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 |
|---|---|---|---|---|
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | $3,453.12 | $19,184.00 | $1,600.00 – $67,144.00 | 16 |
| Kit gene analys d816 variant CPT 81273 | $50.40 | $280.00 | $106.14 – $1,108.40 | 64 |
| Kit lead specify 5-6-5 HCPCS C1778 | $9,779.76 | $54,332.00 | $698.40 – $2,716.00 | 20 |
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | $838.80 | $4,660.00 | $1,600.00 – $13,678.00 | 19 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | $421.20 | $2,340.00 | $300.00 – $1,272.90 | 77 |
| Knee arthroscopy/drainage CPT 29871 | $351.54 | $1,953.00 | $60.00 – $1,067.43 | 77 |
| Knee arthroscopy dx CPT 29870 | $426.06 | $2,367.00 | $65.00 – $1,006.10 | 77 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | $553.32 | $3,074.00 | $83.70 – $6,312.51 | 85 |
| Knee arthroscopy/surgery CPT 29873 | $556.56 | $3,092.00 | $60.00 – $1,072.44 | 77 |
| Knee arthroscopy/surgery CPT 29874 | $363.78 | $2,021.00 | $60.00 – $1,120.05 | 77 |
| Knee arthroscopy/surgery CPT 29875 | $338.58 | $1,881.00 | $300.00 – $1,039.87 | 77 |
| Knee arthroscopy/surgery CPT 29876 | $662.58 | $3,681.00 | $60.00 – $1,345.56 | 77 |
| Knee arthroscopy/surgery CPT 29879 | $447.66 | $2,487.00 | $101.40 – $1,363.10 | 77 |
| Knee arthroscopy/surgery CPT 29880 | $572.94 | $3,183.00 | $65.00 – $1,425.74 | 77 |
| Knee arthroscopy/surgery CPT 29882 | $464.04 | $2,578.00 | $60.00 – $1,433.26 | 77 |
| Knee arthroscopy/surgery CPT 29883 | $563.22 | $3,129.00 | $65.00 – $1,771.53 | 77 |
| Knee arthroscopy/surgery CPT 29884 | $420.30 | $2,335.00 | $300.00 – $1,267.88 | 77 |
| Knee arthroscopy/surgery CPT 29886 | $432.72 | $2,404.00 | $95.00 – $1,297.95 | 77 |
| Knee arthroscopy/surgery CPT 29888 | $647.82 | $3,599.00 | $95.00 – $2,094.77 | 77 |
| Knee arthroscopy/surgery CPT 29889 | $818.28 | $4,546.00 | $90.00 – $2,543.29 | 77 |
| Knee MRI (with and without contrast) CPT 73723 | $4,144.50 | $23,025.00 | $85.22 – $23,485.50 | 65 |
| Knee MRI (with contrast) CPT 73722 | $2,210.76 | $12,282.00 | $81.25 – $18,791.46 | 65 |
| Knee MRI (without contrast) CPT 73721 | $2,652.84 | $14,738.00 | $85.22 – $11,274.57 | 65 |
| Knee X-ray CPT 73564 | $396.00 | $2,200.00 | $17.02 – $2,242.98 | 62 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $14.54 | $80.80 | $0.58 – $202.97 | 26 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $54.54 | $303.00 | $0.39 – $1,060.50 | 26 |
| Lactate dehydrogenase (ldh) CPT 83615 | $65.88 | $366.00 | $1.97 – $67.08 | 61 |
| Lactated ringers intravenous solution HCPCS J7120 | $45.90 | $255.00 | $3.18 – $291.76 | 29 |
| Lactation class HCPCS S9443 | $270.00 | $1,500.00 | $60.00 – $658.00 | 26 |
| Lactic acid CPT 83605 | $82.44 | $458.00 | $3.67 – $119.00 | 61 |
| Lactoferrin fecal qualitative CPT 83630 | $44.28 | $246.00 | $4.53 – $103.62 | 61 |
| Lam facetc/frmt arthrd lum 1 CPT 63052 | $161.82 | $899.00 | $194.49 – $411.84 | 73 |
| Lam facetec & foramot crv CPT 63045 | $838.08 | $4,656.00 | $189.90 – $3,167.90 | 77 |
