WHITE MEMORIAL MEDICAL CENTER
1720 E Cesar E Chavez Ave Los Angeles CA 90033|309 W Beverly Blvd, MONTEBELLO, CA · Adventisthealth · · NPI 1215927470
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Doppler intravascular pressure flow initial vessel CPT 93571 | $910.80 | $5,060.00 | $53.10 – $349.32 | 81 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $598.68 | $3,326.00 | $56.19 – $2,705.04 | 65 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $453.60 | $2,520.00 | $31.04 – $2,138.94 | 65 |
| Dornhoffer fixed part w/window HCPCS L8614 | $5,124.60 | $28,470.00 | $16,426.64 – $53,269.99 | 33 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $74.43 | $413.52 | $4.23 – $275.80 | 29 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $34.65 | $192.52 | $61.08 – $1,445.37 | 61 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $21.30 | $118.33 | $0.28 – $414.16 | 25 |
| Dpyd gene common variants CPT 81232 | $31.47 | $174.81 | $139.85 – $1,487.25 | 61 |
| Drainage of arm bursa 23931 CPT 23931 | $110.88 | $616.00 | $45.00 – $3,186.35 | 85 |
| Drainage of bone lesion CPT 26992 | $673.38 | $3,741.00 | $30.00 – $2,029.62 | 77 |
| Drainage of bone lesion CPT 27303 | $434.70 | $2,415.00 | $25.00 – $1,330.53 | 77 |
| Drainage of forearm bursa CPT 25031 | $257.04 | $1,428.00 | $55.00 – $964.69 | 77 |
| Drainage of kidney lesion CPT 50390 | $1,016.10 | $5,645.00 | $70.74 – $8,636.85 | 53 |
| Drainage of pelvis bursa CPT 26991 | $354.06 | $1,967.00 | $299.70 – $3,102.23 | 85 |
| Drainage of pelvis lesion 26990 CPT 26990 | $1,805.22 | $10,029.00 | $20.00 – $6,312.51 | 85 |
| Drainage of rectal abscess 45020 CPT 45020 | $326.34 | $1,813.00 | $202.53 – $1,031.42 | 77 |
| Drain blood from under nail 11740 CPT 11740 | $72.90 | $405.00 | $11.00 – $256.68 | 85 |
| Drain cath image guided visceral pq CPT 49405 | $1,651.86 | $9,177.00 | $85.22 – $14,040.81 | 58 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $220.68 | $1,226.00 | $82.28 – $2,042.73 | 53 |
| Drain finger abscess;simple 26010 CPT 26010 | $97.02 | $539.00 | $6.00 – $808.50 | 85 |
| Drain lower leg lesion 27603 CPT 27603 | $262.80 | $1,460.00 | $300.00 – $5,603.93 | 85 |
| Drain ovarn cyst abd CPT 58805 | $763.56 | $4,242.00 | $872.17 – $9,367.83 | 53 |
| Drain shoulder bone lesion CPT 23035 | $460.26 | $2,557.00 | $152.64 – $1,470.85 | 77 |
| Drain shoulder bursa 23031 CPT 23031 | $152.10 | $845.00 | $65.00 – $854.44 | 77 |
| Drain shoulder lesion CPT 23030 | $171.90 | $955.00 | $221.24 – $5,603.93 | 85 |
| Drain thigh/knee lesion 27301 CPT 27301 | $516.60 | $2,870.00 | $78.00 – $5,603.93 | 85 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $211.14 | $1,173.00 | $60.31 – $387.07 | 85 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $252.54 | $1,403.00 | $45.40 – $387.07 | 82 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $273.24 | $1,518.00 | $81.53 – $784.27 | 82 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | $2,479.50 | $13,775.00 | $229.54 – $21,075.75 | 53 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | $608.58 | $3,381.00 | $300.00 – $2,150.09 | 77 |
| Drng ovary abscess perqt 58822 CPT 58822 | $399.96 | $2,222.00 | $75.00 – $1,482.19 | 77 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $22.14 | $123.00 | $11.02 – $430.50 | 29 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $1,268.64 | $7,048.00 | $1,600.00 – $11,217.50 | 19 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | $930.78 | $5,171.00 | $5.65 – $346.14 | 60 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $3.60 | $20.00 | $6.53 – $346.14 | 60 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $5,528.34 | $30,713.00 | $17.03 – $46,990.89 | 45 |
| Drug admin & hemodynmic meas CPT 93463 | $202.32 | $1,124.00 | $73.37 – $313.26 | 85 |
| Drug assay posaconazole CPT 80187 | $3.90 | $21.69 | $21.69 – $109.32 | 59 |
| Drug assay rufinamide CPT 80210 | $2.73 | $15.14 | $15.14 – $109.32 | 59 |
| Drug assay vedolizumab CPT 80280 | $36.00 | $200.00 | $32.78 – $306.00 | 59 |
| Drug assay voriconazole CPT 80285 | $3.90 | $21.69 | $21.69 – $109.32 | 59 |
| Drug of abuse screen urine CPT 80305 | $102.24 | $568.00 | $10.71 – $855.27 | 61 |
| Drug screening tapentadol CPT 80372 | $3.87 | $21.51 | $0.04 – $220.98 | 26 |
| Drug screen quant tiagabine CPT 80199 | $12.42 | $69.00 | $23.04 – $123.61 | 61 |
| Drug test prsmv instrmnt CPT 80306 | $137.70 | $765.00 | $14.57 – $374.85 | 61 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $149.76 | $832.00 | $15.22 – $701.42 | 61 |
| Drvvt confirm - quest CPT 85597 | $2.88 | $15.98 | $6.28 – $170.18 | 61 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $97.20 | $540.00 | $15.00 – $1,083.28 | 77 |
