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 |
|---|---|---|---|---|
| Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator CPT 33225 | $13,190.58 | $73,281.00 | $85.22 – $112,119.93 | 59 |
| Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 | $1,911.06 | $10,617.00 | $57.33 – $3,036.95 | 85 |
| Insertion picc without port or pump with imaging guidance=>5y CPT 36573 | $1,667.16 | $9,262.00 | $85.22 – $10,233.00 | 58 |
| Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber CPT 33249 | $26,947.80 | $149,710.00 | $85.22 – $229,056.30 | 56 |
| Insertion/replacement temporary single chamber electrode/pacemaker catheter CPT 33210 | $4,895.82 | $27,199.00 | $50.00 – $15,965.25 | 85 |
| Insertion single tranvenous electrode/ppm/implantable defibrillator CPT 33216 | $4,585.86 | $25,477.00 | $85.22 – $38,979.81 | 55 |
| Insertion subcutaneous cardiac rhythm monitor CPT 33285 | $6,780.78 | $37,671.00 | $64.93 – $15,965.25 | 85 |
| Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides) CPT 36561 | $3,781.08 | $21,006.00 | $85.22 – $6,091.58 | 85 |
| Insert pelv fixation device CPT 22848 | $226.26 | $1,257.00 | $25.00 – $804.33 | 77 |
| Insert pm/icd lead dual CPT 33217 | $4,298.94 | $23,883.00 | $85.22 – $36,540.99 | 55 |
| Insert prost urethral stent CPT 53855 | $705.60 | $3,920.00 | $602.01 – $6,049.31 | 53 |
| Insert/repl sq defib w/eltrd CPT 33270 | $25,984.62 | $144,359.00 | $85.22 – $220,869.27 | 56 |
| Insert spine fixation device CPT 22843 | $511.92 | $2,844.00 | $25.00 – $1,796.59 | 77 |
| Insert spine fixation device CPT 22841 | $79.02 | $439.00 | $71.00 – $513.85 | 33 |
| Insert spine fixation device CPT 22844 | $620.46 | $3,447.00 | $30.00 – $2,212.53 | 77 |
| Insert spine fixation device CPT 22847 | $509.40 | $2,830.00 | $135.90 – $1,861.74 | 77 |
| Insert swan-ganz cath CPT 93503 | $1,377.00 | $7,650.00 | $65.40 – $3,036.95 | 85 |
| Insert tunneled cv 2cath 2sits without port/pmp 36565 CPT 36565 | $1,913.40 | $10,630.00 | $85.22 – $16,263.90 | 58 |
| Insert uteri tandem/ovoids CPT 57155 | $1,728.36 | $9,602.00 | $6.00 – $14,403.00 | 85 |
| Insert vad art access left hrt arterial access CPT 33990 | $3,915.72 | $21,754.00 | $40.00 – $1,288.41 | 85 |
| Insert vad art access left hrt art & vein access CPT 33991 | $3,915.72 | $21,754.00 | $85.22 – $33,283.62 | 57 |
| Ins icd gen exist mlt leads CPT 33231 | $31,552.02 | $175,289.00 | $85.22 – $268,192.17 | 56 |
| Ins icd gen exist sgl lead CPT 33240 | $16,227.72 | $90,154.00 | $383.84 – $137,935.62 | 53 |
| Insitu hybridization (fish) CPT 88366 | $89.10 | $495.00 | $69.25 – $979.79 | 64 |
| Insitu hybridization manual CPT 88368 | $61.20 | $340.00 | $78.31 – $1,037.30 | 64 |
| Insj biomechanical device 22853 CPT 22853 | $161.46 | $897.00 | $25.00 – $794.31 | 77 |
| Insj perq vad r hrt venous CPT 33995 | $641.70 | $3,565.00 | $20.00 – $5,347.50 | 83 |
| Ins lv lead exist pm/icd CPT 33224 | $13,190.58 | $73,281.00 | $85.22 – $112,119.93 | 55 |
| Ins pm gen exist dual lead CPT 33230 | $20,284.74 | $112,693.00 | $312.84 – $172,420.29 | 53 |
| Ins pm gen w/exist mlt leads CPT 33221 | $14,186.34 | $78,813.00 | $85.22 – $120,583.89 | 55 |
