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 |
|---|---|---|---|---|
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | $246.06 | $1,367.00 | $15.00 – $3,102.23 | 85 |
| C motor evoked lwr limbs CPT 95929 | $36.18 | $201.00 | $60.30 – $821.35 | 86 |
| C motor evoked uppr limbs CPT 95928 | $36.36 | $202.00 | $60.60 – $1,656.72 | 86 |
| C motor evoked upr&lwr limbs CPT 95939 | $54.72 | $304.00 | $85.22 – $2,203.21 | 86 |
| #cmvcul-virus inoculation shell CPT 87254 | $81.72 | $454.00 | $1.40 – $103.22 | 61 |
| Cmv pcr-sendout CPT 87496 | $11.79 | $65.51 | $11.60 – $378.47 | 61 |
| Co2 monitor per day CPT 94681 | $151.38 | $841.00 | $61.07 – $1,286.73 | 63 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | $2,564.70 | $14,248.33 | $0.01 – $6,913.24 | 42 |
| Coagulation time activated teg CPT 85347 | $64.26 | $357.00 | $1.36 – $368.73 | 61 |
| Cold agglutinin titer CPT 86157 | $49.68 | $276.00 | $2.73 – $89.89 | 61 |
| Colectomy/end colost/close dis seg 44143 CPT 44143 | $901.62 | $5,009.00 | $35.00 – $3,226.47 | 77 |
| Colectomy partial w/anastomosis 44140 CPT 44140 | $735.84 | $4,088.00 | $35.00 – $2,632.33 | 77 |
| Colectomy prtl w/coloproctostomy 44145 CPT 44145 | $901.62 | $5,009.00 | $45.00 – $3,301.07 | 77 |
| Colectomy prtl w/coloproctostomy + colostomy 44146 CPT 44146 | $1,148.04 | $6,378.00 | $45.00 – $4,025.76 | 77 |
| Colectomy prtl w/remove terminal ileum+ileocolos 44160 CPT 44160 | $795.42 | $4,419.00 | $65.00 – $2,411.19 | 77 |
| Colistimethate sodium inj HCPCS J0770 | $21.30 | $118.33 | $32.88 – $414.16 | 28 |
| Collagen imp urinary 2.5 ml HCPCS L8603 | $12.24 | $68.00 | $68.00 – $1,184.11 | 54 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $28.44 | $158.00 | $30.55 – $89.71 | 52 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $115.02 | $639.00 | $45.43 – $668.61 | 58 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $146.70 | $815.00 | $45.43 – $668.61 | 58 |
| Collection of venous blood by venipuncture CPT 36415 | $20.52 | $114.00 | $3.89 – $161.32 | 59 |
| Colonoscopy (diagnostic) CPT 45378 | $118.80 | $660.00 | $50.00 – $1,794.12 | 85 |
| Colonoscopy submucous njx CPT 45381 | $166.14 | $923.00 | $412.88 – $3,462.93 | 53 |
| Colonoscopy (with biopsy) CPT 45380 | $129.24 | $718.00 | $158.50 – $2,308.62 | 85 |
| Colonoscopy (with polyp removal) CPT 45385 | $139.50 | $775.00 | $10.00 – $2,308.62 | 85 |
| Colostomy skin level cecostomy 44320 CPT 44320 | $628.02 | $3,489.00 | $50.00 – $2,317.94 | 77 |
| Colpotomy drng of abscess 57010 CPT 57010 | $232.92 | $1,294.00 | $12.00 – $922.93 | 77 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $149.40 | $830.00 | $12.99 – $1,090.89 | 41 |
| Compatibility test each unit electronic CPT 86923 | $126.00 | $700.00 | $1.32 – $1,071.00 | 41 |
| Compatibility test each unit immediate spin technique CPT 86920 | $129.96 | $722.00 | $12.99 – $826.20 | 41 |
| Complement antigen each component c3 CPT 86160 | $67.68 | $376.00 | $4.14 – $133.79 | 61 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $220.86 | $1,227.00 | $50.00 – $1,840.50 | 85 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $389.70 | $2,165.00 | $28.00 – $1,339.50 | 85 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $52.92 | $294.00 | $26.00 – $441.00 | 85 |
