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 |
|---|---|---|---|---|
| Heparin assay CPT 85520 | $77.76 | $432.00 | $4.53 – $123.96 | 61 |
| Heparin bolus from bag HCPCS J1644 | $20.34 | $113.00 | $0.50 – $193.66 | 29 |
| Heparin neutralization CPT 85525 | $6.30 | $35.00 | $3.00 – $95.74 | 61 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $16.16 | $89.77 | $0.05 – $98.00 | 29 |
| Hepatitis a antibody igm CPT 86709 | $69.30 | $385.00 | $3.78 – $121.33 | 61 |
| Hepatitis b core antibody igm CPT 86705 | $76.50 | $425.00 | $4.06 – $126.96 | 61 |
| Hepatitis b core antibody total CPT 86704 | $50.40 | $280.00 | $4.17 – $130.03 | 61 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | $262.07 | $1,455.96 | $119.18 – $664.63 | 60 |
| Hepatitis b surface antibody CPT 86706 | $67.32 | $374.00 | $3.69 – $115.78 | 61 |
| Hepatitis c antibody CPT 86803 | $79.20 | $440.00 | $4.96 – $153.97 | 61 |
| Hepatitis d quantification CPT 87523 | $40.50 | $225.00 | $36.41 – $344.25 | 56 |
| Hepatobiliary system imaging CPT 78226 | $831.78 | $4,621.00 | $37.77 – $7,070.13 | 62 |
| Hereditary colon ca dsordrs CPT 81435 | $421.20 | $2,340.00 | $584.90 – $24,509.03 | 61 |
| Hered neuroend tum-rlt do 5+ CPT 81437 | $270.00 | $1,500.00 | $626.00 – $3,154.65 | 60 |
| Hernia Repair (Inguinal) CPT 49505 | $293.76 | $1,632.00 | $300.00 – $991.12 | 77 |
| Herpes simplex 1 ag if CPT 87274 | $1.82 | $10.10 | $3.00 – $100.17 | 61 |
| Herpes simplex 2 ag if CPT 87273 | $1.82 | $10.10 | $2.62 – $103.47 | 61 |
| Herpes simplex type 1 antibody igg CPT 86695 | $2.11 | $11.72 | $4.57 – $146.99 | 61 |
| Herpes simplex type 2 antibody igg CPT 86696 | $36.02 | $200.10 | $4.47 – $215.57 | 61 |
| Herpes simplex virus isolation CPT 87255 | $4.87 | $27.08 | $7.81 – $377.35 | 61 |
| Heterophile antibodies screening CPT 86308 | $60.66 | $337.00 | $1.62 – $57.63 | 61 |
| Heterophile antibodies titer CPT 86309 | $1.04 | $5.75 | $1.84 – $72.11 | 61 |
| Hexa gene CPT 81255 | $9.26 | $51.45 | $43.73 – $1,680.81 | 60 |
| Hhv-6 dna quant CPT 87533 | $6.68 | $37.12 | $14.81 – $288.36 | 61 |
| Hib-hepb vaccine im CPT 90748 | $72.90 | $405.00 | $60.16 – $1,337.00 | 28 |
| Hinge extension/flex wrist/f HCPCS L3900 | $1,591.56 | $8,842.00 | $878.66 – $3,929.56 | 47 |
| Hip arthr0 w/synovectomy CPT 29863 | $549.36 | $3,052.00 | $90.00 – $1,643.74 | 77 |
| Hip arthro w/femoroplasty CPT 29914 | $662.58 | $3,681.00 | $60.00 – $2,450.57 | 77 |
| Hip arthro w/labral repair CPT 29916 | $675.90 | $3,755.00 | $176.84 – $2,495.68 | 77 |
| Hip X-ray CPT 73502 | $269.28 | $1,496.00 | $29.58 – $1,673.82 | 62 |
| Histamine CPT 83088 | $4.73 | $26.25 | $9.86 – $329.10 | 61 |
| Hiv-1 ag ia CPT 87390 | $32.40 | $180.00 | $5.74 – $275.40 | 61 |
| Hla class i high defin qual CPT 86832 | $116.82 | $649.00 | $2.66 – $1,096.39 | 61 |
| Hla class i&ii antibody qual CPT 86828 | $47.70 | $265.00 | $11.19 – $405.45 | 61 |
| Hla ii typing 1 loc hr CPT 81382 | $45.00 | $250.00 | $105.13 – $958.61 | 61 |
| Hla i low res one antigen equiv ea CPT 81374 | $11.64 | $64.66 | $63.18 – $1,375.18 | 61 |
| Hla i typing 1 locus hr CPT 81380 | $44.10 | $245.00 | $150.66 – $1,221.03 | 61 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $44.10 | $245.00 | $36.26 – $1,375.18 | 61 |
| Home health re-certification physician g0179 HCPCS G0179 | $21.24 | $118.00 | $13.07 – $188.80 | 75 |
| Homocysteine CPT 83090 | $73.44 | $408.00 | $3.89 – $187.89 | 61 |
| Homogenization tissue CPT 87176 | $20.52 | $114.00 | $1.95 – $65.58 | 61 |
| Homovanillic acid (hva) CPT 83150 | $4.03 | $22.41 | $2.96 – $183.01 | 61 |
| Hpa-1 genotyping CPT 81105 | $19.56 | $108.64 | $103.89 – $1,394.81 | 61 |
| Hpv types 16 & 18 only CPT 87625 | $8.10 | $45.00 | $34.47 – $299.69 | 61 |
| H pylori (c-13) breath CPT 83013 | $170.82 | $949.00 | $57.26 – $712.97 | 61 |
| H pylori drug admin CPT 83014 | $14.22 | $79.00 | $6.68 – $105.57 | 61 |
| Hrdtry brst ca-rlatd do 5+ CPT 81432 | $459.00 | $2,550.00 | $705.13 – $4,880.51 | 61 |
| Hrdtry cardmypy gene panel CPT 81439 | $318.60 | $1,770.00 | $497.17 – $5,573.90 | 61 |
| Hrdtry perph neurphy panel CPT 81448 | $270.00 | $1,500.00 | $497.17 – $6,143.48 | 61 |
| Htt gene detc abnor alleles CPT 81271 | $19.73 | $109.60 | $109.60 – $969.36 | 59 |
| Human epididymis protein 4 (he4) CPT 86305 | $26.05 | $144.72 | $17.69 – $302.31 | 61 |
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | $3.10 | $17.20 | $1.46 – $40.06 | 58 |
