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 |
|---|---|---|---|---|
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $509.04 | $2,828.00 | $2.94 – $201.69 | 86 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $185.22 | $1,029.00 | $84.25 – $1,574.37 | 61 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $122.22 | $679.00 | $45.79 – $1,038.87 | 61 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $475.20 | $2,640.00 | $85.22 – $2,654.55 | 63 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $104.04 | $578.00 | $38.60 – $884.34 | 63 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $370.26 | $2,057.00 | $46.88 – $3,147.21 | 63 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $364.32 | $2,024.00 | $39.46 – $3,096.72 | 63 |
| Ultrasound prostate/transrectal CPT 76872 | $316.80 | $1,760.00 | $5.01 – $325.95 | 86 |
| Ultrasound retroperitoneal limited CPT 76775 | $465.48 | $2,586.00 | $45.04 – $3,955.05 | 62 |
| Ultrasound scrotum and contents CPT 76870 | $490.68 | $2,726.00 | $48.74 – $3,274.20 | 62 |
| Ultrasound transabd ea addl gest CPT 76812 | $312.30 | $1,735.00 | $66.52 – $2,654.55 | 61 |
| Ultrasound transvaginal non obstetric CPT 76830 | $392.94 | $2,183.00 | $50.38 – $2,776.95 | 62 |
| Unlistd noninvas vasc dx std CPT 93998 | $954.72 | $5,304.00 | $31.62 – $8,115.12 | 35 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | $3,335.22 | $18,529.00 | $41.00 – $17,495.01 | 59 |
| Unlisted laparoscopy procedure biliary tract 47579 CPT 47579 | $62.64 | $348.00 | $41.00 – $104.40 | 4 |
| Unlisted maaa CPT 81599 | $44.47 | $247.03 | $222.33 – $1,215.82 | 24 |
| Unlisted misc path test CPT 89240 | $15.48 | $86.00 | $8.42 – $232.89 | 40 |
| Unlisted mr procedure CPT 76498 | $1,405.08 | $7,806.00 | $85.22 – $11,943.18 | 41 |
| Unlisted procedure microbiology CPT 87999 | $79.74 | $443.00 | $65.75 – $1,550.50 | 24 |
| Unlisted px casting/strpg CPT 29799 | $15.84 | $88.00 | $12.00 – $470.26 | 59 |
| Unlisted px med radj physics CPT 77399 | $4.86 | $27.00 | $8.10 – $80.04 | 4 |
| Unlisted px pelvis/hip joint CPT 27299 | $116.46 | $647.00 | $41.00 – $989.91 | 59 |
| Unlisted px ther rad tx plng CPT 77299 | $50.22 | $279.00 | $85.22 – $667.00 | 36 |
| Unlisted surgical path px CPT 88399 | $409.50 | $2,275.00 | $56.97 – $3,480.75 | 39 |
| Unlisted transfusion med px CPT 86999 | $11.70 | $65.00 | $31.62 – $665.00 | 40 |
| Unlisted ultrasound procedure CPT 76999 | $357.12 | $1,984.00 | $85.22 – $3,035.52 | 37 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $849.24 | $4,718.00 | $460.00 – $16,513.00 | 58 |
| Upgrade pm system CPT 33214 | $12,330.00 | $68,500.00 | $85.22 – $104,805.00 | 55 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $1,894.14 | $10,523.00 | $85.22 – $16,100.19 | 66 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $1,875.96 | $10,422.00 | $85.22 – $11,960.01 | 66 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $1,363.68 | $7,576.00 | $85.22 – $8,693.46 | 66 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $68.22 | $379.00 | $224.12 – $2,624.69 | 55 |
| Urea nitrogen CPT 84520 | $34.20 | $190.00 | $1.25 – $43.97 | 61 |
| Urea nitrogen 24 hour urine CPT 84540 | $80.82 | $449.00 | $1.54 – $52.90 | 61 |
| Urea nitrogen clearance CPT 84545 | $1.06 | $5.88 | $2.21 – $73.53 | 61 |
| Ureteral reflux study CPT 78740 | $577.98 | $3,211.00 | $41.47 – $4,912.83 | 62 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $558.54 | $3,103.00 | $25.51 – $4,747.59 | 62 |
| Urethrocystography void s&i CPT 74455 | $401.94 | $2,233.00 | $45.12 – $3,416.49 | 62 |
| Uric acid blood CPT 84550 | $62.10 | $345.00 | $1.38 – $50.42 | 61 |
| Uric acid urine CPT 84560 | $59.76 | $332.00 | $1.70 – $52.90 | 61 |
| Urinalysis microscopic only CPT 81015 | $23.40 | $130.00 | $0.99 – $76.50 | 61 |
| Urinalysis (with microscopy) CPT 81001 | $78.66 | $437.00 | $1.13 – $34.07 | 61 |
| Urinalysis (without microscopy) CPT 81003 | $36.18 | $201.00 | $0.74 – $25.06 | 61 |
| Urine Culture Test CPT 87086 | $120.24 | $668.00 | $1.97 – $881.28 | 61 |
| Urine pregnancy test CPT 81025 | $69.48 | $386.00 | $4.02 – $56.88 | 61 |
| Urine screen for bacteria CPT 81007 | $9.54 | $53.00 | $3.89 – $101.54 | 61 |
| Urography, antegrade CPT 74425 | $369.72 | $2,054.00 | $30.84 – $3,142.62 | 62 |
