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 |
|---|---|---|---|---|
| Mayo gamma-globin full gene sequencing CPT 81479 | $318.60 | $1,770.00 | $12.60 – $569.09 | 26 |
| Mayo hemosiderin qualitative urine CPT 83070 | $54.18 | $301.00 | $1.54 – $52.90 | 61 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $16.20 | $90.00 | $11.60 – $378.47 | 61 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $8.10 | $45.00 | $11.60 – $378.47 | 61 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $2.00 | $11.11 | $4.32 – $140.69 | 61 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $4.13 | $22.94 | $9.10 – $264.80 | 61 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $53.64 | $298.00 | $3.02 – $98.97 | 61 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $5.00 | $27.77 | $3.28 – $153.07 | 61 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $48.78 | $271.00 | $9.58 – $302.76 | 61 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $46.80 | $260.00 | $4.48 – $144.29 | 61 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $59.76 | $332.00 | $4.34 – $167.10 | 61 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $90.90 | $505.00 | $4.80 – $231.78 | 61 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $29.70 | $165.00 | $7.31 – $231.93 | 61 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $18.65 | $103.63 | $3.00 – $100.17 | 61 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $5.13 | $28.52 | $2.25 – $101.30 | 61 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $6.24 | $34.66 | $8.10 – $382.67 | 61 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $19.47 | $108.15 | $29.83 – $141.59 | 59 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $5.61 | $31.19 | $11.60 – $378.47 | 61 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | $128.70 | $715.00 | $29.83 – $512.55 | 56 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $102.78 | $571.00 | $15.20 – $288.36 | 61 |
| Mayo infliximab therapeutic drug level CPT 80230 | $38.88 | $216.00 | $30.86 – $155.62 | 59 |
| Mayo inhab inhibin a CPT 86336 | $4.50 | $25.00 | $3.60 – $252.11 | 61 |
| Mayo insft insulin free CPT 83527 | $2.07 | $11.51 | $4.48 – $145.57 | 61 |
| Mayo insulin antibodies CPT 86337 | $3.43 | $19.03 | $7.52 – $202.59 | 61 |
| Mayo iodine CPT 83789 | $17.28 | $96.00 | $6.32 – $200.42 | 61 |
| Mayo itraconazole therapeutic drug level CPT 80189 | $4.88 | $27.11 | $21.69 – $109.32 | 59 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $2.73 | $15.14 | $15.14 – $109.32 | 59 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $2.12 | $11.78 | $11.26 – $90.76 | 61 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $40.68 | $226.00 | $4.41 – $142.41 | 61 |
| Mayo legionella antibody CPT 86713 | $2.45 | $13.60 | $5.24 – $168.08 | 61 |
| Mayo leptospira antibody igm CPT 86720 | $2.20 | $12.23 | $3.83 – $95.74 | 61 |
| Mayo lipoprotein electrophoresis CPT 83700 | $1.90 | $10.57 | $2.60 – $123.58 | 61 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $2.48 | $13.77 | $5.39 – $240.71 | 61 |
| Mayo manganese CPT 83785 | $16.56 | $92.00 | $8.66 – $274.02 | 61 |
| Mayo metanephrines plasma CPT 83835 | $2.71 | $15.06 | $5.92 – $188.86 | 61 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | $3.25 | $18.05 | $0.04 – $178.36 | 26 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $12.97 | $72.07 | $10.24 – $69.02 | 56 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $2.21 | $12.27 | $12.27 – $69.02 | 56 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $46.62 | $259.00 | $3.95 – $163.20 | 61 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $199.26 | $1,107.00 | $4.75 – $162.30 | 61 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $108.00 | $600.00 | $95.00 – $463.95 | 61 |
| Mayo muramidase CPT 85549 | $3.00 | $16.67 | $6.57 – $209.04 | 61 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $53.10 | $295.00 | $15.64 – $451.35 | 56 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $2.89 | $16.04 | $15.34 – $123.61 | 61 |
| Mayo myoglobin CPT 83874 | $87.30 | $485.00 | $4.47 – $144.37 | 61 |
| Mayo nickel CPT 83885 | $3.92 | $21.79 | $8.63 – $273.12 | 61 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | $20.88 | $116.00 | $0.04 – $212.42 | 26 |
| Mayo opatu oxycodone definitive assay CPT 80365 | $1.08 | $6.00 | $0.04 – $212.42 | 26 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $2.64 | $14.68 | $3.82 – $183.38 | 61 |