| Comprehensive hearing test CPT 92557 | $201.06 | $1,117.00 | $53.04 – $1,709.01 | 60 |
| Computed tomographic angiography head and neck with contrast CPT 70471 | $1,344.42 | $7,469.00 | $85.22 – $11,427.57 | 39 |
| Concentration infection agents any type CPT 87015 | $33.30 | $185.00 | $1.97 – $74.43 | 61 |
| Conditioning play audiometry 92582 CPT 92582 | $130.86 | $727.00 | $54.59 – $1,112.31 | 60 |
| Condylomata destruction 56420 CPT 56420 | $249.48 | $1,386.00 | $58.00 – $615.00 | 85 |
| Conivaptan hcl HCPCS C9488 | $247.61 | $1,375.60 | $63.64 – $4,814.60 | 26 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | $98.70 | $548.33 | $111.53 – $1,277.06 | 61 |
| Connect omega .5mm HCPCS L8613 | $558.90 | $3,105.00 | $301.28 – $10,062.50 | 50 |
| Consultation pathology during surgery CPT 88329 | $75.06 | $417.00 | $46.59 – $638.01 | 64 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $199.26 | $1,107.00 | $64.94 – $2,331.54 | 64 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $59.22 | $329.00 | $27.81 – $503.37 | 64 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $139.86 | $777.00 | $63.86 – $1,188.81 | 64 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $129.60 | $720.00 | $56.97 – $1,101.60 | 64 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $101.34 | $563.00 | $40.83 – $861.39 | 64 |
| Consult comp w/report rfrd material CPT 88325 | $145.44 | $808.00 | $71.23 – $1,236.24 | 64 |
| Cont gluc mntr analysis i&r 95251 CPT 95251 | $16.02 | $89.00 | $15.00 – $75.35 | 86 |
| Contrast baths charges CPT 97034 | $27.72 | $154.00 | $11.23 – $549.00 | 68 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $3,294.00 | $18,300.00 | $8.28 – $6,091.58 | 86 |
| Contrast exam thoracic aorta CPT 75600 | $2,306.52 | $12,814.00 | $85.22 – $19,605.42 | 62 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | $2,306.52 | $12,814.00 | $85.22 – $25,924.14 | 62 |
| Contrast x-ray gallbladder CPT 74290 | $164.16 | $912.00 | $25.04 – $1,536.26 | 62 |
| Contrast x-ray of ankle CPT 73615 | $343.98 | $1,911.00 | $46.26 – $2,923.83 | 62 |
| Contrast x-ray of hip CPT 73525 | $873.00 | $4,850.00 | $3.91 – $673.07 | 86 |
| Contrast x-ray of knee joint CPT 73580 | $564.84 | $3,138.00 | $43.82 – $4,801.14 | 62 |
| Contrast x-ray of wrist CPT 73115 | $544.50 | $3,025.00 | $26.04 – $4,628.25 | 62 |
| Controller infinity pt dbs HCPCS C1787 | $1,512.00 | $8,400.00 | $1,600.00 – $21,000.00 | 16 |
| Convert nephrostomy catheter CPT 50434 | $1,550.88 | $8,616.00 | $85.22 – $10,233.00 | 58 |
| Coombs direct CPT 86880 | $32.04 | $178.00 | $1.77 – $59.88 | 61 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $1.80 | $10.00 | $1.88 – $63.78 | 61 |
| Coombs indirect titer reference CPT 86886 | $13.50 | $75.00 | $1.69 – $57.63 | 61 |
| Copper intrauterine device HCPCS J7300 | $1,844.10 | $10,245.00 | $673.36 – $35,857.50 | 25 |
| Core ndl bx lng/med perq CPT 32408 | $1,365.66 | $7,587.00 | $878.63 – $11,608.11 | 53 |
