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 |
|---|---|---|---|---|
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $82.44 | $458.00 | $127.97 – $700.74 | 57 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | $54.00 | $300.00 | $124.24 – $459.00 | 60 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | $4,327.34 | $24,040.75 | $127.97 – $3,850.00 | 57 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | $2,296.44 | $12,758.00 | $127.97 – $1,035.81 | 57 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $10.31 | $57.26 | $14.86 – $702.24 | 61 |
| Alpha-fetoprotein amniotic CPT 82106 | $2.17 | $12.03 | $12.03 – $186.98 | 60 |
| Alpha-fetoprotein tumor marker CPT 82105 | $68.58 | $381.00 | $12.03 – $186.98 | 61 |
| Alprostadil for injection HCPCS J0270 | $29.02 | $161.23 | $1.30 – $564.31 | 28 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $1,880.00 | $10,444.47 | $70.05 – $1,239.56 | 61 |
| Alt/sgpt CPT 84460 | $45.00 | $250.00 | $1.58 – $58.30 | 61 |
| Aluminum - quest CPT 82108 | $3.55 | $19.72 | $8.98 – $284.00 | 61 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | $131.04 | $728.00 | $30.30 – $479.47 | 86 |
| Amantadine (symmetrel)-sendout CPT 80375 | $46.08 | $256.00 | $0.04 – $255.50 | 26 |
| Amifostine HCPCS J0207 | $406.26 | $2,257.00 | $769.65 – $7,899.50 | 29 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $16.54 | $91.87 | $1.68 – $321.55 | 29 |
| Amino acids quant 2-5 CPT 82136 | $2.82 | $15.69 | $5.89 – $187.13 | 61 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | $10.54 | $58.55 | $4.32 – $124.60 | 25 |
| Aminolevulinic acid delta CPT 82135 | $2.63 | $14.63 | $5.74 – $183.46 | 61 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $10.68 | $59.32 | $4.50 – $193.66 | 28 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $28.22 | $156.75 | $6.88 – $485.28 | 26 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $24.48 | $136.00 | $1.12 – $193.66 | 28 |
| Amitriptyline (elavil) -sendout CPT 80335 | $6.26 | $34.77 | $0.04 – $195.39 | 26 |
| Ammonia CPT 82140 | $111.96 | $622.00 | $3.95 – $162.45 | 61 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $217.62 | $1,209.00 | $18.17 – $2,665.40 | 53 |
| Amphetamine confirm urine -sendout CPT 80324 | $41.22 | $229.00 | $0.04 – $169.73 | 26 |
| Amphetamines 5 or more CPT 80326 | $48.24 | $268.00 | $0.04 – $203.64 | 26 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | $21.30 | $118.33 | $35.82 – $414.16 | 29 |
| Amphotericin b lipid complex HCPCS J0287 | $69.49 | $386.08 | $19.42 – $1,351.28 | 29 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $101.74 | $565.20 | $19.39 – $1,316.35 | 61 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $26.40 | $146.68 | $1.60 – $43.73 | 29 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $12.35 | $68.63 | $3.61 – $206.40 | 28 |
| Amp thigh through femur re-amp 27596 CPT 27596 | $459.00 | $2,550.00 | $141.47 – $1,538.50 | 77 |
| Amputate leg at thigh CPT 27592 | $433.62 | $2,409.00 | $120.00 – $6,312.51 | 85 |
