Levothyroxine 100 mcg intravenous powder for solution 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

$199.79

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.

$1,109.97

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.

$16.29 with UHC JLL vs $1,027.36 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 $16.29 ↓ -92%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $16.29 ↓ -92%
UHC HMO UHC HMO $16.29 ↓ -92%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $23.64 ↓ -88%
BLUE SHIELD MEDI-CAL BLUE SHIELD MEDI-CAL $67.51 ↓ -66%
BLUE SHIELD EPN BLUE SHIELD EPN $69.86 ↓ -65%
BLUE SHIELD - ALL OTHER PLANS BLUE SHIELD - ALL OTHER PLANS $81.31 ↓ -59%
BLUE SHIELD MCR ADV BLUE SHIELD MCR ADV $88.06 ↓ -56%
PACIFIC IPA - ALL OTHER PLANS PACIFIC IPA - ALL OTHER PLANS $111.54 ↓ -44%
KAISER- ALL PLANS KAISER- ALL PLANS $120.35 ↓ -40%
CIGNA ALL OTHER - ALL OTHER PLANS CIGNA ALL OTHER - ALL OTHER PLANS $124.16 ↓ -38%
CIGNA CIGNA $124.16 ↓ -38%
BLUE CROSS MCS - ALL OTHER PLANS BLUE CROSS MCS - ALL OTHER PLANS $132.24 ↓ -34%
BLUE CROSS NON MCS BLUE CROSS NON MCS $132.24 ↓ -34%
HEALTHNET - ALL OTHER PLANS HEALTHNET - ALL OTHER PLANS $132.73 ↓ -34%
HEALTHNET COMM CARE HEALTHNET COMM CARE $136.93 ↓ -31%
OPTUM HMO - ALL OTHER PLANS OPTUM HMO - ALL OTHER PLANS $140.89 ↓ -29%
OPTUM MCR ADV OPTUM MCR ADV $140.89 ↓ -29%
UHC SIGNATURE UHC SIGNATURE $146.77 ↓ -27%
CAREMORE MCARE - ALL PLANS CAREMORE MCARE - ALL PLANS $146.77 ↓ -27%
HCPAMG - ALL PLANS HCPAMG - ALL PLANS $147.06 ↓ -26%
HEALTHCARE INC - ALL OTHER PLANS HEALTHCARE INC - ALL OTHER PLANS $161.44 ↓ -19%
LA CARE MCR ADV - ALL PLANS LA CARE MCR ADV - ALL PLANS $161.44 ↓ -19%
WESTERN GROWERS/PINNACLE - ALL PLANS WESTERN GROWERS/PINNACLE - ALL PLANS $164.38 ↓ -18%
FIRST HEATLH PPO - ALL PLANS FIRST HEATLH PPO - ALL PLANS $170.25 ↓ -15%
PHCS PPO - ALL PLANS PHCS PPO - ALL PLANS $190.79 ↓ -5%
SCAN HEALTH MCARE - ALL PLANS SCAN HEALTH MCARE - ALL PLANS $190.79 ↓ -5%
INTERPLAN PPO - ALL PLANS INTERPLAN PPO - ALL PLANS $220.15 ↑ +10%
AHF - ALL PLANS AHF - ALL PLANS $220.15 ↑ +10%
BEECH STREET - ALL PLANS BEECH STREET - ALL PLANS $220.15 ↑ +10%
CORVEL CORP - ALL PLANS CORVEL CORP - ALL PLANS $234.82 ↑ +18%
MULTIPLAN PPO - ALL PLANS MULTIPLAN PPO - ALL PLANS $243.63 ↑ +22%
TRPN - ALL PLANS TRPN - ALL PLANS $249.50 ↑ +25%
NEXT INC PPO - ALL PLANS NEXT INC PPO - ALL PLANS $249.50 ↑ +25%
HEALTHMANNET - ALL PLANS HEALTHMANNET - ALL PLANS $249.50 ↑ +25%
FPN PPO - ALL PLANS FPN PPO - ALL PLANS $264.18 ↑ +32%
BELLA VISTA MCR ADV OP/PROFEE ONLY - ALL OTHER PLA BELLA VISTA MCR ADV OP/PROFEE ONLY - ALL OTHER PLA $264.18 ↑ +32%
PACIFIC IPA MEDI-CAL PACIFIC IPA MEDI-CAL $293.53 ↑ +47%
MEDI-CAL MEDI-CAL $293.53 ↑ +47%
HEALTHCARE INC MEDI-CAL HEALTHCARE INC MEDI-CAL $293.53 ↑ +47%
ACCESS MEDI-CAL ACCESS MEDI-CAL $293.53 ↑ +47%
BELLA VISTA MEDI-CAL OP/PROFEE ONLY BELLA VISTA MEDI-CAL OP/PROFEE ONLY $293.53 ↑ +47%
AHP MEDI-CAL AHP MEDI-CAL $293.53 ↑ +47%
AVANTI MCAL AVANTI MCAL $293.53 ↑ +47%
LASALLE MG MEDI-CAL LASALLE MG MEDI-CAL $293.53 ↑ +47%
MOLINA MEDI-CAL MOLINA MEDI-CAL $293.53 ↑ +47%
ALTA LOS ANGELES MCAL 1/1/19 ALTA LOS ANGELES MCAL 1/1/19 $293.53 ↑ +47%
PREFERRED MEDI-CAL PREFERRED MEDI-CAL $293.53 ↑ +47%
PACIFIC ALLIANCE MEDI-CAL PACIFIC ALLIANCE MEDI-CAL $293.53 ↑ +47%
PREFERRED IPA LA CARE MCAL CAP PREFERRED IPA LA CARE MCAL CAP $293.53 ↑ +47%
ALTAMED MEDI-CAL - ALL OTHER PLANS ALTAMED MEDI-CAL - ALL OTHER PLANS $337.56 ↑ +69%
HEALTHNET MCAL HEALTHNET MCAL $349.59 ↑ +75%
FCS IPA MEDI-CAL OP/PROFEE ONLY FCS IPA MEDI-CAL OP/PROFEE ONLY $352.24 ↑ +76%
PREFERRED HEALTHY PREFERRED HEALTHY $366.91 ↑ +84%
ASSOC HISPANIC PHYSCNS MCAL ASSOC HISPANIC PHYSCNS MCAL $410.94 ↑ +106%
HEALTHNET MCR ADV HEALTHNET MCR ADV $449.10 ↑ +125%
AETNA - ALL PLANS AETNA - ALL PLANS $683.63 ↑ +242%
CARE FIRST MEDI-CAL CARE FIRST MEDI-CAL $1,027.36 ↑ +414%

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Levothyroxine 100 mcg intravenous powder for solution at other California hospitals

Hospital City Cash price Negotiated range
Queen of The Valley Medical Center Napa $248.30 $14.52 – $15.61
Providence St Joseph Hospital Eureka Eureka $248.30 $15.40 – $18.15
Redwood Memorial Hospital Fortuna $225.92 $15.40 – $18.20
Santa Rosa Memorial Hospital Santa Rosa $1,582.49 $14.52 – $15.61
Providence Mission Hospital - Mission Viejo Mission Viejo $258.92 $10.41 – $18.61
Providence Cedars-Sinai Tarzana Medical Center Tarzana $586.16 $9.71 – $39.19
Providence Saint Joseph Medical Center Burbank $240.73 $9.71 – $39.27
St Jude Medical Center Fullerton $258.92 $10.34 – $18.84

All California hospitals for this procedure →