| Ins pq tunnld ip cath w/img CPT 49418 | $3,355.02 | $18,639.00 | $195.09 – $28,517.67 | 53 |
| Ins/rplc spi npg/rcvr pocket CPT 63685 | $223.20 | $1,240.00 | $284.55 – $59,532.30 | 85 |
| Ins/rpl ldless pm right vent w img & eval CPT 33274 | $14,589.72 | $81,054.00 | $417.92 – $124,012.62 | 52 |
| Ins/rpl pm gen exist dual lead CPT 33213 | $7,947.18 | $44,151.00 | $85.22 – $67,551.03 | 55 |
| Ins/rpl pm gen exist sgl lead CPT 33212 | $8,650.44 | $48,058.00 | $85.22 – $73,528.74 | 55 |
| Ins/rpl pm w/tv ld atrl CPT 33206 | $10,891.80 | $60,510.00 | $85.22 – $92,580.30 | 55 |
| Ins/rpl wireless pulm art sensor incl s&i CPT 33289 | $10,099.08 | $56,106.00 | $65.00 – $84,159.00 | 85 |
| Ins subq extnsn pertneal cath CPT 49435 | $2,285.82 | $12,699.00 | $89.24 – $19,429.47 | 53 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $2,803.32 | $15,574.00 | $85.22 – $6,091.58 | 85 |
| Ins tun intraperit dia cath CPT 49421 | $2,815.02 | $15,639.00 | $261.73 – $23,927.67 | 53 |
| Insulin total CPT 83525 | $36.36 | $202.00 | $3.95 – $127.41 | 61 |
| Ins vag brachytx device CPT 57156 | $224.64 | $1,248.00 | $11.00 – $1,872.00 | 85 |
| Integra meshed bil wound mat HCPCS C9363 | $3,651.12 | $20,284.00 | $121.59 – $70,994.00 | 19 |
| Interferon alfa-2b inj HCPCS J9214 | $129.02 | $716.75 | $26.54 – $2,508.63 | 29 |
| Interferon beta-1b / .25 mg HCPCS J1830 | $91.44 | $508.00 | $158.37 – $1,778.00 | 28 |
| Interrog dev eval icpms ip CPT 93290 | $25.02 | $139.00 | $11.33 – $74.73 | 86 |
| Interrog dev eval scrms ip CPT 93291 | $8.10 | $45.00 | $13.50 – $122.85 | 86 |
| Interrog device eval heart CPT 93289 | $138.06 | $767.00 | $24.80 – $165.90 | 86 |
| Interrog evl pm/ldls pm ip CPT 93288 | $73.08 | $406.00 | $15.60 – $137.20 | 86 |
| Intra-atrial pacing CPT 93610 | $2,961.72 | $16,454.00 | $85.22 – $25,174.62 | 58 |
| Intra-atrial recording CPT 93602 | $2,961.72 | $16,454.00 | $85.22 – $25,174.62 | 58 |
| Intracard echo interv w/s&i CPT 93662 | $1,889.64 | $10,498.00 | $54.00 – $13,122.50 | 82 |
| Intracran angioplsty w/stent CPT 61635 | $8,992.80 | $49,960.00 | $85.22 – $76,438.80 | 37 |
| Intracranial complete study CPT 93886 | $782.64 | $4,348.00 | $76.58 – $6,652.44 | 65 |
| Intracranial limited study CPT 93888 | $307.62 | $1,709.00 | $50.89 – $2,614.77 | 65 |
| Intrapul surf admin endo tube CPT 94610 | $607.68 | $3,376.00 | $105.00 – $11,816.00 | 65 |
| Intrauterine transfusion ftl CPT 36460 | $275.40 | $1,530.00 | $309.75 – $2,340.90 | 55 |
| Intraventricular pacing CPT 93612 | $2,961.72 | $16,454.00 | $85.22 – $25,174.62 | 58 |
| Intrinsic factor antibody CPT 86340 | $2.41 | $13.40 | $5.24 – $168.00 | 61 |
| Intro cath dialysis circuit CPT 36901 | $1,631.16 | $9,062.00 | $85.22 – $3,036.95 | 85 |
| Intro cath dialysis circuit w/pta CPT 36902 | $4,764.42 | $26,469.00 | $45.00 – $10,980.45 | 85 |
| Intro catheter aorta CPT 36200 | $2,422.44 | $13,458.00 | $40.00 – $1,377.70 | 85 |
| Intro cath svc/ivc CPT 36010 | $1,115.82 | $6,199.00 | $15.00 – $1,438.93 | 85 |
| Intro long gi tube CPT 44500 | $233.10 | $1,295.00 | $19.36 – $2,624.69 | 53 |
| Intro long gi tube w/mult fluo CPT 74340 | $400.14 | $2,223.00 | $85.22 – $7,780.50 | 28 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $1,529.10 | $8,495.00 | $67.05 – $5,342.42 | 85 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | $1,098.54 | $6,103.00 | $53.04 – $785.80 | 85 |
