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 |
|---|---|---|---|---|
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $2,642.04 | $14,678.00 | $1,144.80 – $4,452.00 | 22 |
| Bln inpact admiral 4x150x130cm HCPCS C2623 | $4,543.20 | $25,240.00 | $1,600.00 – $19,740.00 | 20 |
| Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd HCPCS C1877 | $1,548.54 | $8,603.00 | $1,600.00 – $11,564.00 | 19 |
| Block plantar digital nerve CPT 64455 | $125.64 | $698.00 | $18.00 – $592.19 | 85 |
| Blood Clotting (PT/INR) Test CPT 85610 | $72.36 | $402.00 | $1.25 – $43.89 | 61 |
| Blood Clotting (PTT) Test CPT 85730 | $81.72 | $454.00 | $1.97 – $66.93 | 61 |
| Blood Count (CBC) Test CPT 85025 | $87.30 | $485.00 | $2.62 – $86.66 | 61 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $46.62 | $259.00 | $2.14 – $72.11 | 61 |
| Blood count spun microhematocrit CPT 85013 | $21.96 | $122.00 | $0.69 – $64.26 | 61 |
| Blood Culture Test CPT 87040 | $149.04 | $828.00 | $3.54 – $115.03 | 61 |
| Blood draw capillary 36416 CPT 36416 | $31.32 | $174.00 | $3.89 – $161.00 | 24 |
| Blood gases o2 saturation direct measurement CPT 82805 | $238.86 | $1,327.00 | $9.93 – $2,030.31 | 61 |
| Blood gases ph venous CPT 82800 | $35.82 | $199.00 | $2.78 – $304.47 | 61 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $58.50 | $325.00 | $3.67 – $83.94 | 61 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $29.16 | $162.00 | $1.66 – $143.82 | 61 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $28.80 | $160.00 | $0.90 – $151.47 | 61 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $45.00 | $250.00 | $0.92 – $35.42 | 61 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $55.62 | $309.00 | $0.99 – $287.64 | 61 |
| Blood split unit HCPCS P9011 | $135.72 | $754.00 | $132.46 – $665.00 | 59 |
| Blood typing abo CPT 86900 | $51.30 | $285.00 | $0.91 – $33.24 | 61 |
| Blood typing ag donor ea ag CPT 86902 | $36.72 | $204.00 | $0.86 – $312.12 | 61 |
| Blood typing patient serum CPT 86904 | $10.80 | $60.00 | $1.78 – $105.95 | 61 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $32.40 | $180.00 | $1.21 – $42.62 | 61 |
| Blood typing rh (d) CPT 86901 | $41.22 | $229.00 | $1.38 – $70.23 | 61 |
| Blood typing rh phenotype complete reference CPT 86906 | $62.10 | $345.00 | $2.56 – $86.36 | 61 |
| Bone acellular derm matrix 2x4cm 0.4-1.0mm allomend-cost per sq cm-8sq cm HCPCS Q4433 | $4,830.12 | $26,834.00 | $1,600.00 – $46,172.00 | 16 |
| Bone Density Scan (DEXA) CPT 77080 | $298.08 | $1,656.00 | $10.67 – $2,532.15 | 62 |
| Bone imaging multiple areas CPT 78305 | $546.48 | $3,036.00 | $69.38 – $4,645.08 | 62 |
| Bone/joint imaging ltd area CPT 78300 | $888.84 | $4,938.00 | $49.71 – $7,555.14 | 62 |
| Bone marrow;aspiration only 38220 CPT 38220 | $461.88 | $2,566.00 | $47.00 – $3,186.35 | 85 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $726.66 | $4,037.00 | $12.00 – $3,186.35 | 85 |
| Bone marrow imaging body CPT 78104 | $403.20 | $2,240.00 | $67.66 – $3,427.20 | 42 |
| Bone marrow interpretation CPT 85097 | $254.70 | $1,415.00 | $50.56 – $2,331.54 | 64 |
