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 |
|---|---|---|---|---|
| Inj anifrolumab-fnia 1mg HCPCS J0491 | $5,347.06 | $29,705.89 | $15.56 – $69,185.02 | 48 |
| Inj, bupivacaine liposome HCPCS J0666 | $170.69 | $948.30 | $1.51 – $2,208.59 | 58 |
| Inj calcitriol per 0.1 mcg HCPCS J0636 | $12.93 | $71.85 | $1.30 – $251.48 | 29 |
| Inj cefazolin sodium, baxter HCPCS J0689 | $15.70 | $87.20 | $3.47 – $305.20 | 26 |
| Inj. cefepime hcl (baxter) HCPCS J0701 | $21.64 | $120.21 | $16.25 – $364.14 | 26 |
| Inj, cefepime hcl (b braun) HCPCS J0703 | $14.06 | $78.10 | $13.48 – $273.35 | 26 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | $383.39 | $2,129.96 | $2.06 – $4,960.67 | 61 |
| Inj ceftolozane tazobactam HCPCS J0695 | $98.70 | $548.33 | $7.51 – $1,919.16 | 60 |
| Inj, clindamycin (baxter) HCPCS J0737 | $32.04 | $178.00 | $6.40 – $295.05 | 26 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $509.04 | $2,828.00 | $20.00 – $2,827.50 | 85 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | $267.12 | $1,484.00 | $1,335.60 – $13,408.74 | 29 |
| Inj dupuytren cord w/enzyme CPT 20527 | $43.56 | $242.00 | $3.00 – $592.19 | 85 |
| Inj dx for sinogram CPT 20501 | $538.92 | $2,994.00 | $27.22 – $4,580.82 | 53 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $53.82 | $299.00 | $23.00 – $562.61 | 77 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $255.24 | $1,418.00 | $10.00 – $438.50 | 85 |
| Injection, cangrelor HCPCS C9460 | $319.50 | $1,775.00 | $17.02 – $4,133.98 | 61 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $159.12 | $884.00 | $8.00 – $592.19 | 85 |
| Injection, cimetidine hydroc HCPCS S0023 | $16.07 | $89.30 | $6.67 – $312.55 | 26 |
| Injection during cath supravalvular aortography CPT 93567 | $194.94 | $1,083.00 | $27.30 – $566.75 | 85 |
| Injection epidural blood patch or clot CPT 62273 | $430.20 | $2,390.00 | $75.95 – $3,656.70 | 53 |
| Injection for arthrography wrist (both sides) CPT 25246 | $399.06 | $2,217.00 | $54.05 – $3,392.01 | 53 |
| Injection for bladder x-ray CPT 51600 | $189.36 | $1,052.00 | $32.83 – $1,609.56 | 53 |
| Injection for hip x-ray CPT 27095 | $52.38 | $291.00 | $40.00 – $543.74 | 77 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $430.92 | $2,394.00 | $37.04 – $3,662.82 | 53 |
| Injection for spleen x-ray CPT 38200 | $351.18 | $1,951.00 | $84.51 – $2,985.03 | 53 |
| Injection for ureter x-ray CPT 50684 | $572.40 | $3,180.00 | $42.86 – $4,865.40 | 53 |
| Injection for ureter x-ray CPT 50690 | $79.74 | $443.00 | $56.14 – $677.79 | 53 |
| Injection, fulvestrant HCPCS J9395 | $607.65 | $3,375.81 | $15.58 – $11,815.34 | 29 |
| Injection jugular CPT 36299 | $666.90 | $3,705.00 | $85.22 – $12,967.50 | 25 |
| Injection of sinus tract CPT 20500 | $1,600.02 | $8,889.00 | $151.66 – $13,600.17 | 53 |
