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 |
|---|---|---|---|---|
| Device ablt adv novasure HCPCS C1886 | $4,423.82 | $13,570.00 | $40.00 – $6,108.30 | 16 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $4,423.82 | $13,570.00 | $40.00 – $6,108.30 | 16 |
| Device intraute mirena HCPCS J7298 | $3,278.59 | $10,057.00 | $957.82 – $8,045.60 | 15 |
| Device sut capio slim opn HCPCS C2631 | $2,616.15 | $8,025.00 | $40.00 – $2,133.45 | 16 |
| Device tiss remov myosure reach HCPCS C1782 | $2,616.15 | $8,025.00 | $110.00 – $352.00 | 9 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $4.24 | $13.00 | $0.05 – $3.20 | 13 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $28.04 | $86.00 | $0.18 – $20.80 | 15 |
| Dextran 40 infusion HCPCS J7100 | $118.02 | $362.00 | $32.33 – $289.60 | 13 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $33.58 | $103.00 | $1.25 – $43.20 | 15 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $58.36 | $179.00 | $1.82 – $43.20 | 15 |
| Dextrose 5 % IV bolus HCPCS J7070 | $58.36 | $179.00 | $3.64 – $43.20 | 15 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $1.96 | $6.00 | $1.20 – $49.58 | 20 |
| Diabetes (HbA1c) Test CPT 83036 | $18.26 | $56.00 | $6.40 – $32.00 | 20 |
| Diab manage trn ind/group HCPCS G0109 | $28.69 | $88.00 | $12.26 – $70.40 | 18 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $322.41 – $2,191.11 | 13 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $419.89 – $7,413.14 | 13 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $131.32 – $633.77 | 10 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $174.23 – $1,872.68 | 10 |
| Diagnostic anoscopy spx 46600 CPT 46600 | not published | not published | $39.39 – $168.06 | 13 |
| Diagnostic laryngoscopy 31505 CPT 31505 | not published | not published | $106.15 – $308.34 | 13 |
| Diagnostic laryngoscopy 31575 CPT 31575 | not published | not published | $138.19 – $308.34 | 13 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $220.05 | $675.00 | $148.03 – $626.17 | 16 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | not published | not published | $1,806.03 – $9,030.15 | 8 |
| Dialysis one evaluation CPT 90945 | $1,860.16 | $5,706.00 | $129.39 – $4,564.80 | 18 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $213.21 | $654.00 | $0.08 – $152.00 | 14 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $136.27 | $418.00 | $7.91 – $110.40 | 15 |
| Dicyclomine injection HCPCS J0500 | $186.15 | $571.00 | $17.32 – $456.80 | 15 |
| Diffusing capacity CPT 94729 | $232.12 | $712.00 | $60.25 – $569.60 | 13 |
| Digital analysis of eeg CPT 95957 | $119.32 | $366.00 | $91.50 – $895.36 | 13 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $531.71 | $1,631.00 | $4.80 – $39.51 | 15 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $10,388.97 | $31,868.00 | $3,960.32 – $25,494.40 | 20 |
| Digoxin total therapeutic drug level CPT 80162 | $122.91 | $377.00 | $13.28 – $301.60 | 20 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $315.57 | $968.00 | $57.56 – $774.40 | 15 |
| Dilate biliary duct/ampulla CPT 47542 | not published | not published | $469.47 – $2,347.35 | 8 |
| Dilate esophagus CPT 43453 | not published | not published | $180.24 – $2,410.32 | 13 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $83.45 – $1,191.26 | 13 |
| Dilate ic vasospasm init CPT 61640 | not published | not published | $562.04 – $562.04 | 1 |
| Dilate tear duct opening CPT 68801 | not published | not published | $244.98 – $633.77 | 13 |
| Dilate urethra stricture CPT 53600 | not published | not published | $156.20 – $386.27 | 13 |
| Dilate urethra stricture CPT 53601 | not published | not published | $147.52 – $266.85 | 13 |
| Dilate urethra stricture CPT 53605 | not published | not published | $52.74 – $4,382.26 | 13 |
| Dilate urethra stricture CPT 53621 | not published | not published | $218.94 – $396.07 | 13 |
| Dilation/female urethra/initial 53660 CPT 53660 | not published | not published | $134.17 – $248.50 | 13 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $270.35 – $1,498.14 | 13 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $39.54 – $4,039.91 | 13 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $189.58 – $1,498.14 | 13 |
| Dilation of salivary duct CPT 42660 | not published | not published | $70.09 – $647.05 | 13 |
| Dilation of urethra CPT 53661 | not published | not published | $136.18 – $246.34 | 13 |
| Dilation of urethra CPT 53665 | not published | not published | $31.37 – $2,602.84 | 13 |
| Dilation of vagina CPT 57400 | not published | not published | $86.49 – $4,039.91 | 13 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $54.07 – $1,882.11 | 13 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | not published | not published | $227.62 – $971.42 | 13 |
