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 |
|---|---|---|---|---|
| Evasc rpr a-ao ndgft 34701 CPT 34701 | $8,637.84 | $47,988.00 | $85.22 – $73,421.64 | 58 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | $210.24 | $1,168.00 | $65.00 – $1,130.23 | 77 |
| Evasc st rpr thrc/aa x crsg CPT 33895 | $477.18 | $2,651.00 | $128.44 – $1,232.77 | 73 |
| Event monitor CPT 93270 | $126.18 | $701.00 | $40.80 – $1,702.00 | 63 |
| Evoked auditory tst complete CPT 92588 | $232.74 | $1,293.00 | $28.63 – $1,978.29 | 60 |
| Evoked oa emissions ltd CPT 92587 | $205.56 | $1,142.00 | $12.49 – $624.85 | 60 |
| Evoked potentials auditory screening automated analysis CPT 92650 | $15.30 | $85.00 | $33.33 – $400.00 | 28 |
| Evoked potentials upper limbs CPT 95925 | $586.98 | $3,261.00 | $21.00 – $440.64 | 86 |
| Evoked potential visual not glaucoma CPT 95930 | $452.52 | $2,514.00 | $49.40 – $3,846.42 | 63 |
| Evok oa screening qual CPT 92558 | $18.72 | $104.00 | $85.22 – $400.00 | 27 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | $370.08 | $2,056.00 | $30.00 – $5,603.93 | 85 |
| Exc abd les sc 3 cm/> CPT 22903 | $1,743.48 | $9,686.00 | $68.00 – $5,603.93 | 85 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | $271.62 | $1,509.00 | $22.00 – $5,603.93 | 85 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | $224.82 | $1,249.00 | $67.39 – $3,186.35 | 85 |
| Exc back tum deep 5 cm/> CPT 21933 | $394.74 | $2,193.00 | $300.00 – $5,603.93 | 85 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | $522.36 | $2,902.00 | $41.00 – $3,186.35 | 85 |
| Exc benign feenlm >4.0cm 11446 CPT 11446 | $622.98 | $3,461.00 | $36.00 – $5,603.93 | 85 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | $513.00 | $2,850.00 | $100.89 – $3,186.35 | 85 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $199.80 | $1,110.00 | $28.00 – $1,366.16 | 85 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | $237.06 | $1,317.00 | $41.00 – $1,366.16 | 85 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | $366.84 | $2,038.00 | $16.00 – $1,366.16 | 85 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | $393.48 | $2,186.00 | $99.03 – $3,186.35 | 85 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | $359.10 | $1,995.00 | $14.00 – $1,366.16 | 85 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | $477.18 | $2,651.00 | $28.00 – $3,186.35 | 85 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | $818.28 | $4,546.00 | $220.67 – $5,603.93 | 85 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $219.60 | $1,220.00 | $28.00 – $784.27 | 85 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | $453.78 | $2,521.00 | $81.16 – $1,366.16 | 85 |
| Exc/crtg b1 cst/b9 tum rds CPT 24120 | $366.66 | $2,037.00 | $67.39 – $1,079.96 | 77 |
| Exc/curtg b1 cst/b9 tum hum CPT 24110 | $404.64 | $2,248.00 | $300.00 – $1,207.75 | 77 |
| Exc ext ear/partial/simple repair 69110 CPT 69110 | $224.28 | $1,246.00 | $17.00 – $5,603.93 | 85 |
| Exc forearm tum deep 3 cm/> CPT 25073 | $1,743.48 | $9,686.00 | $33.00 – $5,603.93 | 85 |
| Exchange biliary drg cath CPT 47536 | $3,066.48 | $17,036.00 | $752.05 – $26,065.08 | 53 |