| Injection, piperacillin sodi HCPCS S0081 | $39.43 | $219.05 | $8.74 – $395.68 | 26 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $40.68 | $226.00 | $49.14 – $1,361.82 | 85 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $316.80 | $1,760.00 | $12.00 – $1,361.82 | 85 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $110.16 | $612.00 | $7.00 – $1,706.37 | 85 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $57.60 | $320.00 | $7.00 – $319.50 | 85 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $104.22 | $579.00 | $85.08 – $1,706.37 | 85 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $49.32 | $274.00 | $12.00 – $274.50 | 85 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $90.18 | $501.00 | $7.00 – $1,706.37 | 85 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $70.20 | $390.00 | $85.75 – $1,361.82 | 85 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $1,093.32 | $6,074.00 | $80.08 – $1,361.82 | 85 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $231.66 | $1,287.00 | $3.00 – $592.19 | 85 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $193.68 | $1,076.00 | $8.00 – $592.19 | 85 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $172.80 | $960.00 | $36.86 – $592.19 | 85 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $113.76 | $632.00 | $27.63 – $966.96 | 62 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $107.64 | $598.00 | $150.00 – $948.00 | 30 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $180.00 | $1,000.00 | $64.67 – $1,349.46 | 62 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $78.30 | $435.00 | $24.34 – $884.00 | 59 |
| Injection torsemide 10 mg/ml HCPCS J3265 | $15.73 | $87.39 | $7.40 – $305.87 | 25 |
| Inject sacroiliac joint CPT 27096 | $702.54 | $3,903.00 | $12.00 – $425.97 | 85 |
| Inj fe-based mr contrast,1ml HCPCS Q9953 | $190.98 | $1,061.00 | $31.58 – $3,713.50 | 26 |
| Inj fluphenazine hcl 1.25 mg HCPCS J2679 | $71.64 | $397.98 | $20.11 – $467.62 | 26 |
| Inj for ext venography CPT 36005 | $1,058.22 | $5,879.00 | $35.88 – $640.38 | 85 |
| Inj, gadopiclenol, 1 ml HCPCS A9573 | $1.94 | $10.77 | $8.99 – $37.70 | 26 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | $658.62 | $3,659.00 | $34.20 – $625.95 | 85 |
| Inj hrt cath w/s&i sel hrt ang CPT 93563 | $59.58 | $331.00 | $38.36 – $10,233.00 | 58 |
| Inj hrt cath w/s&i sel hrt art CPT 93564 | $59.58 | $331.00 | $40.27 – $10,233.00 | 58 |
| Inj hrt cath w/s&i sel left vent CPT 93565 | $68.58 | $381.00 | $19.77 – $10,233.00 | 58 |
| Inj hrt cath w/s&i sel right vent CPT 93566 | $129.96 | $722.00 | $19.20 – $696.38 | 85 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | $94.32 | $524.00 | $21.22 – $387.07 | 85 |
| Inj intralesional > 7 lsns CPT 11901 | $145.62 | $809.00 | $30.16 – $387.07 | 85 |
| Inj ivig privigen 500 mg HCPCS J1459 | $4,229.52 | $23,497.34 | $42.10 – $2,534.18 | 61 |
| Inj levocarnitine per 1 gm HCPCS J1955 | $15.33 | $85.15 | $63.36 – $298.03 | 28 |
| Inj, lidocaine w epinephrine HCPCS J2004 | $19.26 | $107.00 | $0.12 – $7.06 | 26 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | $15.78 | $87.64 | $10.18 – $306.74 | 29 |
| Inj, meropenem (b. braun) HCPCS J2184 | $12.46 | $69.20 | $5.48 – $242.20 | 26 |
| Inj meropenem (wg crit care) HCPCS J2183 | $82.08 | $455.99 | $3.63 – $1,595.97 | 26 |
| Inj metaraminol bitartrate HCPCS J0380 | $18.72 | $104.00 | $22.04 – $364.00 | 25 |
| Inj, moxifloxacin 100 mg HCPCS J2280 | $39.09 | $217.18 | $20.45 – $760.13 | 28 |
