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 |
|---|---|---|---|---|
| Tc-99m sulfur colloid HCPCS A9541 | $18.18 | $101.00 | $55.24 – $2,045.69 | 31 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $282.24 | $1,568.00 | $85.22 – $5,488.00 | 31 |
| Tc-99m tilmanocept diag HCPCS A9520 | $647.82 | $3,599.00 | $85.22 – $12,596.50 | 28 |
| Tcd emboli detect w/inj CPT 93893 | $673.74 | $3,743.00 | $85.22 – $5,726.79 | 63 |
| Tcd emboli detect without inj CPT 93892 | $595.44 | $3,308.00 | $85.22 – $5,061.24 | 63 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $7.48 | $41.55 | $16.51 – $439.77 | 61 |
| T cells absolute cd 4 count CPT 86361 | $4.28 | $23.80 | $9.44 – $300.14 | 61 |
| T cells total count CPT 86359 | $6.08 | $33.75 | $13.37 – $421.17 | 61 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | $532.98 | $2,961.00 | $238.27 – $4,441.50 | 85 |
| Team conf without pat by phys CPT 99367 | $24.84 | $138.00 | $124.20 – $483.00 | 22 |
| Telethx isodose plan cplx CPT 77307 | $364.50 | $2,025.00 | $85.22 – $1,145.33 | 86 |
| Telethx isodose plan simple CPT 77306 | $129.60 | $720.00 | $67.82 – $722.37 | 86 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | $855.85 | $4,754.73 | $8.84 – $11,073.77 | 58 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $8,154.55 | $45,303.03 | $112.11 – $158,560.61 | 50 |
| Tenodesis biceps tdn at elbw CPT 24340 | $412.92 | $2,294.00 | $30.00 – $1,277.91 | 77 |
| Tenotomy hip flexor open CPT 27005 | $487.08 | $2,706.00 | $40.00 – $1,533.49 | 77 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | $467.82 | $2,599.00 | $213.62 – $3,102.23 | 80 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $10.31 | $57.29 | $4.75 – $200.52 | 29 |
| Test for chlorohydrocarbons CPT 82441 | $21.06 | $117.00 | $1.78 – $179.01 | 61 |
| Testicular imaging w/vasc flow CPT 78761 | $587.16 | $3,262.00 | $56.39 – $4,990.86 | 62 |
| Test stress cardiovascular tracing only CPT 93017 | $707.04 | $3,928.00 | $75.23 – $6,009.84 | 63 |
| Tetanus immune globulin inj HCPCS J1670 | $231.52 | $1,286.20 | $223.78 – $2,995.56 | 61 |
| Theophylline therapeutic drug level CPT 80198 | $127.62 | $709.00 | $4.92 – $197.37 | 61 |
| Therapeutic procd strg endur HCPCS G0237 | $31.32 | $174.00 | $15.68 – $549.00 | 66 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $72.18 | $401.00 | $24.25 – $613.53 | 59 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $53.82 | $299.00 | $20.20 – $457.47 | 59 |
| Ther nma rdctj intus/obstrcj CPT 74283 | $206.64 | $1,148.00 | $47.58 – $1,756.44 | 42 |
| Ther/proph/diag inj ia CPT 96373 | $190.08 | $1,056.00 | $20.64 – $1,615.68 | 62 |
| Ther radiology tx plng cplx CPT 77263 | $127.80 | $710.00 | $85.22 – $1,078.19 | 86 |
| Ther radiology tx plng intrm CPT 77262 | $82.62 | $459.00 | $92.79 – $192.98 | 77 |
| Ther radiology tx plng smpl CPT 77261 | $53.64 | $298.00 | $61.12 – $128.10 | 77 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $15.63 | $86.85 | $1.89 – $221.41 | 28 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $1,020.24 | $5,668.00 | $92.33 – $8,672.04 | 53 |
