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 |
|---|---|---|---|---|
| Electrolyte panel CPT 80051 | $98.82 | $549.00 | $2.35 – $78.19 | 61 |
| Electron microscopy diagnostic CPT 88348 | $199.26 | $1,107.00 | $163.49 – $2,776.57 | 64 |
| Electrophysiologic study CPT 93624 | $3,454.92 | $19,194.00 | $85.22 – $29,366.82 | 58 |
| Electrophysiology evaluation CPT 93619 | $5,124.06 | $28,467.00 | $85.22 – $43,554.51 | 58 |
| Electrophysiology evaluation CPT 93620 | $5,130.36 | $28,502.00 | $85.22 – $43,608.06 | 58 |
| Electrophysiology evaluation CPT 93621 | $5,130.36 | $28,502.00 | $85.22 – $99,757.00 | 24 |
| Electrophysiology evaluation CPT 93622 | $5,130.36 | $28,502.00 | $85.22 – $99,757.00 | 24 |
| Electrophysiology evaluation CPT 93641 | $1,713.60 | $9,520.00 | $85.22 – $33,320.00 | 24 |
| Electrophysiology evaluation CPT 93642 | $1,112.58 | $6,181.00 | $85.22 – $24,362.00 | 58 |
| Electrophys map 3d add-on CPT 93613 | $2,597.22 | $14,429.00 | $85.22 – $22,076.37 | 56 |
| Embolization s&i CPT 75894 | $2,759.94 | $15,333.00 | $85.22 – $23,459.49 | 40 |
| Embo or occlude vascular arterial s&i CPT 37242 | $11,960.28 | $66,446.00 | $85.22 – $35,366.25 | 85 |
| Embo or occlude vascular hemorrhage s&i CPT 37244 | $8,478.54 | $47,103.00 | $85.22 – $72,067.59 | 58 |
| Embo or occlude vascular tumor/organ/infarct s&i CPT 37243 | $11,940.30 | $66,335.00 | $85.22 – $101,492.55 | 58 |
| Embo or occlude vascular venous s&i CPT 37241 | $11,686.68 | $64,926.00 | $85.22 – $99,336.78 | 58 |
| Emb/throm/fempop/aor/ilia/leg inc 34201 CPT 34201 | $619.38 | $3,441.00 | $300.00 – $10,735.29 | 85 |
| Emg 2 ext w-w/o paraspinal area 95861 CPT 95861 | $142.38 | $791.00 | $60.48 – $256.68 | 86 |
| Emg 3 ext w-w/o paraspinal area 95863 CPT 95863 | $45.72 | $254.00 | $73.56 – $300.96 | 86 |
| Emg cranial nerve bilateral CPT 95868 | $114.84 | $638.00 | $47.70 – $416.57 | 86 |
| Emg needle test 1-extremity CPT 95860 | $83.16 | $462.00 | $39.00 – $256.68 | 86 |
| Emg needle test 4-extremities CPT 95864 | $48.60 | $270.00 | $81.00 – $569.40 | 86 |
| Emg thor paraspinal without t1/t2 CPT 95869 | $9.18 | $51.00 | $15.30 – $416.57 | 86 |
| Encephalitis, california igg/igm CPT 86651 | $2.11 | $11.72 | $4.57 – $146.99 | 61 |
| Encephalitis, st louis igg/igm CPT 86653 | $2.11 | $11.72 | $4.57 – $146.99 | 61 |
| Encephalitis, western equine igg/igm CPT 86654 | $2.11 | $11.72 | $4.57 – $146.99 | 61 |
| Endo abl/incom vein/ext/laser/#1 36478 CPT 36478 | $2,264.94 | $12,583.00 | $1,600.00 – $19,251.99 | 53 |
| Endo abl/incom vein/ext/rad fre/#1 36475 CPT 36475 | $1,913.40 | $10,630.00 | $25.00 – $6,091.58 | 85 |
| Endo cath bile duct s&i CPT 74328 | $352.80 | $1,960.00 | $70.74 – $6,860.00 | 28 |
| Endo cath panc duct s&i CPT 74329 | $268.56 | $1,492.00 | $70.74 – $5,222.00 | 28 |
| Endo cholangiopancreatograph CPT 43261 | $4,266.54 | $23,703.00 | $341.03 – $36,265.59 | 53 |
| Endo cholangiopancreatograph CPT 43262 | $3,120.12 | $17,334.00 | $370.44 – $26,521.02 | 53 |
| Endoluminl ivus oct c 1st CPT 92978 | $2,000.52 | $11,114.00 | $69.30 – $13,892.50 | 81 |
| Endoluminl ivus oct c ea CPT 92979 | $1,600.74 | $8,893.00 | $55.50 – $11,116.25 | 81 |
