Glendale Memorial Hospital Health Center
1420 S Central Ave, Glendale, CA · CommonSpirit Health · · NPI 1477610640
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 |
|---|---|---|---|---|
| Chemo adm cns w/lmbr punct CPT 96450 | $316.22 | $970.00 | $234.23 – $11,374.00 | 21 |
| Chemodener muscle larynx emg CPT 64617 | not published | not published | $98.29 – $879.92 | 13 |
| Chemodenerv 1 extrem 1-4 ea 64643 CPT 64643 | not published | not published | $60.68 – $303.40 | 8 |
| Chemodenerv 1 extrem 5/> ea 64645 CPT 64645 | not published | not published | $69.25 – $346.25 | 8 |
| Chemodenerv 1 extrem 5/> mus 64644 CPT 64644 | not published | not published | $60.68 – $879.92 | 13 |
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | not published | not published | $91.21 – $879.92 | 13 |
| Chemodenervation anal musc CPT 46505 | not published | not published | $236.41 – $1,498.14 | 13 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | not published | not published | $149.54 – $468.84 | 13 |
| Chemodenervation nerve of eye muscle 67345 CPT 67345 | not published | not published | $272.36 – $492.66 | 13 |
| Chemodenerv eccrine glands CPT 64653 | not published | not published | $73.06 – $375.07 | 13 |
| Chemodenerv eccrine glands 64650 CPT 64650 | not published | not published | $63.76 – $375.07 | 13 |
| Chemodenerv musc migraine 64615 CPT 64615 | not published | not published | $129.84 – $468.84 | 13 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | not published | not published | $90.47 – $382.69 | 13 |
| Chemodenerv saliv glands bilat 64611 CPT 64611 | not published | not published | $68.80 – $375.07 | 13 |
| Chemodenerv trunk musc 1-5 64646 CPT 64646 | not published | not published | $98.66 – $879.92 | 13 |
| Chemodenerv trunk musc 6/] 64647 CPT 64647 | not published | not published | $113.92 – $879.92 | 13 |
| Chest 2 vws w oblique CPT 71048 | $451.84 | $1,386.00 | $37.78 – $1,108.80 | 21 |
| Chest apical lordotic proj CPT 71047 | $363.17 | $1,114.00 | $35.26 – $891.20 | 21 |
| Chest CT scan (with and without contrast) CPT 71270 | $3,599.70 | $11,042.00 | $226.19 – $8,833.60 | 21 |
| Chest CT scan (with contrast) CPT 71260 | $3,181.11 | $9,758.00 | $226.19 – $7,806.40 | 21 |
| Chest CT scan (without contrast) CPT 71250 | $1,674.34 | $5,136.00 | $135.12 – $4,108.80 | 21 |
| Chest X-ray CPT 71046 | $295.03 | $905.00 | $27.47 – $724.00 | 21 |
| Chest X-ray (single view) CPT 71045 | $226.90 | $696.00 | $17.65 – $556.80 | 21 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $181.59 | $557.00 | $99.36 – $726.82 | 21 |
| Chlamydia culture CPT 87110 | $7.34 | $22.50 | $4.50 – $43.71 | 20 |
| Chlamydia type CPT 87140 | $7.34 | $22.50 | $3.68 – $18.37 | 20 |
| Chlnggrphy intraop addl s&i CPT 74301 | $225.60 | $692.00 | $31.01 – $553.60 | 15 |
| Chloride CPT 82435 | $56.73 | $174.00 | $4.32 – $132.80 | 20 |
| Chloride 24 hour urine CPT 82436 | $47.27 | $145.00 | $1.65 – $12.83 | 20 |
| Chloroprocaine hcl injection HCPCS J2401 | $90.63 | $278.00 | $44.48 – $222.40 | 12 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | $838.80 | $2,573.00 | $36.94 – $2,058.40 | 15 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $92.91 | $285.00 | $0.01 – $191.20 | 15 |
| Cholangiogram percutaneous compl CPT 47532 | not published | not published | $749.07 – $4,484.02 | 13 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $341.00 | $1,046.00 | $62.08 – $836.80 | 15 |
| Cholecystectomy expl duct 47612 CPT 47612 | not published | not published | $1,263.89 – $1,263.89 | 1 |
| Cholecystectomy w/cholangiography 47605 CPT 47605 | not published | not published | $1,108.11 – $5,589.65 | 8 |
| Cholecystoenterostomy direct 47720 CPT 47720 | not published | not published | $1,096.10 – $5,529.05 | 8 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | not published | not published | $780.35 – $4,484.02 | 13 |
| Cholesterol CPT 82465 | $75.96 | $233.00 | $4.35 – $107.20 | 20 |
| Cholesterol body fluid CPT 84999 | $23.15 | $71.00 | $1.77 – $78.88 | 12 |
| Cholesterol (Lipid) Test CPT 80061 | $122.25 | $375.00 | $13.39 – $300.00 | 20 |
| Cholinesterase CPT 82480 | $4.32 | $13.24 | $2.42 – $17.57 | 20 |
| Chorion biopsy CPT 59015 | not published | not published | $159.18 – $1,106.36 | 13 |
| Chrom analysis CPT 88273 | $39.12 | $120.00 | $25.42 – $101.66 | 20 |
| Chromatography CPT 83021 | $8.27 | $25.34 | $3.60 – $40.28 | 20 |
| Chromo high res and frag x - sendout CPT 81243 | $35.86 | $110.00 | $20.90 – $127.22 | 20 |
| Chromosome analys amniotic CPT 88269 | $53.62 | $164.45 | $41.12 – $387.29 | 20 |
| Chromosome analysis 15-20 cell count CPT 88262 | $220.71 | $677.00 | $38.75 – $279.87 | 20 |
| Chromosome analysis 45 CPT 88263 | $76.07 | $233.34 | $51.43 – $335.17 | 20 |
| Chromosome analysis 5 CPT 88261 | $173.87 | $533.33 | $26.57 – $589.51 | 20 |
| Chromosome analys placenta CPT 88267 | $73.88 | $226.60 | $56.65 – $420.54 | 20 |