| Mayo oxalate 24 hour urine CPT 83945 | $2.08 | $11.56 | $3.95 – $143.47 | 61 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $2.40 | $13.36 | $5.23 – $167.78 | 61 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $55.80 | $310.00 | $3.15 – $134.39 | 61 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $5.61 | $31.19 | $11.60 – $378.47 | 61 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $2.88 | $15.98 | $4.15 – $162.22 | 61 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $2.20 | $12.23 | $4.78 – $156.22 | 61 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $1.35 | $7.50 | $2.36 – $94.17 | 61 |
| Mayo pregnenolone CPT 84140 | $3.31 | $18.38 | $7.26 – $225.48 | 61 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $49.86 | $277.00 | $5.79 – $185.03 | 61 |
| Mayo proinsulin CPT 84206 | $3.49 | $19.39 | $5.82 – $192.09 | 61 |
| Mayo psaft prostate specific antigen free CPT 84154 | $70.92 | $394.00 | $6.44 – $204.09 | 61 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $55.80 | $310.00 | $4.37 – $150.59 | 61 |
| Mayo receptor assay transferrin soluble CPT 84238 | $4.06 | $22.58 | $12.95 – $394.30 | 61 |
| Mayo renin CPT 84244 | $3.52 | $19.55 | $7.72 – $245.14 | 61 |
| Mayo repu protein electrophoresis urine CPT 84166 | $142.38 | $791.00 | $4.11 – $194.71 | 61 |
| Mayo selenium CPT 84255 | $16.56 | $92.00 | $9.00 – $284.60 | 61 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | $77.04 | $428.00 | $13.18 – $1,498.00 | 64 |
| Mayo serotonin CPT 84260 | $4.96 | $27.54 | $10.96 – $345.23 | 61 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $3.10 | $17.20 | $4.47 – $215.57 | 61 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $2.16 | $11.99 | $3.12 – $149.62 | 61 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $59.76 | $332.00 | $23.80 – $207.07 | 35 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $47.16 | $262.00 | $1.18 – $47.57 | 61 |
| Mayo tau phosphorylated 217 each CPT 84393 | $67.50 | $375.00 | $109.58 – $573.75 | 35 |
| Mayo tgrp testosterone free CPT 84402 | $4.08 | $22.64 | $8.97 – $289.86 | 61 |
| Mayo tgrp testosterone total CPT 84403 | $122.04 | $678.00 | $9.10 – $287.68 | 61 |
| Mayo thiopurine s-methyltransferase CPT 84433 | $3.19 | $17.74 | $17.74 – $119.53 | 56 |
| Mayo thyroglobulin CPT 84432 | $102.60 | $570.00 | $5.49 – $182.56 | 61 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $1.63 | $9.05 | $2.35 – $113.30 | 61 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $3.24 | $18.01 | $4.28 – $136.71 | 61 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | $16.38 | $91.00 | $0.04 – $212.42 | 26 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $2.04 | $11.32 | $3.57 – $115.93 | 61 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $2.17 | $12.04 | $11.51 – $115.78 | 61 |
| Mayo vasoactive intestinal peptide CPT 84586 | $6.36 | $35.33 | $30.03 – $186.49 | 60 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $3.24 | $17.99 | $7.10 – $191.49 | 61 |
| Mayo vitamin b3 (niacin) CPT 84591 | $17.64 | $98.00 | $3.28 – $129.13 | 61 |
| Mayo vitamin k CPT 84597 | $2.20 | $12.20 | $4.75 – $147.82 | 61 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $2.12 | $11.78 | $11.26 – $90.76 | 61 |
| Measurement post void urine by ultrasound CPT 51798 | $56.16 | $312.00 | $11.91 – $468.00 | 83 |
| #mec-opiates CPT 80356 | $1.26 | $7.00 | $0.04 – $212.42 | 26 |
| Medical testimony CPT 99075 | $79.92 | $444.00 | $80.04 – $710.40 | 24 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $214.68 | $1,192.65 | $0.44 – $887.01 | 29 |
| Megestrol 20 mg tabs 100 each bottle HCPCS S0179 | $33.94 | $188.55 | $2.22 – $113.16 | 26 |
| Melphalan oral 2 mg HCPCS J8600 | $2.52 | $14.00 | $9.72 – $49.00 | 28 |
| Membrane amnio clarix 4x3cm 1k -cost per sq cm HCPCS Q4155 | $1,854.59 | $10,303.25 | $92.85 – $26,250.00 | 20 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $17.23 | $95.72 | $1.31 – $212.28 | 30 |
| Mercaptopurine 50 mg HCPCS S0108 | $6.34 | $35.20 | $13.74 – $123.20 | 26 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $21.30 | $118.33 | $1.04 – $414.16 | 28 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | $4.26 | $23.67 | $2.31 – $104.80 | 29 |
| Metabolic Blood Panel (Basic) CPT 80048 | $163.44 | $908.00 | $2.87 – $94.32 | 61 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $218.70 | $1,215.00 | $3.63 – $117.95 | 61 |
| Metabolic panel ionized ca CPT 80047 | $122.94 | $683.00 | $2.12 – $1,044.99 | 61 |
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.