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 |
|---|---|---|---|---|
| Methadone injection HCPCS J1230 | $17.46 | $97.00 | $1.16 – $339.50 | 29 |
| Methadone oral 5mg HCPCS S0109 | $6.44 | $35.80 | $0.17 – $17.85 | 27 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | $14.40 | $80.00 | $9.86 – $280.00 | 29 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $5.82 | $32.33 | $0.41 – $113.16 | 28 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $53.46 | $297.00 | $7.03 – $280.00 | 29 |
| Methotrexate therapeutic drug level CPT 80204 | $14.40 | $80.00 | $30.86 – $155.62 | 59 |
| Methyldopate hcl injection HCPCS J0210 | $26.28 | $146.00 | $23.35 – $511.00 | 29 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $268.81 | $1,493.40 | $0.58 – $2,284.90 | 60 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $22.78 | $126.53 | $7.69 – $442.86 | 29 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $64.55 | $358.60 | $0.87 – $1,255.10 | 28 |
| Methylphenidate CPT 80360 | $18.00 | $100.00 | $0.04 – $169.73 | 26 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $7.56 | $42.00 | $0.38 – $56.00 | 28 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $27.18 | $151.00 | $0.33 – $214.97 | 26 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $118.20 | $656.69 | $0.44 – $11.92 | 26 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $26.64 | $148.00 | $2.94 – $193.66 | 29 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $10.09 | $56.03 | $0.33 – $196.11 | 25 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $13.41 | $74.50 | $0.08 – $260.75 | 26 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $75.70 | $420.53 | $0.55 – $820.51 | 29 |
| Microbe susceptible mlc CPT 87187 | $7.23 | $40.17 | $3.56 – $136.03 | 61 |
| Microdissection manual CPT 88381 | $20.31 | $112.83 | $101.55 – $1,347.84 | 64 |
| Microvolt t-wave assess CPT 93025 | $35.28 | $196.00 | $34.38 – $2,190.99 | 86 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $28.62 | $159.00 | $0.38 – $133.48 | 29 |
| Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper) HCPCS J2251 | $55.90 | $310.56 | $0.50 – $277.41 | 26 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $81.72 | $454.00 | $3.68 – $282.45 | 29 |
| Minocycline hydrochloride HCPCS J2265 | $15.84 | $88.00 | $1.16 – $204.95 | 61 |
| Misoprostol, oral, 200 mcg HCPCS S0191 | $7.53 | $41.85 | $0.93 – $146.48 | 27 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $36.77 | $204.27 | $24.19 – $475.74 | 61 |
| Mnl appl strs jt radiography CPT 77071 | $50.04 | $278.00 | $31.88 – $425.34 | 62 |
| Mnl prep&insj i-artic rx dev CPT 20704 | $96.12 | $534.00 | $111.55 – $328.25 | 77 |
| Mnpj anes sho jt fixj aprats CPT 23700 | $133.38 | $741.00 | $18.00 – $3,102.23 | 85 |
| Mnpj elbow under anes CPT 24300 | $314.64 | $1,748.00 | $60.31 – $804.33 | 77 |
| Mnt subs tx for change dx HCPCS G0270 | $53.82 | $299.00 | $20.20 – $1,046.50 | 58 |
| Mobilization of colon 44139 CPT 44139 | $64.26 | $357.00 | $35.00 – $250.44 | 77 |
| Mopath procedure level 1 CPT 81400 | $72.90 | $405.00 | $54.37 – $360.16 | 61 |
| Mopath procedure level 3 CPT 81402 | $27.06 | $150.33 | $127.78 – $846.60 | 61 |
| Mopath procedure level 5 CPT 81404 | $298.80 | $1,660.00 | $225.00 – $2,046.30 | 61 |
| Mopath procedure level 6 CPT 81405 | $139.32 | $774.00 | $41.40 – $2,682.50 | 61 |
| Mopath procedure level 7 CPT 81406 | $130.68 | $726.00 | $38.00 – $2,736.30 | 61 |
| Mopath procedure level 8 CPT 81407 | $152.33 | $846.27 | $112.00 – $22,058.12 | 61 |
| Mopath procedure level 9 CPT 81408 | $349.74 | $1,943.00 | $442.00 – $25,778.10 | 61 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $19.85 | $110.30 | $1.45 – $37.80 | 29 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $185.27 | $1,029.30 | $19.39 – $262.75 | 30 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $50.11 | $278.40 | $50.43 – $1,807.34 | 64 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $158.40 | $880.00 | $82.08 – $1,037.30 | 64 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $131.22 | $729.00 | $58.92 – $493.03 | 64 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $86.40 | $480.00 | $72.30 – $1,681.59 | 64 |
| M/phmtrc alysishquant/semiq CPT 88369 | $36.00 | $200.00 | $27.36 – $549.77 | 64 |
| Mpl gene analysis common variants CPT 81338 | $27.06 | $150.33 | $120.26 – $606.42 | 59 |
| Mpsv4 vaccine subq CPT 90733 | $98.70 | $548.33 | $159.30 – $619.50 | 28 |
| MRA abdomen post contrast CPT 74185 | $1,958.40 | $10,880.00 | $85.22 – $16,646.40 | 65 |
