Adventist Health White Memorial Montebello

Montebello, CA

Posts prices for 54 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-03.

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ProcedurePosted cashPosted gross× Medicare
Shoulder arthroscopy with decompression (29826)
range across 2 matching MRF lines
$14.94–$109.98 $83–$611 varies
Knee arthroscopy with meniscectomy (29881)
range across 6 matching MRF lines
$50.22–$553.32 $279–$3,074 varies
Upper GI endoscopy (EGD), diagnostic (43235) $68.22 $379 0.1×
Diagnostic colonoscopy (45378) $118.80 $660 0.1×
Colonoscopy with biopsy (45380) $129.24 $718 0.1×
Colonoscopy with lesion removal (45385) $139.50 $775 0.1×
Laparoscopic gallbladder removal (47562)
likely a partial charge, not the full procedure
$428.76 $2,382 0.1×
Inguinal hernia repair (age 5+) (49505) $293.76 $1,632 0.1×
Transforaminal epidural injection, lumbar/sacral (64483)
range across 2 matching MRF lines
$73.44–$110.16 $408–$612 varies
CT head/brain without contrast (70450) $1,487.16 $8,262 11.1×
MRI brain without contrast (70551)
range across 2 matching MRF lines
$1,313.82–$1,751.76 $7,299–$9,732 varies
MRI brain with contrast (70552)
range across 2 matching MRF lines
$1,642.14–$2,189.52 $9,123–$12,164 varies
MRI brain without and with contrast (70553) $2,544.48 $14,136 5.7×
X-ray lower spine, 4+ views (72110)
range across 2 matching MRF lines
$328.68–$434.16 $1,826–$2,412 varies
MRI lumbar spine without contrast (72148)
range across 2 matching MRF lines
$1,362.42–$1,816.56 $7,569–$10,092 varies
CT pelvis with contrast (72193)
range across 2 matching MRF lines
$1,137.96–$1,517.22 $6,322–$8,429 varies
MRI lower-extremity joint without contrast (73721)
range across 3 matching MRF lines
$1,326.42–$2,652.84 $7,369–$14,738 varies
CT abdomen and pelvis with contrast (74177) $2,555.64 $14,198 5.7×
Ultrasound, abdomen complete (76700) $811.80 $4,510 6.0×
Ultrasound, pregnant uterus (≥14 weeks) (76805)
range across 2 matching MRF lines
$326.88–$551.88 $1,816–$3,066 varies
Ultrasound, transvaginal (76830)
range across 2 matching MRF lines
$326.70–$392.94 $1,815–$2,183 varies
Mammography, one breast (diagnostic) (77065) $263.52 $1,464 3.1×
Mammography, both breasts (diagnostic) (77066) $364.86 $2,027 3.3×
Mammography, screening (bilateral) (77067)
range across 2 matching MRF lines
$212.04–$282.78 $1,178–$1,571 varies
Basic metabolic panel (80048)
range across 3 matching MRF lines
$1.31–$163.44 $7.27–$908 varies
Comprehensive metabolic panel (80053)
range across 3 matching MRF lines
$2.29–$218.70 $12.70–$1,215 varies
Obstetric panel (80055)
range across 2 matching MRF lines
$27–$81.18 $150–$451 varies
Lipid panel (80061)
range across 7 matching MRF lines
$2.08–$115.02 $11.54–$639 varies
Renal function panel (80069)
range across 3 matching MRF lines
$2.89–$132.66 $16.03–$737 varies
Hepatic function panel (80076)
range across 3 matching MRF lines
$2.29–$146.34 $12.70–$813 varies
Urinalysis, non-automated, without microscopy (81002)
range across 4 matching MRF lines
$16.74–$26.10 $2.15–$145 varies
PSA, total (84153)
range across 4 matching MRF lines
$2.94–$77.22 $16.35–$429 varies
Thyroid stimulating hormone (TSH) (84443)
range across 5 matching MRF lines
$2.61–$102.60 $14.50–$570 varies
CBC with automated differential (85025)
range across 3 matching MRF lines
$1.22–$87.30 $6.75–$485 varies
CBC, automated (85027)
range across 3 matching MRF lines
$1.03–$46.62 $5.71–$259 varies
Prothrombin time (PT) (85610)
range across 6 matching MRF lines
$1.44–$72.36 $3.49–$402 varies
Partial thromboplastin time (PTT) (85730)
range across 8 matching MRF lines
$1.42–$81.72 $5.34–$454 varies
Psychotherapy, 30 minutes (90832) $124.20 $690 0.5×
Psychotherapy, 45 minutes (90834)
range across 2 matching MRF lines
$43.02–$133.56 $239–$742 varies
Psychotherapy, 60 minutes (90837) $133.56 $742 0.6×
Family psychotherapy, without patient (50 min) (90846) $176.94 $983 0.8×
Family psychotherapy, with patient (50 min) (90847) $181.80 $1,010 0.8×
Group psychotherapy (90853) $80.46 $447 0.6×
Electrocardiogram (ECG), complete (93000) $14.22 $79 0.2×
Left heart catheterization (93452)
range across 2 matching MRF lines
$3,725.82 $576–$20,699 0.9×
Sleep study (attended polysomnography) (95810)
range across 2 matching MRF lines
$54.18–$1,597.32 $301–$8,874 varies
Physical therapy, therapeutic exercise (per 15 min) (97110)
range across 2 matching MRF lines
$63.72–$64.62 $354–$359 varies
Office visit, new patient (low complexity, ~30 min) (99203)
range across 3 matching MRF lines
$33.66–$45 $187–$250 varies
Office visit, new patient (moderate complexity, ~45 min) (99204)
range across 3 matching MRF lines
$49.50–$74.16 $275–$412 varies
Office visit, new patient (high complexity, ~60 min) (99205)
range across 3 matching MRF lines
$59.58–$100.98 $331–$561 varies
Office consultation (low complexity, ~30 min) (99243)
range across 2 matching MRF lines
$29.16–$38.70 $162–$215 varies
Office consultation (moderate complexity, ~40 min) (99244)
range across 2 matching MRF lines
$29.16–$56.88 $162–$316 varies
Preventive visit, new patient (age 18–39) (99385)
range across 2 matching MRF lines
$33.48–$36 $186–$200 varies
Preventive visit, new patient (age 40–64) (99386)
range across 2 matching MRF lines
$29.88–$42.30 $166–$235 varies

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.

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Download the machine-readable file (CSV, 721.4 MB) ↓ — captured 2026-09-03

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