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 |
|---|---|---|---|---|
| C1 esterase inhibitor func - sendout CPT 86161 | $62.64 | $348.00 | $4.14 – $133.79 | 61 |
| Cabergoline, oral 0.25mg HCPCS J8515 | $11.12 | $61.80 | $6.55 – $216.30 | 28 |
| Cable cath 22-pin diag HCPCS C1730 | $1,465.92 | $8,144.00 | $1,600.00 – $14,395.50 | 20 |
| Cacna1a gene full gene seq CPT 81185 | $285.30 | $1,585.00 | $719.33 – $5,987.49 | 62 |
| Cadd pump refill CPT 96521 | $199.08 | $1,106.00 | $21.46 – $1,494.81 | 59 |
| Caffeine citrate 20 mg/ml inj for po HCPCS J0706 | $21.30 | $118.33 | $5.53 – $414.16 | 28 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | $78.08 | $433.80 | $96.59 – $3,901.89 | 29 |
| Calcium 24 hour urine CPT 82340 | $59.58 | $331.00 | $2.17 – $67.23 | 61 |
| Calcium chloride 100 mg/ml (10 %) intravenous syringe HCPCS J0618 | $11.31 | $62.82 | $0.08 – $190.75 | 25 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $27.35 | $151.92 | $0.08 – $24.50 | 26 |
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | $84.13 | $467.36 | $0.25 – $351.05 | 26 |
| Calcium ionized CPT 82330 | $69.30 | $385.00 | $4.74 – $152.32 | 61 |
| Calcium total CPT 82310 | $49.14 | $273.00 | $1.58 – $57.33 | 61 |
| Calprotectin fecal CPT 83993 | $4.36 | $24.22 | $4.53 – $218.72 | 61 |
| Campylobacter antibody CPT 86625 | $2.10 | $11.66 | $4.54 – $146.54 | 61 |
| Candida dna CPT 87480 | $3.21 | $17.83 | $7.02 – $216.25 | 61 |
| Candida skin test CPT 86485 | $66.42 | $369.00 | $2.92 – $564.57 | 41 |
| Cannabinoid synthetic 7/more CPT 80352 | $10.26 | $57.00 | $0.04 – $384.17 | 26 |
| Cannula declotting 36861 CPT 36861 | $1,328.22 | $7,379.00 | $251.63 – $16,102.94 | 36 |
| Cannula ercp contour 5-4-3 tip HCPCS C1889 | $55,884.60 | $310,470.00 | $342.00 – $18,750.00 | 22 |
| Capecitabine, oral, 50 mg HCPCS J8522 | $16.02 | $89.00 | $0.03 – $207.28 | 58 |
| Cap nerve 2x15mm HCPCS C1763 | $7,761.78 | $43,121.00 | $1,600.00 – $7,049.00 | 19 |
| Capsular contracture release CPT 23020 | $468.00 | $2,600.00 | $60.00 – $1,438.27 | 77 |
| Capsulectomy/capsulotomy hip CPT 27036 | $681.66 | $3,787.00 | $154.50 – $2,084.74 | 77 |
| Capsulotomy mpj ea joint (sep proc) CPT 28270 | $827.28 | $4,596.00 | $197.32 – $6,312.51 | 85 |
| Cap trach decann 15mm HCPCS C1750 | $675.54 | $3,753.00 | $523.80 – $2,037.00 | 22 |
| Carbamazepine free CPT 80157 | $1.98 | $10.99 | $2.86 – $110.75 | 61 |
| Carbamazepine free -sendout CPT 80161 | $3.36 | $18.64 | $14.91 – $75.11 | 59 |
| Carbamazepine total therapeutic drug level CPT 80156 | $113.04 | $628.00 | $5.06 – $162.30 | 61 |
| Carbohydrate deficient transf - sendout CPT 82373 | $43.89 | $243.84 | $2.41 – $95.32 | 61 |
| Carbon dioxide CPT 82374 | $31.14 | $173.00 | $1.38 – $52.90 | 61 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | $48.69 | $270.50 | $4.79 – $355.78 | 29 |
| Carboprost tromethamine 250 mcg/ml intramuscular solution HCPCS J0675 | $98.70 | $548.33 | $13.23 – $1,277.06 | 54 |
| Carboxyhemoglobin quantitative CPT 82375 | $49.50 | $275.00 | $4.26 – $137.39 | 61 |