| Lam facetec & foramot lumbar CPT 63047 | $1,089.00 | $6,050.00 | $164.70 – $2,780.44 | 77 |
| Lam facetec & foramot thrc CPT 63046 | $803.34 | $4,463.00 | $45.00 – $3,031.47 | 77 |
| Lam factc/frmt arthrd lum ea CPT 63053 | $23.04 | $128.00 | $32.02 – $311.72 | 73 |
| Laminotomy single lumbar CPT 63042 | $845.82 | $4,699.00 | $45.00 – $3,350.72 | 77 |
| Laparo cholecystectomy/explr CPT 47564 | $590.04 | $3,278.00 | $131.42 – $20,507.55 | 85 |
| Laparo cholecystectomy/graph CPT 47563 | $465.48 | $2,586.00 | $160.00 – $1,746.81 | 77 |
| Laparo partial colectomy 44204 CPT 44204 | $979.38 | $5,441.00 | $40.00 – $3,626.40 | 77 |
| Laparoscopy aspiration CPT 49322 | $208.62 | $1,159.00 | $51.75 – $887.73 | 77 |
| Laparoscopy biopsy CPT 49321 | $181.80 | $1,010.00 | $249.44 – $807.02 | 77 |
| Laparoscopye procstom 43659 CPT 43659 | $57.60 | $320.00 | $288.00 – $17,495.01 | 35 |
| Laparoscopy gastrostomy CPT 43653 | $325.80 | $1,810.00 | $76.69 – $11,663.34 | 85 |
| Lap colectomy/coloproctostomy 44207 CPT 44207 | $1,151.46 | $6,397.00 | $60.00 – $9,595.50 | 85 |
| Lap colectomy part w/ileum 44205 CPT 44205 | $852.30 | $4,735.00 | $300.00 – $7,102.50 | 85 |
| Lap colectomy w/proctectomy 44211 CPT 44211 | $191.88 | $1,066.00 | $105.00 – $5,146.72 | 77 |
| Lap colostomy 44188 CPT 44188 | $782.82 | $4,349.00 | $300.00 – $2,363.23 | 77 |
| Lap enterolysis CPT 44180 | $478.62 | $2,659.00 | $130.00 – $2,145.12 | 77 |
| Lap ileo/jejuno-stomy 44187 CPT 44187 | $707.04 | $3,928.00 | $158.97 – $2,147.43 | 77 |
| Lap ing hernia repair init CPT 49650 | $244.80 | $1,360.00 | $97.20 – $11,663.34 | 85 |
| Lap insert tunnel ip cath CPT 49324 | $203.94 | $1,133.00 | $300.00 – $11,663.34 | 85 |
| Lap jejunostomy 44186 CPT 44186 | $3,335.22 | $18,529.00 | $160.00 – $1,507.31 | 77 |
| Lap paraesophag hern repair CPT 43281 | $984.42 | $5,469.00 | $300.00 – $20,507.55 | 85 |
| Lap part colectomy w/stoma 44206 CPT 44206 | $948.78 | $5,271.00 | $300.00 – $4,094.99 | 77 |
| Lap revision perm ip cath CPT 49325 | $3,335.22 | $18,529.00 | $155.00 – $978.84 | 77 |
| Lat retinacular release open CPT 27425 | $314.82 | $1,749.00 | $71.40 – $914.58 | 77 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $8,382.60 | $46,570.00 | $1,600.00 – $7,875.00 | 19 |
| Lead capillary CPT 83655 | $48.78 | $271.00 | $4.18 – $134.91 | 61 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $2,794.14 | $15,523.00 | $517.50 – $2,012.50 | 20 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $9,779.76 | $54,332.00 | $253.80 – $987.00 | 19 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $804.96 | $4,472.00 | $85.22 – $4,892.94 | 65 |
| Leishmania antibody CPT 86717 | $1.96 | $10.89 | $4.23 – $136.71 | 61 |
| Lens, intraocular (new tech) HCPCS C1780 | $419.22 | $2,329.00 | $1,069.20 – $4,158.00 | 20 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | $465.66 | $2,587.00 | $517.50 – $2,012.50 | 20 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $801.90 | $4,455.00 | $121.44 – $339.61 | 34 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $139.68 | $776.00 | $121.44 – $324.50 | 34 |