| Inj multihance HCPCS A9577 | $3.96 | $22.00 | $2.39 – $77.00 | 29 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $768.24 | $4,268.00 | $147.06 – $4,352.85 | 53 |
| Inj progesterone per 50 mg HCPCS J2675 | $33.37 | $185.38 | $1.96 – $648.83 | 29 |
| Inj, releuko 1 mcg HCPCS Q5125 | $420.37 | $2,335.39 | $0.27 – $3,140.24 | 58 |
| Inj retro urethrocysto CPT 51610 | $651.78 | $3,621.00 | $52.22 – $5,540.13 | 53 |
| Inj scleros sol mult veins CPT 36471 | $159.48 | $886.00 | $35.00 – $784.27 | 85 |
| Inj scleros sol sgl vein CPT 36470 | $110.52 | $614.00 | $28.77 – $784.27 | 85 |
| Inj testostero enanthate 1mg HCPCS J3121 | $20.77 | $115.39 | $0.13 – $403.87 | 28 |
| Inj testosterone cypionate HCPCS J1071 | $42.43 | $235.73 | $0.08 – $385.25 | 29 |
| Inj thiotepa nos 1 mg HCPCS J9342 | $100.83 | $560.19 | $4.88 – $1,304.68 | 57 |
| Inj, trivisc 1 mg HCPCS J7329 | $74.02 | $411.20 | $2.78 – $1,439.20 | 60 |
| Inj w/fluor eval cv device CPT 36598 | $327.78 | $1,821.00 | $110.57 – $2,786.13 | 53 |
| Ins cath ren art 1st bi CPT 36252 | $6,164.10 | $34,245.00 | $85.22 – $52,394.85 | 58 |
| Ins cath ren art 1st uni CPT 36251 | $3,231.54 | $17,953.00 | $85.22 – $6,091.58 | 85 |
| Ins cath ren art 2nd+ bi CPT 36254 | $2,596.86 | $14,427.00 | $85.22 – $22,073.31 | 58 |
| Ins cath ren art 2nd+ uni CPT 36253 | $2,409.48 | $13,386.00 | $85.22 – $20,480.58 | 58 |
| Ins cerv dilator (sep proc) CPT 59200 | $190.98 | $1,061.00 | $296.00 – $3,713.50 | 57 |
| Insert cath pleura with image CPT 32557 | $919.44 | $5,108.00 | $22.00 – $3,036.95 | 85 |
| Insert cath pleura without image CPT 32556 | $440.82 | $2,449.00 | $27.00 – $3,702.06 | 85 |
| Insert drug delivery implant CPT 11981 | $40.32 | $224.00 | $9.00 – $336.00 | 85 |
| Insert hepatic shunt (tips) CPT 37182 | $5,010.66 | $27,837.00 | $545.05 – $53,049.38 | 53 |
| Insert intervert bimech device 22854 CPT 22854 | $209.70 | $1,165.00 | $47.40 – $1,029.84 | 77 |
| Insertion catheter bladder non indwelling CPT 51701 | $114.30 | $635.00 | $19.16 – $256.68 | 85 |
| Insertion catheter bladder temporary simple CPT 51702 | $117.54 | $653.00 | $10.00 – $256.68 | 85 |
| Insertion catheter pleural indwelling tunneled with cuff CPT 32550 | $3,106.08 | $17,256.00 | $599.40 – $26,401.68 | 53 |
| Insertion intra aortic balloon assist device percutaneous CPT 33967 | $457.74 | $2,543.00 | $85.22 – $523.02 | 85 |
| Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance CPT 37191 | $7,296.30 | $40,535.00 | $85.22 – $62,018.55 | 57 |
| Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 | $2,118.96 | $11,772.00 | $67.63 – $6,091.58 | 85 |
| Insertion of catheter vein CPT 36481 | $1,773.72 | $9,854.00 | $245.30 – $15,076.62 | 53 |
| Insertion of catheter vein CPT 36500 | $759.96 | $4,222.00 | $85.22 – $10,233.00 | 58 |
| Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular CPT 33208 | $17,226.00 | $95,700.00 | $85.22 – $20,164.50 | 85 |
| Insertion of new/replacement ppm w/transvenous electrode(s) ventricular CPT 33207 | $13,780.80 | $76,560.00 | $85.22 – $117,136.80 | 55 |
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.