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 |
|---|---|---|---|---|
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $17.97 | $99.84 | $1.25 – $192.43 | 29 |
| Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr HCPCS J0697 | $53.28 | $296.00 | $5.58 – $205.42 | 28 |
| #celiac hla-dq8 CPT 81383 | $17.46 | $97.01 | $92.76 – $596.36 | 61 |
| Cell count body fluid CPT 89050 | $61.02 | $339.00 | $4.01 – $85.68 | 65 |
| Cell count w differential body fluid CPT 89051 | $82.98 | $461.00 | $4.76 – $61.45 | 65 |
| Cell enumeration & id CPT 86152 | $50.64 | $281.31 | $213.16 – $3,062.45 | 60 |
| Cell function assay w/stim CPT 86352 | $24.45 | $135.86 | $115.48 – $806.32 | 60 |
| Cell marker study CPT 88182 | $175.86 | $977.00 | $56.97 – $315.78 | 64 |
| Cervical laminoplsty 2/> seg CPT 63050 | $966.06 | $5,367.00 | $45.00 – $3,705.44 | 77 |
| #cf-97variants CPT 81220 | $100.19 | $556.60 | $165.00 – $4,825.25 | 61 |
| Cftr gene dup/delet variants CPT 81222 | $78.31 | $435.07 | $369.81 – $1,489.83 | 61 |
| Change nephroureteral cath CPT 50387 | $2,152.62 | $11,959.00 | $586.18 – $18,297.27 | 53 |
| Change of ureter tube/stent CPT 50688 | $937.08 | $5,206.00 | $45.05 – $7,965.18 | 53 |
| Change ureter stent percut CPT 50382 | $3,150.90 | $17,505.00 | $1,362.99 – $17,855.10 | 53 |
| Chemo adm cns w/lmbr punct CPT 96450 | $323.46 | $1,797.00 | $187.39 – $2,749.41 | 62 |
| Chemodenerv 1 extrem 5/> mus 64644 CPT 64644 | $75.42 | $419.00 | $15.00 – $1,361.82 | 85 |
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | $69.48 | $386.00 | $84.49 – $1,361.82 | 85 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | $80.28 | $446.00 | $45.00 – $669.00 | 85 |
| Chemodenerv eccrine glands 64650 CPT 64650 | $26.28 | $146.00 | $29.22 – $592.19 | 85 |
| Chemodenerv musc migraine 64615 CPT 64615 | $78.12 | $434.00 | $20.00 – $651.00 | 85 |
| Chemo ia push tecnique CPT 96420 | $251.46 | $1,397.00 | $60.49 – $2,137.41 | 65 |
| Chest 2 vws w oblique CPT 71048 | $384.66 | $2,137.00 | $23.84 – $3,269.61 | 62 |
| Chest apical lordotic proj CPT 71047 | $333.36 | $1,852.00 | $17.85 – $2,833.56 | 62 |
| Chest CT scan (with and without contrast) CPT 71270 | $1,949.58 | $10,831.00 | $85.22 – $16,571.43 | 66 |
| Chest CT scan (with contrast) CPT 71260 | $1,771.92 | $9,844.00 | $85.22 – $15,061.32 | 66 |
| Chest CT scan (without contrast) CPT 71250 | $1,189.44 | $6,608.00 | $85.22 – $10,110.24 | 66 |
| Chest X-ray CPT 71046 | $243.90 | $1,355.00 | $2.64 – $200.46 | 86 |
| Chest X-ray (single view) CPT 71045 | $197.10 | $1,095.00 | $2.21 – $167.89 | 86 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $231.66 | $1,287.00 | $39.99 – $1,969.11 | 60 |
| Chimerism anal no cell selec CPT 81267 | $37.34 | $207.46 | $155.47 – $6,237.23 | 61 |
| Chimerism anal w/cell select CPT 81268 | $46.94 | $260.79 | $155.47 – $2,930.50 | 61 |
| Chlamydia culture CPT 87110 | $3.04 | $16.87 | $5.00 – $218.42 | 61 |
| Chlamydia type CPT 87140 | $0.97 | $5.37 | $1.58 – $62.20 | 61 |
| Chlnggrphy intraop addl s&i CPT 74301 | $216.18 | $1,201.00 | $13.28 – $4,203.50 | 28 |
| Chloramphenicol sodium injec HCPCS J0720 | $23.95 | $133.03 | $11.89 – $465.61 | 29 |
| Chloride CPT 82435 | $54.72 | $304.00 | $1.38 – $51.70 | 61 |
| Chloride 24 hour urine CPT 82436 | $104.22 | $579.00 | $1.38 – $55.98 | 61 |
| Chloroprocaine hcl injection HCPCS J2401 | $21.30 | $118.33 | $0.12 – $241.50 | 26 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | $136.67 | $759.27 | $20.59 – $2,657.45 | 29 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $22.43 | $124.63 | $0.01 – $414.16 | 29 |
| Cholangiogram percutaneous compl CPT 47532 | $2,147.40 | $11,930.00 | $749.07 – $18,252.90 | 53 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $567.18 | $3,151.00 | $2.60 – $3,938.75 | 81 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $3,101.04 | $17,228.00 | $624.28 – $26,358.84 | 53 |
| Cholesterol CPT 82465 | $64.62 | $359.00 | $1.05 – $48.47 | 61 |
| Cholesterol body fluid CPT 84999 | $74.34 | $413.00 | $7.50 – $65.75 | 25 |
| Cholesterol (Lipid) Test CPT 80061 | $115.02 | $639.00 | $3.61 – $149.24 | 61 |
| Cholinesterase CPT 82480 | $76.68 | $426.00 | $2.66 – $87.79 | 61 |
| Chrom analysis CPT 88273 | $28.82 | $160.13 | $29.59 – $2,117.76 | 64 |
| Chromatography CPT 83021 | $29.52 | $164.00 | $6.32 – $200.42 | 61 |
| Chromogenic substrate assay CPT 85130 | $25.38 | $141.00 | $4.08 – $215.73 | 61 |
| Chromo high res and frag x - sendout CPT 81243 | $10.27 | $57.04 | $45.63 – $557.03 | 61 |
| Chromosome analys amniotic CPT 88269 | $35.69 | $198.25 | $147.61 – $1,853.56 | 63 |
