VISTA MEDI-CAL OP/PROFEE ONLY BELLA VISTA MEDI-CAL OP/PROFEE ONLY $65.00 ↑ +199%
PACIFIC IPA MEDI-CAL PACIFIC IPA MEDI-CAL $65.00 ↑ +199%
PREFERRED MEDI-CAL PREFERRED MEDI-CAL $65.00 ↑ +199%
HEALTHCARE INC MEDI-CAL HEALTHCARE INC MEDI-CAL $65.00 ↑ +199%
PREFERRED IPA LA CARE MCAL CAP PREFERRED IPA LA CARE MCAL CAP $65.00 ↑ +199%
LASALLE MG MEDI-CAL LASALLE MG MEDI-CAL $65.00 ↑ +199%
MOLINA MEDI-CAL MOLINA MEDI-CAL $65.00 ↑ +199%
PACIFIC ALLIANCE MEDI-CAL PACIFIC ALLIANCE MEDI-CAL $65.00 ↑ +199%
ALTAMED MEDI-CAL - ALL OTHER PLANS ALTAMED MEDI-CAL - ALL OTHER PLANS $74.75 ↑ +244%
HEALTHNET MCAL HEALTHNET MCAL $77.42 ↑ +256%
FCS IPA MEDI-CAL OP/PROFEE ONLY FCS IPA MEDI-CAL OP/PROFEE ONLY $78.00 ↑ +259%
PREFERRED HEALTHY PREFERRED HEALTHY $81.25 ↑ +274%
ASSOC HISPANIC PHYSCNS MCAL ASSOC HISPANIC PHYSCNS MCAL $91.00 ↑ +319%
HEALTHNET MCR ADV HEALTHNET MCR ADV $99.45 ↑ +358%
AETNA - ALL PLANS AETNA - ALL PLANS $151.39 ↑ +597%
CARE FIRST MEDI-CAL CARE FIRST MEDI-CAL $227.50 ↑ +947%

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Leucovorin calcium 100 mg solution for injection (1 mg rounding) at other California hospitals

Hospital City Cash price Negotiated range
Fresno Medical Center FRESNO $209.41 $3.95 – $3.95
St. John's Camarillo Hospital Camarillo $59.76 $6.86 – $25.50
Antioch Medical Center ANTIOCH $209.41 $3.95 – $3.95
Redwood City Medical Center Redwood City $209.41 $3.95 – $3.95
Santa Clara Medical Center SANTA CLARA $209.41 $3.95 – $3.95
Baldwin Park Medical Center BALDWIN PARK $194.45 $3.95 – $3.95
Riverside Medical Center RIVERSIDE $194.45 $3.95 – $3.95
Fremont Medical Center FREMONT $209.41 $3.95 – $3.95

All California hospitals for this procedure →