| Cornea pre-cut midwest eye cornea pre-cut midwest eye HCPCS V2785 | $5,151.60 | $28,620.00 | $1,600.00 – $12,768.00 | 22 |
| Coronary angio/cath placement bypass graft/lv gram/lt heart CPT 93459 | $8,557.38 | $47,541.00 | $85.22 – $6,254.51 | 85 |
| Coronary angio/lv gram/lt heart CPT 93458 | $6,845.94 | $38,033.00 | $85.22 – $6,254.51 | 85 |
| Coronary angio/lv gram/rt< heart CPT 93460 | $8,557.38 | $47,541.00 | $85.22 – $6,254.51 | 85 |
| Coronary art/grft angio s&i CPT 93455 | $6,845.94 | $38,033.00 | $85.22 – $6,254.51 | 85 |
| Coronary catheterization w/angiography supervision & interpretation CPT 93454 | $5,382.72 | $29,904.00 | $85.22 – $6,254.51 | 85 |
| Correction hallux valgus sesamoidectomy;prox meta osteotomy CPT 28295 | $405.36 | $2,252.00 | $45.00 – $2,682.33 | 77 |
| Cortisol total am CPT 82533 | $100.62 | $559.00 | $5.69 – $181.88 | 61 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | $68.41 | $380.08 | $33.99 – $1,330.28 | 29 |
| Co-treatment - group 15 mins, st CPT 92508 | $82.80 | $460.00 | $22.70 – $703.80 | 68 |
| Counseling smoke cess interm >10mins CPT 99407 | $35.10 | $195.00 | $19.20 – $72.29 | 85 |
| Coveredge 32 lead kit 40cm 48 HCPCS C1897 | $7,761.78 | $43,121.00 | $1,600.00 – $27,167.00 | 16 |
| Covid-19 administration immunization im inj 1st/only component CPT 90480 | $19.62 | $109.00 | $10.00 – $145.35 | 59 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $2.33 | $12.95 | $4.52 – $146.99 | 61 |
| C-peptide CPT 84681 | $31.86 | $177.00 | $6.78 – $189.01 | 61 |
| Cptr-asst dir ms px CPT 20985 | $138.60 | $770.00 | $21.00 – $769.50 | 85 |
| Crbrospnl fld flw imag cistern CPT 78630 | $824.76 | $4,582.00 | $85.22 – $7,010.46 | 62 |
| C-reactive protein CPT 86140 | $51.84 | $288.00 | $1.69 – $57.63 | 61 |
| C-reactive protein high sensitivity CPT 86141 | $65.52 | $364.00 | $2.87 – $144.22 | 61 |
| C-reactive protein, quantitative CPT 86406 | $48.24 | $268.00 | $3.65 – $368.73 | 61 |
| Creatine kinase CPT 82550 | $83.16 | $462.00 | $2.18 – $73.08 | 61 |
| Creatine kinase isoenzymes CPT 82552 | $264.06 | $1,467.00 | $4.65 – $149.24 | 61 |
| Creatine kinase mb CPT 82553 | $148.32 | $824.00 | $3.97 – $128.68 | 61 |
| Creatine - sendout CPT 82540 | $23.76 | $132.00 | $1.38 – $64.08 | 61 |
| Creatinine CPT 82565 | $55.08 | $306.00 | $1.38 – $57.03 | 61 |
| Creatinine 24 hour urine CPT 82570 | $69.48 | $386.00 | $1.38 – $57.63 | 61 |
| Creatinine clearance urine CPT 82575 | $115.20 | $640.00 | $3.15 – $105.12 | 61 |
| #creutz-prot.,western blot CPT 84182 | $28.80 | $160.00 | $6.30 – $200.57 | 61 |
| Critical care 30-74 minutes CPT 99291 | $2,033.28 | $11,296.00 | $121.60 – $1,593.62 | 85 |
| Critical care each additional 30 minutes CPT 99292 | $803.34 | $4,463.00 | $58.90 – $209.42 | 85 |
| Cryofibrinogen qualitative - sendout CPT 82585 | $1.68 | $9.34 | $2.91 – $95.59 | 61 |
| Cryoprecipitate each unit HCPCS P9012 | $80.28 | $446.00 | $58.50 – $665.00 | 58 |
| Cryotherapy of acne 17340 CPT 17340 | $81.00 | $450.00 | $3.00 – $273.00 | 85 |
| Cryptosporidium antigen CPT 87272 | $84.60 | $470.00 | $3.00 – $511.02 | 61 |
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.