| Hyaluronidase 150 unit/ml injection solution HCPCS J3470 | $46.84 | $260.23 | $40.46 – $910.81 | 28 |
| Hyaluronidase 200 units/ml inj HCPCS J3471 | $41.47 | $230.40 | $0.29 – $806.40 | 28 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $11.90 | $66.11 | $11.12 – $231.39 | 29 |
| Hydration IV infusion each additional hour CPT 96361 | $264.78 | $1,471.00 | $20.68 – $2,250.63 | 62 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $330.66 | $1,837.00 | $72.65 – $2,810.61 | 62 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $38.10 | $211.68 | $6.82 – $226.98 | 29 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $21.30 | $118.33 | $0.38 – $97.83 | 26 |
| Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge HCPCS J7999 | $300.15 | $1,667.50 | $81.08 – $315.29 | 22 |
| Hydroxyurea 500 mg HCPCS S0176 | $5.82 | $32.33 | $4.31 – $113.16 | 26 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $12.66 | $70.31 | $23.64 – $119.00 | 29 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $14.78 | $82.13 | $6.13 – $188.94 | 61 |
| Hyperbaric oxygen therapy CPT 99183 | $48.24 | $268.00 | $80.40 – $415.12 | 77 |
| Hysterosalpingography s&i CPT 74740 | $394.56 | $2,192.00 | $34.80 – $3,353.76 | 62 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $20.52 | $114.00 | $85.22 – $466.94 | 31 |
| I131 iodide cap, rx HCPCS A9517 | $103.86 | $577.00 | $20.46 – $1,343.83 | 63 |
| Iaadi respiratory synctial virus CPT 87280 | $1.59 | $8.84 | $3.00 – $100.17 | 61 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $5.90 | $32.80 | $11.60 – $378.47 | 61 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | $106.88 | $593.80 | $35.77 – $2,078.30 | 29 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $69.68 | $387.13 | $186.33 – $1,354.96 | 60 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $48,898.98 | $271,661.00 | $1,600.00 – $157,500.00 | 16 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $48,898.98 | $271,661.00 | $1,600.00 – $131,250.00 | 16 |
| Icd crtp serena MRI HCPCS C2621 | $20,956.68 | $116,426.00 | $1,600.00 – $42,000.00 | 16 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $12,574.08 | $69,856.00 | $517.50 – $2,012.50 | 19 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | $631.98 | $3,511.00 | $300.00 – $1,811.62 | 77 |
| Idarubicin hcl injection HCPCS J9211 | $110.10 | $611.67 | $109.03 – $1,221.07 | 28 |
| Idh1 common variants CPT 81120 | $27.83 | $154.60 | $154.60 – $1,786.41 | 61 |
| Idh2 common variants CPT 81121 | $42.59 | $236.63 | $236.63 – $2,734.39 | 61 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | $145.08 | $806.00 | $40.00 – $5,603.93 | 85 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $100.16 | $556.42 | $33.38 – $885.05 | 29 |
| Igh gene rearrange amp meth CPT 81261 | $37.80 | $210.00 | $168.29 – $958.61 | 60 |
| Igh@ var region somatic mutation analy CPT 81263 | $53.01 | $294.52 | $225.06 – $1,363.51 | 60 |
| Igk rearrangeabn clonal pop CPT 81264 | $34.20 | $190.00 | $146.82 – $2,885.12 | 60 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $88.20 | $490.00 | $24.39 – $517.21 | 64 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $136.80 | $760.00 | $44.94 – $1,162.80 | 64 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $88.20 | $490.00 | $42.08 – $493.03 | 64 |
| Iiv3 vacc no prsv 0.25 ml im CPT 90655 | $16.74 | $93.00 | $33.25 – $325.50 | 28 |
| Ikbkap gene CPT 81260 | $5.66 | $31.44 | $31.44 – $681.93 | 61 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | $572.22 | $3,179.00 | $60.00 – $2,040.85 | 77 |
| Iliac/fem angio cath insert HCPCS G0278 | $1,948.50 | $10,825.00 | $4.62 – $13,531.25 | 84 |
| Imatinib 100 mg tab HCPCS S0088 | $69.66 | $387.00 | $89.10 – $346.50 | 25 |
| Immune complex assay CPT 86332 | $3.90 | $21.66 | $7.53 – $271.62 | 61 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $613.49 | $3,408.30 | $41.72 – $3,047.03 | 61 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | $388.49 | $2,158.25 | $68.34 – $2,561.85 | 61 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | $355.16 | $1,973.10 | $39.98 – $1,323.34 | 61 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $134.64 | $748.00 | $4.80 – $231.78 | 61 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $90.90 | $505.00 | $4.80 – $231.78 | 61 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $37.98 | $211.00 | $3.95 – $133.56 | 61 |
| Immunodiffusion nes CPT 86329 | $40.86 | $227.00 | $3.93 – $142.94 | 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.