Icd reliance df4 ib 64cm 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

$9,722.95

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.

$29,825.00

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.

$40.00 with SCAN vs $4,697.55 with Aetna — 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
SCAN Medicare|All Plans $40.00 ↓ -100%
Alhambra Medicaid|> 21 $949.00 ↓ -90%
Alhambra Medicaid|< 21 $949.00 ↓ -90%
CareMore Medicare|All Plans $949.00 ↓ -90%
Health Net Medicaid|Preferred IPA $996.45 ↓ -90%
Molina Medicaid|All Plans $1,091.35 ↓ -89%
BCBS - Anthem Medicaid|All Plans $1,186.25 ↓ -88%
Health Net Medicaid|DHR $1,186.25 ↓ -88%
Care 1st Medicaid|All Plans $1,233.70 ↓ -87%
Cigna Commercial|All Other Plans $1,423.50 ↓ -85%
HCLA Medicaid|Preferred IPA < 21 $1,423.50 ↓ -85%
HCLA Medicaid|Preferred IPA > 21 $1,423.50 ↓ -85%
Cigna Commercial|PPO $1,423.50 ↓ -85%
HPN Medicaid|> 21 $1,470.95 ↓ -85%
HPN Medicaid|< 21 $1,470.95 ↓ -85%
HPN Medicare|All Plans $1,518.40 ↓ -84%
Health Net Commercial|EPPO $1,945.45 ↓ -80%
United Commercial|Options PPO $2,419.95 ↓ -75%
United Commercial|PPO $2,467.40 ↓ -75%
United Commercial|Navigate $2,467.40 ↓ -75%
Health Net Commercial|Care Product $2,514.85 ↓ -74%
United Commercial|HMO $2,609.75 ↓ -73%
Kaiser Commercial|All Plans $2,657.20 ↓ -73%
Health Net Commercial|All Other Plans $2,657.20 ↓ -73%
Blue Shield CA Commercial|Magellan $2,847.00 ↓ -71%
First Health Commercial|All Plans $3,084.25 ↓ -68%
Care 1st Medicare|BlueShield Promise $3,558.75 ↓ -63%
Blue Shield CA Commercial|Exchange $3,558.75 ↓ -63%
MultiPlan Commercial|All Plans $3,796.00 ↓ -61%
Blue Shield CA Commercial|All Other Plans $4,080.70 ↓ -58%
BCBS - Anthem Commercial|MCS $4,507.75 ↓ -54%
BCBS - Anthem Commercial|Non-MCS $4,507.75 ↓ -54%
Aetna Commercial|All Other Plans $4,697.55 ↓ -52%
Aetna Commercial|PPO $4,697.55 ↓ -52%
Aetna Commercial|HMO $4,697.55 ↓ -52%

Visitor-reported prices

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Icd reliance df4 ib 64cm at other California hospitals

Hospital City Cash price Negotiated range
St. John's Camarillo Hospital Camarillo $13,521.06 $1,993.68 – $6,479.46
Banner Lassen Medical Center Susanville $19,942.38 $1,104.95 – $2,614.15
Petaluma Valley Hospital Petaluma $9,267.72 not published
Arroyo Grande Hospital Santa Maria $7,817.85 $1,910.61 – $8,140.86
French Hospital San Luis Obispo $7,160.28 $1,578.33 – $8,140.86
Mercy Hospitals – Bakersfield Bakersfield $7,529.45 $2,307.50 – $8,307.00
Bakersfield Memorial Hospital Bakersfield $9,683.30 $2,307.50 – $8,953.10
Queen of The Valley Medical Center Napa $9,267.72 not published

All California hospitals for this procedure →