| Amputate lower leg at knee CPT 27598 | $448.92 | $2,494.00 | $300.00 – $1,558.55 | 77 |
| Amputate thigh through femur 27590 CPT 27590 | $495.36 | $2,752.00 | $125.00 – $6,312.51 | 85 |
| Amputation follow-up surgery CPT 27594 | $285.84 | $1,588.00 | $263.96 – $6,312.51 | 85 |
| Amputation follow-up surgery CPT 27884 | $377.64 | $2,098.00 | $583.77 – $9,468.77 | 53 |
| Amputation leg thr tib/fib 27880 CPT 27880 | $569.70 | $3,165.00 | $125.00 – $1,914.35 | 77 |
| Amputation leg; tib/fib f/u 27886 CPT 27886 | $421.02 | $2,339.00 | $65.00 – $1,400.69 | 77 |
| Amputation of foot at ankle CPT 27889 | $411.30 | $2,285.00 | $95.00 – $1,463.33 | 77 |
| Amputation of leg at hip CPT 27295 | $820.80 | $4,560.00 | $120.00 – $2,661.05 | 77 |
| Amputation of lower leg CPT 27882 | $377.46 | $2,097.00 | $88.61 – $6,312.51 | 85 |
| Amputation toe interphalangeal joint CPT 28825 | $1,124.82 | $6,249.00 | $138.05 – $6,312.51 | 85 |
| Amputation toe metatarsophalangeal joint CPT 28820 | $779.22 | $4,329.00 | $45.00 – $6,312.51 | 84 |
| Amylase CPT 82150 | $82.98 | $461.00 | $2.17 – $72.33 | 61 |
| Anabolic steroid 1 or 2 CPT 80327 | $25.74 | $143.00 | $0.04 – $500.50 | 26 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | $11.16 | $62.00 | $0.04 – $220.98 | 26 |
| Analysis gene f2 20210g>a variant CPT 81240 | $6.82 | $37.90 | $37.90 – $360.16 | 60 |
| Analysis gene f5 leiden variant CPT 81241 | $6.84 | $37.99 | $37.99 – $458.63 | 60 |
| Analysis tumor CPT 88358 | $83.88 | $466.00 | $95.79 – $712.98 | 64 |
| Analyze neurostimulator simple w/reprogramming 95971 CPT 95971 | $17.82 | $99.00 | $29.70 – $256.62 | 86 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $5.43 | $30.15 | $29.83 – $189.14 | 56 |
| Anastrozole 1 mg HCPCS S0170 | $5.82 | $32.33 | $29.10 – $113.16 | 26 |
| Anca screen with reflex to titer -quest CPT 86021 | $48.24 | $268.00 | $4.84 – $167.78 | 61 |
| An cholangiogram percutaneous compl CPT 47531 | $1,614.24 | $8,968.00 | $341.03 – $13,721.04 | 53 |
| Androstanediol CPT 82154 | $51.80 | $287.75 | $10.18 – $440.26 | 61 |
| An fluoro guide for cvp CPT 77001 | $818.64 | $4,548.00 | $2.71 – $317.51 | 86 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | $2,887.20 | $16,040.00 | $85.22 – $2,229.84 | 85 |
| Angiotensin ii CPT 82163 | $21.42 | $119.00 | $6.33 – $221.35 | 61 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $1,372.97 | $7,627.60 | $1.08 – $4.20 | 23 |
| Angio trnslmnl balloon same artery ea addl CPT 37247 | $1,708.02 | $9,489.00 | $85.22 – $14,518.17 | 58 |
| Angio trnslmnl balloon same artery ini CPT 37246 | $5,267.52 | $29,264.00 | $85.22 – $44,773.92 | 58 |
| Angio trnslmnl balloon same vein ea addl CPT 37249 | $270.54 | $1,503.00 | $85.22 – $2,104.82 | 85 |
| Angio trnslmnl balloon same vein ini CPT 37248 | $4,139.10 | $22,995.00 | $50.00 – $10,980.45 | 85 |
| Ankle X-ray CPT 73610 | $319.50 | $1,775.00 | $15.45 – $1,809.99 | 62 |
| Annual Physical, Established Patient (age 18-39) CPT 99395 | $30.06 | $167.00 | $71.16 – $250.92 | 39 |