| Endoscopic pancreatoscopy CPT 43273 | $219.24 | $1,218.00 | $90.26 – $1,863.54 | 53 |
| Endoscopy swallow (fees) vid CPT 92612 | $419.22 | $2,329.00 | $48.67 – $3,563.37 | 67 |
| Endovasc rpr a-biiliac endogft 34705 CPT 34705 | $8,637.84 | $47,988.00 | $65.00 – $7,680.00 | 85 |
| Endovasc tempory vessel occl CPT 61623 | $6,123.96 | $34,022.00 | $300.07 – $52,053.66 | 53 |
| Endoven ther chem adhes 1st 36482 CPT 36482 | $110.34 | $613.00 | $20.00 – $10,735.29 | 85 |
| Endoven ther chem adhes sbsq 36483 CPT 36483 | $46.44 | $258.00 | $67.15 – $394.74 | 55 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $92.97 | $516.52 | $1.44 – $292.39 | 29 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | $1.82 | $10.10 | $2.62 – $103.47 | 61 |
| Enterectomy small intestine addl 44121 CPT 44121 | $128.52 | $714.00 | $70.00 – $503.55 | 77 |
| Enterectomy small intestine single 44120 CPT 44120 | $668.16 | $3,712.00 | $65.00 – $5,568.00 | 85 |
| Enterorrhaphy 1perforation 44602 CPT 44602 | $706.32 | $3,924.00 | $300.00 – $2,616.34 | 77 |
| Enterostomy/cecostomy tube open 44300 CPT 44300 | $444.78 | $2,471.00 | $300.00 – $3,706.50 | 85 |
| Enzyme cell activity ra CPT 82658 | $84.23 | $467.92 | $6.32 – $715.92 | 61 |
| Enzyme histochemistry CPT 88319 | $14.72 | $81.75 | $59.93 – $2,331.54 | 64 |
| Ep & ablate supravent arrhyt CPT 93653 | $11,779.20 | $65,440.00 | $85.22 – $100,123.20 | 58 |
| Ep & ablate ventric tachy CPT 93654 | $11,779.20 | $65,440.00 | $85.22 – $100,123.20 | 58 |
| Epidrm a-grft face/nck/hf/g 15115 CPT 15115 | $727.38 | $4,041.00 | $25.00 – $3,980.58 | 85 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $49.32 | $274.00 | $7.00 – $273.00 | 85 |
| Ep induct arrhy by elect pacing CPT 93618 | $595.44 | $3,308.00 | $85.22 – $24,362.00 | 58 |
| Epinephrine 0.1 mg/ml injection syringe HCPCS J0168 | $11.98 | $66.53 | $8.17 – $232.86 | 25 |
| Epinephrine 1 mg/ml im kit - adult HCPCS J0169 | $13.79 | $76.61 | $3.76 – $190.23 | 25 |
| Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165 | $111.29 | $618.25 | $1.17 – $40.60 | 25 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | $22.45 | $124.74 | $3.02 – $193.66 | 25 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | $54.25 | $301.40 | $1.93 – $1,054.90 | 29 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | $59.45 | $330.30 | $35.53 – $511.00 | 28 |
| Epstein barr early antigen antibody CPT 86663 | $1.93 | $10.70 | $4.54 – $146.99 | 61 |
| Epstein barr nuclear antigen antibody CPT 86664 | $1.93 | $10.70 | $5.32 – $173.03 | 61 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $1.93 | $10.70 | $6.13 – $179.71 | 61 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $190.46 | $1,058.13 | $2.77 – $1,919.16 | 60 |
| Ercp biliary & pancreas CPT 74330 | $1,380.06 | $7,667.00 | $70.74 – $26,834.50 | 28 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | $4,083.12 | $22,684.00 | $414.74 – $34,706.52 | 53 |
| Ercp ea duct/ampulla dilate CPT 43277 | $3,258.54 | $18,103.00 | $344.01 – $27,697.59 | 53 |
| Ercp lesion ablate w/dilate 43278 CPT 43278 | $4,003.20 | $22,240.00 | $391.29 – $34,027.20 | 53 |
