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 |
|---|---|---|---|---|
| Reticulocyte automated CPT 85045 | $56.88 | $316.00 | $1.27 – $44.57 | 61 |
| Reticulocyte direct measurement automated CPT 85046 | $0.83 | $4.61 | $1.84 – $61.98 | 61 |
| Revasc evasc fpvt angio cplx 1st CPT 37265 | $4,776.30 | $26,535.00 | $50.00 – $33,168.75 | 76 |
| Revasc evasc fpvt angio sf 1st CPT 37263 | $4,776.30 | $26,535.00 | $50.00 – $33,168.75 | 76 |
| Revasc evasc fpvt athrec cplx 1st CPT 37273 | $11,003.04 | $61,128.00 | $85.22 – $213,948.00 | 57 |
| Revasc evasc fpvt athrec sf 1st CPT 37271 | $10,113.66 | $56,187.00 | $85.22 – $196,654.50 | 57 |
| Revasc evasc fpvt st athrec sf 1st CPT 37275 | $16,395.12 | $91,084.00 | $80.00 – $35,366.25 | 76 |
| Revasc evasc fpvt stent cplx 1st CPT 37269 | $12,256.56 | $68,092.00 | $85.22 – $238,322.00 | 57 |
| Revasc evasc fpvt stent sf 1st CPT 37267 | $12,256.56 | $68,092.00 | $85.22 – $238,322.00 | 57 |
| Revasc evasc imvt angio cplx 1st CPT 37298 | $6,929.10 | $38,495.00 | $75.00 – $48,118.75 | 76 |
| Revasc evasc imvt angio sf 1st CPT 37296 | $6,929.10 | $38,495.00 | $80.00 – $48,118.75 | 76 |
| Revasc evasc ivt angio cplx 1st CPT 37256 | $12,256.56 | $68,092.00 | $50.00 – $85,115.00 | 76 |
| Revasc evasc ivt stent cplx 1st CPT 37260 | $14,982.84 | $83,238.00 | $75.00 – $104,047.50 | 76 |
| Revasc evasc ivt stent sf 1st CPT 37258 | $14,982.84 | $83,238.00 | $50.00 – $104,047.50 | 76 |
| Revasc evasc tpvt angio cplx 1st CPT 37282 | $8,858.88 | $49,216.00 | $45.00 – $61,520.00 | 76 |
| Revasc evasc tpvt angio sf 1st CPT 37280 | $6,929.10 | $38,495.00 | $75.00 – $48,118.75 | 76 |
| Revasc evasc tpvt athrec cplx 1st CPT 37290 | $13,057.56 | $72,542.00 | $85.22 – $253,897.00 | 57 |
| Revasc evasc tpvt athrec sf 1st CPT 37288 | $13,057.56 | $72,542.00 | $85.22 – $253,897.00 | 57 |
| Revasc intra lithotrip-ather HCPCS C9766 | $10,864.98 | $60,361.00 | $85.22 – $92,352.33 | 37 |
| Revasc intra lithotrip-stent HCPCS C9765 | $11,675.52 | $64,864.00 | $1,600.00 – $99,241.92 | 36 |
| Revasc intravasc lithotripsy HCPCS C9764 | $6,911.82 | $38,399.00 | $1,600.00 – $58,750.47 | 36 |
| Revasc lithotr-ather tib/per HCPCS C9774 | $10,525.68 | $58,476.00 | $85.22 – $89,468.28 | 37 |
| Revasc lithotrip-stent-ather HCPCS C9767 | $24,979.68 | $138,776.00 | $85.22 – $212,327.28 | 37 |
| Revasc lithotrip tibi/perone HCPCS C9772 | $8,025.12 | $44,584.00 | $85.22 – $68,213.52 | 37 |
| Revise arm/leg nerve CPT 64708 | $348.30 | $1,935.00 | $76.00 – $1,170.57 | 77 |
| Revise hip joint replacement CPT 27134 | $1,240.92 | $6,894.00 | $135.00 – $4,151.94 | 77 |
| Revise hip joint replacement CPT 27138 | $997.38 | $5,541.00 | $226.20 – $3,284.97 | 57 |
| Revise hip joint replacement CPT 27137 | $961.02 | $5,339.00 | $115.00 – $3,154.68 | 77 |
| Revise kneecap CPT 27437 | $672.48 | $3,736.00 | $65.00 – $1,378.14 | 77 |
| Revise kneecap with implant CPT 27438 | $847.08 | $4,706.00 | $120.00 – $1,753.99 | 77 |
| Revise reconst elbow joint CPT 24371 | $1,159.38 | $6,441.00 | $30.00 – $4,164.47 | 77 |
| Revise/replace knee joint CPT 27486 | $1,390.50 | $7,725.00 | $90.00 – $2,974.27 | 77 |
| Revise/replace knee joint CPT 27487 | $1,148.94 | $6,383.00 | $90.00 – $3,763.56 | 77 |
