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 |
|---|---|---|---|---|
| Apheresis platelets CPT 36513 | $993.06 | $5,517.00 | $299.70 – $8,441.01 | 53 |
| Apheresis rbc CPT 36512 | $993.06 | $5,517.00 | $977.29 – $8,441.01 | 53 |
| Apheresis wbc CPT 36511 | $993.06 | $5,517.00 | $977.29 – $8,441.01 | 53 |
| Apl(pml-rara) quant - sendout CPT 81315 | $37.32 | $207.31 | $122.05 – $866.74 | 61 |
| Appendectomy add-on 44955 CPT 44955 | $44.82 | $249.00 | $63.92 – $175.84 | 57 |
| Appendix Removal (Laparoscopic) CPT 44970 | $392.04 | $2,178.00 | $130.00 – $1,396.07 | 77 |
| App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm CPT 15277 | $572.22 | $3,179.00 | $70.00 – $3,980.58 | 85 |
| App high cost ss f/n/g/h/f >100sq cm addl 100sq cm CPT 15278 | $165.78 | $921.00 | $35.00 – $140.68 | 85 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | $307.08 | $1,706.00 | $19.16 – $77.00 | 85 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | $879.12 | $4,884.00 | $25.00 – $3,980.58 | 85 |
| App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274 | $124.74 | $693.00 | $25.00 – $120.59 | 85 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | $216.00 | $1,200.00 | $12.75 – $60.00 | 85 |
| Application clubfoot cast CPT 29450 | $257.22 | $1,429.00 | $80.00 – $2,186.37 | 63 |
| Application finger splntstatic 29130 CPT 29130 | $159.84 | $888.00 | $22.34 – $256.68 | 85 |
| Application long leg splint 29505 CPT 29505 | $139.68 | $776.00 | $48.13 – $313.50 | 85 |
| Application lower leg splint 29515 CPT 29515 | $113.22 | $629.00 | $45.42 – $313.50 | 85 |
| Application multi layer compression below knee (both sides) CPT 29581 | $82.08 | $456.00 | $20.65 – $313.50 | 85 |
| Application of cylinder cast 29365 CPT 29365 | $58.68 | $326.00 | $38.00 – $539.60 | 85 |
| Application of forearm cast 29075 CPT 29075 | $288.90 | $1,605.00 | $35.00 – $539.60 | 85 |
| Application of long arm cast 29065 CPT 29065 | $46.26 | $257.00 | $58.89 – $539.60 | 85 |
| Application of long leg cast CPT 29355 | $70.56 | $392.00 | $11.00 – $588.00 | 85 |
| Application of long leg cast 29345 CPT 29345 | $257.22 | $1,429.00 | $82.67 – $553.50 | 85 |
| Application of paste boot 29580 CPT 29580 | $235.80 | $1,310.00 | $20.30 – $313.50 | 85 |
| Application short leg cast 29405 CPT 29405 | $174.78 | $971.00 | $51.03 – $539.60 | 85 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $1,243.62 | $6,909.00 | $74.51 – $1,425.86 | 85 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $1,224.54 | $6,803.00 | $20.00 – $1,425.86 | 85 |
| Applicator tag rfid localizer 12gx7cm HCPCS C1819 | $40.32 | $224.00 | $201.60 – $784.00 | 20 |
| Appl mltpln uni ext fixj sys CPT 20692 | $758.16 | $4,212.00 | $60.00 – $1,702.48 | 77 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $45.36 | $252.00 | $5.65 – $549.00 | 68 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | $56.70 | $315.00 | $11.22 – $549.00 | 68 |
| Appl multlay comprs arm/hand CPT 29584 | $56.88 | $316.00 | $12.83 – $483.48 | 55 |
| Appl unipln uni ext fixj sys CPT 20690 | $398.16 | $2,212.00 | $168.65 – $13,999.05 | 85 |
| Apply finger cast 29086 CPT 29086 | $155.52 | $864.00 | $43.20 – $313.50 | 85 |
