X-ray mandible ltd <4 views 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

$257.40

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.

$1,430.00

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.

$15.42 with BC MEDI-CAL vs $2,187.90 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
BC MEDI-CAL BC MEDI-CAL $15.42 ↓ -94%
MOLINA MEDI-CAL MOLINA MEDI-CAL $36.00 ↓ -86%
PACIFIC ALLIANCE MEDI-CAL PACIFIC ALLIANCE MEDI-CAL $36.00 ↓ -86%
ACCESS MEDI-CAL ACCESS MEDI-CAL $36.00 ↓ -86%
PREFERRED MEDI-CAL PREFERRED MEDI-CAL $36.00 ↓ -86%
PREFERRED IPA LA CARE MCAL CAP PREFERRED IPA LA CARE MCAL CAP $36.00 ↓ -86%
HEALTHCARE INC MEDI-CAL HEALTHCARE INC MEDI-CAL $36.00 ↓ -86%
BELLA VISTA MEDI-CAL OP/PROFEE ONLY BELLA VISTA MEDI-CAL OP/PROFEE ONLY $36.00 ↓ -86%
LASALLE MG MEDI-CAL LASALLE MG MEDI-CAL $36.00 ↓ -86%
AVANTI MCAL AVANTI MCAL $36.00 ↓ -86%
ALTA LOS ANGELES MCAL 1/1/19 ALTA LOS ANGELES MCAL 1/1/19 $36.00 ↓ -86%
PACIFIC IPA MEDI-CAL PACIFIC IPA MEDI-CAL $36.00 ↓ -86%
AHP MEDI-CAL AHP MEDI-CAL $36.00 ↓ -86%
MEDI-CAL MEDI-CAL $36.00 ↓ -86%
ALTAMED MEDI-CAL - ALL OTHER PLANS ALTAMED MEDI-CAL - ALL OTHER PLANS $41.40 ↓ -84%
HEALTHNET MCAL HEALTHNET MCAL $42.88 ↓ -83%
FCS IPA MEDI-CAL OP/PROFEE ONLY FCS IPA MEDI-CAL OP/PROFEE ONLY $43.20 ↓ -83%
PREFERRED HEALTHY PREFERRED HEALTHY $45.00 ↓ -83%
ASSOC HISPANIC PHYSCNS MCAL ASSOC HISPANIC PHYSCNS MCAL $50.40 ↓ -80%
BLUE SHIELD MCR ADV BLUE SHIELD MCR ADV $85.22 ↓ -67%
BLUE SHIELD MEDI-CAL BLUE SHIELD MEDI-CAL $90.01 ↓ -65%
LASALLE MG COMMERCIAL - ALL OTHER PLANS LASALLE MG COMMERCIAL - ALL OTHER PLANS $95.14 ↓ -63%
ACCESS GROUP ACCESS GROUP $95.14 ↓ -63%
AHP - ALL OTHER PLANS AHP - ALL OTHER PLANS $95.14 ↓ -63%
AETNA - ALL PLANS AETNA - ALL PLANS $109.75 ↓ -57%
HEALTHCARE INC MEDICARE HEALTHCARE INC MEDICARE $111.93 ↓ -57%
SUNLIGHT LIVING HLTH MCR ADV-ALL OTHER PLANS SUNLIGHT LIVING HLTH MCR ADV-ALL OTHER PLANS $111.93 ↓ -57%
PREFERRED SENIOR PREFERRED SENIOR $111.93 ↓ -57%
UHC MCR ADV UHC MCR ADV $111.93 ↓ -57%
TRICARE BLUE SHIELD-ALL PLANS TRICARE BLUE SHIELD-ALL PLANS $111.93 ↓ -57%
PACIFIC ALLIANCE MCARE - ALL OTHER PLANS PACIFIC ALLIANCE MCARE - ALL OTHER PLANS $111.93 ↓ -57%
MOLINA MCARE MOLINA MCARE $111.93 ↓ -57%
LASALLE MG SENIOR LASALLE MG SENIOR $111.93 ↓ -57%