| Intubation endotracheal emergency procedure CPT 31500 | $381.78 | $2,121.00 | $59.20 – $3,245.13 | 53 |
| Ionm in operatng room 15 min CPT 95940 | $15.12 | $84.00 | $24.00 – $74.54 | 77 |
| Ionm remote/>1 pt or per hr CPT 95941 | $198.72 | $1,104.00 | $75.00 – $1,766.40 | 27 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $1.53 | $8.48 | $0.62 – $22.26 | 29 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $1.72 | $9.54 | $0.22 – $22.26 | 29 |
| Ip/obs cnsltj new/est low 45 CPT 99253 | $40.32 | $224.00 | $96.83 – $358.40 | 33 |
| Ip/obs cnsltj new/est mod 60 CPT 99254 | $59.40 | $330.00 | $133.94 – $504.90 | 39 |
| Ip/obs consltj new/est hi 80 CPT 99255 | $80.82 | $449.00 | $172.93 – $718.40 | 33 |
| Ip/obs consltj new/est sf 35 CPT 99252 | $26.28 | $146.00 | $65.04 – $223.38 | 39 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $36.95 | $205.27 | $3.52 – $718.45 | 29 |
| Iron CPT 83540 | $63.36 | $352.00 | $1.95 – $72.18 | 61 |
| Iron binding capacity CPT 83550 | $64.98 | $361.00 | $2.28 – $76.23 | 61 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $34.12 | $189.53 | $15.39 – $291.68 | 61 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $214.61 | $1,192.30 | $0.30 – $726.53 | 29 |
| Irradiation of blood product each unit reference CPT 86945 | $16.20 | $90.00 | $9.37 – $200.57 | 61 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $162.18 | $901.00 | $13.88 – $1,378.53 | 39 |
| Ivc venogram s&i CPT 75825 | $2,517.48 | $13,986.00 | $8.19 – $6,091.58 | 86 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $264.78 | $1,471.00 | $40.30 – $2,250.63 | 62 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $330.66 | $1,837.00 | $19.99 – $2,810.61 | 62 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $264.60 | $1,470.00 | $25.01 – $2,249.10 | 62 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $330.66 | $1,837.00 | $81.25 – $2,810.61 | 62 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $369.72 | $2,054.00 | $47.74 – $3,142.62 | 62 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | $862.61 | $4,792.25 | $118.79 – $4,189.17 | 61 |
| Jak2 targeted sequence analysis CPT 81279 | $11.71 | $65.08 | $65.08 – $747.04 | 59 |
| John cunningham antibody CPT 86711 | $5.40 | $30.00 | $3.50 – $129.73 | 61 |
| J-tube placement CPT 44015 | $240.12 | $1,334.00 | $107.87 – $2,041.02 | 36 |
| Ketamine and metabolite screen - quest CPT 80357 | $19.08 | $106.00 | $0.04 – $152.02 | 26 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $54.18 | $301.00 | $2.75 – $90.57 | 61 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $10.44 | $58.00 | $0.36 – $128.86 | 61 |
| Kidney function study CPT 78725 | $977.22 | $5,429.00 | $47.31 – $8,306.37 | 62 |
| Kidney imag w/bld flow multi CPT 78709 | $931.14 | $5,173.00 | $85.22 – $7,914.69 | 62 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,244.34 | $6,913.00 | $85.22 – $10,576.89 | 62 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $423.72 | $2,354.00 | $54.10 – $1,715.13 | 62 |
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.