WHITE MEMORIAL MEDICAL CENTER

1720 E Cesar E Chavez Ave Los Angeles CA 90033|309 W Beverly Blvd, MONTEBELLO, CA · Adventisthealth · · NPI 1215927470

Source: hospital's published price file ↗ · Published May 23, 2026 · Ingested Sep 16, 2026

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
Immunofixation electrophoresis serum CPT 86334 $163.98 $911.00 $5.39 – $248.96 61
Immunofluorescence per specimen each additional single antibody stain CPT 88350 $17.97 $99.84 $31.89 – $646.27 64
Immunofluorescence per specimen initial single antibody stain CPT 88346 $97.20 $540.00 $63.09 – $493.03 64
Immunoglobulin assay CPT 86023 $23.58 $131.00 $3.78 – $119.68 61
Immunology procedure CPT 86849 $18.00 $100.00 $60.08 – $233.63 24
Implant cartilage 10mm synthetic HCPCS L8699 $12,600.00 $70,000.00 $123.30 – $479.50 22
Implant neuroelectrodes CPT 63655 $555.12 $3,084.00 $30.00 – $2,068.28 77
Implant ureth bulk agent HCPCS L8606 $1,242.00 $6,900.00 $209.55 – $733.43 53
Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 $137.88 $766.00 $159.15 – $1,149.00 85
In-111 autol wbc diag per dose HCPCS A9570 $1,191.96 $6,622.00 $85.22 – $18,504.24 41
In-111 oxyquinolin per 0.5 mci HCPCS A9547 $673.74 $3,743.00 $85.22 – $9,252.12 63
In-111 pentetate dtpa / 0.5 mci HCPCS A9548 $2,330.46 $12,947.00 $85.22 – $19,808.91 59
In-111 pentetreotide HCPCS A9572 $1,546.38 $8,591.00 $85.22 – $26,872.10 41
Inc dp opn b1 crtx hum/elbw CPT 23935 $353.34 $1,963.00 $60.00 – $1,037.36 77
Incis 1 vertebral seg cerv CPT 22210 $1,167.12 $6,484.00 $209.60 – $3,650.80 77
Incis 1 vertebral seg lumbar CPT 22214 $997.02 $5,539.00 $40.00 – $3,041.92 77
Incis 1 vertebral seg thorac CPT 22212 $998.28 $5,546.00 $65.00 – $3,004.33 77
Incis addl spine segment CPT 22216 $228.24 $1,268.00 $70.00 – $816.86 77
Incise thigh tendon & fascia CPT 27305 $331.38 $1,841.00 $30.00 – $967.20 77
Incise wrist/forearm tendon CPT 25290 $302.58 $1,681.00 $75.00 – $1,566.06 77
Incision & drainage hematoma/seroma/fluid collection CPT 10140 $1,751.76 $9,732.00 $21.60 – $3,186.35 85
Incision & drainage open of deep abscess (subfascial) pos CPT 22010 $646.02 $3,589.00 $35.00 – $1,826.66 77
Incision of anal sphincter CPT 46080 $89.10 $495.00 $50.00 – $340.30 77
Incision of breast lesion CPT 19020 $181.26 $1,007.00 $42.00 – $3,186.35 85
Incision of foot fascia CPT 28008 $749.88 $4,166.00 $183.92 – $6,312.51 84
Incision of hip tendon CPT 27000 $266.22 $1,479.00 $213.33 – $3,102.23 85
Incision of hip tendon CPT 27003 $408.60 $2,270.00 $35.00 – $1,205.24 77
Incision of hip tendons CPT 27006 $484.56 $2,692.00 $40.00 – $6,312.51 85
Incision of knee joint CPT 27435 $546.12 $3,034.00 $118.02 – $1,646.24 77
Incision of tendon sheath CPT 25000 $244.80 $1,360.00 $60.00 – $3,102.23 85
Incision of thigh tendon CPT 27306 $237.60 $1,320.00 $60.00 – $6,312.51 85
Incision of tibia CPT 27705 $498.78 $2,771.00 $35.00 – $1,626.20 77
Incision tendon sheath CPT 26055 $886.68 $4,926.00 $40.00 – $3,102.23 85
Incisn of toe tndn CPT 28010 $514.98 $2,861.00 $50.00 – $3,102.23 85
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 $125.46 $697.00 $59.67 – $1,009.80 56
Infect ag drug suscept pheno predict CPT 87900 $72.93 $405.19 $30.07 – $1,421.07 61
Infect ag eia influenza a or b ea CPT 87400 $65.70 $365.00 $1.51 – $306.00 61
Infect ag genotype na cytomegalovirus CPT 87910 $46.34 $257.45 $6.07 – $2,319.68 61
Infect ag genotype na dna hepatitis b CPT 87912 $63.54 $353.00 $6.07 – $2,319.68 61
Infect ag genotype na hiv-1 other region CPT 87906 $28.06 $155.90 $29.70 – $1,161.74 61
Infect ag genotype na hiv-1 revr trn/prt CPT 87901 $76.18 $423.21 $59.41 – $2,867.42 61
Infect ag ia optc obs influenza CPT 87804 $54.72 $304.00 $2.30 – $322.83 61
Infect ag if hep delta agent CPT 87380 $22.50 $125.00 $5.72 – $191.25 61
Infect ag if influenza a CPT 87276 $2.89 $16.07 $3.00 – $100.17 61
Infect ag if influenza b CPT 87275 $35.10 $195.00 $1.54 – $103.47 61
Infect ag if legionella pneumophila CPT 87278 $1.82 $10.10 $3.00 – $100.17 61
Infect ag if nos ea CPT 87299 $1.82 $10.10 $3.00 – $100.17 61
Infect ag if pneumocystis carinii CPT 87281 $66.60 $370.00 $2.62 – $103.47 61
Infect ag if varicella zoster CPT 87290 $1.82 $10.10 $3.00 – $100.17 61
Infect ag na hpv high-risk types CPT 87624 $125.46 $697.00 $29.83 – $299.69 61
Infect ag na influenza r/amp 1st 2 types CPT 87502 $135.00 $750.00 $19.90 – $768.01 61
Infect ag na orthopoxvirus amp prb each CPT 87593 $15.30 $85.00 $35.09 – $226.43 55
