healthcosts.net

WHITE MEMORIAL MEDICAL CENTER

1720 E Cesar E Chavez Ave Los Angeles CA 90033|309 W Beverly Blvd, MONTEBELLO, CA · Adventisthealth · · NPI 1215927470

Source: hospital's published price file ↗ · Published May 23, 2026 · Ingested Sep 16, 2026

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
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 $81.00 $450.00 $6.20 – $493.03 61
Pretreat rbc absorption reference CPT 86978 $17.73 $98.50 $7.44 – $200.57 61
Pretreat rbc w chem/drugs reference CPT 86970 $31.38 $174.35 $4.07 – $170.72 61
Pretreat rbc w enzyme reference CPT 86971 $75.42 $419.00 $6.44 – $665.00 65
Pr evaluation psychiatric diagnostic w/medical services CPT 90792 $132.48 $736.00 $103.25 – $366.35 85
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 $62.64 $348.00 $101.88 – $487.20 83
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 $389.16 $2,162.00 $28.00 – $3,186.35 85
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 $671.76 $3,732.00 $14.00 – $3,186.35 85
Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 $499.86 $2,777.00 $24.00 – $784.27 85
Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 $870.30 $4,835.00 $40.00 – $7,438.17 85
Prgrmg dev eval pm/ldls pm CPT 93279 $82.26 $457.00 $21.24 – $165.90 86
Prgrmg dev eval scrms ip CPT 93285 $11.52 $64.00 $19.20 – $134.22 86
Prgrmg eval implantable dfb CPT 93282 $18.90 $105.00 $25.60 – $175.19 86
Prgrmg eval implantable dfb CPT 93283 $127.80 $710.00 $29.56 – $199.22 86
Prgrmg eval implantable dfb CPT 93284 $133.20 $740.00 $33.53 – $226.23 86
Prgr stim/pace a/iv drug CPT 93623 $2,935.26 $16,307.00 $85.22 – $57,074.50 24
Pr hospital ip/obs care initial high level per day CPT 99223 $88.20 $490.00 $80.10 – $319.64 77
Pr hospital ip/obs care initial moderate level per day CPT 99222 $60.12 $334.00 $73.20 – $219.07 85
Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 $37.98 $211.00 $34.30 – $156.62 85
Pr hospital ip/obs care subsequent high level per day CPT 99233 $54.54 $303.00 $45.80 – $171.27 77
Pr hospital ip/obs care subsequent moderate level per day CPT 99232 $36.54 $203.00 $37.80 – $117.25 77
Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 $22.50 $125.00 $27.50 – $70.43 85
Prim art mech thrmbc non-intracranial CPT 37184 $8,139.24 $45,218.00 $85.22 – $35,366.25 85
Prim art mech thrmbc non-intracranial add-on CPT 37185 $3,370.32 $18,724.00 $85.22 – $1,780.81 85
Pr incision & drainage abscess complicated/multiple CPT 10061 $381.78 $2,121.00 $25.00 – $1,038.00 85
Pr incision & drainage abscess simple/single CPT 10060 $180.36 $1,002.00 $15.00 – $387.07 85
Pr incision & drainage abscess vulva/perineal CPT 56405 $272.52 $1,514.00 $33.00 – $718.50 85
Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 $263.16 $1,462.00 $20.00 – $784.27 85
Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 $249.66 $1,387.00 $9.63 – $231.08 85
Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 $415.08 $2,306.00 $30.00 – $1,394.31 77
Probe cryo 1150mm endo flex ster disp HCPCS C2618 $1,871.82 $10,399.00 $1,600.00 – $36,396.50 20
Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 $58.45 $324.70 $68.74 – $937.98 61
Procalcitonin CPT 84145 $98.46 $547.00 $5.76 – $634.95 61
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 $12.23 $67.93 $6.86 – $237.76 29
Proctosigmoidoscopy dx 45300 CPT 45300 $738.54 $4,103.00 $25.00 – $1,794.12 85
Progesterone CPT 84144 $132.12 $734.00 $7.32 – $232.53 61
Prolactin CPT 84146 $86.40 $480.00 $6.79 – $215.95 61
Prolng ip/obs e/m ea 15 min CPT 99418 $94.50 $525.00 $38.41 – $840.00 29
Prolng off/op e/m ea 15 min 99417 CPT 99417 $5.94 $33.00 $29.70 – $80.04 37
Prolong service without contact CPT 99358 $56.70 $315.00 $80.04 – $238.26 39
Prolong serv without contact add CPT 99359 $9.72 $54.00 $30.60 – $119.47 39
Promethazine hcl injection HCPCS J2550 $9.96 $55.33 $2.03 – $193.66 29
Propofol infusion 10 mg/ml HCPCS J2704 $21.30 $118.33 $0.12 – $196.00 29
_propoxygc/msur CPT 80367 $33.48 $186.00 $0.04 – $528.50 26
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 $10.85 $60.30 $11.36 – $211.05 29
Prostate biopsy, any mthd HCPCS G0416 $101.34 $563.00 $119.96 – $2,701.22 62
Protamine 10 mg/ml intravenous solution HCPCS J2720 $24.73 $137.38 $1.16 – $314.44 29
Protein c activity CPT 85303 $2.21 $12.30 $4.50 – $154.27 61
Protein electrophoretic fractionation & quantitation serum CPT 84165 $142.38 $791.00 $3.69 – $119.83 61