| Carcinoembryonic ag (cea) CPT 82378 | $113.58 | $631.00 | $6.50 – $211.07 | 61 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $1,743.48 | $9,686.00 | $47.18 – $2,497.70 | 86 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | $188.28 | $1,046.00 | $28.88 – $1,600.38 | 62 |
| Cardiac Stress Test CPT 93015 | $73.26 | $407.00 | $70.35 – $989.33 | 86 |
| Cardioassist external CPT 92971 | $408.42 | $2,269.00 | $74.98 – $3,471.57 | 60 |
| Cardioassist internal CPT 92970 | $384.48 | $2,136.00 | $85.22 – $3,389.00 | 60 |
| Cardiolipin antibody iga CPT 86147 | $2.08 | $11.55 | $7.70 – $160.95 | 61 |
| Cardioversion elective electrical conversion arrhythmia external CPT 92960 | $824.76 | $4,582.00 | $83.70 – $1,275.13 | 85 |
| Cardioversion/elective/internal 92961 CPT 92961 | $367.38 | $2,041.00 | $85.22 – $3,389.00 | 60 |
| Caregiver training strategies&tq 1st 30 minutes CPT 97550 | $102.78 | $571.00 | $35.79 – $1,998.50 | 66 |
| Caregiver training strategies&tq ea addl 15 min CPT 97551 | $77.40 | $430.00 | $18.98 – $1,505.00 | 66 |
| Car ion chnnlpath inc 10 gns CPT 81413 | $130.50 | $725.00 | $497.17 – $5,573.90 | 61 |
| Carmustine 100 mg intravenous powder for solution HCPCS J9050 | $110.10 | $611.67 | $205.53 – $1,424.58 | 61 |
| Carotene CPT 82380 | $1.48 | $8.20 | $3.14 – $102.87 | 61 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $742.14 | $4,123.00 | $33.44 – $1,200.37 | 86 |
| Carpal Tunnel Release Surgery CPT 64721 | $302.76 | $1,682.00 | $35.00 – $3,767.30 | 85 |
| Car seat/bed test 60 minutes CPT 94780 | $46.80 | $260.00 | $40.83 – $910.00 | 62 |
| Car seat/bed test additional 30 minutes CPT 94781 | $22.86 | $127.00 | $6.22 – $444.50 | 62 |
| Caspofungin acetate HCPCS J0637 | $138.73 | $770.70 | $10.40 – $2,513.91 | 28 |
| Cath 2lum 14.5frx43cm maxid kt mahurkar HCPCS C1752 | $532.62 | $2,959.00 | $1,015.20 – $3,948.00 | 22 |
| Cath ablat bi-d d-d 8fr 115cm HCPCS C2630 | $3,951.54 | $21,953.00 | $1,600.00 – $30,723.00 | 19 |
| Cath ablt rx lasr 2.0mm turbo HCPCS C1885 | $4,889.88 | $27,166.00 | $517.50 – $2,012.50 | 22 |
| Cath acuity innr ic130 6f 63cm HCPCS C1887 | $3,795.84 | $21,088.00 | $259.20 – $1,008.00 | 22 |
| Cath acunav ge 10frx90cm HCPCS C1759 | $2,126.16 | $11,812.00 | $1,600.00 – $38,846.50 | 20 |
| Cath adherent clot 10mm 6f 10 HCPCS C1757 | $10,800.00 | $60,000.00 | $259.20 – $1,008.00 | 22 |
| Cath baloon occl urnry 34f 7x2x65 HCPCS C2628 | $1,965.60 | $10,920.00 | $1,600.00 – $12,386.50 | 22 |
| Cath bi-dir df smarttouch HCPCS C1732 | $4,741.92 | $26,344.00 | $1,600.00 – $52,500.00 | 19 |
| Cath blazer dx/20 2-10-2 space HCPCS C1731 | $1,896.48 | $10,536.00 | $1,600.00 – $24,034.50 | 16 |
| Cath combo lt&rt heart w/inj/s CPT 93453 | $6,845.94 | $38,033.00 | $85.22 – $6,254.51 | 85 |
| Cath cv dl inj 7fx16cm HCPCS C1751 | $4,889.88 | $27,166.00 | $150.30 – $1,437.50 | 22 |
| Cath del ampltz 12f 45d 80cm HCPCS C1893 | $1,854.00 | $10,300.00 | $810.00 – $3,150.00 | 22 |
| Cath epdrl brevi-stf 12in .043 HCPCS C1755 | $304.74 | $1,693.00 | $1,523.70 – $5,925.50 | 22 |
| Catheter declot mechanical CPT 36596 | $842.40 | $4,680.00 | $85.22 – $10,233.00 | 58 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | $18.90 | $105.00 | $7.94 – $367.50 | 54 |
