Screen/visual acuity/bilat/quant 99173 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

$63.72

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.

$354.00

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.

$123.48 with BLUE CROSS EXCHANGE vs $3,160.00 with UHC ALL PAYER - ALL OTHER PLANS — 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
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $123.48 ↑ +94%
PACIFIC IPA - ALL OTHER PLANS PACIFIC IPA - ALL OTHER PLANS $134.52 ↑ +111%
BLUE CROSS NON MCS BLUE CROSS NON MCS $137.18 ↑ +115%
KAISER- ALL PLANS KAISER- ALL PLANS $145.14 ↑ +128%
BLUE CROSS MCS - ALL OTHER PLANS BLUE CROSS MCS - ALL OTHER PLANS $164.61 ↑ +158%
OPTUM HMO - ALL OTHER PLANS OPTUM HMO - ALL OTHER PLANS $169.92 ↑ +167%
OPTUM MCR ADV OPTUM MCR ADV $169.92 ↑ +167%
HEALTHCARE INC MEDICARE HEALTHCARE INC MEDICARE $177.00 ↑ +178%
BLUE SHIELD MCR ADV BLUE SHIELD MCR ADV $177.00 ↑ +178%
HEALTHCARE INC - ALL OTHER PLANS HEALTHCARE INC - ALL OTHER PLANS $177.00 ↑ +178%
CAREMORE MCARE - ALL PLANS CAREMORE MCARE - ALL PLANS $177.00 ↑ +178%
HCPAMG - ALL PLANS HCPAMG - ALL PLANS $177.35 ↑ +178%
CIGNA CIGNA $178.42 ↑ +180%
CIGNA ALL OTHER - ALL OTHER PLANS CIGNA ALL OTHER - ALL OTHER PLANS $178.42 ↑ +180%
WESTERN GROWERS/PINNACLE - ALL PLANS WESTERN GROWERS/PINNACLE - ALL PLANS $180.54 ↑ +183%
HEALTHNET - ALL OTHER PLANS HEALTHNET - ALL OTHER PLANS $191.58 ↑ +201%
LA CARE MCR ADV - ALL PLANS LA CARE MCR ADV - ALL PLANS $194.70 ↑ +206%
HEALTHNET COMM CARE HEALTHNET COMM CARE $197.39 ↑ +210%
SCAN HEALTH MCARE - ALL PLANS SCAN HEALTH MCARE - ALL PLANS $230.10 ↑ +261%
FIRST HEATLH PPO - ALL PLANS FIRST HEATLH PPO - ALL PLANS $247.80 ↑ +289%
AHF - ALL PLANS AHF - ALL PLANS $265.50 ↑ +317%
INTERPLAN PPO - ALL PLANS INTERPLAN PPO - ALL PLANS $265.50 ↑ +317%
PHCS PPO - ALL PLANS PHCS PPO - ALL PLANS $265.50 ↑ +317%
BEECH STREET - ALL PLANS BEECH STREET - ALL PLANS $283.20 ↑ +344%
CORVEL CORP - ALL PLANS CORVEL CORP - ALL PLANS $283.20 ↑ +344%
BLUE SHIELD MEDI-CAL BLUE SHIELD MEDI-CAL $290.00 ↑ +355%
CARE FIRST MEDI-CAL CARE FIRST MEDI-CAL $290.00 ↑ +355%
MULTIPLAN PPO - ALL PLANS MULTIPLAN PPO - ALL PLANS $293.82 ↑ +361%
BC MEDI-CAL BC MEDI-CAL $295.00 ↑ +363%
NEXT INC PPO - ALL PLANS NEXT INC PPO - ALL PLANS $300.90 ↑ +372%
HEALTHMANNET - ALL PLANS HEALTHMANNET - ALL PLANS $300.90 ↑ +372%