| Dilator fascial 10fx20cm HCPCS C2627 | $187.45 | $575.00 | $40.00 – $252.45 | 16 |
| Dilat xst trc ndurlgc px CPT 50436 | not published | not published | $131.42 – $4,382.26 | 13 |
| Dilat xst trc new access rcs CPT 50437 | not published | not published | $218.91 – $4,382.26 | 13 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $33.58 | $103.00 | $8.32 – $41.60 | 12 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $11.41 | $35.00 | $1.20 – $28.00 | 15 |
| Disability dlco CPT 94727 | $210.27 | $645.00 | $37.62 – $516.00 | 18 |
| Disaccharidases CPT 82657 | $79.87 | $245.00 | $12.37 – $61.82 | 20 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $604.78 – $2,580.93 | 13 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $2,155.47 – $10,872.90 | 8 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $349.80 – $1,764.45 | 8 |
| Dissolve clot heart vessel CPT 92975 | $2,766.44 | $8,486.00 | $603.86 – $6,788.80 | 14 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $857.15 – $6,868.48 | 13 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $1,058.71 – $7,516.44 | 13 |
| Division of fallopian tube 58605 CPT 58605 | not published | not published | $634.03 – $3,170.15 | 8 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | not published | not published | $247.21 – $1,236.05 | 8 |
| Dna antibody native/double stranded CPT 86225 | $4.04 | $12.39 | $2.00 – $30.64 | 20 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $105.63 | $324.00 | $5.74 – $56.80 | 15 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $1,230.98 | $3,776.00 | $0.61 – $2,771.20 | 15 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $59.01 | $181.00 | $0.48 – $29.60 | 15 |
| Doppler echo complete CPT 93320 | $974.74 | $2,990.00 | $137.29 – $2,392.00 | 14 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $1,893.41 | $5,808.00 | $435.36 – $4,646.40 | 14 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $857.38 | $2,630.00 | $174.57 – $2,104.00 | 20 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $568.22 | $1,743.00 | $93.42 – $1,394.40 | 20 |
| Doripenem 50 mg/ml inj 10 ml HCPCS J1267 | $77.59 | $238.00 | $0.66 – $190.40 | 15 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $134.97 | $414.00 | $3.15 – $91.20 | 15 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $3,919.83 | $12,024.00 | $110.63 – $9,619.20 | 20 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $118.02 | $362.00 | $48.00 – $240.00 | 12 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | not published | not published | $88.79 – $893.98 | 13 |
| Drainage ext aud canal abscess 69020 CPT 69020 | not published | not published | $105.46 – $893.98 | 13 |
| Drainage external ear complex 69005 CPT 69005 | not published | not published | $131.74 – $2,058.68 | 13 |
| Drainage external ear simple 69000 CPT 69000 | not published | not published | $101.46 – $893.98 | 13 |
| Drainage lymph node lesion 38300 CPT 38300 | not published | not published | $168.23 – $3,636.52 | 13 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | $306.89 – $3,636.52 | 13 |
| Drainage mouth roof lesion CPT 42000 | not published | not published | $104.13 – $368.82 | 13 |
| Drainage of arm bursa 23931 CPT 23931 | not published | not published | $204.26 – $2,058.68 | 13 |
| Drainage of bladder abscess CPT 51080 | not published | not published | $604.78 – $3,636.52 | 13 |
| Drainage of eye CPT 65800 | not published | not published | $126.83 – $2,897.90 | 13 |
| Drainage of eye CPT 65810 | not published | not published | $604.78 – $2,897.90 | 13 |
| Drainage of eye CPT 65815 | not published | not published | $408.54 – $2,897.90 | 13 |
| Drainage of forearm bursa CPT 25031 | not published | not published | $734.95 – $2,541.85 | 13 |
| Drainage of kidney lesion CPT 50390 | not published | not published | $126.83 – $893.98 | 13 |
| Drainage of mouth lesion CPT 41005 | not published | not published | $96.78 – $368.82 | 13 |
| Drainage of mouth lesion CPT 41006 | not published | not published | $397.19 – $1,882.11 | 13 |
| Drainage of mouth lesion CPT 41007 | not published | not published | $376.50 – $1,882.11 | 13 |
| Drainage of mouth lesion CPT 41008 | not published | not published | $392.50 – $4,120.64 | 13 |
| Drainage of mouth lesion CPT 41009 | not published | not published | $411.21 – $808.81 | 13 |
| Drainage of mouth lesion CPT 41015 | not published | not published | $240.31 – $808.81 | 13 |
| Drainage of mouth lesion CPT 41016 | not published | not published | $440.57 – $7,516.44 | 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.