| Catheter stripping venous CPT 36595 | $3,738.78 | $20,771.00 | $85.22 – $14,447.79 | 58 |
| Cath hawkone s directional HCPCS C1714 | $6,985.62 | $38,809.00 | $698.40 – $2,716.00 | 22 |
| Cath hemodial 55cm 15.5fr dual lumen straight stacked adlt HCPCS C1881 | $382.68 | $2,126.00 | $1,600.00 – $6,793.50 | 19 |
| Cath imag ivus pv 8.5fx90 .035 HCPCS C1753 | $822.42 | $4,569.00 | $1,600.00 – $13,384.00 | 22 |
| Cath left heart/lv gram CPT 93452 | $3,725.82 | $20,699.00 | $85.22 – $6,254.51 | 85 |
| Cath left heart transseptal punc CPT 93462 | $6,845.94 | $38,033.00 | $85.22 – $587.61 | 85 |
| Cath lt/rt pulm art CPT 36014 | $1,547.82 | $8,599.00 | $85.22 – $13,156.47 | 58 |
| Cath malecot 28fr 4-wing ltx HCPCS C1729 | $799.56 | $4,442.00 | $923.40 – $3,591.00 | 22 |
| Cath occl flo-rester 2.25x12mm cor internal vessel occluder HCPCS C1817 | $15,856.74 | $88,093.00 | $1,600.00 – $308,325.50 | 16 |
| Cath place 1st order venous 36011 CPT 36011 | $1,452.42 | $8,069.00 | $80.79 – $12,345.57 | 58 |
| Cath plc art ang/grft lt/rt hr CPT 93461 | $10,269.18 | $57,051.00 | $85.22 – $6,254.51 | 85 |
| Cath plc art/angio/rt hrt cath CPT 93456 | $5,808.60 | $32,270.00 | $85.22 – $6,254.51 | 85 |
| Cath plc art/grft/angio right hrt CPT 93457 | $8,557.38 | $47,541.00 | $85.22 – $6,254.51 | 85 |
| Cath ptca pcltxl agent 3x20mm HCPCS C9610 | $7,418.30 | $41,212.75 | $1,600.00 – $144,244.63 | 20 |
| Cath right heart w/o2 sat & card CPT 93451 | $3,999.78 | $22,221.00 | $85.22 – $6,254.51 | 85 |
| Cath right hrt mnpul art CPT 36013 | $412.02 | $2,289.00 | $80.79 – $1,711.92 | 85 |
| Cath/saline/contrast/sis/hysteosal 58340 CPT 58340 | $169.38 | $941.00 | $46.86 – $1,439.73 | 53 |
| Cath steerable flex adv 12f HCPCS C1766 | $366.66 | $2,037.00 | $1,452.60 – $5,649.00 | 22 |
| Cath temp pace flo bipol 5fr electrd HCPCS C1779 | $2,095.74 | $11,643.00 | $548.10 – $2,131.50 | 20 |
| Cath uret open tp 6fx70cm HCPCS C1758 | $163.98 | $911.00 | $395.10 – $1,536.50 | 22 |
| Cauterization chemical granulation tissue CPT 17250 | $160.92 | $894.00 | $8.00 – $387.07 | 85 |
| #cbg+cort-cbg CPT 84449 | $18.90 | $105.00 | $15.30 – $367.50 | 60 |
| Cciiv4 vac no prsv 0.5 ml im CPT 90674 | $35.28 | $196.00 | $48.17 – $542.50 | 25 |
| Cdna analysis for variants CPT 81403 | $131.04 | $728.00 | $157.42 – $1,703.43 | 61 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $32.04 | $178.00 | $2.26 – $193.66 | 29 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $17.99 | $99.92 | $2.38 – $250.25 | 28 |
| Cefotaxime sodium injection HCPCS J0698 | $66.06 | $367.00 | $12.32 – $202.97 | 29 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | $45.00 | $250.00 | $11.60 – $240.21 | 29 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | $62.48 | $347.10 | $1.89 – $808.40 | 61 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | $34.56 | $192.00 | $4.01 – $237.51 | 28 |
| Ceftazidime and avibactam HCPCS J0714 | $686.35 | $3,813.05 | $89.04 – $8,880.59 | 61 |
| Ceftizoxime sodium / 500 mg HCPCS J0715 | $21.78 | $121.00 | $13.49 – $423.50 | 25 |
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.