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 |
|---|---|---|---|---|
| Fatty acids nonesterified CPT 82725 | $2.61 | $14.50 | $4.62 – $148.42 | 61 |
| #fecal-sodium CPT 84302 | $51.12 | $284.00 | $1.12 – $53.95 | 61 |
| Feeding tube reposition CPT 74355 | $194.22 | $1,079.00 | $76.75 – $3,776.50 | 28 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $2.73 | $15.14 | $14.91 – $75.11 | 59 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $1,118.50 | $6,213.90 | $2.18 – $126.70 | 29 |
| Ferritin CPT 82728 | $102.96 | $572.00 | $4.09 – $151.87 | 61 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $414.18 | $2,301.00 | $85.22 – $6,041.00 | 61 |
| Fetal chrmoml microdeltj CPT 81422 | $49.50 | $275.00 | $45.00 – $5,573.90 | 60 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | $81.00 | $450.00 | $275.00 – $3,557.14 | 61 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $375.12 | $2,084.00 | $18.87 – $3,188.52 | 58 |
| Fetal cord puncture prenatal CPT 59012 | $247.50 | $1,375.00 | $149.98 – $2,103.75 | 55 |
| Fetal fibronectin CPT 82731 | $427.86 | $2,377.00 | $14.59 – $1,500.68 | 61 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $30.42 | $169.00 | $2.61 – $86.21 | 61 |
| Fetal hemoglobin rosette CPT 85461 | $45.00 | $250.00 | $2.22 – $376.38 | 61 |
| Fetal non stress test CPT 59025 | $237.42 | $1,319.00 | $16.98 – $2,018.07 | 58 |
| #_fet/norfentcnfrmur CPT 80354 | $3.87 | $21.51 | $0.04 – $212.42 | 26 |
| Fibrin degradation d dimer quantitative CPT 85379 | $96.48 | $536.00 | $3.49 – $113.38 | 61 |
| Fibrin degradation products CPT 85362 | $126.72 | $704.00 | $1.58 – $76.68 | 61 |
| Fibrin degrade semiquant CPT 85378 | $78.12 | $434.00 | $2.40 – $442.17 | 61 |
| Fibrinogen activity CPT 85384 | $92.88 | $516.00 | $2.87 – $94.09 | 61 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $7.20 | $40.00 | $5.63 – $35.21 | 77 |
| Fibrinolytic antiplasmin CPT 85410 | $1.23 | $6.85 | $2.61 – $83.21 | 61 |
| Fibrinolytic plasminogen CPT 85415 | $2.75 | $15.28 | $6.01 – $191.71 | 61 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $1.05 | $5.81 | $1.58 – $72.93 | 61 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $224.55 | $1,247.52 | $0.86 – $1,833.18 | 61 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $119.64 | $664.65 | $0.30 – $1,277.06 | 61 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $2,350.80 | $13,060.00 | $1,600.00 – $32,833.50 | 16 |
| Filter vena cava fem denali HCPCS C1880 | $2,012.04 | $11,178.00 | $1,600.00 – $7,014.00 | 19 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | $264.42 | $1,469.00 | $40.51 – $2,980.00 | 55 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $625.68 | $3,476.00 | $37.76 – $5,318.28 | 55 |
| Fine needle asp without image guide 10021 CPT 10021 | $295.74 | $1,643.00 | $40.26 – $784.27 | 85 |
| Fixation of knee joint CPT 27570 | $106.56 | $592.00 | $24.30 – $300.68 | 77 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | $460.80 | $2,560.00 | $103.87 – $6,312.51 | 85 |
| Flecainide (tambocor)-sendout CPT 80181 | $3.36 | $18.64 | $14.91 – $75.11 | 59 |
| Fl exam g/colon tube w contrast CPT 49465 | $177.48 | $986.00 | $141.10 – $1,508.58 | 53 |
| Flexible Sigmoidoscopy CPT 45330 | $37.62 | $209.00 | $49.00 – $1,794.12 | 85 |
| Flexor-plasty elbow CPT 24330 | $77.76 | $432.00 | $129.60 – $1,500.91 | 77 |
| Flow cytometry marker each additional CPT 88185 | $13.32 | $74.00 | $7.80 – $229.48 | 64 |
| Flow cytometry one marker technical component CPT 88184 | $54.00 | $300.00 | $37.96 – $1,037.30 | 64 |
| Floxuridine injection HCPCS J9200 | $110.10 | $611.67 | $254.38 – $11,584.02 | 61 |
| Flt3 gene CPT 81245 | $23.83 | $132.40 | $132.40 – $713.20 | 61 |
| Flt3 gene analysis CPT 81246 | $11.95 | $66.40 | $66.40 – $1,324.65 | 61 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $173.88 | $966.00 | $12.19 – $290.50 | 28 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | $74.70 | $415.02 | $221.64 – $1,452.57 | 29 |
| Fluidotherapy charges pt CPT 97022 | $54.72 | $304.00 | $14.95 – $549.00 | 68 |
| Fluorescent antibody titer dna CPT 86256 | $47.88 | $266.00 | $4.17 – $134.39 | 61 |
| Fluoroestradiol f 18 HCPCS A9591 | $335.34 | $1,863.00 | $81.67 – $3,380.76 | 42 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $426.42 | $2,369.00 | $22.14 – $3,624.57 | 60 |
| Fluoroguide needle placement CPT 77002 | $394.20 | $2,190.00 | $3.76 – $402.37 | 86 |