| Annual Physical, Established Patient (age 40-64) CPT 99396 | $39.06 | $217.00 | $80.15 – $281.52 | 39 |
| Annual Physical, New Patient (age 18-39) CPT 99385 | $36.00 | $200.00 | $80.15 – $284.58 | 39 |
| Annual Physical, New Patient (age 40-64) CPT 99386 | $42.30 | $235.00 | $98.37 – $329.00 | 39 |
| Anora (draw only) CPT 99001 | $15.84 | $88.00 | $5.40 – $114.80 | 26 |
| Anoscopy and biopsy CPT 46606 | $718.20 | $3,990.00 | $29.04 – $2,308.62 | 85 |
| Anoscopy control bleeding 46614 CPT 46614 | $36.54 | $203.00 | $55.49 – $2,308.62 | 85 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $14.76 | $82.00 | $4.47 – $143.62 | 61 |
| Antibody elution rbc reference CPT 86860 | $111.96 | $622.00 | $8.49 – $493.03 | 61 |
| Antibody htlv/hiv confirm test CPT 86689 | $6.21 | $34.50 | $6.78 – $215.72 | 61 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $43.56 | $242.00 | $5.37 – $173.70 | 61 |
| Antibody id rbc panel CPT 86870 | $141.84 | $788.00 | $7.07 – $1,037.30 | 61 |
| Antibody influenza virus CPT 86710 | $2.17 | $12.05 | $4.70 – $153.97 | 61 |
| Antibody lymphocytic choriomeningitis CPT 86727 | $2.06 | $11.44 | $4.45 – $143.47 | 61 |
| Antibody screen rbc CPT 86850 | $64.26 | $357.00 | $3.40 – $120.35 | 61 |
| Antidepressant not specified CPT 80338 | $11.70 | $65.00 | $0.04 – $195.39 | 26 |
| Antidepressants class 6/more CPT 80334 | $0.90 | $5.00 | $0.04 – $234.56 | 26 |
| Antiepileptics nos 7/more CPT 80341 | $0.72 | $4.00 | $0.04 – $181.43 | 26 |
| Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 | $0.27 | $1.51 | $0.01 – $4.06 | 42 |
| Anti mog serum - sendout CPT 86362 | $31.50 | $175.00 | $10.24 – $45.19 | 56 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $2.17 | $12.05 | $10.24 – $45.19 | 56 |
| Ant instr 2-3 vert segm 22845 CPT 22845 | $454.14 | $2,523.00 | $102.90 – $1,633.72 | 77 |
| Ant instrumentation/4-7 vert seg 22846 CPT 22846 | $472.86 | $2,627.00 | $55.00 – $1,696.36 | 77 |
| Antinuclear antibodies CPT 86038 | $91.44 | $508.00 | $3.70 – $134.69 | 61 |
| Antinuclear antibodies titer CPT 86039 | $46.62 | $259.00 | $3.70 – $124.26 | 61 |
| Antiphosphatidylserine antibody CPT 86148 | $7.56 | $42.00 | $5.59 – $180.08 | 61 |
| Antipsychotics nos 1-3 CPT 80342 | $30.78 | $171.00 | $0.04 – $170.10 | 26 |
| Antipsychotics nos 7/more CPT 80344 | $0.72 | $4.00 | $0.04 – $204.09 | 26 |
| Antistreptolysin o titer CPT 86060 | $56.70 | $315.00 | $2.36 – $81.34 | 61 |
| Antithrombin iii activity CPT 85300 | $2.24 | $12.44 | $3.98 – $132.06 | 61 |
| Anti-thymocyte glob (equine)(1:1000) intradermal test dose HCPCS J7504 | $293.65 | $1,631.41 | $569.81 – $14,450.83 | 60 |
| Aortic dysfunction/dilation CPT 81410 | $114.48 | $636.00 | $428.40 – $24,509.03 | 60 |
| Aortic dysfunction/dilation CPT 81411 | $306.72 | $1,704.00 | $1,147.66 – $24,509.03 | 60 |
| Apheresis immunoads slctv CPT 36516 | $2,834.10 | $15,745.00 | $1,600.00 – $24,089.85 | 53 |
| Apheresis plasma CPT 36514 | $993.06 | $5,517.00 | $977.29 – $8,441.01 | 53 |
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.