| Vaccine dtap < 7 years im CPT 90700 | $31.68 | $176.00 | $40.25 – $519.86 | 28 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | $27.91 | $155.08 | $43.38 – $542.78 | 28 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $20.66 | $114.80 | $21.53 – $401.80 | 28 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $67.14 | $373.00 | $97.16 – $1,234.56 | 28 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $3.57 | $19.84 | $17.86 – $117.10 | 28 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $53.10 | $295.00 | $97.14 – $864.50 | 28 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $44.46 | $247.00 | $222.30 – $864.50 | 28 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $21.60 | $120.00 | $45.73 – $395.50 | 28 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $23.13 | $128.50 | $64.81 – $449.75 | 28 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | $86.22 | $479.01 | $114.16 – $1,676.54 | 28 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | $14.22 | $79.00 | $19.43 – $273.00 | 28 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $22.50 | $125.00 | $34.04 – $413.00 | 28 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | $24.48 | $136.00 | $32.89 – $449.75 | 25 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | $23.13 | $128.50 | $44.44 – $449.75 | 25 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | $28.51 | $158.40 | $29.62 – $554.40 | 25 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $25.02 | $139.00 | $34.80 – $248.36 | 25 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $20.92 | $116.20 | $53.62 – $406.70 | 28 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | $5.94 | $33.00 | $9.80 – $115.50 | 28 |
| Vaccine mmr live subcutaneous CPT 90707 | $56.34 | $313.00 | $97.27 – $721.00 | 28 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $79.74 | $443.00 | $40.88 – $581.00 | 28 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $104.58 | $581.00 | $274.89 – $1,919.16 | 28 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $103.90 | $577.20 | $306.00 – $1,190.00 | 28 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $44.82 | $249.00 | $60.16 – $626.26 | 28 |
| Vaccine rabies im CPT 90675 | $311.84 | $1,732.45 | $267.94 – $938.93 | 60 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $918.95 | $5,105.29 | $1,186.69 – $17,868.52 | 22 |
| Vaccine tdap >=7 years im CPT 90715 | $36.57 | $203.18 | $55.49 – $315.00 | 28 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $24.92 | $138.43 | $41.90 – $269.50 | 28 |
| Vaccine typhoid vicps im CPT 90691 | $89.10 | $495.00 | $102.86 – $1,633.21 | 28 |
| Vaccine varicella live subcutaneous CPT 90716 | $87.30 | $485.00 | $151.82 – $1,624.63 | 28 |
| Vaccine yellow fever live subcutaneous CPT 90717 | $97.46 | $541.43 | $159.30 – $837.44 | 28 |
| Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr HCPCS J3379 | $16.47 | $91.52 | $82.37 – $320.32 | 22 |
| Valproic acid total therapeutic drug level CPT 80164 | $113.58 | $631.00 | $4.70 – $150.97 | 61 |
| Valvuloplasty aortic CPT 92986 | $5,360.04 | $29,778.00 | $85.22 – $10,980.45 | 85 |
| Valvuloplasty mitral CPT 92987 | $9,385.74 | $52,143.00 | $85.22 – $79,778.79 | 58 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $60.40 | $335.58 | $0.08 – $13.30 | 25 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | $105.06 | $583.65 | $0.28 – $497.70 | 25 |
| Vancomycin peak therapeutic drug level CPT 80202 | $154.80 | $860.00 | $4.70 – $150.97 | 61 |
| Varicella zoster antibody igg CPT 86787 | $53.28 | $296.00 | $4.47 – $143.62 | 61 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $121.73 | $676.30 | $1.44 – $193.66 | 26 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $2,337.50 | $12,986.10 | $17.83 – $30,244.63 | 53 |
| Vein gft fem a/p tib/pero/dis art 35566 CPT 35566 | $1,000.98 | $5,561.00 | $30.00 – $8,341.50 | 85 |
| Vein x-ray kidney CPT 75831 | $2,303.46 | $12,797.00 | $85.22 – $19,579.41 | 42 |
| Vein x-ray liver CPT 75891 | $1,898.28 | $10,546.00 | $85.22 – $16,135.38 | 42 |
| Vein x-ray liver w/hemodynam CPT 75885 | $1,938.06 | $10,767.00 | $85.22 – $16,473.51 | 62 |
| Vein x-ray liver w/hemodynam CPT 75889 | $1,923.66 | $10,687.00 | $85.22 – $16,351.11 | 42 |
| Vein x-ray liver without hemodyn CPT 75887 | $934.56 | $5,192.00 | $85.22 – $9,137.36 | 47 |
| Vein x-ray skull CPT 75870 | $1,742.04 | $9,678.00 | $85.22 – $14,807.34 | 67 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | $160.74 | $893.00 | $7.04 – $1,366.29 | 56 |
| Venogram ext bil s&i CPT 75822 | $976.50 | $5,425.00 | $7.55 – $3,036.95 | 86 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $887.58 | $4,931.00 | $5.05 – $3,036.95 | 86 |
| Venous mech thrombectomy CPT 37187 | $4,902.12 | $27,234.00 | $85.22 – $22,271.70 | 85 |
| Venous m-thrombectomy add-on CPT 37188 | $2,577.24 | $14,318.00 | $85.22 – $21,906.54 | 58 |
| Ventilator each subsequent day CPT 94003 | $2,009.88 | $11,166.00 | $49.99 – $17,083.98 | 66 |
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.