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 |
|---|---|---|---|---|
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $16,433.66 | $50,410.00 | $11.87 – $10,330.65 | 17 |
| Drug admin & hemodynmic meas CPT 93463 | $90.31 | $277.00 | $69.25 – $471.86 | 14 |
| Drug assay caffeine CPT 80155 | $11.55 | $35.42 | $7.09 – $86.02 | 20 |
| Drug assay posaconazole CPT 80187 | $18.59 | $57.00 | $11.40 – $60.45 | 20 |
| Drug assay rufinamide CPT 80210 | $19.19 | $58.85 | $11.77 – $60.45 | 20 |
| Drug assay voriconazole CPT 80285 | $17.28 | $53.00 | $10.60 – $60.45 | 20 |
| Drug of abuse screen urine CPT 80305 | $16.63 | $51.00 | $10.08 – $51.00 | 20 |
| Drug screen quant tiagabine CPT 80199 | $28.37 | $87.00 | $17.40 – $87.00 | 20 |
| Drug test def 15-21 classes HCPCS G0482 | $40.75 | $125.00 | $8.00 – $443.22 | 19 |
| Drug test def 1-7 classes HCPCS G0480 | $269.93 | $828.00 | $3.00 – $255.20 | 19 |
| Drug test def 22+ classes HCPCS G0483 | $58.68 | $180.00 | $36.00 – $550.68 | 19 |
| Drug test def 8-14 classes HCPCS G0481 | $368.71 | $1,131.00 | $98.39 – $904.80 | 19 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $116.06 | $356.00 | $2.59 – $138.58 | 20 |
| Dstrj extensive retinopathy CPT 67227 | not published | not published | $463.34 – $4,791.43 | 13 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | not published | not published | $374.91 – $2,481.19 | 13 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $223.63 – $634.55 | 13 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $183.56 – $634.55 | 13 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $239.65 – $972.21 | 13 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $311.06 – $972.21 | 13 |
| Duodenal exclusion CPT 48547 | not published | not published | $1,900.47 – $9,586.60 | 8 |
| Duplex scan bilateral study 93985 CPT 93985 | $1,054.94 | $3,236.00 | $215.00 – $2,588.80 | 20 |
| Duplex scan unilateral study 93986 CPT 93986 | $508.24 | $1,559.00 | $135.12 – $1,247.20 | 20 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $635.38 | $1,949.00 | $128.65 – $1,559.20 | 19 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $713.62 | $2,189.00 | $166.76 – $1,751.20 | 20 |
| Duragen 1x1 5ea/bx HCPCS C9354 | $16,433.66 | $50,410.00 | $40.00 – $13,434.30 | 16 |
| Dx bronchoscope/brush 31623 CPT 31623 | not published | not published | $379.16 – $2,191.11 | 13 |
| Dx bronchoscope/lavage 31624 CPT 31624 | not published | not published | $382.50 – $2,191.11 | 13 |
| Dx bronchoscope/wash 31622 CPT 31622 | not published | not published | $295.73 – $2,191.11 | 13 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $56.44 – $1,191.26 | 13 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $80.65 – $1,191.26 | 13 |
| Dx gastr intub w/asp spec CPT 43754 | not published | not published | $34.21 – $395.66 | 13 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $61.83 – $248.50 | 13 |
| Dx laryngoscopy newborn CPT 31520 | not published | not published | $181.57 – $616.74 | 13 |
| Dx laryngoscopy w/oper scope CPT 31526 | not published | not published | $172.65 – $2,191.11 | 13 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $309.02 – $386.27 | 10 |
| Ear canal biopsy 69105 CPT 69105 | not published | not published | $66.09 – $1,882.11 | 13 |
