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 |
|---|---|---|---|---|
| Natural killer cells total count CPT 86357 | $6.01 | $33.37 | $8.66 – $411.26 | 61 |
| Ndl emg musc 1 xtr/non-limb CPT 95870 | $30.96 | $172.00 | $15.30 – $256.68 | 86 |
| Ndl insj without njx 3+ musc CPT 20561 | $14.76 | $82.00 | $17.48 – $123.00 | 85 |
| Ndl round specialty proguide HCPCS C1715 | $63.90 | $355.00 | $319.50 – $1,242.50 | 20 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $2,295.90 | $12,755.00 | $85.22 – $19,515.15 | 66 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $2,087.10 | $11,595.00 | $85.22 – $17,740.35 | 66 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $1,670.04 | $9,278.00 | $85.22 – $14,195.34 | 66 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $2,454.84 | $13,638.00 | $85.22 – $20,866.14 | 66 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $2,231.64 | $12,398.00 | $85.22 – $14,227.47 | 66 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $1,785.42 | $9,919.00 | $85.22 – $11,381.67 | 66 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $2,544.48 | $14,136.00 | $61.62 – $21,628.08 | 65 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $1,883.16 | $10,462.00 | $43.72 – $16,006.86 | 65 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $1,751.76 | $9,732.00 | $38.45 – $14,889.96 | 65 |
| Needle emg guid w/chemodenervation add-on CPT 95874 | $9.00 | $50.00 | $15.00 – $140.03 | 86 |
| Neisseria meningitidis CPT 86741 | $2.11 | $11.72 | $4.57 – $146.99 | 61 |
| Neostigmine methylsulfate 1 mg/ml injection (wrapper) HCPCS J2710 | $80.66 | $448.10 | $1.35 – $36.58 | 29 |
| Neox 100 or clarix 100 HCPCS Q4156 | $54.00 | $300.00 | $127.97 – $1,050.00 | 59 |
| Nerve conduction 7-8 studies CPT 95910 | $370.44 | $2,058.00 | $81.30 – $719.91 | 86 |
| Nerve conduction studies 11-12 CPT 95912 | $450.54 | $2,503.00 | $85.22 – $789.72 | 86 |
| Nerve conduction studies 1-2 CPT 95907 | $163.08 | $906.00 | $40.80 – $416.57 | 86 |
| Nerve conduction studies 13+ CPT 95913 | $507.60 | $2,820.00 | $20.52 – $882.58 | 86 |
| Nerve conduction studies 3-4 CPT 95908 | $225.90 | $1,255.00 | $50.70 – $416.57 | 86 |
| Nerve conduction studies 5-6 CPT 95909 | $270.00 | $1,500.00 | $61.20 – $466.81 | 86 |
| Nerve conduction studies 9-10 CPT 95911 | $464.94 | $2,583.00 | $85.22 – $719.91 | 86 |
| Nerve repair w/allograft CPT 64910 | $69.66 | $387.00 | $55.00 – $1,787.23 | 77 |
| Nesiritide injection HCPCS J2325 | $382.34 | $2,124.13 | $63.09 – $7,434.46 | 29 |
| Neuromuscular junction testing ea nerve any 1 method CPT 95937 | $15.84 | $88.00 | $22.29 – $248.24 | 86 |
| Neuroplasty digital 1/both same digit CPT 64702 | $353.88 | $1,966.00 | $202.53 – $1,075.07 | 77 |
| New Patient Office Visit (level 2) CPT 99202 | $39.06 | $217.00 | $34.30 – $133.86 | 84 |
| New Patient Office Visit (level 3) CPT 99203 | $45.00 | $250.00 | $56.10 – $382.50 | 77 |
| New Patient Office Visit (level 4) CPT 99204 | $74.16 | $412.00 | $68.90 – $439.11 | 77 |
| New Patient Office Visit (level 5) CPT 99205 | $100.98 | $561.00 | $82.70 – $506.43 | 77 |
| Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 | $263.48 | $1,463.76 | $0.20 – $414.16 | 26 |
| N-invas est c ffr sw aly cta CPT 75580 | $473.76 | $2,632.00 | $85.22 – $5,882.87 | 41 |
| Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 | $54.50 | $302.78 | $3.48 – $270.34 | 26 |
| Njx cath slct p-art angrp bi CPT 93573 | $28.26 | $157.00 | $47.10 – $100.59 | 53 |
| Nm imaging bone/joint 3 phase study CPT 78315 | $982.62 | $5,459.00 | $85.22 – $8,352.27 | 62 |
| Nm imaging bone/joint whole body CPT 78306 | $1,119.78 | $6,221.00 | $85.22 – $9,518.13 | 62 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $1,102.50 | $6,125.00 | $85.22 – $9,371.25 | 62 |
| Nm imaging gastric emptying study CPT 78264 | $939.96 | $5,222.00 | $38.38 – $7,989.66 | 62 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $891.00 | $4,950.00 | $84.58 – $7,573.50 | 62 |
| Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227 | $1,076.40 | $5,980.00 | $45.78 – $6,862.05 | 62 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $1,043.10 | $5,795.00 | $85.22 – $8,866.35 | 62 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $991.62 | $5,509.00 | $52.87 – $8,428.77 | 62 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $461.16 | $2,562.00 | $24.95 – $3,919.86 | 62 |
| Nm radiopharmaceutical therapy oral administration CPT 79005 | $1,024.56 | $5,692.00 | $85.22 – $8,708.76 | 62 |
| Noninv pace analysis CPT 93724 | $72.00 | $400.00 | $85.22 – $3,389.00 | 60 |
| Non-ophthalmic fva HCPCS C9733 | $183.78 | $1,021.00 | $381.40 – $1,562.13 | 52 |
| Npm1 gene CPT 81310 | $35.50 | $197.21 | $110.28 – $834.85 | 61 |
| Nr lnr acclrtr tx max 5 sessions CPT 77373 | $4,733.10 | $26,295.00 | $85.22 – $40,231.35 | 63 |
| Ntrprof ph1/ntrnet/ehr 5/> CPT 99451 | $15.84 | $88.00 | $26.40 – $60.36 | 85 |
| Nuclear rx IV admin CPT 79101 | $68.76 | $382.00 | $67.60 – $201.82 | 77 |
| Nuclear Stress Test (Heart) CPT 78452 | $1,800.18 | $10,001.00 | $67.64 – $2,970.19 | 86 |
| Nudt15 gene common variants CPT 81306 | $41.96 | $233.09 | $233.09 – $2,061.41 | 59 |
| Nursing facility discharge management > 30 min 99316 CPT 99316 | $60.84 | $338.00 | $46.60 – $190.15 | 85 |
| Nursing facility discharge management 30 min/less than 99315 CPT 99315 | $38.16 | $212.00 | $38.40 – $119.13 | 85 |
| Observation direct referral from physician office for admission HCPCS G0379 | $199.98 | $1,111.00 | $75.00 – $3,888.50 | 53 |
| Observation/inpatient hospital care low severity 99234 CPT 99234 | $44.82 | $249.00 | $74.70 – $231.53 | 85 |
| Observation/inpatient hospital care mod severity 99235 CPT 99235 | $73.08 | $406.00 | $103.50 – $305.18 | 85 |
| Observation per hour HCPCS G0378 | $94.86 | $527.00 | $48.00 – $1,844.50 | 22 |
| Obstetrics panel CPT 80055 | $81.18 | $451.00 | $14.15 – $270.56 | 61 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $5,985.35 | $33,251.93 | $50.66 – $77,443.75 | 50 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $22.70 | $126.13 | $1.80 – $225.26 | 29 |
| Office emergency care CPT 99058 | $13.32 | $74.00 | $66.60 – $259.00 | 22 |
| Off/op cnsltj new/est low 30 CPT 99243 | $38.70 | $215.00 | $91.41 – $301.00 | 39 |