| Apply forearm splintdynamic 29126 CPT 29126 | $187.02 | $1,039.00 | $41.69 – $256.68 | 85 |
| Apply hand/wrist cast 29085 CPT 29085 | $168.66 | $937.00 | $58.03 – $313.50 | 85 |
| Apply interstit radiat compl CPT 77778 | $1,394.64 | $7,748.00 | $85.22 – $11,854.44 | 60 |
| Apply intrcav radiat compl CPT 77763 | $520.74 | $2,893.00 | $85.22 – $4,426.29 | 60 |
| Apply intrcav radiat interm CPT 77762 | $287.28 | $1,596.00 | $85.22 – $2,441.88 | 60 |
| Apply intrcav radiat simple CPT 77761 | $215.64 | $1,198.00 | $85.22 – $1,832.94 | 60 |
| Apply of finger splint 29131 CPT 29131 | $80.82 | $449.00 | $27.88 – $113.81 | 85 |
| Apply rigid leg cast 29445 CPT 29445 | $257.22 | $1,429.00 | $81.06 – $539.60 | 85 |
| Apply short leg castambul type 29425 CPT 29425 | $122.76 | $682.00 | $46.92 – $539.60 | 85 |
| Apply surf ldr radionuclide CPT 77789 | $225.90 | $1,255.00 | $66.50 – $1,920.15 | 60 |
| Aprotonin, 10,000 kiu HCPCS J0365 | $595.98 | $3,311.00 | $4.79 – $2,156.00 | 25 |
| Aquaporin-4 antibody cba each CPT 86052 | $54.00 | $300.00 | $10.24 – $45.19 | 56 |
| Aquaporin-4 antibody elisa CPT 86051 | $2.08 | $11.53 | $9.80 – $43.25 | 56 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | $64.98 | $361.00 | $19.98 – $550.80 | 68 |
| Aquatic exercise - group charge CPT 97150 | $131.40 | $730.00 | $16.82 – $1,116.90 | 68 |
| Art bypass femoral-popliteal 35656 CPT 35656 | $648.90 | $3,605.00 | $50.00 – $5,407.50 | 85 |
| Art byp grft fem-popliteal 35556 CPT 35556 | $843.12 | $4,684.00 | $300.00 – $2,849.80 | 77 |
| Arterial blood draw/perc 36620 CPT 36620 | $164.34 | $913.00 | $35.84 – $1,369.50 | 85 |
| Artery xray each vessel 7577426 CPT 75774 | $1,493.82 | $8,299.00 | $2.60 – $2,996.87 | 86 |
| Artery xray of abdomen 75726-26 CPT 75726 | $3,826.44 | $21,258.00 | $85.22 – $32,524.74 | 62 |
| Artery x-rays adrenal gland CPT 75731 | $1,898.28 | $10,546.00 | $85.22 – $16,135.38 | 67 |
| Artery x-rays adrenals CPT 75733 | $2,088.18 | $11,601.00 | $85.22 – $17,749.53 | 62 |
| Artery x-rays arm/leg 75710-26 CPT 75710 | $2,745.72 | $15,254.00 | $8.40 – $6,091.58 | 86 |
| Artery x-rays arms/legs 75716-26 CPT 75716 | $3,020.40 | $16,780.00 | $9.48 – $6,091.58 | 86 |
| Artery x-rays chest CPT 75756 | $928.80 | $5,160.00 | $85.22 – $15,151.88 | 62 |
| Artery x-rays lung CPT 75741 | $1,898.28 | $10,546.00 | $85.22 – $16,135.38 | 62 |
| Artery x-rays lung CPT 75746 | $934.56 | $5,192.00 | $8.13 – $6,091.58 | 86 |
| Artery x-rays lungs CPT 75743 | $2,192.58 | $12,181.00 | $85.22 – $18,636.93 | 62 |
| Artery xrays of pelvis 75736 26 CPT 75736 | $2,552.40 | $14,180.00 | $85.22 – $25,924.14 | 62 |
| Artery x-rays spine CPT 75705 | $2,924.46 | $16,247.00 | $85.22 – $25,924.14 | 62 |
| Arthrd ant ntrbd min dsc crv CPT 22554 | $824.40 | $4,580.00 | $75.00 – $2,703.65 | 77 |
| Arthrd ant ntrbd min dsc lum CPT 22558 | $987.48 | $5,486.00 | $70.00 – $3,132.13 | 77 |
| Arthrd ant ntrbd min dsc thc CPT 22556 | $1,093.68 | $6,076.00 | $70.00 – $3,437.82 | 77 |
| Arthrd ant ntrbdy cervical CPT 22551 | $1,097.28 | $6,096.00 | $70.00 – $3,986.57 | 77 |
| Arthrd cmbn 1ntrspc lumbar CPT 22633 | $1,170.54 | $6,503.00 | $265.20 – $4,252.17 | 77 |