| Ear cartilage graft CPT 21235 | not published | not published | $907.19 – $7,516.44 | 13 |
| Ear irrigation 69209 CPT 69209 | not published | not published | $14.43 – $75.47 | 13 |
| Ecg 12 lead tracing only CPT 93005 | $264.72 | $812.00 | $29.40 – $649.60 | 18 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $60.31 | $185.00 | $6.41 – $148.00 | 18 |
| Ecg external < 48 hours recording CPT 93225 | $825.11 | $2,531.00 | $42.77 – $2,024.80 | 18 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $1,213.05 | $3,721.00 | $55.94 – $2,976.80 | 18 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $2,567.25 | $7,875.00 | $239.76 – $6,300.00 | 18 |
| Echocardiography doppler color flow mapping CPT 93325 | $489.98 | $1,503.00 | $139.64 – $1,202.40 | 14 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $898.46 | $2,756.00 | $689.00 – $2,204.80 | 17 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $590.72 | $1,812.00 | $107.65 – $1,449.60 | 19 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $519.97 | $1,595.00 | $398.75 – $1,276.00 | 17 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $558.44 | $1,713.00 | $69.83 – $1,370.40 | 14 |
| Echo exam of fetal heart CPT 76825 | $342.96 | $1,052.00 | $116.87 – $1,966.10 | 21 |
| Echo exam of fetal heart CPT 76826 | $291.77 | $895.00 | $85.42 – $936.29 | 21 |
| Echo exam of fetal heart CPT 76827 | $104.65 | $321.00 | $80.25 – $443.01 | 21 |
| Echo exam of fetal heart CPT 76828 | $176.37 | $541.00 | $48.77 – $443.01 | 21 |
| Echo exam uterus 76831- CPT 76831 | $186.48 | $572.00 | $108.33 – $936.29 | 21 |
| Echo guide for amniocentesis CPT 76946 | $420.54 | $1,290.00 | $41.10 – $1,032.00 | 15 |
| Echo guide for artery repair CPT 76936 | $293.73 | $901.00 | $215.00 – $1,076.89 | 20 |
| Echo stress CPT 93350 | $1,749.32 | $5,366.00 | $137.87 – $4,292.80 | 19 |
| Echo tee guidance CPT 93355 | $208.32 | $639.00 | $159.75 – $817.49 | 13 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $2,045.98 | $6,276.00 | $223.39 – $5,020.80 | 18 |
| Echo transesophageal CPT 93313 | $245.48 | $753.00 | $188.25 – $870.84 | 17 |
| Echo transesophageal CPT 93315 | $536.27 | $1,645.00 | $277.17 – $1,316.00 | 18 |
| Echo transesophageal intraop CPT 93318 | $536.27 | $1,645.00 | $256.00 – $1,316.00 | 18 |
| Echo transthoracic CPT 93303 | $964.31 | $2,958.00 | $273.70 – $2,366.40 | 19 |
| Echo transthoracic CPT 93304 | $694.06 | $2,129.00 | $149.68 – $1,703.20 | 19 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $1,081.02 | $3,316.00 | $215.30 – $2,652.80 | 19 |
| Ecmo/ecls daily mgmt artery 33949 CPT 33949 | not published | not published | $163.44 – $817.20 | 8 |
| Ecmo/ecls daily mgmt-venous 33948 CPT 33948 | not published | not published | $167.91 – $839.55 | 8 |
| Ecmo/ecls initiation artery 33947 CPT 33947 | not published | not published | $234.18 – $1,170.90 | 8 |
| Ecmo/ecls initiation venous 33946 CPT 33946 | not published | not published | $212.21 – $1,061.05 | 8 |
| Ecmo/ecls insj cent cannula 0-5yrs 33955 CPT 33955 | not published | not published | $611.69 – $3,058.45 | 8 |
| Ecmo/ecls insj cent cannula 6yrs&older 33956 CPT 33956 | not published | not published | $574.83 – $2,874.15 | 8 |