| MRA aorta thoracic w/wo contrast CPT 71555 | $880.38 | $4,891.00 | $85.22 – $7,483.23 | 65 |
| MRA pelvis w IV cont HCPCS C8918 | $2,043.90 | $11,355.00 | $85.22 – $39,742.50 | 61 |
| MRA pelvis wo IV cont HCPCS C8919 | $2,043.90 | $11,355.00 | $85.22 – $39,742.50 | 61 |
| MRA upper extremity post contrast-bil CPT 73225 | $1,749.60 | $9,720.00 | $85.22 – $14,871.60 | 65 |
| MRA w/cont, lwr ext HCPCS C8912 | $1,575.00 | $8,750.00 | $85.22 – $30,625.00 | 61 |
| MRA without cont, lwr ext HCPCS C8913 | $1,359.00 | $7,550.00 | $85.22 – $26,425.00 | 61 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | $1,793.34 | $9,963.00 | $85.22 – $34,870.50 | 61 |
| MRA without fol w/cont, pelvis HCPCS C8920 | $2,043.90 | $11,355.00 | $85.22 – $39,742.50 | 61 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $1,783.98 | $9,911.00 | $85.22 – $15,163.83 | 65 |
| MRI chest without contrast CPT 71550 | $1,240.20 | $6,890.00 | $85.22 – $10,541.70 | 65 |
| MRI chest without & w/contrast CPT 71552 | $1,746.18 | $9,701.00 | $85.22 – $14,842.53 | 65 |
| MRI chest w IV cont CPT 71551 | $1,549.80 | $8,610.00 | $85.22 – $13,173.30 | 65 |
| MRI loex nonjt w IV cont CPT 73719 | $1,566.00 | $8,700.00 | $63.86 – $13,311.00 | 65 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $2,151.90 | $11,955.00 | $48.56 – $9,146.34 | 65 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $2,789.10 | $15,495.00 | $85.22 – $15,804.90 | 65 |
| MRI orbit/face/neck without contrast CPT 70540 | $1,930.86 | $10,727.00 | $85.22 – $12,308.85 | 65 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $2,775.06 | $15,417.00 | $85.22 – $23,588.01 | 65 |
| MRI orbit fac&nck w IV cont CPT 70542 | $2,413.62 | $13,409.00 | $79.06 – $20,515.77 | 65 |
| MRI tmj CPT 70336 | $1,736.28 | $9,646.00 | $85.22 – $33,761.00 | 64 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $2,197.62 | $12,209.00 | $70.84 – $12,452.67 | 65 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $2,104.38 | $11,691.00 | $85.22 – $17,887.23 | 65 |
| MRI upper extremity w/dye CPT 73219 | $1,656.00 | $9,200.00 | $81.37 – $14,076.00 | 65 |
| Mr spectroscopy CPT 76390 | $1,717.38 | $9,541.00 | $85.22 – $33,393.50 | 64 |
| Msh2 gene known variants CPT 81296 | $60.79 | $337.73 | $97.54 – $1,143.70 | 61 |
| Msh6 gene known variants CPT 81299 | $55.44 | $308.00 | $97.54 – $1,043.04 | 61 |
| Mthfr gene analy common variants CPT 81291 | $11.76 | $65.34 | $55.54 – $520.36 | 60 |
| M.tuberculo dna dir probe CPT 87555 | $61.74 | $343.00 | $7.02 – $299.88 | 61 |
| Mucopolysaccharides CPT 83864 | $27.05 | $150.25 | $4.14 – $229.88 | 61 |
| Multi family grp psychotherapy CPT 90849 | $235.98 | $1,311.00 | $41.34 – $2,005.83 | 54 |
| Multiple sleep latency test CPT 95805 | $26.28 | $146.00 | $43.80 – $1,656.72 | 86 |
| Mumps antibody igg CPT 86735 | $56.88 | $316.00 | $4.52 – $146.99 | 61 |
| Muscle-skin graft arm CPT 15736 | $808.20 | $4,490.00 | $183.30 – $2,331.33 | 77 |
| Muscle-skin graft leg CPT 15738 | $831.06 | $4,617.00 | $188.40 – $2,463.40 | 77 |
| Muscle-skin graft trunk CPT 15734 | $981.00 | $5,450.00 | $65.00 – $8,175.00 | 85 |
| Musc myoq/fscq flp h&n pedcl CPT 15733 | $680.22 | $3,779.00 | $60.00 – $2,253.81 | 77 |
| Mycobacteria dna dir probe CPT 87550 | $83.70 | $465.00 | $7.02 – $524.79 | 61 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $17.20 | $95.58 | $0.41 – $113.16 | 28 |
| Mycophenolic acid HCPCS J7518 | $17.35 | $96.40 | $0.87 – $166.88 | 28 |
| Mycoplasma antibody igm CPT 86738 | $15.84 | $88.00 | $4.57 – $146.99 | 61 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | $25.26 | $140.32 | $140.32 – $1,240.99 | 59 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $789.30 | $4,385.00 | $265.05 – $3,626.10 | 36 |
| Myelography via inj w/s&i cervical CPT 62302 | $746.64 | $4,148.00 | $108.34 – $6,346.44 | 53 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $1,006.92 | $5,594.00 | $241.09 – $8,558.82 | 36 |
| Myelography via inj w/s&i thoracic CPT 62303 | $746.64 | $4,148.00 | $109.83 – $6,346.44 | 53 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $96.12 | $534.00 | $3.00 – $260.74 | 61 |
| Nafcillin 2 gram solution for injection HCPCS J2290 | $24.84 | $138.00 | $0.17 – $357.56 | 26 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | $9.96 | $55.33 | $9.39 – $193.66 | 29 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | $21.30 | $118.33 | $0.20 – $205.80 | 25 |
| Nasopharyngoscopy w/endoscope CPT 92511 | $212.22 | $1,179.00 | $59.94 – $1,803.87 | 63 |
| Natriuretic peptide CPT 83880 | $157.68 | $876.00 | $7.83 – $378.40 | 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.