ACCESS SENIOR - ALL OTHER PLANS ACCESS SENIOR - ALL OTHER PLANS $111.93 ↓ -57%
AHP SENIOR AHP SENIOR $111.93 ↓ -57%
ALTA LOS ANGELES MCR 1/1/19-ALL OTHER PLANS ALTA LOS ANGELES MCR 1/1/19-ALL OTHER PLANS $111.93 ↓ -57%
ALTAMED CONNECT ALTAMED CONNECT $111.93 ↓ -57%
AVANTI MCR ADV - ALL OTHER PLANS AVANTI MCR ADV - ALL OTHER PLANS $111.93 ↓ -57%
BRAND NEW DAY MCARE - ALL PLANS BRAND NEW DAY MCARE - ALL PLANS $111.93 ↓ -57%
BS VA MCARE BS VA MCARE $111.93 ↓ -57%
CARE FIRST MCARE - ALL OTHER PLANS CARE FIRST MCARE - ALL OTHER PLANS $111.93 ↓ -57%
CLEVER CARE - ALL PLANS CLEVER CARE - ALL PLANS $111.93 ↓ -57%
FCS IPA MCR ADVAN OP/PROFEE ONLY FCS IPA MCR ADVAN OP/PROFEE ONLY $111.93 ↓ -57%
HUMANA MCARE - ALL PLANS HUMANA MCARE - ALL PLANS $111.93 ↓ -57%
BLUE CROSS MCR ADV BLUE CROSS MCR ADV $116.41 ↓ -55%
FCS IPA OP/PROFEE ONLY - ALL OTHER PLANS FCS IPA OP/PROFEE ONLY - ALL OTHER PLANS $117.53 ↓ -54%
BLUE CROSS EXCHANGE BLUE CROSS EXCHANGE $124.76 ↓ -52%
CARE FIRST MEDI-CAL CARE FIRST MEDI-CAL $126.01 ↓ -51%
BRIGHT HEALTH - ALL PLANS BRIGHT HEALTH - ALL PLANS $128.72 ↓ -50%
ASSOC HISPANIC PHYSCNS HMO/MCR ADV-ALL OTHER PLANS ASSOC HISPANIC PHYSCNS HMO/MCR ADV-ALL OTHER PLANS $134.31 ↓ -48%
PREFERRED COMMERCIAL - ALL OTHER PLANS PREFERRED COMMERCIAL - ALL OTHER PLANS $134.31 ↓ -48%
BLUE CROSS NON MCS BLUE CROSS NON MCS $138.63 ↓ -46%
INTERGRATED MEDICAL - ALL PLANS INTERGRATED MEDICAL - ALL PLANS $145.51 ↓ -43%
MOLINA BENEFIT EXCHANGE - ALL OTHER PLANS MOLINA BENEFIT EXCHANGE - ALL OTHER PLANS $151.10 ↓ -41%
BLUE CROSS MCS - ALL OTHER PLANS BLUE CROSS MCS - ALL OTHER PLANS $166.35 ↓ -35%
PHP-PROSPECT HEALTH PLAN CAP - ALL PLANS PHP-PROSPECT HEALTH PLAN CAP - ALL PLANS $167.89 ↓ -35%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $201.47 ↓ -22%
CENTIVO - ALL PLANS CENTIVO - ALL PLANS $251.84 ↓ -2%
BLUE SHIELD EPN BLUE SHIELD EPN $340.34 ↑ +32%
CIGNA CIGNA $377.59 ↑ +47%
CIGNA ALL OTHER - ALL OTHER PLANS CIGNA ALL OTHER - ALL OTHER PLANS $377.59 ↑ +47%
BLUE SHIELD - ALL OTHER PLANS BLUE SHIELD - ALL OTHER PLANS $396.11 ↑ +54%
PACIFIC IPA - ALL OTHER PLANS PACIFIC IPA - ALL OTHER PLANS $543.40 ↑ +111%
UHC JLL UHC JLL $543.40 ↑ +111%
UHC HMO UHC HMO $571.43 ↑ +122%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $572.00 ↑ +122%
KAISER- ALL PLANS KAISER- ALL PLANS $586.30 ↑ +128%