| Ecmo/ecls insj prph cannula 0-5yrs opn 33953 CPT 33953 | not published | not published | $337.68 – $1,688.40 | 8 |
| Ecmo/ecls insj prph cannula 0-5yrs perq 33951 CPT 33951 | not published | not published | $302.31 – $1,511.55 | 8 |
| Ecmo/ecls insj prph cannula 6yrs&older opn 33954 CPT 33954 | not published | not published | $328.00 – $1,640.00 | 8 |
| Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952 | not published | not published | $293.74 – $1,468.70 | 8 |
| Ecmo/ecls remove cent cannula 0-5yrs 33985 CPT 33985 | not published | not published | $377.51 – $1,887.55 | 8 |
| Ecmo/ecls remove cent cannula 6yrs&older 33986 CPT 33986 | not published | not published | $355.55 – $1,777.75 | 8 |
| Ecmo/ecls remove perph cannula 0-5yrs opn 33969 CPT 33969 | not published | not published | $200.67 – $1,003.35 | 8 |
| Ecmo/ecls remove perph cannula 0-5yrs perq 33965 CPT 33965 | not published | not published | $135.89 – $679.45 | 8 |
| Ecmo/ecls remove prph cannula 6yrs&older open 33984 CPT 33984 | not published | not published | $195.09 – $975.45 | 8 |
| Ecmo/ecls remove prph cannula 6yrs&older perq 33966 CPT 33966 | not published | not published | $161.95 – $809.75 | 8 |
| Ecmo/ecls repos cent cnula 6yrs&older 33964 CPT 33964 | not published | not published | $351.45 – $1,757.25 | 8 |
| Ecmo/ecls repos cent/perph cnula 0-5yrs 33963 CPT 33963 | not published | not published | $344.75 – $1,723.75 | 8 |
| Ecmo/ecls repos perph cnula 0-5yrs opn 33959 CPT 33959 | not published | not published | $172.75 – $863.75 | 8 |
| Ecmo/ecls repos perph cnula 0-5yrs perq 33957 CPT 33957 | not published | not published | $135.52 – $677.60 | 8 |
| Ecmo/ecls repos perph cnula 6yrs&older opn 33962 CPT 33962 | not published | not published | $160.83 – $804.15 | 8 |
| Ecmo/ecls repos perph cnula 6yrs&older perq 33958 CPT 33958 | not published | not published | $130.68 – $653.40 | 8 |
| Ecp ciliary body destruction CPT 66711 | not published | not published | $267.34 – $2,897.90 | 13 |
| Edetate calcium disodium inj HCPCS J0600 | $5,254.47 | $16,118.00 | $291.16 – $14,134.55 | 19 |
| Edu/train/pt/nonmd/in person/30 min98960 CPT 98960 | $66.83 | $205.00 | $26.66 – $112.77 | 13 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | $259.17 | $795.00 | $146.70 – $636.00 | 18 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | $935.95 | $2,871.00 | $73.19 – $2,296.80 | 18 |
| Eeg during surgery CPT 95955 | $649.40 | $1,992.00 | $199.31 – $1,593.60 | 13 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $728.29 | $2,234.00 | $135.51 – $1,624.80 | 18 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $259.17 | $795.00 | $198.75 – $636.00 | 18 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $567.57 | $1,741.00 | $116.56 – $1,392.80 | 18 |
| Eeg recording awake and asleep CPT 95819 | $488.03 | $1,497.00 | $116.56 – $1,088.80 | 18 |
| Eeg without vid 2-12hr cont mntr CPT 95707 | $157.14 | $482.00 | $120.50 – $494.57 | 18 |
| Eeg without vid 2-12 hr unmntr CPT 95705 | $259.83 | $797.00 | $199.25 – $637.60 | 18 |
| Eeg without vid ea 12-26hr cont CPT 95710 | $498.78 | $1,530.00 | $382.50 – $1,432.45 | 18 |
| Eeg without vid ea 12-26hr intmt CPT 95709 | $498.78 | $1,530.00 | $382.50 – $1,224.00 | 18 |
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.