Breath hydrogen test 91065 at Glendale Memorial Hospital Health Center

1420 S Central Ave, Glendale, CA · CommonSpirit Health · · NPI 1477610640

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$172.13

Cash price

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Discounted cash price

What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge.

Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.

Full explanation →

What you pay up front if you don't use insurance.

$528.00

Gross charge

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Gross charge (chargemaster price)

The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this.

Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$48.46 with BCBS - Anthem vs $4,386.00 with Health Net — same scan, same building. Share

Negotiated rates by payer
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Negotiated rate

The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.

Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.

Full explanation →

Payer
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Payer

The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on.

Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509.

Full explanation →
Plan
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Plan

The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates.

Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible.

Full explanation →
Negotiated rate vs. cash
BCBS - Anthem Medicaid|All Plans $48.46 ↓ -72%
HCLA Medicaid|Preferred IPA < 21 $49.17 ↓ -71%
Health Net Medicaid|Preferred IPA $49.17 ↓ -71%
HCLA Medicaid|Preferred IPA > 21 $49.17 ↓ -71%
Health Net Medicaid|> 21 $60.28 ↓ -65%
Health Net Medicaid|< 21 $60.28 ↓ -65%
Health Net Medicaid|Alhambra < 21 $63.93 ↓ -63%
Health Net Medicaid|Alhambra > 21 $63.93 ↓ -63%
Molina Medicaid|All Plans $68.84 ↓ -60%
Kaiser Medicaid|> 21 $73.75 ↓ -57%
Kaiser Medicaid|< 21 $73.75 ↓ -57%
HPN Medicaid|< 21 $88.16 ↓ -49%
HPN Medicaid|> 21 $88.16 ↓ -49%
Health Net Medicaid|DHR $132.00 ↓ -23%
BCBS - Anthem Commercial|Non-MCS $163.10 ↓ -5%
Health Net Medicare|All Plans $182.51 ↑ +6%
US Behavioral Health Medicare|All Plans $198.80 ↑ +15%
Care 1st Medicare|All Other Plans $198.80 ↑ +15%
Humana Commercial|All Plans $198.80 ↑ +15%
United Medicare|All Plans $198.80 ↑ +15%
CareMore Medicare|All Plans $198.80 ↑ +15%
DHR Medicare|All Plans $198.80 ↑ +15%
HCLA Medicare|Preferred IPA $198.80 ↑ +15%
MHN Commercial|All Plans $198.80 ↑ +15%
LA Care Medicaid|All Plans $207.99 ↑ +21%
BCBS - Anthem Commercial|MCS $215.20 ↑ +25%
BCBS - Anthem Medicare|Alhambra Senior $228.62 ↑ +33%
Care 1st Medicaid|All Plans $245.85 ↑ +43%
BCBS - Anthem Commercial|Alhambra $248.50 ↑ +44%
LA Care Commercial|All Plans $248.50 ↑ +44%
BCBS - Anthem Commercial|HCLA $248.50 ↑ +44%
Health Net Commercial|HCLA $248.50 ↑ +44%
HCLA Commercial|Preferred IPA $248.50 ↑ +44%
HCLA Commercial|All Other Plans $248.50 ↑ +44%
Healthcare Partners Medicare|All Plans $285.12 ↑ +66%
HPN Medicare|All Plans $290.40 ↑ +69%
Kaiser Commercial|All Plans $295.68 ↑ +72%
Healthcare Partners Commercial|All Plans $316.80 ↑ +84%
Blue Shield CA Commercial|Magellan $316.80 ↑ +84%
SCAN Medicare|All Plans $327.36 ↑ +90%
First Health Commercial|All Plans $343.20 ↑ +99%
Care 1st Medicare|BlueShield Promise $396.00 ↑ +130%
United Commercial|PPO $401.28 ↑ +133%
MultiPlan Commercial|All Plans $422.40 ↑ +145%
United Commercial|Options PPO $475.20 ↑ +176%
United Commercial|HMO $496.32 ↑ +188%
United Commercial|Navigate $528.00 ↑ +207%
Health Net Commercial|EPPO $3,233.00 ↑ +1778%
Health Net Commercial|Care Product $4,182.00 ↑ +2330%
Health Net Commercial|All Other Plans $4,386.00 ↑ +2448%

Visitor-reported prices

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Breath hydrogen test 91065 at other California hospitals

Hospital City Cash price Negotiated range
Petaluma Valley Hospital Petaluma not published $134.26 – $1,687.00
Queen of The Valley Medical Center Napa not published $169.67 – $2,747.00
Providence St Joseph Hospital Eureka Eureka not published $192.41 – $2,699.00
Healdsburg Hospital Healdsburg not published $76.75 – $290.92
Redwood Memorial Hospital Fortuna not published $192.86 – $1,333.00
Santa Rosa Memorial Hospital Santa Rosa not published $144.35 – $1,716.00
Providence Mission Hospital - Mission Viejo Mission Viejo not published $225.94 – $1,200.00
Providence Cedars-Sinai Tarzana Medical Center Tarzana not published $110.75 – $1,287.00

All California hospitals for this procedure →