| Off/op cnsltj new/est mod 40 CPT 99244 | $56.88 | $316.00 | $144.21 – $442.40 | 39 |
| Off/op consltj new/est hi 55 CPT 99245 | $77.40 | $430.00 | $153.00 – $602.00 | 39 |
| Off/op consltj new/est sf 20 CPT 99242 | $29.16 | $162.00 | $65.57 – $214.20 | 39 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $30.51 | $169.48 | $2.21 – $593.18 | 26 |
| Ol dig e/m svc 11-20 min CPT 99422 | $11.88 | $66.00 | $19.80 – $92.40 | 85 |
| Ol dig e/m svc 21+ min CPT 99423 | $18.36 | $102.00 | $30.60 – $142.80 | 85 |
| Ol dig e/m svc 5-10 min CPT 99421 | $5.94 | $33.00 | $9.78 – $46.20 | 85 |
| Oncology prostate prob score CPT 81539 | $138.60 | $770.00 | $646.00 – $4,182.85 | 60 |
| Onco (ovar) five proteins CPT 81503 | $111.60 | $620.00 | $445.00 – $6,447.00 | 61 |
| Oncoprotein dcp CPT 83951 | $10.31 | $57.26 | $54.75 – $730.61 | 61 |
| Oncoprotein her-2/neu CPT 83950 | $61.07 | $339.25 | $54.75 – $1,187.38 | 60 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $10.62 | $59.00 | $0.25 – $193.66 | 29 |
| One-way allow prorated trip HCPCS P9604 | $0.76 | $4.24 | $3.82 – $14.84 | 22 |
| Open tenotomy tendon flexor foot single or multiple 28230 CPT 28230 | $652.50 | $3,625.00 | $70.00 – $3,102.23 | 85 |
| Open thrombectomy of av fistula without revision 36831 CPT 36831 | $380.88 | $2,116.00 | $65.00 – $10,735.29 | 85 |
| Ophthalmic mitomycin HCPCS J7315 | $213.97 | $1,188.70 | $273.95 – $4,160.45 | 26 |
| Ophth Ultrasound b & quant a CPT 76510 | $294.66 | $1,637.00 | $41.78 – $2,504.61 | 62 |
| Oprelvekin injection HCPCS J2355 | $386.10 | $2,145.00 | $503.82 – $7,507.50 | 28 |
| Opscpy extnd on/mac draw CPT 92202 | $6.84 | $38.00 | $10.60 – $27.54 | 77 |
| Optx acrclv dslc aq/chrn grf CPT 23552 | $438.66 | $2,437.00 | $60.00 – $1,370.62 | 77 |
| Optx acromclv dislc aqt/chrn CPT 23550 | $389.34 | $2,163.00 | $60.00 – $1,185.20 | 77 |
| Optx acute shoulder dislc CPT 23660 | $399.42 | $2,219.00 | $106.50 – $1,197.72 | 77 |
| Optx clavicular fx w/int fix CPT 23515 | $488.34 | $2,713.00 | $55.00 – $1,200.23 | 77 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | $529.02 | $2,939.00 | $60.00 – $13,999.05 | 85 |
| Optx medial ankle fx CPT 27766 | $413.10 | $2,295.00 | $65.00 – $1,365.61 | 77 |
| Optx post ankle fx CPT 27769 | $489.42 | $2,719.00 | $70.00 – $1,403.19 | 77 |
| Optx prox humrl fx w/int fix CPT 23615 | $594.36 | $3,302.00 | $30.00 – $24,769.05 | 85 |
| Optx prx hmrl fx fix rpr rpl CPT 23616 | $817.74 | $4,543.00 | $30.00 – $3,094.54 | 77 |
| Optx radial shaft fracture CPT 25515 | $458.10 | $2,545.00 | $65.00 – $1,453.31 | 77 |
| Optx rdl shft fx&cltx rad/ul CPT 25525 | $536.94 | $2,983.00 | $45.00 – $1,951.94 | 77 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | $611.82 | $3,399.00 | $40.00 – $1,849.21 | 77 |
| Optx rdl&uln shft fx rds/uln CPT 25574 | $462.06 | $2,567.00 | $96.05 – $1,252.85 | 77 |
| Optx scapular fx w/int fixj CPT 23585 | $650.70 | $3,615.00 | $30.00 – $1,445.36 | 77 |
| Optx thigh fx CPT 27269 | $817.38 | $4,541.00 | $40.00 – $2,518.23 | 77 |
| Optx ulnar shft fx int fixj CPT 25545 | $429.66 | $2,387.00 | $35.00 – $1,435.77 | 77 |
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.