| Exchange drainage catheter CPT 49423 | $1,847.34 | $10,263.00 | $68.50 – $15,702.39 | 53 |
| Exchange nephrostomy cath CPT 50435 | $1,877.76 | $10,432.00 | $434.47 – $15,960.96 | 53 |
| Exc hidradenitis ing simpl 11462 CPT 11462 | $578.16 | $3,212.00 | $113.18 – $5,603.93 | 85 |
| Exc hidradenitis peri/umb comp 11471 CPT 11471 | $633.96 | $3,522.00 | $174.24 – $5,603.93 | 85 |
| Exc hidradenitis peri/umb int 11470 CPT 11470 | $964.98 | $5,361.00 | $41.00 – $5,603.93 | 85 |
| Exc hip/pelv tum deep < 5 cm CPT 27048 | $409.32 | $2,274.00 | $87.86 – $5,603.93 | 85 |
| Excise anal ext tag/papilla CPT 46220 | $636.66 | $3,537.00 | $20.00 – $2,308.62 | 85 |
| Excise intrspinl lesion lmbr CPT 63267 | $892.44 | $4,958.00 | $40.00 – $3,427.12 | 77 |
| Excise sacral spine tumor CPT 49215 | $1,109.70 | $6,165.00 | $45.00 – $4,356.13 | 77 |
| Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 | $262.08 | $1,456.00 | $16.00 – $1,366.16 | 85 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | $444.60 | $2,470.00 | $33.00 – $3,186.35 | 85 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | $235.80 | $1,310.00 | $14.00 – $1,366.16 | 85 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | $744.12 | $4,134.00 | $19.00 – $3,186.35 | 85 |
| Excision graft extremity CPT 35903 | $350.46 | $1,947.00 | $99.03 – $6,091.58 | 85 |
| Excision of anal lesion(s) CPT 46922 | $1,480.86 | $8,227.00 | $20.00 – $5,354.94 | 85 |
| Excision of meckels diverticulum 44800 CPT 44800 | $504.54 | $2,803.00 | $300.00 – $1,470.69 | 77 |
| Excision olecranon bursa CPT 24105 | $253.98 | $1,411.00 | $23.00 – $6,312.51 | 85 |
| Excision radial head CPT 24130 | $353.52 | $1,964.00 | $57.00 – $1,047.38 | 77 |
| Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931 | $911.16 | $5,062.00 | $57.00 – $3,186.35 | 85 |
| Exc neck tum deep 5 cm/> CPT 21554 | $1,602.54 | $8,903.00 | $27.00 – $5,603.93 | 85 |
| Exc of rectal prlpse 45130 CPT 45130 | $701.46 | $3,897.00 | $45.00 – $2,208.70 | 77 |
| Exc/pilonidal cyst/sinus/simple 11770 CPT 11770 | $1,153.26 | $6,407.00 | $22.00 – $5,603.93 | 85 |
| Exc shoulder tum deep < 5 cm CPT 23076 | $367.38 | $2,041.00 | $63.00 – $5,603.93 | 85 |
| Exc skn hdrdnt ax complex CPT 11451 | $871.20 | $4,840.00 | $155.62 – $5,603.93 | 85 |
| Exc skn hdrdnt ax smpl/ntrm CPT 11450 | $673.20 | $3,740.00 | $36.00 – $5,603.93 | 85 |
| Exc skn hdrdnt ing complex CPT 11463 | $964.98 | $5,361.00 | $20.00 – $5,603.93 | 85 |
| Exc sq tum/leg or ankle area <3 cm 27618 CPT 27618 | $208.08 | $1,156.00 | $272.87 – $3,186.35 | 85 |
| Exc sq tum/neck/ant thorax 3cm/> 21552 CPT 21552 | $1,602.54 | $8,903.00 | $22.00 – $5,603.93 | 85 |
| Exc sq tumor/shoulder area 3cm/> 23071 CPT 23071 | $874.98 | $4,861.00 | $300.00 – $3,186.35 | 85 |
| Exc sq tumor/thigh/knee area 3cm/> 27337 CPT 27337 | $280.80 | $1,560.00 | $68.88 – $5,603.93 | 85 |
| Exc thigh/knee les sc<3cm 27327 CPT 27327 | $214.20 | $1,190.00 | $282.29 – $3,186.35 | 85 |
| Exc thigh/knee tum deep <5cm CPT 27328 | $415.80 | $2,310.00 | $65.00 – $5,603.93 | 85 |
| Exc thrombosed hemorrhoid 46320 CPT 46320 | $636.66 | $3,537.00 | $6.00 – $2,308.62 | 85 |