TRPN - ALL PLANS TRPN - ALL PLANS $300.90 ↑ +372%
BELLA VISTA MCR ADV OP/PROFEE ONLY - ALL OTHER PLA BELLA VISTA MCR ADV OP/PROFEE ONLY - ALL OTHER PLA $318.60 ↑ +400%
FPN PPO - ALL PLANS FPN PPO - ALL PLANS $318.60 ↑ +400%
ALTA LOS ANGELES MCAL 1/1/19 ALTA LOS ANGELES MCAL 1/1/19 $354.00 ↑ +456%
ACCESS MEDI-CAL ACCESS MEDI-CAL $354.00 ↑ +456%
AHP MEDI-CAL AHP MEDI-CAL $354.00 ↑ +456%
AVANTI MCAL AVANTI MCAL $354.00 ↑ +456%
BELLA VISTA MEDI-CAL OP/PROFEE ONLY BELLA VISTA MEDI-CAL OP/PROFEE ONLY $354.00 ↑ +456%
HEALTHCARE INC MEDI-CAL HEALTHCARE INC MEDI-CAL $354.00 ↑ +456%
LASALLE MG MEDI-CAL LASALLE MG MEDI-CAL $354.00 ↑ +456%
MOLINA MEDI-CAL MOLINA MEDI-CAL $354.00 ↑ +456%
PACIFIC ALLIANCE MEDI-CAL PACIFIC ALLIANCE MEDI-CAL $354.00 ↑ +456%
MEDI-CAL MEDI-CAL $354.00 ↑ +456%
PACIFIC IPA MEDI-CAL PACIFIC IPA MEDI-CAL $354.00 ↑ +456%
PREFERRED IPA LA CARE MCAL CAP PREFERRED IPA LA CARE MCAL CAP $354.00 ↑ +456%
PREFERRED MEDI-CAL PREFERRED MEDI-CAL $354.00 ↑ +456%
ALTAMED MEDI-CAL - ALL OTHER PLANS ALTAMED MEDI-CAL - ALL OTHER PLANS $407.10 ↑ +539%
HEALTHNET MCAL HEALTHNET MCAL $421.61 ↑ +562%
FCS IPA MEDI-CAL OP/PROFEE ONLY FCS IPA MEDI-CAL OP/PROFEE ONLY $424.80 ↑ +567%
PREFERRED HEALTHY PREFERRED HEALTHY $442.50 ↑ +594%
ASSOC HISPANIC PHYSCNS MCAL ASSOC HISPANIC PHYSCNS MCAL $495.60 ↑ +678%
HEALTHNET MCR ADV HEALTHNET MCR ADV $541.62 ↑ +750%
UHC SIGNATURE UHC SIGNATURE $1,826.00 ↑ +2766%
BLUE SHIELD EPN BLUE SHIELD EPN $2,158.00 ↑ +3287%
BLUE SHIELD - ALL OTHER PLANS BLUE SHIELD - ALL OTHER PLANS $2,488.00 ↑ +3805%
UHC HMO UHC HMO $2,806.00 ↑ +4304%
AETNA - ALL PLANS AETNA - ALL PLANS $2,849.00 ↑ +4371%
UHC JLL UHC JLL $3,002.00 ↑ +4611%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $3,160.00 ↑ +4859%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Screen/visual acuity/bilat/quant 99173 at other California hospitals

Hospital City Cash price Negotiated range
Mark Twain Medical Center San Andreas $3.33 $1.30 – $4.90
Redwood Memorial Hospital Fortuna $6.12 not published
Mercy Medical Center Merced Merced $6.18 $7.20 – $11.88
Dominican Hospital Santa Cruz $39.60 $57.20 – $79.20
St. Mary Medical Center Long Beach $9.89 $5.75 – $23.00
Mercy Medical Center Redding Redding $3.05 $4.80 – $5.88
REEDLEY COMMUNITY HOSPITAL Reedley $41.23 $0.08 – $2,699.00
ST HELENA HOSPITAL Vallejo $19.65 $36.00 – $36.00

All California hospitals for this procedure →