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 |
|---|---|---|---|---|
| Ph body fluid CPT 83986 | $41.58 | $231.00 | $1.12 – $39.84 | 61 |
| Phencyclidine (pcp) CPT 83992 | $11.48 | $63.75 | $0.04 – $143.84 | 28 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $21.30 | $118.33 | $6.96 – $213.50 | 29 |
| Phenobarbital therapeutic drug level CPT 80184 | $132.66 | $737.00 | $3.93 – $127.41 | 61 |
| Phentolaine mesylate inj HCPCS J2760 | $184.94 | $1,027.44 | $65.26 – $2,392.91 | 61 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $13.73 | $76.26 | $0.03 – $117.60 | 26 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $10.02 | $55.68 | $0.65 – $193.66 | 29 |
| Phenytoin total therapeutic drug level CPT 80185 | $131.04 | $728.00 | $4.59 – $147.74 | 61 |
| Phlebotomy therapeutic CPT 99195 | $107.82 | $599.00 | $23.52 – $916.47 | 59 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | $167.76 | $932.00 | $211.93 – $6,091.58 | 85 |
| Phleb veins 1 extrm >20 stab CPT 37766 | $206.28 | $1,146.00 | $75.00 – $6,091.58 | 85 |
| Phosphorus CPT 84100 | $60.66 | $337.00 | $1.38 – $52.75 | 61 |
| Phosphorus 24 hour urine CPT 84105 | $59.04 | $328.00 | $1.86 – $57.63 | 61 |
| Phys blood bank serv reactj CPT 86078 | $37.44 | $208.00 | $62.90 – $493.03 | 64 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $17.90 | $99.43 | $7.66 – $247.07 | 29 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | $295.74 | $1,643.00 | $85.22 – $2,703.40 | 60 |
| Pin caspar distraction 12mm HCPCS C1821 | $17,463.96 | $97,022.00 | $621.90 – $2,418.50 | 20 |
| Pin finger fracture each CPT 26756 | $297.90 | $1,655.00 | $72.97 – $6,312.51 | 85 |
| Pinworm exam CPT 87172 | $24.30 | $135.00 | $0.99 – $47.57 | 61 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $24.75 | $137.50 | $2.97 – $261.77 | 28 |
| Place cath intracranial art CPT 36228 | $3,494.34 | $19,413.00 | $85.22 – $19,801.26 | 58 |
| Place cath xtrnl carotid CPT 36227 | $4,408.92 | $24,494.00 | $85.22 – $24,983.37 | 58 |
| Place gastrostomy tube perc CPT 49440 | $1,527.30 | $8,485.00 | $85.22 – $12,982.05 | 58 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $729.36 | $4,052.00 | $215.93 – $6,199.56 | 53 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $85.50 | $475.00 | $36.52 – $726.75 | 53 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $774.18 | $4,301.00 | $476.17 – $6,580.53 | 53 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $3,662.10 | $20,345.00 | $37.20 – $20,344.50 | 85 |
| Placement of seton CPT 46020 | $65.52 | $364.00 | $47.00 – $5,354.94 | 85 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $8,516.88 | $47,316.00 | $75.00 – $22,271.70 | 85 |
| Place non-slctv cath thoracic arta CPT 36221 | $3,826.26 | $21,257.00 | $85.22 – $32,523.21 | 58 |
| Placental lactogen CPT 83632 | $26.28 | $146.00 | $7.09 – $225.25 | 61 |
| Place slctv cath carotd art uni CPT 36224 | $7,424.82 | $41,249.00 | $85.22 – $42,073.47 | 58 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | $4,056.30 | $22,535.00 | $40.00 – $6,091.58 | 85 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | $5,283.90 | $29,355.00 | $40.00 – $10,735.29 | 85 |
| Place slctv cath subclavian art CPT 36225 | $3,826.26 | $21,257.00 | $85.22 – $14,807.34 | 58 |
| Place slctv cath vertebral art uni CPT 36226 | $8,174.34 | $45,413.00 | $85.22 – $46,320.75 | 58 |
| Plasma cryoprecipitate reduced each unit HCPCS P9044 | $27.90 | $155.00 | $108.63 – $665.00 | 59 |
| Platelet aggregation each agent teg CPT 85576 | $106.02 | $589.00 | $3.95 – $659.43 | 61 |
| Platelet automated CPT 85049 | $40.68 | $226.00 | $0.97 – $49.90 | 61 |
| Platelet pheresis each unit HCPCS P9034 | $98.82 | $549.00 | $262.62 – $839.97 | 59 |
| Platelet pheresis irr ea HCPCS P9036 | $107.10 | $595.00 | $450.00 – $2,135.54 | 59 |
| Platelets each unit HCPCS P9019 | $15.30 | $85.00 | $45.19 – $130.05 | 55 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $102.24 | $568.00 | $434.85 – $1,151.08 | 59 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $124.74 | $693.00 | $450.00 – $1,531.37 | 59 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $391.86 | $2,177.00 | $450.00 – $1,366.72 | 59 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $2,921.40 | $16,230.00 | $1,225.61 – $24,831.90 | 53 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | $5,232.42 | $29,069.00 | $85.22 – $44,475.57 | 58 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $1,896.48 | $10,536.00 | $973.94 – $16,120.08 | 53 |
| Plcmt dlyd xtn pros 1st vsl CPT 34710 | $415.26 | $2,307.00 | $70.00 – $2,173.71 | 77 |