| Exc tmr sft tiss shldr subq <3cm CPT 23075 | $874.98 | $4,861.00 | $121.00 – $3,186.35 | 80 |
| Exc tr-ext mal+marg tal >4 cm 11606 CPT 11606 | $155.34 | $863.00 | $15.00 – $3,186.35 | 85 |
| Exemestane, 25 mg HCPCS S0156 | $53.88 | $299.31 | $43.34 – $1,047.59 | 26 |
| Exercise w/hemodynamic meas CPT 93464 | $66.24 | $368.00 | $85.22 – $10,233.00 | 61 |
| Expander breast 300cc mod hght extra proj smth natrelle HCPCS L8600 | $2,587.32 | $14,374.00 | $219.13 – $9,702.00 | 51 |
| Expander tiss 133s-mv-12-t 300ml natrelle smth HCPCS C1789 | $2,095.74 | $11,643.00 | $1,600.00 – $40,750.50 | 16 |
| Expl lap celiotomy w/wo bx 49000 CPT 49000 | $425.88 | $2,366.00 | $35.00 – $1,507.99 | 77 |
| Exploration maxillary sinus CPT 31256 | $117.54 | $653.00 | $20.00 – $7,192.92 | 85 |
| Exploration of knee joint CPT 27310 | $495.18 | $2,751.00 | $85.00 – $1,503.42 | 77 |
| Exploration of spinal fusion CPT 22830 | $544.32 | $3,024.00 | $80.00 – $1,686.34 | 77 |
| Explore penetrating wnd/extremity 20103 CPT 20103 | $226.80 | $1,260.00 | $36.11 – $3,186.35 | 85 |
| Explore small intestine 44020 CPT 44020 | $535.86 | $2,977.00 | $40.00 – $1,873.00 | 77 |
| Explore/treat ankle joint CPT 27620 | $306.72 | $1,704.00 | $300.00 – $974.72 | 77 |
| Explore/treat finger joint CPT 26080 | $279.72 | $1,554.00 | $35.00 – $3,102.23 | 85 |
| Explore/treat knee joint CPT 27331 | $328.32 | $1,824.00 | $85.00 – $979.73 | 77 |
| Ext ecg>48hr<7d rev&interpj CPT 93244 | $10.62 | $59.00 | $17.70 – $1,117.00 | 86 |
| Ext ecg>7d<15d rev&interpj CPT 93248 | $11.70 | $65.00 | $19.50 – $1,117.00 | 86 |
| External chromosome analysis 20-25 cells CPT 88264 | $33.42 | $185.65 | $122.92 – $1,382.95 | 64 |
| External newborn metabolic screening panel HCPCS S3620 | $74.34 | $413.00 | $16.90 – $219.10 | 24 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | $7.02 | $39.00 | $6.20 – $160.50 | 61 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $33.86 | $188.10 | $97.50 – $1,195.07 | 64 |
| Extnd color vision xm CPT 92283 | $31.50 | $175.00 | $6.90 – $113.81 | 86 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $15.39 | $85.50 | $3.95 – $169.73 | 61 |
| F-18 fdg pet diag HCPCS A9552 | $274.50 | $1,525.00 | $85.22 – $5,337.50 | 31 |
| F-18 sodium fluoride HCPCS A9580 | $228.78 | $1,271.00 | $85.22 – $4,448.50 | 27 |
| Facial bones <3 CPT 70140 | $264.96 | $1,472.00 | $15.97 – $1,363.23 | 62 |
| Factor ix CPT 85250 | $123.12 | $684.00 | $6.67 – $212.20 | 61 |
| Factor ix complex HCPCS J7194 | $0.42 | $2.36 | $0.01 – $5.50 | 42 |
| Factor viii CPT 85240 | $135.36 | $752.00 | $6.26 – $199.59 | 61 |
| Family therapy without pt 50min 90846 CPT 90846 | $176.94 | $983.00 | $112.46 – $1,503.99 | 54 |
| Family therapy with patient 50 min 90847 CPT 90847 | $181.80 | $1,010.00 | $116.37 – $1,545.30 | 54 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $14.56 | $80.90 | $0.03 – $193.66 | 25 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | $2,370.00 | $13,166.67 | $26.57 – $30,665.17 | 53 |
| Fancc gene CPT 81242 | $6.59 | $36.62 | $31.13 – $550.47 | 60 |
| Fat/lipids feces qualitative CPT 82705 | $20.34 | $113.00 | $1.83 – $56.80 | 61 |
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.