Revasc intra lithotrip-stent 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

$11,675.52

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.

$64,864.00

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.

$1,100.00 with BLUE SHIELD MEDI-CAL vs $99,241.92 with HEALTHNET MCR ADV — 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 MEDI-CAL BLUE SHIELD MEDI-CAL $1,100.00 ↓ -91%
CARE FIRST MEDI-CAL CARE FIRST MEDI-CAL $1,100.00 ↓ -91%
BELLA VISTA MCR ADV OP/PROFEE ONLY - ALL OTHER PLA BELLA VISTA MCR ADV OP/PROFEE ONLY - ALL OTHER PLA $1,600.00 ↓ -86%
CAREMORE MCARE - ALL PLANS CAREMORE MCARE - ALL PLANS $2,381.00 ↓ -80%
SCAN HEALTH MCARE - ALL PLANS SCAN HEALTH MCARE - ALL PLANS $2,500.00 ↓ -79%
BLUE SHIELD MCR ADV BLUE SHIELD MCR ADV $3,000.00 ↓ -74%
HEALTHCARE INC - ALL OTHER PLANS HEALTHCARE INC - ALL OTHER PLANS $3,245.00 ↓ -72%
BLUE SHIELD EPN BLUE SHIELD EPN $3,723.00 ↓ -68%
BLUE SHIELD - ALL OTHER PLANS BLUE SHIELD - ALL OTHER PLANS $4,293.00 ↓ -63%
LA CARE MCR ADV - ALL PLANS LA CARE MCR ADV - ALL PLANS $4,500.00 ↓ -61%
BC MEDI-CAL BC MEDI-CAL $5,561.93 ↓ -52%
AETNA - ALL PLANS AETNA - ALL PLANS $5,823.00 ↓ -50%
HCPAMG - ALL PLANS HCPAMG - ALL PLANS $5,860.00 ↓ -50%
OPTUM MCR ADV OPTUM MCR ADV $6,186.00 ↓ -47%
OPTUM HMO - ALL OTHER PLANS OPTUM HMO - ALL OTHER PLANS $6,186.00 ↓ -47%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $7,276.00 ↓ -38%
BLUE CROSS NON MCS BLUE CROSS NON MCS $8,084.00 ↓ -31%
HEALTHNET COMM CARE HEALTHNET COMM CARE $8,458.00 ↓ -28%
WESTERN GROWERS/PINNACLE - ALL PLANS WESTERN GROWERS/PINNACLE - ALL PLANS $8,884.00 ↓ -24%
CIGNA CIGNA $9,302.00 ↓ -20%
HEALTHNET - ALL OTHER PLANS HEALTHNET - ALL OTHER PLANS $9,396.00 ↓ -20%
BLUE CROSS MCS - ALL OTHER PLANS BLUE CROSS MCS - ALL OTHER PLANS $9,697.00 ↓ -17%
CIGNA ALL OTHER - ALL OTHER PLANS CIGNA ALL OTHER - ALL OTHER PLANS $10,233.00 ↓ -12%
UHC SIGNATURE UHC SIGNATURE $10,809.00 ↓ -7%
PACIFIC IPA - ALL OTHER PLANS PACIFIC IPA - ALL OTHER PLANS $15,000.00 ↑ +28%
UHC HMO UHC HMO $15,105.00 ↑ +29%
UHC JLL UHC JLL $16,369.00 ↑ +40%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $17,230.00 ↑ +48%
LASALLE MG COMMERCIAL - ALL OTHER PLANS LASALLE MG COMMERCIAL - ALL OTHER PLANS $20,040.88 ↑ +72%
ACCESS GROUP ACCESS GROUP $20,040.88 ↑ +72%
AHP - ALL OTHER PLANS AHP - ALL OTHER PLANS $20,040.88 ↑ +72%
ALTAMED MEDI-CAL - ALL OTHER PLANS ALTAMED MEDI-CAL - ALL OTHER PLANS $22,702.40 ↑ +94%
MOLINA MCARE MOLINA MCARE $23,577.50 ↑ +102%
AVANTI MCR ADV - ALL OTHER PLANS AVANTI MCR ADV - ALL OTHER PLANS $23,577.50 ↑ +102%
LASALLE MG SENIOR LASALLE MG SENIOR $23,577.50 ↑ +102%
TRICARE BLUE SHIELD-ALL PLANS TRICARE BLUE SHIELD-ALL PLANS $23,577.50 ↑ +102%
BRAND NEW DAY MCARE - ALL PLANS BRAND NEW DAY MCARE - ALL PLANS $23,577.50 ↑ +102%
BS VA MCARE BS VA MCARE $23,577.50 ↑ +102%
CARE FIRST MCARE - ALL OTHER PLANS CARE FIRST MCARE - ALL OTHER PLANS $23,577.50 ↑ +102%
CLEVER CARE - ALL PLANS CLEVER CARE - ALL PLANS $23,577.50 ↑ +102%
FCS IPA MCR ADVAN OP/PROFEE ONLY FCS IPA MCR ADVAN OP/PROFEE ONLY $23,577.50 ↑ +102%
UHC MCR ADV UHC MCR ADV $23,577.50 ↑ +102%