| Bone survey-lead poisoning CPT 77074 | $553.86 | $3,077.00 | $24.90 – $4,707.81 | 62 |
| Boot j walker l HCPCS L4386 | $155.34 | $863.00 | $129.36 – $419.47 | 52 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $9.92 | $55.13 | $5.92 – $179.56 | 61 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $555.96 | $3,088.67 | $7.29 – $10,810.35 | 29 |
| Bowel imaging CPT 78290 | $795.78 | $4,421.00 | $70.47 – $6,764.13 | 62 |
| Brace wrist classic lft sm HCPCS L3908 | $81.00 | $450.00 | $67.53 – $236.36 | 52 |
| Brach/thor cath 1st CPT 36215 | $878.04 | $4,878.00 | $85.22 – $2,291.07 | 85 |
| Brach/thor cath 2nd CPT 36216 | $3,531.96 | $19,622.00 | $43.93 – $2,482.41 | 85 |
| Brach/thor cath 3rd CPT 36217 | $2,176.92 | $12,094.00 | $80.00 – $4,314.25 | 85 |
| Brach/thor cath addl CPT 36218 | $3,444.30 | $19,135.00 | $39.64 – $29,276.55 | 58 |
| Brachytx isodose complex CPT 77318 | $542.52 | $3,014.00 | $85.22 – $1,722.95 | 86 |
| Brachytx isodose intermed CPT 77317 | $444.42 | $2,469.00 | $85.22 – $1,269.42 | 86 |
| Brachytx isodose plan simple CPT 77316 | $395.10 | $2,195.00 | $67.48 – $973.63 | 86 |
| Braf gene CPT 81210 | $31.57 | $175.40 | $101.19 – $593.99 | 61 |
| Brain image w/flow 4 + views CPT 78606 | $670.68 | $3,726.00 | $85.22 – $5,700.78 | 62 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $2,544.48 | $14,136.00 | $58.90 – $21,628.08 | 65 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $1,883.16 | $10,462.00 | $40.48 – $16,006.86 | 65 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $1,751.76 | $9,732.00 | $38.33 – $14,889.96 | 65 |
| Brain MRI (with and without contrast) CPT 70553 | $2,544.48 | $14,136.00 | $85.22 – $21,628.08 | 66 |
| Brain MRI (with contrast) CPT 70552 | $2,189.52 | $12,164.00 | $85.22 – $13,958.19 | 66 |
| Brain MRI (without contrast) CPT 70551 | $1,751.76 | $9,732.00 | $85.22 – $11,167.47 | 66 |
| Brca1 dna gene analy known fam var CPT 81215 | $67.55 | $375.25 | $96.58 – $3,611.64 | 61 |
| Brca2 dna gene analy known fam var CPT 81217 | $67.55 | $375.25 | $96.58 – $3,611.64 | 61 |
| Brcassure comprehensive panel-sendout CPT 81162 | $291.98 | $1,622.11 | $1,551.15 – $28,749.58 | 61 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $1,746.90 | $9,705.00 | $613.92 – $14,848.65 | 53 |
| Breast punct aspir cyst, bil CPT 19000 | $551.34 | $3,063.00 | $35.00 – $4,686.39 | 53 |
| Breast reduction CPT 19318 | $148.14 | $823.00 | $80.00 – $2,466.09 | 77 |
| Breath recording infant CPT 94772 | $186.12 | $1,034.00 | $62.83 – $1,582.02 | 63 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | $2,778.41 | $15,435.60 | $208.40 – $35,949.51 | 53 |
| Brief comunicaj tech-bsd svc CPT 98016 | $7.02 | $39.00 | $11.59 – $25.87 | 57 |
| Bronchial challenge CPT 94070 | $375.30 | $2,085.00 | $85.22 – $7,297.50 | 62 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | $12.15 | $67.50 | $0.97 – $193.66 | 26 |
| Bundled special stain group 1 microorganisms CPT 88312 | $110.34 | $613.00 | $24.87 – $367.87 | 64 |
| Bundled special stain group 2 CPT 88313 | $65.88 | $366.00 | $24.31 – $385.02 | 64 |