Infect ag na resp virus 12-25 targets CPT 87633 $373.14 $2,073.00 $96.17 – $3,755.38 61
Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 $105.74 $587.47 $112.76 – $5,442.59 61
Infect ag phenotype na hiv-1 ea addl drg CPT 87904 $7.74 $43.02 $6.01 – $290.31 61
Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 $23.04 $128.00 $35.17 – $191.25 59
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 $192.96 $1,072.00 $3.00 – $100.17 61
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 $39.96 $222.00 $2.62 – $103.47 61
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 $59.22 $329.00 $3.00 – $100.17 61
Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 $38.34 $213.00 $2.15 – $103.92 61
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 $2.60 $14.45 $3.32 – $177.68 61
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 $76.50 $425.00 $3.54 – $111.35 61
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 $56.52 $314.00 $2.39 – $115.03 61
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 $118.26 $657.00 $5.26 – $223.73 61
Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 $192.96 $1,072.00 $3.00 – $100.17 61
Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 $71.46 $397.00 $3.00 – $100.17 61
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 $1.59 $8.82 $2.28 – $103.47 61
Infectious agent nucleic acid amplified probe CPT 87798 $128.70 $715.00 $11.60 – $378.47 61
Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 $139.86 $777.00 $10.00 – $378.47 61
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 $132.12 $734.00 $7.44 – $489.97 61
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 $281.88 $1,566.00 $354.26 – $3,971.77 61
Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 $30.06 $167.00 $11.60 – $378.47 61
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 $142.02 $789.00 $8.02 – $382.67 61
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 $128.70 $715.00 $11.60 – $378.47 61
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 $139.86 $777.00 $10.00 – $378.47 61
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 $72.18 $401.00 $43.61 – $410.66 59
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 $115.56 $642.00 $121.24 – $982.26 59
Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 $123.30 $685.00 $11.60 – $378.47 61
Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 $6.32 $35.09 $29.83 – $240.16 61
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae CPT 87494 $139.86 $777.00 $59.65 – $1,078.65 34
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 $128.70 $715.00 $65.25 – $287.95 56
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 $495.18 $2,751.00 $354.26 – $4,209.03 61
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 $20.53 $114.04 $109.05 – $1,095.50 61
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 $150.48 $836.00 $210.39 – $1,822.50 61
Infectious agent nucleic acid quantification bk virus CPT 87799 $97.02 $539.00 $15.20 – $288.36 61
Infectious agent nucleic acid quantification hepatitis b CPT 87517 $6.85 $38.08 $15.20 – $288.36 61
Infectious agent nucleic acid quantification hepatitis c CPT 87522 $109.62 $609.00 $15.20 – $288.36 61
Infectious agent nucleic acid quantification hiv-1 CPT 87536 $16.83 $93.50 $26.83 – $449.20 61
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 $91.62 $509.00 $15.85 – $1,155.90 61
Infliximab 100 mg intravenous solution HCPCS J1745 $1,123.16 $6,239.75 $26.38 – $4,525.06 61
Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 $930.01 $5,166.71 $13.84 – $12,033.27 56
Infuse radioactive materials CPT 77750 $279.72 $1,554.00 $85.22 – $2,377.62 60
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 $156.06 $867.00 $105.00 – $1,326.51 66
Initial nursing facility care/day 35 minutes CPT 99305 $62.28 $346.00 $46.90 – $194.11 85
Initial nursing facility care/day 45 minutes CPT 99306 $84.78 $471.00 $72.10 – $264.12 85
Initial nursing facility care/day low severity 99304 CPT 99304 $37.44 $208.00 $37.80 – $116.16 85
Initiation & management bipap/cpap initial day CPT 94660 $1,255.32 $6,974.00 $58.52 – $10,670.22 66
Init pm e/m new pat 65+ yrs CPT 99387 $45.90 $255.00 $108.09 – $357.00 39
Inj, abilify maintena, 1 mg HCPCS J0401 $2,854.49 $15,858.25 $0.01 – $9,950.35 58
Inj allopurinol sodium 1 mg HCPCS J0206 $502.79 $2,793.30 $3.24 – $6,505.60 58

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.