Protein s total CPT 85305 $1.86 $10.32 $4.00 – $129.58 61
Protein total 24 hour urine CPT 84156 $52.56 $292.00 $0.84 – $40.97 61
Protein total body fluid CPT 84157 $43.74 $243.00 $0.78 – $40.97 61
Protein total serum plasma whole blood CPT 84155 $37.26 $207.00 $1.14 – $40.82 61
Prothrombin complex kcentra HCPCS J7168 $0.71 $3.97 $1.75 – $9.66 61
Prothrombin time substitution plasma fractions each CPT 85611 $67.32 $374.00 $1.25 – $43.89 61
Prp i/hern init block >5 yr CPT 49507 $329.22 $1,829.00 $65.00 – $1,225.58 77
Pr planning advance care 1st 30 minutes CPT 99497 $41.94 $233.00 $58.79 – $239.39 85
Prq card revasc mi 1 vsl CPT 92941 $6,558.12 $36,434.00 $85.22 – $1,868.72 85
Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 $8,530.92 $47,394.00 $80.04 – $71,504.55 33
Prq revasc byp graft 1 art and/or branches CPT 92937 $10,791.18 $59,951.00 $85.22 – $22,271.70 85
Prq tcat plmt ntrac st 1 les CPT 92928 $8,076.06 $44,867.00 $85.22 – $22,271.70 85
Prq tcat plmt ntrac st 2+les CPT 92930 $11,003.04 $61,128.00 $85.22 – $93,525.84 37
Prq trlml c athrc st angiop1 CPT 92933 $10,113.66 $56,187.00 $85.22 – $35,366.25 85
Prq trl rvs ch occ ant&rtrgr CPT 92945 $6,368.94 $35,383.00 $85.22 – $54,135.99 37
Prq trluml c angiop 1art&/br CPT 92920 $6,051.96 $33,622.00 $85.22 – $10,980.45 85
Prq trluml c athrc 1 art&/br CPT 92924 $7,070.58 $39,281.00 $85.22 – $22,271.70 85
Prq trluml revsc ch occ ant CPT 92943 $6,363.54 $35,353.00 $85.22 – $22,271.70 85
Pr removal drug delivery implant CPT 11982 $306.00 $1,700.00 $145.93 – $2,601.00 53
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 $378.90 $2,105.00 $35.00 – $784.27 85
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 $128.52 $714.00 $18.00 – $387.07 85
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 $138.06 $767.00 $38.00 – $387.07 85
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 $109.62 $609.00 $38.38 – $387.07 85
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 $134.28 $746.00 $32.00 – $387.07 85
Pr robotic surgical system HCPCS S2900 $26.82 $149.00 $80.04 – $3,752.14 27
Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 $408.96 $2,272.00 $20.00 – $1,464.26 77
Pr subsequent hospital care e/m normal newborn per day CPT 99462 $18.54 $103.00 $25.20 – $85.27 77
Prtl excision bone clavicle CPT 23180 $469.80 $2,610.00 $77.81 – $1,498.41 77
Pr visit complexity e&m service serious/complex condition HCPCS G2211 $12.24 $68.00 $0.01 – $95.20 81
PSA (Prostate) Test CPT 84153 $77.22 $429.00 $6.44 – $204.99 61
Psychotherapy group therapy CPT 90853 $80.46 $447.00 $6.46 – $683.91 54
Psychotherapy patient individual therapy 30 minutes CPT 90832 $124.20 $690.00 $75.84 – $1,055.70 59
Psychotherapy patient individual therapy 45 minutes CPT 90834 $133.56 $742.00 $67.16 – $342.43 85
Psychotherapy patient individual therapy 60 minutes CPT 90837 $133.56 $742.00 $127.23 – $1,135.26 59
Psytx complex interactive CPT 90785 $72.18 $401.00 $5.57 – $613.53 59
Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 $55.80 $310.00 $12.42 – $549.00 68
Pt application of modality >=1 area hot/cold packs CPT 97010 $32.04 $178.00 $18.31 – $623.00 36
Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 $59.22 $329.00 $13.17 – $549.00 68
Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 $45.72 $254.00 $10.66 – $549.00 68
Pt application of modality traction mechanical CPT 97012 $59.94 $333.00 $13.33 – $549.00 68
Pten gene known fam variant CPT 81322 $6.85 $38.05 $38.05 – $178.96 61
Pt evaluation high complexity patient/family CPT 97163 $246.96 $1,372.00 $80.00 – $2,099.16 68
Pt evaluation low complexity patient/family CPT 97161 $241.20 $1,340.00 $80.00 – $4,690.00 67
Pt evaluation moderate complexity patient/family CPT 97162 $244.80 $1,360.00 $80.00 – $4,760.00 67
Pt re-evaluation patient/family CPT 97164 $115.20 $640.00 $63.83 – $979.20 68
Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 $64.98 $361.00 $16.18 – $549.00 68
Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 $42.66 $237.00 $14.76 – $549.00 68
Pt wheelchair management each 15 minutes CPT 97542 $66.24 $368.00 $29.16 – $1,081.50 67
Pul art balloon repr percut CPT 92997 $2,820.06 $15,667.00 $85.22 – $33,407.55 58
Pul art balloon repr percut CPT 92998 $2,255.94 $12,533.00 $85.22 – $19,175.49 58
Pulmonary vent imaging CPT 78579 $402.66 $2,237.00 $24.60 – $3,422.61 62

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.