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 |
|---|---|---|---|---|
| Pulse ox continuous overnight monitoring CPT 94762 | $418.86 | $2,327.00 | $85.22 – $3,560.31 | 42 |
| Pulse ox multiple CPT 94761 | $87.66 | $487.00 | $4.22 – $745.11 | 42 |
| Pulse ox single CPT 94760 | $79.38 | $441.00 | $3.88 – $674.73 | 63 |
| Punc of shunt for asp or inj CPT 61070 | $556.02 | $3,089.00 | $130.68 – $4,726.17 | 53 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $71.82 | $399.00 | $12.66 – $530.00 | 63 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $490.32 | $2,724.00 | $8.00 – $784.27 | 85 |
| Puncture spinal lumbar diagnostic CPT 62270 | $557.64 | $3,098.00 | $23.00 – $1,361.82 | 85 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $15.66 | $87.00 | $6.24 – $304.50 | 28 |
| Pyruvate CPT 84210 | $2.08 | $11.58 | $3.74 – $121.03 | 61 |
| Pyruvate kinase CPT 84220 | $1.51 | $8.39 | $2.96 – $105.12 | 61 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $826.38 | $4,591.00 | $42.26 – $7,024.23 | 62 |
| Quant diff pulm perf w/imaging CPT 78597 | $660.42 | $3,669.00 | $36.88 – $5,613.57 | 62 |
| Quest t3 uptake CPT 84479 | $49.86 | $277.00 | $2.15 – $72.11 | 61 |
| Quinupristin/dalfopristin HCPCS J2770 | $150.84 | $838.00 | $222.61 – $2,933.00 | 28 |
| Rabies ig ht&sol human im/sc CPT 90377 | $807.90 | $4,488.33 | $205.85 – $6,867.14 | 57 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $697.90 | $3,877.24 | $172.17 – $3,091.52 | 60 |
| Radiation handling CPT 77790 | $29.70 | $165.00 | $18.51 – $667.00 | 60 |
| Radiation physics consult CPT 77336 | $424.98 | $2,361.00 | $41.02 – $3,612.33 | 60 |
| Radiation therapy dose plan CPT 77300 | $158.76 | $882.00 | $30.06 – $322.57 | 86 |
| Radiation therapy management CPT 77431 | $82.98 | $461.00 | $79.34 – $176.36 | 77 |
| Radiation treatment aid(s) CPT 77332 | $240.12 | $1,334.00 | $21.78 – $321.22 | 86 |
| Radiation treatment aid(s) CPT 77333 | $268.20 | $1,490.00 | $19.98 – $456.90 | 86 |
| Radiation treatment aid(s) CPT 77334 | $303.48 | $1,686.00 | $55.21 – $776.72 | 86 |
| Radiation treatment delivery CPT 77402 | $453.42 | $2,519.00 | $60.82 – $1,644.75 | 60 |
| Radiation treatment delivery CPT 77412 | $1,047.60 | $5,820.00 | $61.97 – $8,904.60 | 60 |
| Radiation tx management x5 CPT 77427 | $146.52 | $814.00 | $85.22 – $1,128.90 | 86 |
| Radical resection of elbow CPT 24149 | $795.24 | $4,418.00 | $30.00 – $2,365.38 | 77 |
| Radiology port images(s) CPT 77417 | $257.04 | $1,428.00 | $85.22 – $4,998.00 | 28 |
| Radiotherapy dose plan imrt CPT 77301 | $1,743.66 | $9,687.00 | $85.22 – $6,367.01 | 86 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $1,900.80 | $10,560.00 | $85.22 – $16,156.80 | 62 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $1,347.30 | $7,485.00 | $19.70 – $11,452.05 | 62 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $1,623.06 | $9,017.00 | $85.22 – $31,559.50 | 61 |
| Radphm lcl tumor plr sgl day CPT 78800 | $821.16 | $4,562.00 | $54.76 – $6,979.86 | 62 |