| Plcmt xtn pros evasc rpr per vsl CPT 34709 | $4,318.92 | $23,994.00 | $85.22 – $867.44 | 85 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $396.72 | $2,204.00 | $31.60 – $3,372.12 | 53 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $209.34 | $1,163.00 | $13.11 – $1,429.02 | 63 |
| Plmt access bil tree sm bwl CPT 47541 | $2,666.52 | $14,814.00 | $1,081.53 – $22,665.42 | 53 |
| Plmt biliary drainage cath CPT 47534 | $3,733.56 | $20,742.00 | $1,507.82 – $31,735.26 | 53 |
| Plmt nephroureteral catheter CPT 50433 | $1,211.22 | $6,729.00 | $1,043.18 – $10,295.37 | 53 |
| Plmt ureteral stent prq CPT 50694 | $2,510.64 | $13,948.00 | $1,068.87 – $21,340.44 | 53 |
| Pm device progr eval dual CPT 93280 | $82.26 | $457.00 | $24.80 – $165.90 | 86 |
| Pm device progr eval multi CPT 93281 | $18.90 | $105.00 | $28.77 – $194.15 | 86 |
| Pmp22 gene dup/delet CPT 81324 | $93.60 | $520.00 | $520.00 – $5,450.47 | 60 |
| Pm phone r-strip device eval CPT 93293 | $41.22 | $229.00 | $10.50 – $304.73 | 86 |
| Pms2 known familial variants CPT 81318 | $59.58 | $331.00 | $97.54 – $1,120.93 | 61 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $263.16 | $1,462.00 | $6.78 – $313.65 | 61 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | $61.38 | $341.00 | $85.22 – $7,398.49 | 86 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $56.52 | $314.00 | $85.22 – $1,906.91 | 86 |
| Post non-seg/spine instrumentation 22840 CPT 22840 | $473.40 | $2,630.00 | $73.72 – $1,703.88 | 77 |
| Post seg spine instrument/3-6 seg 22842 CPT 22842 | $477.90 | $2,655.00 | $55.00 – $1,703.88 | 77 |
| Potassium 24 hour urine CPT 84133 | $56.16 | $312.00 | $1.38 – $47.95 | 61 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $45.23 | $251.30 | $0.33 – $84.00 | 28 |
| Potassium serum/plasma/whole blood CPT 84132 | $58.86 | $327.00 | $1.38 – $51.70 | 61 |
| Pq biliary strict dil s&i CPT 74363 | $893.16 | $4,962.00 | $85.22 – $17,367.00 | 28 |
| Pq dr cath chg w cont s&i CPT 75984 | $739.62 | $4,109.00 | $50.44 – $6,286.77 | 60 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $5,892.30 | $32,735.00 | $60.00 – $49,102.50 | 85 |
| Pq thr inj ext pse CPT 36002 | $579.24 | $3,218.00 | $85.22 – $10,233.00 | 58 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | $130.14 | $723.00 | $25.00 – $2,593.40 | 77 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $278.28 | $1,546.00 | $55.00 – $4,650.58 | 77 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $2,240.46 | $12,447.00 | $25.00 – $18,670.50 | 85 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | $82.67 | $459.28 | $202.17 – $1,607.48 | 28 |
| Pr application of long arm splint CPT 29105 | $26.28 | $146.00 | $32.30 – $313.50 | 85 |
| Pr application splint static short arm CPT 29125 | $260.64 | $1,448.00 | $30.00 – $256.68 | 85 |
| Pr biopsy skin punch single lesion CPT 11104 | $224.28 | $1,246.00 | $17.00 – $784.27 | 85 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $26.10 | $145.00 | $9.00 – $72.29 | 85 |
| Prcrd drg 6+yr without anomly CPT 33017 | $1,333.26 | $7,407.00 | $85.22 – $635.27 | 85 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $162.54 | $903.00 | $24.33 – $413.00 | 86 |
| Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 | $37.80 | $210.00 | $37.60 – $121.48 | 85 |
| Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 | $53.46 | $297.00 | $53.40 – $173.30 | 85 |
| Prealbumin CPT 84134 | $75.06 | $417.00 | $5.08 – $163.05 | 61 |
| Pr ecg 12 lead report only CPT 93010 | $7.74 | $43.00 | $7.57 – $101.30 | 86 |
| Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 | $8.46 | $47.00 | $14.10 – $62.60 | 77 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $18.47 | $102.60 | $1.02 – $66.50 | 28 |
| Prednisone 1 mg tablet HCPCS J7512 | $5.82 | $32.33 | $0.01 – $66.50 | 29 |
| Pregabalin - sendout CPT 80366 | $12.38 | $68.75 | $0.04 – $14.00 | 23 |
| Pregnancy associated plasma protein-a CPT 84163 | $2.41 | $13.38 | $3.48 – $164.32 | 61 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $551.88 | $3,066.00 | $70.25 – $2,778.48 | 63 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $420.84 | $2,338.00 | $39.69 – $3,577.14 | 63 |
| Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 | $36.00 | $200.00 | $80.15 – $306.00 | 39 |
| Prenatal Care Only (4-6 visits) CPT 59425 | $232.20 | $1,290.00 | $300.00 – $1,935.00 | 85 |
| Prep skin to 100cm2 other CPT 15004 | $584.82 | $3,249.00 | $15.00 – $784.27 | 85 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $987.84 | $5,488.00 | $20.00 – $1,425.86 | 84 |
| Pressure max expiratory/inspiratory CPT 94799 | $317.88 | $1,766.00 | $85.22 – $2,701.98 | 39 |
| Pressure velocity wire add ves CPT 93572 | $734.76 | $4,082.00 | $38.40 – $5,102.50 | 81 |
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.