| Ercp remove duct calculi 43264 CPT 43264 | $4,595.94 | $25,533.00 | $383.84 – $39,065.49 | 53 |
| Ercp remove forgn body duct 43275 CPT 43275 | $2,859.48 | $15,886.00 | $342.14 – $24,305.58 | 53 |
| Ercp stent exchange w/dilate CPT 43276 | $4,595.94 | $25,533.00 | $431.50 – $39,065.49 | 53 |
| Ercp w/specimen collection CPT 43260 | $3,074.22 | $17,079.00 | $443.24 – $26,130.87 | 53 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $71.17 | $395.40 | $19.73 – $1,296.16 | 29 |
| ER Visit (level 1, minor) CPT 99281 | $172.98 | $961.00 | $9.63 – $162.68 | 85 |
| ER Visit (level 2) CPT 99282 | $358.92 | $1,994.00 | $34.97 – $3,050.82 | 54 |
| ER Visit (level 3) CPT 99283 | $621.00 | $3,450.00 | $44.60 – $526.64 | 85 |
| ER Visit (level 4) CPT 99284 | $969.66 | $5,387.00 | $68.35 – $805.00 | 85 |
| ER Visit (level 5, high severity) CPT 99285 | $1,500.84 | $8,338.00 | $108.08 – $1,148.93 | 85 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $43.36 | $240.90 | $7.25 – $843.15 | 29 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln HCPCS J1806 | $79.95 | $444.14 | $0.87 – $1,554.49 | 26 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $172.76 | $959.78 | $0.58 – $244.37 | 26 |
| Esophageal recording CPT 93616 | $595.44 | $3,308.00 | $85.22 – $24,362.00 | 58 |
| Esophagoscopy balloon <30mm CPT 43220 | $987.12 | $5,484.00 | $178.70 – $8,390.52 | 53 |
| Established Patient Office Visit (level 1) CPT 99211 | $29.16 | $162.00 | $6.85 – $247.86 | 78 |
| Established Patient Office Visit (level 2) CPT 99212 | $33.48 | $186.00 | $18.10 – $284.58 | 77 |
| Established Patient Office Visit (level 3) CPT 99213 | $36.90 | $205.00 | $24.00 – $313.65 | 77 |
| Established Patient Office Visit (level 4) CPT 99214 | $54.00 | $300.00 | $37.50 – $361.08 | 77 |
| Established Patient Office Visit (level 5) CPT 99215 | $80.28 | $446.00 | $57.20 – $414.63 | 77 |
| Estradiol total CPT 82670 | $132.12 | $734.00 | $9.86 – $311.47 | 61 |
| Estradiol valerate 10 mg inj HCPCS J1380 | $65.15 | $361.95 | $16.59 – $1,064.70 | 29 |
| Etanercept injection HCPCS J1438 | $172.62 | $959.00 | $304.55 – $3,356.50 | 28 |
| Ethanolamine oleate 100 mg HCPCS J1430 | $159.16 | $884.22 | $125.88 – $3,094.77 | 60 |
| Ethylene glycol -sendout CPT 82693 | $2.39 | $13.25 | $5.18 – $163.95 | 61 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $52.97 | $294.30 | $1.47 – $51.10 | 29 |
| Etoposide 50 mg cap HCPCS J8560 | $69.66 | $387.00 | $73.81 – $1,354.50 | 60 |
| Euflexxa inj per dose HCPCS J7323 | $172.80 | $960.00 | $89.74 – $2,235.84 | 61 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $237.96 | $1,322.00 | $83.39 – $4,557.00 | 60 |
| Evaluation heart device CPT 93640 | $1,279.44 | $7,108.00 | $85.22 – $24,878.00 | 24 |
| Evaluation of speech fluency 92521 CPT 92521 | $193.14 | $1,073.00 | $80.00 – $1,641.69 | 68 |
| Evaluation psychiatric diagnostic CPT 90791 | $145.98 | $811.00 | $166.25 – $1,240.83 | 59 |
| Evasc prlng admn rx agnt 1st CPT 61650 | $3,736.26 | $20,757.00 | $439.99 – $31,758.21 | 53 |
| Evasc prlng admn rx agnt add CPT 61651 | $1,867.68 | $10,376.00 | $188.15 – $15,875.28 | 53 |
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.