Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous 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

$16.12

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.

$89.56

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.

$0.03 with UHC JLL vs $313.46 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 $0.03 ↓ -100%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $0.03 ↓ -100%
UHC HMO UHC HMO $0.03 ↓ -100%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $0.15 ↓ -99%
BLUE SHIELD MEDI-CAL BLUE SHIELD MEDI-CAL $20.60 ↑ +28%
BLUE SHIELD EPN BLUE SHIELD EPN $21.32 ↑ +32%
BLUE SHIELD - ALL OTHER PLANS BLUE SHIELD - ALL OTHER PLANS $24.81 ↑ +54%
BLUE SHIELD MCR ADV BLUE SHIELD MCR ADV $26.87 ↑ +67%
PACIFIC IPA - ALL OTHER PLANS PACIFIC IPA - ALL OTHER PLANS $34.03 ↑ +111%
KAISER- ALL PLANS KAISER- ALL PLANS $36.72 ↑ +128%
CIGNA ALL OTHER - ALL OTHER PLANS CIGNA ALL OTHER - ALL OTHER PLANS $37.88 ↑ +135%
CIGNA CIGNA $37.88 ↑ +135%
BLUE CROSS MCS - ALL OTHER PLANS BLUE CROSS MCS - ALL OTHER PLANS $40.35 ↑ +150%
BLUE CROSS NON MCS BLUE CROSS NON MCS $40.35 ↑ +150%
HEALTHNET - ALL OTHER PLANS HEALTHNET - ALL OTHER PLANS $40.50 ↑ +151%
HEALTHNET COMM CARE HEALTHNET COMM CARE $41.78 ↑ +159%
OPTUM HMO - ALL OTHER PLANS OPTUM HMO - ALL OTHER PLANS $42.99 ↑ +167%
OPTUM MCR ADV OPTUM MCR ADV $42.99 ↑ +167%
UHC SIGNATURE UHC SIGNATURE $44.78 ↑ +178%
CAREMORE MCARE - ALL PLANS CAREMORE MCARE - ALL PLANS $44.78 ↑ +178%
HCPAMG - ALL PLANS HCPAMG - ALL PLANS $44.87 ↑ +178%
HEALTHCARE INC - ALL OTHER PLANS HEALTHCARE INC - ALL OTHER PLANS $49.26 ↑ +206%
LA CARE MCR ADV - ALL PLANS LA CARE MCR ADV - ALL PLANS $49.26 ↑ +206%
WESTERN GROWERS/PINNACLE - ALL PLANS WESTERN GROWERS/PINNACLE - ALL PLANS $50.15 ↑ +211%
FIRST HEATLH PPO - ALL PLANS FIRST HEATLH PPO - ALL PLANS $51.94 ↑ +222%
PHCS PPO - ALL PLANS PHCS PPO - ALL PLANS $58.21 ↑ +261%
SCAN HEALTH MCARE - ALL PLANS SCAN HEALTH MCARE - ALL PLANS $58.21 ↑ +261%
INTERPLAN PPO - ALL PLANS INTERPLAN PPO - ALL PLANS $67.17 ↑ +317%
AHF - ALL PLANS AHF - ALL PLANS $67.17 ↑ +317%
BEECH STREET - ALL PLANS BEECH STREET - ALL PLANS $67.17 ↑ +317%
CORVEL CORP - ALL PLANS CORVEL CORP - ALL PLANS $71.65 ↑ +344%
MULTIPLAN PPO - ALL PLANS MULTIPLAN PPO - ALL PLANS $74.33 ↑ +361%
TRPN - ALL PLANS TRPN - ALL PLANS $76.13 ↑ +372%
NEXT INC PPO - ALL PLANS NEXT INC PPO - ALL PLANS $76.13 ↑ +372%
HEALTHMANNET - ALL PLANS HEALTHMANNET - ALL PLANS $76.13 ↑ +372%
FPN PPO - ALL PLANS FPN PPO - ALL PLANS $80.60 ↑ +400%
BELLA VISTA MCR ADV OP/PROFEE ONLY - ALL OTHER PLA BELLA VISTA MCR ADV OP/PROFEE ONLY - ALL OTHER PLA $80.60 ↑ +400%
PACIFIC IPA MEDI-CAL PACIFIC IPA MEDI-CAL $89.56 ↑ +456%
MEDI-CAL MEDI-CAL $89.56 ↑ +456%
HEALTHCARE INC MEDI-CAL HEALTHCARE INC MEDI-CAL $89.56 ↑ +456%
ACCESS MEDI-CAL ACCESS MEDI-CAL $89.56 ↑ +456%
BELLA VISTA MEDI-CAL OP/PROFEE ONLY BELLA VISTA MEDI-CAL OP/PROFEE ONLY $89.56 ↑ +456%
AHP MEDI-CAL AHP MEDI-CAL $89.56 ↑ +456%
AVANTI MCAL AVANTI MCAL $89.56 ↑ +456%
LASALLE MG MEDI-CAL LASALLE MG MEDI-CAL $89.56 ↑ +456%
MOLINA MEDI-CAL MOLINA MEDI-CAL $89.56 ↑ +456%
ALTA LOS ANGELES MCAL 1/1/19 ALTA LOS ANGELES MCAL 1/1/19 $89.56 ↑ +456%
PREFERRED MEDI-CAL PREFERRED MEDI-CAL $89.56 ↑ +456%
PACIFIC ALLIANCE MEDI-CAL PACIFIC ALLIANCE MEDI-CAL $89.56 ↑ +456%
PREFERRED IPA LA CARE MCAL CAP PREFERRED IPA LA CARE MCAL CAP $89.56 ↑ +456%
ALTAMED MEDI-CAL - ALL OTHER PLANS ALTAMED MEDI-CAL - ALL OTHER PLANS $102.99 ↑ +539%
HEALTHNET MCAL HEALTHNET MCAL $106.67 ↑ +562%
FCS IPA MEDI-CAL OP/PROFEE ONLY FCS IPA MEDI-CAL OP/PROFEE ONLY $107.47 ↑ +567%
PREFERRED HEALTHY PREFERRED HEALTHY $111.95 ↑ +594%
ASSOC HISPANIC PHYSCNS MCAL ASSOC HISPANIC PHYSCNS MCAL $125.38 ↑ +678%
HEALTHNET MCR ADV HEALTHNET MCR ADV $137.03 ↑ +750%
AETNA - ALL PLANS AETNA - ALL PLANS $208.59 ↑ +1194%
CARE FIRST MEDI-CAL CARE FIRST MEDI-CAL $313.46 ↑ +1845%

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Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution at other California hospitals

Hospital City Cash price Negotiated range
Fresno Medical Center FRESNO $40.54 $0.01 – $0.01
St. John's Camarillo Hospital Camarillo $57.38 $35.37 – $102.18
Antioch Medical Center ANTIOCH $40.54 $0.01 – $0.01
Redwood City Medical Center Redwood City $40.54 $0.01 – $0.01
Santa Clara Medical Center SANTA CLARA $40.54 $0.01 – $0.01
Baldwin Park Medical Center BALDWIN PARK $37.65 $0.01 – $0.01
Riverside Medical Center RIVERSIDE $37.65 $0.01 – $0.01
Fremont Medical Center FREMONT $40.54 $0.01 – $0.01

All California hospitals for this procedure →