| Range of motion measurements CPT 95852 | $82.44 | $458.00 | $4.45 – $700.74 | 67 |
| Ranibizumab injection HCPCS J2778 | $710.69 | $3,948.30 | $57.68 – $5,935.06 | 61 |
| Rapid Strep Test CPT 87880 | $74.52 | $414.00 | $3.00 – $486.54 | 61 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $369.18 | $2,051.00 | $231.61 – $7,178.50 | 60 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | $2,302.49 | $12,791.59 | $190.12 – $29,791.61 | 53 |
| Rbc count only automated CPT 85041 | $0.48 | $2.67 | $0.92 – $33.54 | 61 |
| Rbc deglycerolized each unit HCPCS P9039 | $128.88 | $716.00 | $266.05 – $1,095.48 | 59 |
| Rbc irradiated each unit HCPCS P9038 | $27.90 | $155.00 | $123.44 – $665.00 | 59 |
| Rbc osmotic fragility CPT 85555 | $13.09 | $72.73 | $1.97 – $107.38 | 61 |
| Reconstruct elbow med ligmnt CPT 24346 | $742.86 | $4,127.00 | $163.81 – $2,255.13 | 77 |
| Reconstruct head of radius CPT 24366 | $461.88 | $2,566.00 | $104.70 – $1,433.26 | 77 |
| Reconstruction knee CPT 27427 | $478.62 | $2,659.00 | $61.00 – $1,498.41 | 77 |
| Reconstruction knee CPT 27428 | $749.88 | $4,166.00 | $100.00 – $2,287.70 | 77 |
| Reconstruction knee CPT 27429 | $845.28 | $4,696.00 | $95.00 – $2,555.81 | 77 |
| Reconstruct shoulder joint CPT 23470 | $126.90 | $705.00 | $40.00 – $2,585.88 | 77 |
| Reconstruct shoulder joint CPT 23472 | $1,426.68 | $7,926.00 | $45.00 – $3,187.25 | 77 |
| Red blood cells each unit HCPCS P9021 | $48.42 | $269.00 | $127.98 – $665.00 | 59 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $48.42 | $269.00 | $157.17 – $665.00 | 59 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $243.00 | $1,350.00 | $225.60 – $665.00 | 59 |
| Redo endovas vena cava filtr CPT 37192 | $4,084.92 | $22,694.00 | $85.22 – $34,721.82 | 57 |
| Reduction of procidentia 45900 CPT 45900 | $120.24 | $668.00 | $20.00 – $393.29 | 77 |
| Refill/maint pump/resvr syst CPT 96522 | $199.08 | $1,106.00 | $36.43 – $1,494.81 | 59 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $122.94 | $683.00 | $7.29 – $2,255.40 | 29 |
| Reinsertion of spinal fixation device 22849 CPT 22849 | $849.60 | $4,720.00 | $60.00 – $2,736.22 | 77 |
| Release forearm/hand tendon CPT 26449 | $483.30 | $2,685.00 | $143.34 – $1,914.35 | 77 |
| Release of lower leg tendon CPT 27680 | $289.08 | $1,606.00 | $22.00 – $927.11 | 77 |
| Relocation skin pocket aicd CPT 33223 | $1,826.28 | $10,146.00 | $85.22 – $15,523.38 | 56 |
| Relocation skin pocket pm CPT 33222 | $1,595.70 | $8,865.00 | $85.22 – $13,563.45 | 56 |
| Rem/biv cast full arm/leg CPT 29705 | $29.34 | $163.00 | $30.00 – $539.60 | 85 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | $278.70 | $1,548.33 | $5.86 – $180.31 | 58 |
| Rem endovas vena cava filter CPT 37193 | $4,738.50 | $26,325.00 | $85.22 – $40,277.25 | 57 |
| Rem interrog dev eval icpms CPT 93297 | $11.34 | $63.00 | $18.90 – $163.37 | 86 |
| Rem interrog evl pm/ldls pm CPT 93294 | $13.50 | $75.00 | $22.50 – $239.34 | 86 |
| Remote 30 day ecg rev/report CPT 93228 | $11.70 | $65.00 | $19.50 – $189.93 | 86 |
| Removal anal seton other marker 46030 CPT 46030 | $45.54 | $253.00 | $25.00 – $2,308.62 | 85 |