| Revise spine eltrd plate CPT 63664 | $585.00 | $3,250.00 | $121.00 – $2,529.41 | 77 |
| Revision of arm nerve(s) CPT 64713 | $531.36 | $2,952.00 | $46.00 – $1,882.73 | 77 |
| Revision of collar bone CPT 23480 | $550.98 | $3,061.00 | $84.51 – $1,733.94 | 77 |
| Revision of colostomy comp in-depth 44345 CPT 44345 | $832.32 | $4,624.00 | $30.00 – $2,024.87 | 77 |
| Revision of knee joint CPT 27446 | $1,139.58 | $6,331.00 | $172.20 – $2,377.91 | 57 |
| Revision of radius CPT 25350 | $459.36 | $2,552.00 | $104.10 – $1,849.21 | 77 |
| Revision of sciatic nerve CPT 64712 | $399.78 | $2,221.00 | $300.00 – $1,356.11 | 77 |
| Revision of thigh muscles CPT 27430 | $500.76 | $2,782.00 | $121.00 – $13,999.05 | 85 |
| Revision of ulna CPT 25360 | $447.30 | $2,485.00 | $70.00 – $1,806.61 | 77 |
| Revision of unstable kneecap CPT 27420 | $504.36 | $2,802.00 | $55.00 – $1,566.06 | 77 |
| Revision of unstable kneecap CPT 27422 | $502.20 | $2,790.00 | $123.60 – $1,561.05 | 77 |
| Revision open av fistula without thromb CPT 36832 | $6,921.72 | $38,454.00 | $85.22 – $16,102.94 | 58 |
| Revision tips CPT 37183 | $10,506.78 | $58,371.00 | $324.32 – $89,307.63 | 53 |
| Revis reconst shoulder joint CPT 23473 | $1,055.52 | $5,864.00 | $45.00 – $3,818.69 | 77 |
| Revis reconst shoulder joint CPT 23474 | $1,137.78 | $6,321.00 | $258.00 – $4,119.37 | 77 |
| Rev-rem impl neurostim gen-rec CPT 63688 | $197.82 | $1,099.00 | $45.00 – $6,744.87 | 85 |
| Rheumatoid factor qualitative CPT 86430 | $72.90 | $405.00 | $1.87 – $238.68 | 61 |
| Rheumatoid factor quantitative CPT 86431 | $36.90 | $205.00 | $1.87 – $62.28 | 61 |
| Rho d immune globulin inj HCPCS J2790 | $67.32 | $374.00 | $106.15 – $1,244.43 | 29 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | $31.76 | $176.43 | $0.41 – $617.51 | 25 |
| Right ventric recording CPT 93603 | $2,759.40 | $15,330.00 | $85.22 – $24,362.00 | 58 |
| Ring fx reform 11-13x17mm HCPCS L8610 | $1,397.16 | $7,762.00 | $597.14 – $27,167.00 | 46 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | $148.62 | $825.69 | $0.01 – $1,923.03 | 61 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $1,133.80 | $6,298.91 | $63.03 – $3,862.58 | 61 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $999.31 | $5,551.73 | $26.59 – $9,526.44 | 58 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $965.28 | $5,362.66 | $11.63 – $3,240.34 | 61 |
| Rmv anterior spine instrumentation 22855 CPT 22855 | $722.34 | $4,013.00 | $55.00 – $2,297.73 | 77 |
| Rmvl ext fixj sys under anes CPT 20694 | $235.26 | $1,307.00 | $200.67 – $922.10 | 77 |
| Rmvl icd by tv extr CPT 33244 | $2,556.90 | $14,205.00 | $85.22 – $21,733.65 | 56 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $22,894.92 | $127,194.00 | $85.22 – $194,606.82 | 56 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $21,673.80 | $120,410.00 | $85.22 – $184,227.30 | 56 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $29,122.02 | $161,789.00 | $85.22 – $247,537.17 | 56 |
| Rmvl icd pulse gen only CPT 33241 | $3,404.70 | $18,915.00 | $85.22 – $28,939.95 | 56 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $1,174.68 | $6,526.00 | $152.64 – $9,984.78 | 53 |