| Thorax spine fusion CPT 22610 | $844.74 | $4,693.00 | $188.76 – $2,540.78 | 77 |
| Thrombectmy crnry perq mechanical CPT 92973 | $2,167.92 | $12,044.00 | $69.16 – $358.52 | 85 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | $7,670.34 | $42,613.00 | $85.22 – $65,197.89 | 58 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | $9,630.00 | $53,500.00 | $85.22 – $81,855.00 | 58 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | $12,985.74 | $72,143.00 | $85.22 – $110,378.79 | 58 |
| Thromb/endar/neck inc/car/vert/subc35301 CPT 35301 | $685.80 | $3,810.00 | $223.38 – $5,715.00 | 85 |
| Thrombin time CPT 85670 | $1.73 | $9.63 | $1.91 – $64.45 | 61 |
| Thromboendarterectomy common femoral CPT 35371 | $495.18 | $2,751.00 | $75.00 – $4,126.50 | 85 |
| Thromboendarterectomy sfa CPT 35302 | $3,875.76 | $21,532.00 | $50.00 – $2,280.86 | 85 |
| Thromboplastin inhibition CPT 85705 | $23.40 | $130.00 | $2.88 – $198.90 | 61 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $84.60 | $470.00 | $2.15 – $72.11 | 61 |
| Thyroglobulin antibody CPT 86800 | $102.60 | $570.00 | $3.88 – $177.23 | 61 |
| Thyroid imaging CPT 78013 | $172.80 | $960.00 | $20.33 – $2,124.03 | 62 |
| Thyroid mets imag whole body CPT 78018 | $968.58 | $5,381.00 | $84.58 – $8,232.93 | 62 |
| Thyroid met uptake CPT 78020 | $162.18 | $901.00 | $17.95 – $1,378.53 | 60 |
| Thyroid (TSH) Test CPT 84443 | $102.60 | $570.00 | $5.87 – $187.28 | 61 |
| Thyroid Ultrasound CPT 76536 | $431.28 | $2,396.00 | $44.50 – $3,116.61 | 62 |
| Thyroid uptake measurement CPT 78012 | $183.78 | $1,021.00 | $85.22 – $3,573.50 | 62 |
| Thyroxine binding globulin (tbg) CPT 84442 | $2.37 | $13.14 | $5.14 – $153.97 | 61 |
| Tigecycline injection HCPCS J3243 | $77.15 | $428.63 | $0.75 – $1,500.21 | 29 |
| Tilt table study CPT 93660 | $1,057.14 | $5,873.00 | $85.22 – $8,985.69 | 40 |
| Tirofiban 12.5 mg/50 ml HCPCS J3246 | $263.95 | $1,466.37 | $1.89 – $5,132.30 | 28 |
| Tissue culture placenta CPT 88235 | $31.59 | $175.50 | $100.00 – $1,230.56 | 64 |
| Tissue culture skin/biopsy CPT 88233 | $42.96 | $238.65 | $119.62 – $1,331.48 | 64 |
| Tissue exam koh skin/hair/nails CPT 87220 | $60.66 | $337.00 | $1.53 – $241.74 | 61 |
| Tissue transglutaminase iga CPT 86364 | $2.16 | $12.00 | $9.80 – $43.25 | 56 |
| Tl-201 thallium diag per mci HCPCS A9505 | $204.12 | $1,134.00 | $34.50 – $3,969.00 | 31 |
| Tnot opn elbw to sho ea tdn CPT 24310 | $323.10 | $1,795.00 | $60.00 – $984.74 | 77 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $11.93 | $66.25 | $5.64 – $74.90 | 29 |
| Tobramycin peak therapeutic drug level CPT 80200 | $153.18 | $851.00 | $5.62 – $179.63 | 61 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $1,377.00 | $7,650.00 | $4.70 – $6,754.40 | 61 |
| Tomosynthesis breast screen bilateral CPT 77063 | $16.20 | $90.00 | $31.58 – $349.43 | 66 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | $110.10 | $611.67 | $1.22 – $2,140.85 | 29 |
| Total hip arthroplasty CPT 27132 | $1,096.56 | $6,092.00 | $248.70 – $3,555.59 | 57 |