| Removal biliary drg cath CPT 47537 | $1,266.12 | $7,034.00 | $368.95 – $10,762.02 | 53 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $1,588.50 | $8,825.00 | $40.00 – $1,210.22 | 85 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $1,861.02 | $10,339.00 | $65.00 – $3,036.95 | 85 |
| Removal cerumen impacted (both sides) CPT 69210 | $139.14 | $773.00 | $11.00 – $172.50 | 85 |
| Removal clot in graft oth/thn 35875 CPT 35875 | $362.34 | $2,013.00 | $65.00 – $10,735.29 | 85 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $82.98 | $461.00 | $20.99 – $580.61 | 70 |
| Removal foreign body foot subcutaneous right CPT 28190 | $493.20 | $2,740.00 | $117.30 – $1,366.16 | 85 |
| Removal implant superficial separate procedure CPT 20670 | $99.18 | $551.00 | $17.00 – $3,186.35 | 85 |
| Removal of anal fissure CPT 46200 | $234.72 | $1,304.00 | $50.00 – $588.02 | 77 |
| Removal of anal tags CPT 46230 | $1,531.26 | $8,507.00 | $35.00 – $5,354.94 | 85 |
| Removal of ankle implant CPT 27704 | $382.68 | $2,126.00 | $30.00 – $1,160.14 | 77 |
| Removal of bone for graft CPT 20900 | $117.54 | $653.00 | $26.70 – $1,222.78 | 77 |
| Removal of bone for graft CPT 20902 | $177.66 | $987.00 | $40.20 – $1,265.38 | 77 |
| Removal of bone lesion CPT 23140 | $380.16 | $2,112.00 | $27.00 – $1,052.39 | 77 |
| Removal of forearm lesion CPT 25120 | $346.32 | $1,924.00 | $40.00 – $1,448.29 | 77 |
| Removal of foreign body CPT 27372 | $273.06 | $1,517.00 | $47.65 – $5,603.93 | 85 |
| Removal of hip joint lining CPT 27054 | $466.74 | $2,593.00 | $148.92 – $1,408.20 | 77 |
| Removal of hip prosthesis CPT 27090 | $555.12 | $3,084.00 | $25.00 – $1,748.98 | 77 |
| Removal of hip prosthesis CPT 27091 | $1,047.06 | $5,817.00 | $135.14 – $3,325.06 | 77 |
| Removal of humerus lesion CPT 23150 | $453.42 | $2,519.00 | $52.00 – $1,338.04 | 77 |
| Removal of implant deep CPT 20680 | $282.42 | $1,569.00 | $33.00 – $5,603.93 | 85 |
| Removal of kneecap CPT 27350 | $445.14 | $2,473.00 | $45.00 – $1,350.57 | 77 |
| Removal of kneecap bursa CPT 27340 | $261.18 | $1,451.00 | $75.00 – $746.70 | 77 |
| Removal of knee cartilage CPT 27332 | $440.46 | $2,447.00 | $300.00 – $1,325.52 | 77 |
| Removal of knee cyst CPT 27345 | $335.88 | $1,866.00 | $50.00 – $989.75 | 77 |
| Removal of knee prosthesis CPT 27488 | $796.86 | $4,427.00 | $168.65 – $24,769.05 | 85 |
| Removal of skin tags each add'l 10 CPT 11201 | $10.44 | $58.00 | $11.53 – $73.50 | 85 |
| Removal prosth radial head CPT 24164 | $489.60 | $2,720.00 | $42.81 – $1,109.19 | 77 |
| Removal/replacement ppm generator dual lead system CPT 33228 | $14,458.14 | $80,323.00 | $55.00 – $20,164.50 | 85 |
| Removal skin tags fibrocutaneous any area <= 15 lesions CPT 11200 | $151.02 | $839.00 | $31.65 – $444.00 | 85 |
| Removal tunnled intprtnl cath CPT 49422 | $138.42 | $769.00 | $17.00 – $6,091.58 | 85 |
| Removal w/reinsrt nonbiogrdble CPT 11983 | $142.92 | $794.00 | $76.83 – $861.84 | 85 |
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.