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 |
|---|---|---|---|---|
| Ganciclovir long act implant HCPCS J7310 | $5,768.70 | $32,048.33 | $1,600.00 – $112,169.16 | 21 |
| Gastroesophageal reflux study CPT 78262 | $699.48 | $3,886.00 | $70.47 – $5,945.58 | 62 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | $738.18 | $4,101.00 | $300.00 – $2,565.53 | 77 |
| Gastro/jejuno tube, std HCPCS B4087 | $247.14 | $1,373.00 | $38.14 – $4,805.50 | 21 |
| Gated heart multiple CPT 78473 | $595.44 | $3,308.00 | $85.22 – $5,061.24 | 62 |
| Gba gene CPT 81251 | $8.51 | $47.25 | $40.16 – $1,280.81 | 60 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $63.60 | $353.32 | $4.28 – $1,236.62 | 29 |
| General health panel CPT 80050 | $207.36 | $1,152.00 | $160.94 – $2,765.00 | 28 |
| Generator barostim neo2 2014 HCPCS C1767 | $16,402.50 | $91,125.00 | $1,600.00 – $285,250.00 | 16 |
| Generator emblem MRI sicd subq HCPCS C1722 | $48,898.98 | $271,661.00 | $1,600.00 – $131,250.00 | 16 |
| Genetic tstg severe inh cond CPT 81443 | $306.45 | $1,702.50 | $1,702.50 – $17,324.08 | 58 |
| Genome sequence analysis CPT 81425 | $558.00 | $3,100.00 | $0.04 – $24,509.03 | 38 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $34.20 | $190.00 | $5.91 – $193.66 | 29 |
| Gentamicin peak therapeutic drug level CPT 80170 | $147.24 | $818.00 | $5.71 – $165.45 | 61 |
| Ghs abscess perianal iandd CPT 46050 | $60.84 | $338.00 | $79.67 – $1,794.12 | 85 |
| Ghs abscess postoperative iandd complex CPT 10180 | $987.48 | $5,486.00 | $37.00 – $5,603.93 | 85 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $1.41 | $7.84 | $2.60 – $85.61 | 61 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $23.76 | $132.00 | $5.61 – $179.11 | 61 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $140.40 | $780.00 | $86.92 – $1,193.40 | 61 |
| Ghs antibodies (torch) igm CPT 86694 | $1.87 | $10.41 | $3.98 – $159.90 | 61 |
| Ghs bleeding time (ivy) CPT 85002 | $105.30 | $585.00 | $1.45 – $459.00 | 61 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $35.46 | $197.00 | $44.77 – $1,361.82 | 85 |
| Ghs central line insert < age 5, failed CPT 36555 | $1,594.80 | $8,860.00 | $86.50 – $13,555.80 | 53 |
| Ghs chemo >8 hrs CPT 96416 | $517.86 | $2,877.00 | $59.95 – $4,401.81 | 65 |
| Ghs chemo IV push, ea addtl CPT 96411 | $238.86 | $1,327.00 | $23.31 – $2,030.31 | 65 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $5.61 | $31.19 | $11.60 – $378.47 | 61 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $187.20 | $1,040.00 | $124.72 – $1,560.00 | 85 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $297.54 | $1,653.00 | $250.56 – $3,102.23 | 85 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $337.32 | $1,874.00 | $272.52 – $3,102.23 | 82 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $528.48 | $2,936.00 | $40.00 – $6,836.73 | 85 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $338.58 | $1,881.00 | $45.00 – $3,102.23 | 85 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $221.76 | $1,232.00 | $139.24 – $1,848.00 | 85 |
| Ghs community re-entry 15 minutes CPT 97537 | $66.06 | $367.00 | $30.16 – $1,284.50 | 67 |
| Ghs cutdown placement age 1 and over CPT 36425 | $95.76 | $532.00 | $59.94 – $1,292.76 | 55 |
| Ghs cutdown placement under 1 yr CPT 36420 | $30.96 | $172.00 | $42.07 – $385.02 | 55 |
| Ghs dislocation elbow closed treatment CPT 24600 | $239.58 | $1,331.00 | $221.73 – $1,996.50 | 85 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $107.46 | $597.00 | $25.00 – $539.60 | 85 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $777.24 | $4,318.00 | $294.19 – $6,606.54 | 53 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | $181.80 | $1,010.00 | $13.00 – $784.27 | 85 |
| Ghs excision ingrown nail CPT 11765 | $206.82 | $1,149.00 | $52.87 – $784.27 | 85 |
| Ghs fb removal from muscle - complicated CPT 20525 | $166.32 | $924.00 | $43.00 – $5,603.93 | 85 |
| Ghs fb removal - incisional CPT 10121 | $901.62 | $5,009.00 | $25.00 – $3,186.35 | 85 |
| Ghs fb removal - non-incisional CPT 20520 | $100.80 | $560.00 | $38.00 – $3,186.35 | 85 |
| Ghs febrile agglutinns(mayo) CPT 86000 | $95.76 | $532.00 | $1.38 – $70.23 | 61 |
| Ghs fish cytogen CPT 88271 | $27.00 | $150.00 | $14.01 – $1,890.86 | 64 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $31.34 | $174.10 | $43.51 – $2,917.32 | 64 |
| Ghs flow volume loop CPT 94375 | $97.38 | $541.00 | $17.29 – $827.73 | 63 |
| Ghs gastric intub aspiration lavage CPT 43753 | $512.28 | $2,846.00 | $24.80 – $4,354.38 | 55 |
| Ghs histoplasma antigen CPT 87385 | $1.82 | $10.10 | $3.00 – $100.17 | 61 |
