Vaccine pneumonococcal conjugate 20 valent (pcv20) im 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

$103.90

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.

$577.20

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.

$78.20 with BLUE SHIELD MEDI-CAL vs $1,190.00 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
BLUE SHIELD MEDI-CAL BLUE SHIELD MEDI-CAL $78.20 ↓ -25%
BLUE SHIELD EPN BLUE SHIELD EPN $80.92 ↓ -22%
BLUE SHIELD - ALL OTHER PLANS BLUE SHIELD - ALL OTHER PLANS $94.18 ↓ -9%
BLUE SHIELD MCR ADV BLUE SHIELD MCR ADV $102.00 ↓ -2%
PACIFIC IPA - ALL OTHER PLANS PACIFIC IPA - ALL OTHER PLANS $129.20 ↑ +24%
KAISER- ALL PLANS KAISER- ALL PLANS $139.40 ↑ +34%
CIGNA ALL OTHER - ALL OTHER PLANS CIGNA ALL OTHER - ALL OTHER PLANS $143.82 ↑ +38%
CIGNA CIGNA $143.82 ↑ +38%
HEALTHNET - ALL OTHER PLANS HEALTHNET - ALL OTHER PLANS $153.75 ↑ +48%
HEALTHNET COMM CARE HEALTHNET COMM CARE $158.61 ↑ +53%
OPTUM HMO - ALL OTHER PLANS OPTUM HMO - ALL OTHER PLANS $163.20 ↑ +57%
OPTUM MCR ADV OPTUM MCR ADV $163.20 ↑ +57%
AETNA - ALL PLANS AETNA - ALL PLANS $165.24 ↑ +59%
UHC SIGNATURE UHC SIGNATURE $170.00 ↑ +64%
CAREMORE MCARE - ALL PLANS CAREMORE MCARE - ALL PLANS $170.00 ↑ +64%
HCPAMG - ALL PLANS HCPAMG - ALL PLANS $170.34 ↑ +64%
LA CARE MCR ADV - ALL PLANS LA CARE MCR ADV - ALL PLANS $187.00 ↑ +80%
HEALTHCARE INC - ALL OTHER PLANS HEALTHCARE INC - ALL OTHER PLANS $187.00 ↑ +80%
WESTERN GROWERS/PINNACLE - ALL PLANS WESTERN GROWERS/PINNACLE - ALL PLANS $190.40 ↑ +83%
FIRST HEATLH PPO - ALL PLANS FIRST HEATLH PPO - ALL PLANS $197.20 ↑ +90%
SCAN HEALTH MCARE - ALL PLANS SCAN HEALTH MCARE - ALL PLANS $221.00 ↑ +113%
PHCS PPO - ALL PLANS PHCS PPO - ALL PLANS $221.00 ↑ +113%
AHF - ALL PLANS AHF - ALL PLANS $255.00 ↑ +145%
INTERPLAN PPO - ALL PLANS INTERPLAN PPO - ALL PLANS $255.00 ↑ +145%
BEECH STREET - ALL PLANS BEECH STREET - ALL PLANS $255.00 ↑ +145%
CORVEL CORP - ALL PLANS CORVEL CORP - ALL PLANS $272.00 ↑ +162%
MULTIPLAN PPO - ALL PLANS MULTIPLAN PPO - ALL PLANS $282.20 ↑ +172%
TRPN - ALL PLANS TRPN - ALL PLANS $289.00 ↑ +178%
NEXT INC PPO - ALL PLANS NEXT INC PPO - ALL PLANS $289.00 ↑ +178%
HEALTHMANNET - ALL PLANS HEALTHMANNET - ALL PLANS $289.00 ↑ +178%
FPN PPO - ALL PLANS FPN PPO - ALL PLANS $306.00 ↑ +195%
BELLA VISTA MCR ADV OP/PROFEE ONLY - ALL OTHER PLA BELLA VISTA MCR ADV OP/PROFEE ONLY - ALL OTHER PLA $306.00 ↑ +195%
ACCESS MEDI-CAL ACCESS MEDI-CAL $340.00 ↑ +227%
AHP MEDI-CAL AHP MEDI-CAL $340.00 ↑ +227%
ALTA LOS ANGELES MCAL 1/1/19 ALTA LOS ANGELES MCAL 1/1/19 $340.00 ↑ +227%
AVANTI MCAL AVANTI MCAL $340.00 ↑ +227%
BELLA VISTA MEDI-CAL OP/PROFEE ONLY BELLA VISTA MEDI-CAL OP/PROFEE ONLY $340.00 ↑ +227%
MEDI-CAL MEDI-CAL $340.00 ↑ +227%
HEALTHCARE INC MEDI-CAL HEALTHCARE INC MEDI-CAL $340.00 ↑ +227%
LASALLE MG MEDI-CAL LASALLE MG MEDI-CAL $340.00 ↑ +227%
MOLINA MEDI-CAL MOLINA MEDI-CAL $340.00 ↑ +227%
PACIFIC ALLIANCE MEDI-CAL PACIFIC ALLIANCE MEDI-CAL $340.00 ↑ +227%
PACIFIC IPA MEDI-CAL PACIFIC IPA MEDI-CAL $340.00 ↑ +227%
PREFERRED IPA LA CARE MCAL CAP PREFERRED IPA LA CARE MCAL CAP $340.00 ↑ +227%
PREFERRED MEDI-CAL PREFERRED MEDI-CAL $340.00 ↑ +227%
ALTAMED MEDI-CAL - ALL OTHER PLANS ALTAMED MEDI-CAL - ALL OTHER PLANS $391.00 ↑ +276%
BC MEDI-CAL BC MEDI-CAL $392.65 ↑ +278%
HEALTHNET MCAL HEALTHNET MCAL $404.94 ↑ +290%
FCS IPA MEDI-CAL OP/PROFEE ONLY FCS IPA MEDI-CAL OP/PROFEE ONLY $408.00 ↑ +293%
PREFERRED HEALTHY PREFERRED HEALTHY $425.00 ↑ +309%
ASSOC HISPANIC PHYSCNS MCAL ASSOC HISPANIC PHYSCNS MCAL $476.00 ↑ +358%
HEALTHNET MCR ADV HEALTHNET MCR ADV $520.20 ↑ +401%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $558.31 ↑ +437%
BLUE CROSS NON MCS BLUE CROSS NON MCS $620.34 ↑ +497%
BLUE CROSS MCS - ALL OTHER PLANS BLUE CROSS MCS - ALL OTHER PLANS $744.38 ↑ +616%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $851.88 ↑ +720%
UHC HMO UHC HMO $851.88 ↑ +720%
UHC JLL UHC JLL $851.88 ↑ +720%
CARE FIRST MEDI-CAL CARE FIRST MEDI-CAL $1,190.00 ↑ +1045%

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Vaccine pneumonococcal conjugate 20 valent (pcv20) im at other California hospitals

Hospital City Cash price Negotiated range
St. John's Camarillo Hospital Camarillo $392.45 $100.00 – $698.88
Redwood City Medical Center Redwood City $540.73 not published
Santa Clara Medical Center SANTA CLARA $540.73 not published
Baldwin Park Medical Center BALDWIN PARK $502.11 not published
Riverside Medical Center RIVERSIDE $502.11 not published
Sacramento Medical Center SACRAMENTO $540.73 not published
Oakland Medical Center Oakland $540.73 not published
Walnut Creek Medical Center WALNUT CREEK $540.73 not published

All California hospitals for this procedure →