| Arthrd pst tq 1ntrspc lum CPT 22630 | $1,012.50 | $5,625.00 | $300.00 – $3,184.74 | 77 |
| Arthrd pst tq atlas-axis CPT 22595 | $991.80 | $5,510.00 | $75.00 – $2,996.82 | 77 |
| Arthrd pst tq craniocervical CPT 22590 | $1,036.62 | $5,759.00 | $75.00 – $3,154.68 | 77 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $428.04 | $2,378.00 | $28.41 – $592.19 | 85 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) CPT 20606 | $291.06 | $1,617.00 | $39.29 – $1,361.82 | 85 |
| Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611 | $308.34 | $1,713.00 | $39.00 – $592.19 | 85 |
| Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600 | $278.64 | $1,548.00 | $27.81 – $592.19 | 85 |
| Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) CPT 20610 | $611.28 | $3,396.00 | $14.00 – $592.19 | 85 |
| Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 CPT 20604 | $146.70 | $815.00 | $34.84 – $592.19 | 85 |
| Arthrodes/ant/cerv below c2 ea add 22552 CPT 22552 | $247.86 | $1,377.00 | $56.10 – $917.09 | 77 |
| Arthrodesis/cerv/thor/lumb/ea add 22585 CPT 22585 | $203.04 | $1,128.00 | $45.90 – $746.70 | 77 |
| Arthrodesis/combine app/ea add 22634 CPT 22634 | $303.30 | $1,685.00 | $68.70 – $1,125.06 | 77 |
| Arthrodesis/post interbdy/ea add 22632 CPT 22632 | $199.98 | $1,111.00 | $105.00 – $706.61 | 77 |
| Arthrodesis/sg level/cerv/below c2 22600 CPT 22600 | $856.44 | $4,758.00 | $105.00 – $2,560.83 | 77 |
| Arthrodesis/sng lev/ea add ver seg 22614 CPT 22614 | $244.98 | $1,361.00 | $55.50 – $871.98 | 77 |
| Arthrodesis subtalar CPT 28725 | $523.98 | $2,911.00 | $118.80 – $1,666.77 | 77 |
| Arthro, loose body + chondro HCPCS G0289 | $39.78 | $221.00 | $1.66 – $353.60 | 75 |
| Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah) CPT 29824 | $459.36 | $2,552.00 | $90.00 – $1,395.67 | 77 |
| Arthrotomy/elbow/exp/drain/rmv fb 24000 CPT 24000 | $329.40 | $1,830.00 | $74.46 – $972.21 | 77 |
| Arthrotomy hip w/drainage CPT 27030 | $623.16 | $3,462.00 | $166.20 – $13,999.05 | 85 |
| Arthrt ac sc jt exp/rmvl fb CPT 23044 | $378.72 | $2,104.00 | $92.70 – $1,190.21 | 77 |
| Arthrt elbw capsl exc rls CPT 24006 | $484.74 | $2,693.00 | $40.00 – $1,480.87 | 77 |
| Arthrt elbw jt expl bx rmvl CPT 24101 | $346.86 | $1,927.00 | $50.00 – $1,029.84 | 77 |
| Arthrt gh jt expl/drg/rmv fb CPT 23040 | $484.92 | $2,694.00 | $300.00 – $1,498.41 | 77 |
| Arthrt glenhumrl jt w/expl CPT 23107 | $451.26 | $2,507.00 | $92.70 – $1,380.64 | 77 |
| Arthrt hip expl/rmv loose/fb CPT 27033 | $648.36 | $3,602.00 | $70.00 – $2,059.69 | 77 |
| Arthrt rdcrpl/midcarpl jt CPT 25040 | $381.42 | $2,119.00 | $60.00 – $1,235.31 | 77 |
| Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah) CPT 29826 | $109.98 | $611.00 | $24.90 – $1,418.23 | 77 |
| Ascenda two piece catheter HCPCS C1772 | $10,080.00 | $56,000.00 | $1,600.00 – $196,000.00 | 16 |
| Ashkenazi jewish assoc dis CPT 81412 | $440.74 | $2,448.56 | $2,081.28 – $17,598.47 | 60 |
| Aspa gene CPT 81200 | $8.51 | $47.25 | $40.16 – $1,191.42 | 60 |
| Aspirate/inj ganglion cyst 20612 CPT 20612 | $137.16 | $762.00 | $32.88 – $592.19 | 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.