SUNLIGHT LIVING HLTH MCR ADV-ALL OTHER PLANS SUNLIGHT LIVING HLTH MCR ADV-ALL OTHER PLANS $23,577.50 ↑ +102%
PREFERRED SENIOR PREFERRED SENIOR $23,577.50 ↑ +102%
ACCESS SENIOR - ALL OTHER PLANS ACCESS SENIOR - ALL OTHER PLANS $23,577.50 ↑ +102%
AHP SENIOR AHP SENIOR $23,577.50 ↑ +102%
ALTA LOS ANGELES MCR 1/1/19-ALL OTHER PLANS ALTA LOS ANGELES MCR 1/1/19-ALL OTHER PLANS $23,577.50 ↑ +102%
ALTAMED CONNECT ALTAMED CONNECT $23,577.50 ↑ +102%
PACIFIC ALLIANCE MCARE - ALL OTHER PLANS PACIFIC ALLIANCE MCARE - ALL OTHER PLANS $23,577.50 ↑ +102%
HEALTHCARE INC MEDICARE HEALTHCARE INC MEDICARE $23,577.50 ↑ +102%
HUMANA MCARE - ALL PLANS HUMANA MCARE - ALL PLANS $23,577.50 ↑ +102%
BLUE CROSS MCR ADV BLUE CROSS MCR ADV $24,520.60 ↑ +110%
FCS IPA OP/PROFEE ONLY - ALL OTHER PLANS FCS IPA OP/PROFEE ONLY - ALL OTHER PLANS $24,756.38 ↑ +112%
KAISER- ALL PLANS KAISER- ALL PLANS $26,594.24 ↑ +128%
BRIGHT HEALTH - ALL PLANS BRIGHT HEALTH - ALL PLANS $27,114.13 ↑ +132%
ASSOC HISPANIC PHYSCNS HMO/MCR ADV-ALL OTHER PLANS ASSOC HISPANIC PHYSCNS HMO/MCR ADV-ALL OTHER PLANS $28,293.00 ↑ +142%
PREFERRED COMMERCIAL - ALL OTHER PLANS PREFERRED COMMERCIAL - ALL OTHER PLANS $28,293.00 ↑ +142%
INTERGRATED MEDICAL - ALL PLANS INTERGRATED MEDICAL - ALL PLANS $30,650.75 ↑ +163%
MOLINA BENEFIT EXCHANGE - ALL OTHER PLANS MOLINA BENEFIT EXCHANGE - ALL OTHER PLANS $31,829.63 ↑ +173%
PHP-PROSPECT HEALTH PLAN CAP - ALL PLANS PHP-PROSPECT HEALTH PLAN CAP - ALL PLANS $35,366.25 ↑ +203%
FIRST HEATLH PPO - ALL PLANS FIRST HEATLH PPO - ALL PLANS $37,621.12 ↑ +222%
PHCS PPO - ALL PLANS PHCS PPO - ALL PLANS $42,161.60 ↑ +261%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $42,439.50 ↑ +263%
AHF - ALL PLANS AHF - ALL PLANS $48,648.00 ↑ +317%
INTERPLAN PPO - ALL PLANS INTERPLAN PPO - ALL PLANS $48,648.00 ↑ +317%
BEECH STREET - ALL PLANS BEECH STREET - ALL PLANS $48,648.00 ↑ +317%
CORVEL CORP - ALL PLANS CORVEL CORP - ALL PLANS $51,891.20 ↑ +344%
CENTIVO - ALL PLANS CENTIVO - ALL PLANS $53,049.38 ↑ +354%
MULTIPLAN PPO - ALL PLANS MULTIPLAN PPO - ALL PLANS $53,837.12 ↑ +361%
HEALTHMANNET - ALL PLANS HEALTHMANNET - ALL PLANS $55,134.40 ↑ +372%
NEXT INC PPO - ALL PLANS NEXT INC PPO - ALL PLANS $55,134.40 ↑ +372%
TRPN - ALL PLANS TRPN - ALL PLANS $55,134.40 ↑ +372%
FPN PPO - ALL PLANS FPN PPO - ALL PLANS $58,377.60 ↑ +400%
AVANTI MCAL AVANTI MCAL $97,296.00 ↑ +733%
HEALTHNET MCR ADV HEALTHNET MCR ADV $99,241.92 ↑ +750%

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Revasc intra lithotrip-stent at other California hospitals

Hospital City Cash price Negotiated range
Fresno Medical Center FRESNO $35,436.80 not published
St. John's Camarillo Hospital Camarillo $17,575.19 $10,834.02 – $43,115.78
Antioch Medical Center ANTIOCH $35,436.80 not published
Redwood City Medical Center Redwood City $35,436.80 not published
Santa Clara Medical Center SANTA CLARA $35,436.80 not published
Baldwin Park Medical Center BALDWIN PARK $12,204.40 not published
Riverside Medical Center RIVERSIDE $12,204.40 not published
Fremont Medical Center FREMONT $35,436.80 not published

All California hospitals for this procedure →