| Duplex scan bilateral study 93985 CPT 93985 | $264.78 | $1,471.00 | $85.22 – $2,250.63 | 59 |
| Duplex scan unilateral study 93986 CPT 93986 | $66.06 | $367.00 | $20.17 – $851.74 | 86 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $370.26 | $2,057.00 | $15.83 – $919.72 | 86 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $925.92 | $5,144.00 | $61.42 – $7,870.32 | 65 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $649.26 | $3,607.00 | $36.37 – $5,518.71 | 65 |
| Ear irrigation 69209 CPT 69209 | $48.06 | $267.00 | $11.54 – $408.51 | 53 |
| Ecg 12 lead tracing only CPT 93005 | $183.24 | $1,018.00 | $23.52 – $1,557.54 | 63 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $151.92 | $844.00 | $6.66 – $1,291.32 | 63 |
| Ecg < 30 days transmission & analysis CPT 93271 | $532.44 | $2,958.00 | $85.22 – $4,525.74 | 63 |
| Ecg external < 48 hours recording CPT 93225 | $201.42 | $1,119.00 | $42.77 – $1,712.07 | 63 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $214.56 | $1,192.00 | $64.49 – $1,823.76 | 63 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $31.86 | $177.00 | $18.21 – $1,702.00 | 63 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $31.86 | $177.00 | $18.21 – $1,702.00 | 63 |
| Ecg record/review CPT 93268 | $86.40 | $480.00 | $64.68 – $2,237.82 | 86 |
| Ecg/review interpret only CPT 93272 | $10.98 | $61.00 | $18.30 – $253.24 | 86 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,363.68 | $7,576.00 | $61.39 – $1,995.15 | 86 |
| Echocardiography doppler color flow mapping CPT 93325 | $444.60 | $2,470.00 | $3.08 – $789.72 | 86 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $64.80 | $360.00 | $85.22 – $3,301.12 | 68 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $550.44 | $3,058.00 | $22.47 – $608.23 | 86 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $21.06 | $117.00 | $80.04 – $1,009.60 | 62 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $402.12 | $2,234.00 | $6.64 – $301.36 | 86 |
| Echograp trans r pros study CPT 76873 | $222.30 | $1,235.00 | $11.26 – $500.46 | 86 |
| Echo guidance radiotherapy CPT 76965 | $86.76 | $482.00 | $85.22 – $1,776.13 | 60 |
| Echo guide for amniocentesis CPT 76946 | $258.66 | $1,437.00 | $32.33 – $2,198.61 | 59 |
| Echo guide for transfusion CPT 76941 | $345.24 | $1,918.00 | $79.18 – $6,713.00 | 28 |
| Echo stress CPT 93350 | $1,281.42 | $7,119.00 | $61.39 – $1,054.17 | 86 |
| Echo tee cngntl wo ctrst probe plcmnt CPT 93316 | $436.68 | $2,426.00 | $21.40 – $3,032.50 | 86 |
| Echo tee guidance CPT 93355 | $566.82 | $3,149.00 | $85.22 – $1,666.33 | 86 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $1,513.44 | $8,408.00 | $85.22 – $1,054.17 | 86 |
| Echo transesophageal CPT 93313 | $436.68 | $2,426.00 | $85.22 – $8,491.00 | 62 |
| Echo transesophageal CPT 93314 | $373.14 | $2,073.00 | $71.74 – $1,023.10 | 86 |
| Echo transesophageal CPT 93315 | $436.68 | $2,426.00 | $85.22 – $1,054.17 | 86 |
| Echo transesophageal CPT 93317 | $373.14 | $2,073.00 | $77.92 – $2,591.25 | 82 |
| Echo transesophageal intraop CPT 93318 | $888.30 | $4,935.00 | $85.22 – $7,550.55 | 63 |
| Echo transthoracic CPT 93303 | $1,028.34 | $5,713.00 | $54.75 – $1,075.43 | 86 |
| Echo transthoracic CPT 93304 | $213.12 | $1,184.00 | $31.69 – $1,054.17 | 86 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $804.06 | $4,467.00 | $39.25 – $1,205.04 | 86 |
| Eculizumab 300 mg/30 ml intravenous solution HCPCS J1299 | $2,356.97 | $13,094.30 | $37.99 – $30,496.62 | 49 |
| Edetate calcium disodium inj HCPCS J0600 | $66.96 | $372.00 | $78.75 – $16,905.85 | 60 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | $576.00 | $3,200.00 | $77.69 – $4,896.00 | 65 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | $288.00 | $1,600.00 | $57.00 – $4,634.32 | 65 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $673.92 | $3,744.00 | $67.55 – $4,296.24 | 65 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $860.94 | $4,783.00 | $85.22 – $7,317.99 | 65 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $926.28 | $5,146.00 | $55.68 – $7,873.38 | 65 |
| Eeg recording awake and asleep CPT 95819 | $539.46 | $2,997.00 | $64.15 – $4,585.41 | 65 |
| E equine encephalitis igg CPT 86652 | $2.11 | $11.72 | $4.57 – $146.99 | 61 |
| Egfr gene com variants CPT 81235 | $32.40 | $180.00 | $74.06 – $1,099.21 | 61 |
| EKG (Electrocardiogram) CPT 93000 | $14.22 | $79.00 | $14.47 – $239.74 | 86 |
| Electrd sq emblem s-icd HCPCS C1896 | $4,590.00 | $25,500.00 | $431.10 – $1,676.50 | 19 |
| Electrical stimulation/unattended 97014 CPT 97014 | $50.40 | $280.00 | $20.74 – $980.00 | 36 |
| Electrode stimulation brain CPT 95961 | $73.62 | $409.00 | $85.22 – $1,656.72 | 86 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.