| Chromosome analysis 100 CPT 88249 | $79.38 | $441.00 | $147.19 – $1,921.40 | 64 |
| Chromosome analysis 15-20 cell count CPT 88262 | $38.04 | $211.35 | $106.67 – $1,389.10 | 63 |
| Chromosome analysis 45 CPT 88263 | $47.40 | $263.36 | $127.75 – $1,620.58 | 63 |
| Chromosome analysis 5 CPT 88261 | $99.00 | $550.00 | $110.13 – $1,672.13 | 63 |
| Chromosome analys placenta CPT 88267 | $18.00 | $100.00 | $100.00 – $2,003.56 | 63 |
| Chromosome karyotype study CPT 88280 | $18.00 | $100.00 | $27.50 – $279.73 | 63 |
| Chylomicron screen, bf - sendout CPT 82664 | $13.50 | $75.00 | $6.23 – $325.05 | 61 |
| Cilastatin sodium injection HCPCS J0743 | $21.20 | $117.77 | $19.34 – $298.27 | 28 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $51.66 | $287.00 | $5.45 – $267.37 | 28 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $31.19 | $173.30 | $4.87 – $119.50 | 29 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | $150.42 | $835.69 | $7.42 – $1,946.32 | 61 |
| C-laminoplasty w/graft/plate CPT 63051 | $1,095.48 | $6,086.00 | $45.00 – $4,240.24 | 77 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $1,290.60 | $7,170.00 | $1,600.00 – $14,843.50 | 19 |
| Claviculectomy partial CPT 23120 | $402.84 | $2,238.00 | $65.00 – $1,167.66 | 77 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $52.75 | $293.05 | $2.61 – $219.14 | 27 |
| Clip ligating vesolock lg HCPCS C1760 | $569.88 | $3,166.00 | $1,269.90 – $4,938.50 | 20 |
| Clip phn wireless f/baha4 proc HCPCS L9900 | $449.46 | $2,497.00 | $88.87 – $374.50 | 21 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $56.16 | $312.00 | $28.34 – $1,092.00 | 29 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | $479.88 | $2,666.00 | $25.00 – $1,623.69 | 77 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $298.62 | $1,659.00 | $300.00 – $3,102.23 | 82 |
| Closed tx humerus fx without manip 23600 CPT 23600 | $228.78 | $1,271.00 | $10.00 – $1,906.50 | 85 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $394.56 | $2,192.00 | $11.00 – $1,202.74 | 77 |
| Closed tx sesamoid fx 28530 CPT 28530 | $95.94 | $533.00 | $10.00 – $619.50 | 85 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | $152.64 | $848.00 | $203.81 – $1,254.00 | 85 |
| Closure enterostomy lg/sm intestine 44620 CPT 44620 | $556.38 | $3,091.00 | $300.00 – $1,659.86 | 77 |
| Closure enterostomy lg/sm intestine anast 44626 CPT 44626 | $1,008.54 | $5,603.00 | $40.00 – $3,181.17 | 77 |
| Closure enterostomy lg/sm intestine oth/thn 44625 CPT 44625 | $607.32 | $3,374.00 | $45.00 – $1,979.57 | 77 |
| Clot factor fletcher fact CPT 85292 | $20.72 | $115.13 | $6.63 – $204.24 | 61 |
| Clot factor wght kininogen CPT 85293 | $32.13 | $178.50 | $6.63 – $273.11 | 61 |
| Clot factor xii hageman CPT 85280 | $3.10 | $17.20 | $6.75 – $215.65 | 61 |
| Clot factor xiii fibrin scrn CPT 85291 | $1.42 | $7.91 | $3.02 – $99.04 | 61 |
| Clot factor xiii fibrin stab CPT 85290 | $2.61 | $14.52 | $5.70 – $182.11 | 61 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $227.70 | $1,265.00 | $92.93 – $1,383.00 | 80 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | $217.80 | $1,210.00 | $20.00 – $606.38 | 85 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $226.80 | $1,260.00 | $15.00 – $753.00 | 85 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $180.00 | $1,000.00 | $62.17 – $855.00 | 85 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $237.24 | $1,318.00 | $37.00 – $1,977.00 | 85 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $355.14 | $1,973.00 | $40.00 – $3,102.23 | 85 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $322.20 | $1,790.00 | $35.00 – $3,102.23 | 85 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $289.08 | $1,606.00 | $11.00 – $823.22 | 77 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $213.48 | $1,186.00 | $262.74 – $1,779.00 | 80 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $160.56 | $892.00 | $45.00 – $513.52 | 85 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $336.78 | $1,871.00 | $138.66 – $1,227.00 | 85 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $284.22 | $1,579.00 | $10.00 – $3,102.23 | 85 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $138.24 | $768.00 | $17.00 – $1,152.00 | 85 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $281.34 | $1,563.00 | $37.00 – $3,102.23 | 85 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $284.04 | $1,578.00 | $300.00 – $756.72 | 57 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $219.24 | $1,218.00 | $17.00 – $618.91 | 85 |
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.