| Total Hip Replacement CPT 27130 | $1,268.28 | $7,046.00 | $100.00 – $3,031.90 | 77 |
| Total Knee Replacement CPT 27447 | $1,266.66 | $7,037.00 | $65.00 – $3,262.42 | 77 |
| Total tau CPT 84394 | $54.00 | $300.00 | $109.58 – $459.00 | 35 |
| Tot disc arthrp 1ntrspc crv CPT 22856 | $1,051.20 | $5,840.00 | $55.00 – $3,169.71 | 77 |
| Tot disc arthrp 1ntrspc lmbr CPT 22857 | $1,144.62 | $6,359.00 | $185.41 – $3,127.11 | 77 |
| Tot disc arthrp 2ntrspc lmbr CPT 22860 | $259.56 | $1,442.00 | $294.47 – $722.48 | 51 |
| Tot disc arthrp ant appr disc 2nd level cervi 22858 CPT 22858 | $318.24 | $1,768.00 | $30.00 – $1,147.61 | 77 |
| Toxoplasma antibody igg CPT 86777 | $37.80 | $210.00 | $3.98 – $159.90 | 61 |
| Toxoplasma antibody igm CPT 86778 | $2.30 | $12.80 | $3.98 – $165.98 | 61 |
| Tp53 gene full gene sequence CPT 81351 | $115.20 | $640.00 | $142.00 – $2,589.05 | 59 |
| Tp53 gene trgt sequence alys CPT 81352 | $59.40 | $330.00 | $263.61 – $1,329.15 | 59 |
| Tpmt gene com vrnts CPT 81335 | $33.30 | $185.00 | $139.85 – $1,487.25 | 61 |
| Tprnl plmt biodegrdabl matrl CPT 55874 | $2,901.96 | $16,122.00 | $35.00 – $13,011.21 | 85 |
| Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution HCPCS J3290 | $21.02 | $116.80 | $105.12 – $408.80 | 22 |
| Transcath biopsy CPT 37200 | $3,123.00 | $17,350.00 | $85.22 – $26,545.50 | 58 |
| Transcath closure of asd CPT 93580 | $9,030.24 | $50,168.00 | $85.22 – $35,366.25 | 85 |
| Transcath closure of vsd CPT 93581 | $7,665.48 | $42,586.00 | $85.22 – $65,156.58 | 58 |
| Transcatheter bx s&i CPT 75970 | $1,269.00 | $7,050.00 | $85.22 – $24,675.00 | 28 |
| Transcath mv repair addl prosthesis CPT 33419 | $21,224.34 | $117,913.00 | $115.00 – $176,869.50 | 85 |
| Transcath mv repair init prosthesis CPT 33418 | $42,448.50 | $235,825.00 | $300.00 – $353,737.50 | 85 |
| Transcath occlusion cns CPT 61624 | $10,113.66 | $56,187.00 | $1,197.29 – $85,966.11 | 53 |
| Transcath occlusion non-cns CPT 61626 | $11,923.02 | $66,239.00 | $678.33 – $101,345.67 | 53 |
| Transferrin CPT 84466 | $77.76 | $432.00 | $3.84 – $146.47 | 61 |
| Transfusion blood/blood component(s) CPT 36430 | $1,666.26 | $9,257.00 | $25.96 – $6,478.50 | 58 |
| Transperi needle place pros CPT 55875 | $517.86 | $2,877.00 | $35.00 – $10,344.26 | 85 |
| Trastuzumab 150 mg intravenous solution HCPCS J9355 | $581.13 | $3,228.50 | $62.41 – $7,519.18 | 61 |
| Tray bonemarrw oncontrol 102mm HCPCS C1830 | $509.04 | $2,828.00 | $1,600.00 – $9,898.00 | 22 |
| Treat ankle dislocation CPT 27842 | $337.68 | $1,876.00 | $191.36 – $987.25 | 77 |
| Treat ankle dislocation CPT 27846 | $487.26 | $2,707.00 | $300.00 – $1,556.04 | 77 |
| Treat ankle dislocation CPT 27848 | $532.80 | $2,960.00 | $135.52 – $1,809.12 | 77 |
| Treat each add spine fx CPT 22328 | $176.04 | $978.00 | $35.00 – $611.39 | 77 |
| Treat elbow dislocation CPT 24605 | $331.02 | $1,839.00 | $28.00 – $3,102.23 | 85 |
| Treat elbow dislocation CPT 24615 | $482.40 | $2,680.00 | $300.00 – $1,498.41 | 77 |
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.