| Chromosome count additional CPT 88285 | $38.55 | $118.25 | $1.77 – $60.01 | 20 |
| Chromosome karyotype study CPT 88280 | $38.55 | $118.25 | $13.29 – $74.66 | 20 |
| Chylomicron screen, bf - sendout CPT 82664 | $32.31 | $99.11 | $19.83 – $137.17 | 20 |
| Cidofovir injection HCPCS J0740 | $2,993.34 | $9,182.00 | $496.82 – $7,345.60 | 20 |
| Cilastatin sodium injection HCPCS J0743 | $50.86 | $156.00 | $8.87 – $124.80 | 13 |
| Ciliary transsleral therapy CPT 66710 | not published | not published | $445.93 – $2,964.26 | 13 |
| Cinacalcet 30 mg tablet HCPCS J0604 | $88.68 | $272.00 | $0.01 – $172.00 | 15 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $28.37 | $87.00 | $1.37 – $69.60 | 13 |
| Circum 28 days or older CPT 54161 | not published | not published | $181.57 – $2,602.84 | 13 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | not published | not published | $848.09 – $1,060.11 | 10 |
| Circumcision (newborn) CPT 54150 | not published | not published | $2,602.84 – $3,253.55 | 10 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $20.54 | $63.00 | $2.86 – $50.40 | 15 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $131.79 | $404.25 | $101.07 – $734.85 | 20 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | $1,759.75 | $5,398.00 | $10.20 – $4,318.40 | 20 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $16,433.66 | $50,410.00 | $40.00 – $3,613.50 | 16 |
| Claviculectomy partial CPT 23120 | not published | not published | $642.82 – $4,122.60 | 13 |
| Claviculectomy total CPT 23125 | not published | not published | $1,109.44 – $4,734.55 | 13 |
| Clean out mastoid cavity CPT 69222 | not published | not published | $200.26 – $808.81 | 13 |
| Clearance of airways CPT 31720 | not published | not published | $90.78 – $323.04 | 13 |
| Clearance of tear duct CPT 68530 | not published | not published | $379.82 – $1,602.35 | 13 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $52.82 | $162.00 | $5.92 – $29.60 | 12 |
| Clip ligating vesolock lg HCPCS C1760 | $2,011.42 | $6,170.00 | $23.00 – $113.85 | 16 |
| Clitoroplasty intersex state CPT 56805 | not published | not published | $1,269.01 – $5,049.89 | 13 |
| Cllr miami j sm HCPCS L0174 | $914.43 | $2,805.00 | $9.00 – $190.35 | 17 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $101.39 | $311.00 | $16.20 – $248.80 | 15 |
| Close bronchial fistula 32815 CPT 32815 | not published | not published | $2,559.32 – $12,910.05 | 8 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | not published | not published | $304.79 – $671.37 | 13 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | not published | not published | $412.54 – $2,033.48 | 13 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | not published | not published | $718.27 – $3,623.15 | 8 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | not published | not published | $304.79 – $1,375.34 | 13 |
| Closed tx humerus fx with manip 23605 CPT 23605 | not published | not published | $387.17 – $2,033.48 | 13 |
| Closed tx humerus fx without manip 23600 CPT 23600 | not published | not published | $158.05 – $380.99 | 13 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | not published | not published | $482.62 – $2,059.63 | 13 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | not published | not published | $109.48 – $380.99 | 13 |
| Closed tx nose/jaw fx CPT 21345 | not published | not published | $529.35 – $2,258.99 | 13 |
| Closed tx orbit without manipulj CPT 21400 | not published | not published | $364.48 – $808.81 | 13 |
| Closed tx orbit w/manipulj CPT 21401 | not published | not published | $469.28 – $2,002.65 | 13 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | not published | not published | $827.08 – $2,541.85 | 13 |
| Closed tx septal&nose fx CPT 21337 | not published | not published | $234.31 – $4,120.64 | 13 |
| Closed tx sesamoid fx 28530 CPT 28530 | not published | not published | $296.39 – $536.14 | 13 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | not published | not published | $304.79 – $930.96 | 13 |
| Closed tx vert fx w/manj CPT 22315 | not published | not published | $713.60 – $4,122.60 | 13 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | not published | not published | $122.82 – $368.82 | 13 |
| Close mastoid fistula CPT 69700 | not published | not published | $529.35 – $2,258.99 | 13 |
| Close median sternotomy separation 21750 CPT 21750 | not published | not published | $1,454.55 – $7,337.25 | 8 |
| Close tear duct opening CPT 68760 | not published | not published | $246.32 – $474.77 | 13 |
| Close tear duct opening CPT 68761 | not published | not published | $224.96 – $474.77 | 13 |
| Close tear system fistula CPT 68770 | not published | not published | $642.82 – $2,964.26 | 13 |
| Clos txnose fx without stablz 21315 CPT 21315 | not published | not published | $142.19 – $1,882.11 | 13 |
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.