WESTERN GROWERS/PINNACLE - ALL PLANS WESTERN GROWERS/PINNACLE - ALL PLANS $586.30 ↑ +128%
HEALTHNET - ALL OTHER PLANS HEALTHNET - ALL OTHER PLANS $646.65 ↑ +151%
HEALTHNET COMM CARE HEALTHNET COMM CARE $667.10 ↑ +159%
OPTUM MCR ADV OPTUM MCR ADV $686.40 ↑ +167%
OPTUM HMO - ALL OTHER PLANS OPTUM HMO - ALL OTHER PLANS $686.40 ↑ +167%
UHC SIGNATURE UHC SIGNATURE $715.00 ↑ +178%
CAREMORE MCARE - ALL PLANS CAREMORE MCARE - ALL PLANS $715.00 ↑ +178%
HCPAMG - ALL PLANS HCPAMG - ALL PLANS $716.43 ↑ +178%
HEALTHCARE INC - ALL OTHER PLANS HEALTHCARE INC - ALL OTHER PLANS $786.50 ↑ +206%
LA CARE MCR ADV - ALL PLANS LA CARE MCR ADV - ALL PLANS $786.50 ↑ +206%
FIRST HEATLH PPO - ALL PLANS FIRST HEATLH PPO - ALL PLANS $829.40 ↑ +222%
PHCS PPO - ALL PLANS PHCS PPO - ALL PLANS $929.50 ↑ +261%
SCAN HEALTH MCARE - ALL PLANS SCAN HEALTH MCARE - ALL PLANS $929.50 ↑ +261%
AHF - ALL PLANS AHF - ALL PLANS $1,072.50 ↑ +317%
INTERPLAN PPO - ALL PLANS INTERPLAN PPO - ALL PLANS $1,072.50 ↑ +317%
BEECH STREET - ALL PLANS BEECH STREET - ALL PLANS $1,072.50 ↑ +317%
CORVEL CORP - ALL PLANS CORVEL CORP - ALL PLANS $1,144.00 ↑ +344%
MULTIPLAN PPO - ALL PLANS MULTIPLAN PPO - ALL PLANS $1,186.90 ↑ +361%
HEALTHMANNET - ALL PLANS HEALTHMANNET - ALL PLANS $1,215.50 ↑ +372%
NEXT INC PPO - ALL PLANS NEXT INC PPO - ALL PLANS $1,215.50 ↑ +372%
TRPN - ALL PLANS TRPN - ALL PLANS $1,215.50 ↑ +372%
BELLA VISTA MCR ADV OP/PROFEE ONLY - ALL OTHER PLA BELLA VISTA MCR ADV OP/PROFEE ONLY - ALL OTHER PLA $1,287.00 ↑ +400%
FPN PPO - ALL PLANS FPN PPO - ALL PLANS $1,287.00 ↑ +400%
HEALTHNET MCR ADV HEALTHNET MCR ADV $2,187.90 ↑ +750%

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X-ray mandible ltd <4 views at other California hospitals

Hospital City Cash price Negotiated range
Fresno Medical Center FRESNO $604.80 $118.00 – $118.00
St. John's Camarillo Hospital Camarillo $389.82 $54.46 – $694.20
Antioch Medical Center ANTIOCH $604.80 $118.00 – $118.00
Redwood City Medical Center Redwood City $604.80 $118.00 – $118.00
Santa Clara Medical Center SANTA CLARA $604.80 $118.00 – $118.00
Baldwin Park Medical Center BALDWIN PARK $327.60 $81.00 – $81.00
Riverside Medical Center RIVERSIDE $327.60 $81.00 – $81.00
Fremont Medical Center FREMONT $604.80 $118.00 – $118.00

All California hospitals for this procedure →