| Rmvl ninfct mesh hernia rpr 49623 CPT 49623 | $108.90 | $605.00 | $6.00 – $311.31 | 73 |
| Rmvl perm pm pulse gen CPT 33233 | $3,602.88 | $20,016.00 | $85.22 – $30,624.48 | 60 |
| Rmvl perq right heart vad CPT 33997 | $3,915.72 | $21,754.00 | $118.70 – $33,283.62 | 53 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $9,671.40 | $53,730.00 | $85.22 – $82,206.90 | 55 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $12,766.14 | $70,923.00 | $85.22 – $108,512.19 | 55 |
| Rmvl pq iabp CPT 33968 | $457.74 | $2,543.00 | $5.21 – $68.89 | 85 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | $1,091.16 | $6,062.00 | $85.22 – $609.76 | 85 |
| Rmvl sq defib electrode CPT 33272 | $2,832.30 | $15,735.00 | $316.08 – $24,074.55 | 53 |
| Rmvl subq card rhythm mntr CPT 33286 | $1,353.78 | $7,521.00 | $64.04 – $1,366.16 | 85 |
| Rmvl tot arthrp 1ntrspc crv CPT 22864 | $1,324.08 | $7,356.00 | $300.00 – $3,487.93 | 77 |
| Rmvl tv pm lead dual CPT 33235 | $2,876.76 | $15,982.00 | $85.22 – $24,452.46 | 56 |
| Rmvl tv pm lead sgl CPT 33234 | $2,506.50 | $13,925.00 | $85.22 – $21,305.25 | 56 |
| Rmv prosth mat/mesh/abd wall/infec 11008 CPT 11008 | $145.08 | $806.00 | $11.00 – $1,209.00 | 85 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | $1,377.00 | $7,650.00 | $9.44 – $17,816.85 | 52 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $38.87 | $215.93 | $0.13 – $18.55 | 28 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $1,735.74 | $9,643.00 | $71.87 – $14,753.79 | 58 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | $2,116.98 | $11,761.00 | $72.97 – $17,994.33 | 60 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | $2,179.80 | $12,110.00 | $85.22 – $18,528.30 | 60 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $1,814.76 | $10,082.00 | $63.30 – $15,425.46 | 58 |
| Rpl tun-cvad w subq port CPT 36582 | $6,039.36 | $33,552.00 | $85.22 – $6,091.58 | 85 |
| Rpl tun cvc wo subq port CPT 36581 | $2,837.70 | $15,765.00 | $65.00 – $6,091.58 | 85 |
| Rpr aa hrn 1st > 10 rdc CPT 49595 | $417.96 | $2,322.00 | $124.35 – $1,215.45 | 73 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | $370.08 | $2,056.00 | $155.00 – $1,176.12 | 73 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | $361.80 | $2,010.00 | $130.00 – $905.04 | 73 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | $186.30 | $1,035.00 | $155.00 – $6,907.49 | 81 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | $257.94 | $1,433.00 | $160.00 – $751.40 | 73 |
| Rpr aa hrn rcr > 10 ncr/strn CPT 49618 | $613.08 | $3,406.00 | $300.00 – $1,953.23 | 73 |
| Rpr aa hrn rcr < 3 rdc CPT 49613 | $228.96 | $1,272.00 | $300.00 – $667.86 | 73 |
| Rpr blood ves w/vein graft/up ext 35236 CPT 35236 | $628.56 | $3,492.00 | $45.00 – $10,735.29 | 85 |
| Rpr csf leak/pseudomeng/laminectomy63709 CPT 63709 | $729.90 | $4,055.00 | $70.00 – $2,750.43 | 77 |
| Rpr fem hernia init blocked CPT 49553 | $340.56 | $1,892.00 | $300.00 – $6,907.49 | 85 |
| Rpr parastomal hernia rdc 49621 CPT 49621 | $475.92 | $2,644.00 | $155.00 – $1,174.42 | 73 |
| Rpr parastomal hrna ncr/strn 49622 CPT 49622 | $505.98 | $2,811.00 | $300.00 – $1,448.02 | 53 |
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.