| Fluoroscopy up to 1 hour CPT 76000 | $358.20 | $1,990.00 | $1.20 – $460.32 | 86 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $26.01 | $144.50 | $4.18 – $443.80 | 29 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | $13.09 | $72.70 | $0.01 – $254.45 | 29 |
| Flutamide 125 mg HCPCS S0175 | $5.82 | $32.33 | $7.02 – $113.16 | 26 |
| Flutemetamol f18 diagnostic HCPCS Q9982 | $1,512.00 | $8,400.00 | $85.22 – $14,065.11 | 41 |
| Fluvirin vacc, 3 yrs & >, im HCPCS Q2037 | $14.04 | $78.00 | $25.96 – $273.00 | 27 |
| Fmri brain by phys/psych CPT 70555 | $375.48 | $2,086.00 | $85.22 – $3,191.58 | 66 |
| Fna bx w/ct gdn 1st les CPT 10009 | $2,086.38 | $11,591.00 | $556.22 – $17,734.23 | 55 |
| Fna bx w/ct gdn ea addl CPT 10010 | $1,043.46 | $5,797.00 | $56.58 – $8,869.41 | 55 |
| Folic acid CPT 82746 | $95.22 | $529.00 | $5.11 – $163.87 | 61 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $4.42 | $24.55 | $0.13 – $24.61 | 25 |
| Follow-up angiography CPT 75898 | $900.72 | $5,004.00 | $63.84 – $9,137.36 | 67 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $274.77 | $1,526.52 | $2.47 – $3,555.27 | 61 |
| Fondaparinux sodium HCPCS J1652 | $79.38 | $441.00 | $2.39 – $414.16 | 28 |
| Foot X-ray CPT 73630 | $327.06 | $1,817.00 | $15.78 – $1,852.83 | 62 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $552.95 | $3,071.93 | $0.22 – $10,751.76 | 29 |
| Foscarnet sodium injection HCPCS J1455 | $792.96 | $4,405.35 | $18.27 – $15,418.73 | 27 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $15.57 | $86.48 | $1.13 – $204.93 | 60 |
| Freeing of bowel adhesion 44005 CPT 44005 | $597.96 | $3,322.00 | $45.00 – $2,126.11 | 77 |
| Free myo/skin flap microvasc CPT 15756 | $202.68 | $1,126.00 | $65.00 – $3,924.79 | 77 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $13.50 | $75.00 | $62.70 – $665.00 | 59 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $15.48 | $86.00 | $73.08 – $665.00 | 59 |
| Fresh frozen plasma thawing ea un CPT 86927 | $82.62 | $459.00 | $2.25 – $493.03 | 41 |
| Frozen blood freeze/thaw CPT 86932 | $11.70 | $65.00 | $40.83 – $450.20 | 41 |
| Fructosamine glycated protein CPT 82985 | $2.41 | $13.41 | $5.24 – $168.00 | 61 |
| Fth/gft fr n/e/e/l each addl CPT 15261 | $73.80 | $410.00 | $100.02 – $627.30 | 53 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | $1,120.68 | $6,226.00 | $421.82 – $9,525.78 | 53 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | $1,617.66 | $8,987.00 | $65.00 – $4,495.50 | 85 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $9.96 | $55.33 | $0.05 – $193.66 | 25 |
| Fusion of ankle joint open CPT 27870 | $670.14 | $3,723.00 | $45.00 – $2,210.03 | 77 |
| Fusion of knee CPT 27580 | $977.22 | $5,429.00 | $45.00 – $3,061.97 | 77 |
| G0180 home health certification HCPCS G0180 | $18.00 | $100.00 | $17.20 – $160.00 | 75 |
| G6pd full gene sequence CPT 81249 | $162.00 | $900.00 | $510.00 – $5,104.71 | 60 |
| G6pd gene alys cmn variant CPT 81247 | $31.47 | $174.81 | $148.59 – $1,487.25 | 60 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $29.16 | $162.00 | $50.34 – $593.46 | 31 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | $30.06 | $167.00 | $42.19 – $255.51 | 43 |
| Gabapentin non-blood CPT 80355 | $2.88 | $16.00 | $0.04 – $144.37 | 26 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $1.91 | $10.60 | $0.43 – $37.10 | 29 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $2.88 | $16.00 | $2.05 – $56.00 | 29 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | $0.19 | $1.06 | $0.28 – $3.71 | 29 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $133.56 | $742.00 | $19.15 – $2,597.00 | 29 |
| Galactose transferase test CPT 82776 | $2.87 | $15.95 | $2.36 – $93.42 | 61 |
| Galectin-3 CPT 82777 | $7.97 | $44.25 | $37.61 – $154.88 | 60 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | $428.76 | $2,382.00 | $125.00 – $1,681.73 | 77 |
| Gallium illuccix 1 millicure HCPCS A9596 | $627.66 | $3,487.00 | $85.22 – $5,335.11 | 60 |
| Gamma globulin 1 cc inj HCPCS J1460 | $35.55 | $197.50 | $22.48 – $459.98 | 61 |
| Gammaglobulin iga CPT 82784 | $63.36 | $352.00 | $1.58 – $86.36 | 61 |
| Gammaglobulin ige CPT 82785 | $63.36 | $352.00 | $5.75 – $183.53 | 61 |
| Gamma glutamyltransferase CPT 82977 | $64.98 | $361.00 | $2.34 – $80.59 | 61 |
| Gamunex-c/gammaked HCPCS J1561 | $81.52 | $452.90 | $42.27 – $1,054.80 | 61 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $83.78 | $465.42 | $72.22 – $1,032.43 | 28 |
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.