| Ghs HIV antibody CPT 86703 | $124.56 | $692.00 | $3.28 – $636.48 | 61 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $289.26 | $1,607.00 | $178.70 – $2,410.50 | 85 |
| Ghs inf midline insertion CPT 36140 | $1,404.36 | $7,802.00 | $35.00 – $1,040.93 | 85 |
| Ghs inhibitor screen CPT 85335 | $2.06 | $11.44 | $4.41 – $143.47 | 61 |
| Ghs init tx 1st degree burn CPT 16000 | $28.98 | $161.00 | $32.02 – $387.07 | 85 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $79.74 | $443.00 | $101.16 – $1,706.37 | 85 |
| Ghs inj tendon origin/insertion CPT 20551 | $157.14 | $873.00 | $3.00 – $592.19 | 85 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $39.78 | $221.00 | $7.00 – $331.50 | 85 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $129.24 | $718.00 | $12.00 – $1,706.37 | 85 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $160.38 | $891.00 | $113.18 – $1,336.50 | 85 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $72.18 | $401.00 | $48.52 – $10,233.00 | 26 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $412.92 | $2,294.00 | $248.32 – $3,509.82 | 55 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $282.78 | $1,571.00 | $40.00 – $784.27 | 85 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $97.74 | $543.00 | $17.00 – $814.50 | 85 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $349.38 | $1,941.00 | $46.00 – $949.50 | 85 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $133.92 | $744.00 | $46.00 – $1,116.00 | 85 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $467.10 | $2,595.00 | $143.66 – $3,970.35 | 54 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $137.34 | $763.00 | $15.00 – $1,144.50 | 85 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $62.46 | $347.00 | $2.92 – $95.82 | 61 |
| Ghs low level laser therapy CPT 97039 | $149.76 | $832.00 | $26.57 – $2,912.00 | 35 |
| Ghs mbp CPT 83873 | $2.75 | $15.29 | $6.01 – $185.56 | 61 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $249.66 | $1,387.00 | $18.70 – $2,002.77 | 55 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $249.66 | $1,387.00 | $62.08 – $2,122.11 | 55 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $166.86 | $927.00 | $12.13 – $1,060.29 | 55 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $124.74 | $693.00 | $47.31 – $1,060.29 | 55 |
| Ghs musc test done w/n test comp CPT 95886 | $39.42 | $219.00 | $32.57 – $253.69 | 86 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $15.66 | $87.00 | $14.10 – $240.58 | 86 |
| Ghs musc tst done w/n tst non ext CPT 95887 | $32.94 | $183.00 | $21.75 – $257.91 | 86 |
| Ghs nailbed repair/nail removal CPT 11760 | $259.02 | $1,439.00 | $35.00 – $1,425.86 | 85 |
| Ghs nerve blk intercostal, single level CPT 64420 | $38.16 | $212.00 | $12.00 – $1,361.82 | 85 |
| Ghs nerve block axillary nerve CPT 64417 | $41.58 | $231.00 | $12.00 – $1,706.37 | 85 |
| Ghs nerve block brachial plexus CPT 64415 | $316.80 | $1,760.00 | $12.00 – $1,706.37 | 85 |
| Ghs nerve block celiac plexus CPT 64530 | $62.64 | $348.00 | $77.56 – $1,706.37 | 85 |
| Ghs nerve block interscaline CPT 64510 | $50.76 | $282.00 | $17.00 – $1,706.37 | 85 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $56.52 | $314.00 | $70.16 – $1,706.37 | 85 |
| Ghs nerve block suprascapular CPT 64418 | $257.58 | $1,431.00 | $7.00 – $1,361.82 | 85 |
| Ghs opcc repair cvp without subq port CPT 36575 | $765.00 | $4,250.00 | $45.79 – $10,233.00 | 58 |
| Ghs ot dds rom CPT 95851 | $62.28 | $346.00 | $5.92 – $549.00 | 67 |
| Ghs ot prosthetic training/15 min CPT 97761 | $49.14 | $273.00 | $38.48 – $955.50 | 66 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $118.80 | $660.00 | $31.37 – $1,009.80 | 68 |
| Ghs ot work hardening-additional hours CPT 97546 | $99.72 | $554.00 | $80.00 – $1,939.00 | 35 |
| Ghs pacing - transcutaneous CPT 92953 | $176.22 | $979.00 | $0.82 – $1,275.13 | 85 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $58.14 | $323.00 | $45.51 – $224.55 | 85 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $50.04 | $278.00 | $7.00 – $277.50 | 85 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | $51.66 | $287.00 | $10.53 – $154.82 | 86 |
| Ghs phenylketonurid CPT 84030 | $2.16 | $12.00 | $1.38 – $61.38 | 61 |
| Ghs picc line insert < 5 CPT 36568 | $1,594.80 | $8,860.00 | $68.56 – $13,555.80 | 53 |
| Ghs plngl fx pm cl CPT 26725 | $216.72 | $1,204.00 | $11.00 – $1,806.00 | 85 |
| Ghs plt ct-manual CPT 85032 | $36.18 | $201.00 | $1.00 – $307.53 | 61 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | $538.02 | $2,989.00 | $85.22 – $6,956.16 | 86 |
| Ghs ppd (tb intradermal) CPT 86580 | $46.80 | $260.00 | $4.82 – $397.80 | 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.