| Bundle his recording CPT 93600 | $2,961.72 | $16,454.00 | $85.22 – $25,174.62 | 58 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | $19.61 | $108.96 | $0.03 – $194.64 | 26 |
| Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet HCPCS J0572 | $8.51 | $47.28 | $0.01 – $165.47 | 27 |
| Buprenorphine 8 mg-naloxone 2 mg sublingual tablet HCPCS J0574 | $10.77 | $59.84 | $0.01 – $209.44 | 29 |
| Buprenorphine and metabolite - sendout CPT 80348 | $4.77 | $26.48 | $0.04 – $214.00 | 26 |
| Buprenorphine hydrochloride HCPCS J0592 | $21.30 | $118.33 | $2.03 – $414.16 | 28 |
| Buprenorphine oral 1mg HCPCS J0571 | $7.70 | $42.76 | $0.01 – $127.86 | 30 |
| Bur rotalink 2.15mm HCPCS C1724 | $4,889.88 | $27,166.00 | $698.40 – $2,716.00 | 22 |
| Butorphanol tartrate 1 mg HCPCS J0595 | $12.11 | $67.30 | $10.75 – $231.14 | 29 |
| Bx bone trocar/ndl deep CPT 20225 | $1,644.12 | $9,134.00 | $13.00 – $3,186.35 | 85 |
| Bx breast 1st lesion strtctc CPT 19081 | $2,523.78 | $14,021.00 | $632.17 – $21,452.13 | 53 |
| Bx breast add lesion strtctc CPT 19082 | $1,175.76 | $6,532.00 | $60.86 – $9,993.96 | 53 |
| Bx breast add lesion Ultrasound imag CPT 19084 | $901.98 | $5,011.00 | $57.05 – $7,666.83 | 53 |
| Bx breast perq without image 19100 CPT 19100 | $911.16 | $5,062.00 | $20.00 – $3,186.35 | 85 |
| Bx/exc lymph node/open/deep cervic 38510 CPT 38510 | $234.72 | $1,304.00 | $14.00 – $7,553.85 | 85 |
| Bx/exc lymph node/open/superfic 38500 CPT 38500 | $2,089.26 | $11,607.00 | $96.05 – $17,758.71 | 53 |
| Bx/exc xdrl spine lesn lmbr CPT 63277 | $1,011.60 | $5,620.00 | $45.00 – $3,910.08 | 77 |
| Bx/exc xdrl spine lesn thrc CPT 63276 | $1,150.20 | $6,390.00 | $75.00 – $4,442.16 | 77 |
| Bx liver with other CPT 47001 | $1,009.80 | $5,610.00 | $69.96 – $8,583.30 | 53 |
| Bx of breast open 19101 CPT 19101 | $122.76 | $682.00 | $30.00 – $7,553.85 | 85 |
| Bx pancreas pq ndl CPT 48102 | $1,483.38 | $8,241.00 | $378.63 – $12,608.73 | 53 |
| Bx perianal mass CPT 46999 | $277.56 | $1,542.00 | $41.00 – $2,691.18 | 39 |
| Bx pleura pq ndl CPT 32400 | $1,413.72 | $7,854.00 | $134.03 – $12,016.62 | 53 |
| Bx shoulder tissues deep 23066 CPT 23066 | $256.32 | $1,424.00 | $30.00 – $5,603.93 | 85 |
| Bx skin incisnl ea sep/add l les CPT 11107 | $62.82 | $349.00 | $22.17 – $165.00 | 85 |
| Bx skin punch ea sep/ addl les CPT 11105 | $66.42 | $369.00 | $18.69 – $123.46 | 85 |
| Bx skin tangential ea sep/ addl les CPT 11103 | $14.22 | $79.00 | $15.72 – $118.50 | 85 |
| Bx soft tissue back/flank supf 21920 CPT 21920 | $104.40 | $580.00 | $40.00 – $3,186.35 | 85 |
| Bx thigh/knee soft tiss supf 27323 CPT 27323 | $1,669.68 | $9,276.00 | $125.84 – $14,192.28 | 53 |
| Bx thyroid/percutan core needle 60100 CPT 60100 | $582.12 | $3,234.00 | $53.24 – $4,948.02 | 53 |
| Bx vulva or perineum/1 lesion 56605 CPT 56605 | $398.34 | $2,213.00 | $10.00 – $1,776.93 | 85 |
| Bx vulva or perineum/ea add lesion 56606 CPT 56606 | $32.22 | $179.00 | $22.02 – $153.00 | 85 |
| Bypass temp external fem-fem CPT 37799 | $376.56 | $2,092.00 | $85.22 – $10,233.00 | 37 |
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.