| Lepirudin HCPCS J1945 | $175.32 | $974.00 | $271.49 – $3,409.00 | 26 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $21.73 | $120.73 | $10.46 – $227.50 | 29 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $1,703.56 | $9,464.20 | $149.77 – $5,533.17 | 61 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $1,048.56 | $5,825.35 | $1,005.18 – $4,802.14 | 61 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $44.20 | $245.54 | $0.08 – $352.91 | 29 |
| Levetiracetam therapeutic drug level CPT 80177 | $2.12 | $11.78 | $11.26 – $90.76 | 61 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $51.84 | $288.00 | $5.87 – $287.91 | 28 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | $199.79 | $1,109.97 | $16.29 – $1,031.25 | 27 |
| Liberta rc ipg HCPCS C1820 | $27,942.30 | $155,235.00 | $1,600.00 – $285,250.00 | 16 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $32.04 | $178.00 | $0.13 – $176.75 | 27 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $16.12 | $89.56 | $0.03 – $313.46 | 26 |
| Lidocaine therapeutic drug level CPT 80176 | $44.10 | $245.00 | $4.93 – $163.65 | 61 |
| Lig/band angioaccess av fistula CPT 37607 | $235.62 | $1,309.00 | $80.00 – $6,091.58 | 85 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $98.70 | $548.33 | $3.40 – $1,919.16 | 29 |
| Lipase CPT 83690 | $114.30 | $635.00 | $2.31 – $76.68 | 61 |
| Lipoprotein blood quant CPT 83704 | $5.05 | $28.05 | $7.28 – $343.96 | 61 |
| Lipoprotein direct measurement hdl CPT 83718 | $59.76 | $332.00 | $2.78 – $91.17 | 61 |
| Lipoprotein direct measurement ldl CPT 83721 | $35.82 | $199.00 | $3.22 – $105.12 | 61 |
| Lithium therapeutic drug level CPT 80178 | $56.70 | $315.00 | $2.21 – $73.61 | 61 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $2,807.10 | $15,595.00 | $85.22 – $224.32 | 58 |
| Liver Function Test CPT 80076 | $146.34 | $813.00 | $2.76 – $91.09 | 61 |
| Liver imag w/vasclr flow CPT 78202 | $747.18 | $4,151.00 | $73.82 – $7,310.38 | 62 |
| Liver/spleen imag static only CPT 78215 | $755.64 | $4,198.00 | $53.15 – $6,422.94 | 62 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $928.44 | $5,158.00 | $71.26 – $7,891.74 | 62 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $0.76 | $4.24 | $0.73 – $14.84 | 29 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $9.96 | $55.33 | $3.84 – $119.00 | 29 |
| Low back disk surgery CPT 63030 | $909.00 | $5,050.00 | $70.00 – $2,414.81 | 77 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $2,260.80 | $12,560.00 | $85.22 – $19,216.80 | 66 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $2,055.24 | $11,418.00 | $85.22 – $17,469.54 | 66 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $1,644.12 | $9,134.00 | $85.22 – $13,975.02 | 66 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $2,498.40 | $13,880.00 | $85.22 – $21,236.40 | 66 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $2,271.24 | $12,618.00 | $85.22 – $14,479.92 | 66 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $1,816.56 | $10,092.00 | $85.22 – $11,580.57 | 66 |
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.