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 |
|---|---|---|---|---|
| Esoph fundoplasty thor 43328 CPT 43328 | not published | not published | $988.46 – $4,942.30 | 8 |
| Esoph imped function test CPT 91037 | $233.09 | $715.00 | $134.22 – $572.00 | 19 |
| Esoph imped funct test > 1hr CPT 91038 | $326.66 | $1,002.00 | $113.84 – $801.60 | 19 |
| Esoph optical endomicroscopy CPT 43206 | not published | not published | $2,410.32 – $3,012.90 | 10 |
| Esoph scope w/sclerosis inj CPT 43204 | not published | not published | $500.67 – $2,410.32 | 13 |
| Esoph scope w/submucous inj CPT 43201 | not published | not published | $261.77 – $2,410.32 | 13 |
| Esphg dstl 2/3 w/laps moblj 43287 CPT 43287 | not published | not published | $3,042.06 – $15,210.30 | 8 |
| Esphg thrsc moblj CPT 43288 | not published | not published | $3,182.42 – $15,912.10 | 8 |
| Esphg tot w/laps moblj CPT 43286 | not published | not published | $2,672.00 – $13,360.00 | 8 |
| Esphg tot w/thrcm CPT 43112 | not published | not published | $3,117.39 – $15,725.10 | 8 |
| Essure 58565 CPT 58565 | not published | not published | $737.76 – $6,272.25 | 13 |
| Establish access to aorta CPT 36160 | not published | not published | $200.26 – $1,010.20 | 8 |
| Establish access to artery CPT 36100 | not published | not published | $333.76 – $1,683.65 | 8 |
| Establish brain cavity shunt CPT 62223 | not published | not published | $1,735.58 – $8,754.85 | 8 |
| Establish brain cavity shunt CPT 62180 | not published | not published | $2,136.11 – $10,775.20 | 8 |
| Establish brain cavity shunt CPT 62190 | not published | not published | $1,735.58 – $8,754.85 | 8 |
| Establish brain cavity shunt CPT 62192 | not published | not published | $1,735.58 – $8,754.85 | 8 |
| Establish brain cavity shunt CPT 62200 | not published | not published | $2,136.11 – $10,775.20 | 8 |
| Establish brain cavity shunt CPT 62220 | not published | not published | $1,735.58 – $8,754.85 | 8 |
| Established Patient Office Visit (level 1) CPT 99211 | $172.78 | $530.00 | $21.37 – $232.00 | 14 |
| Established Patient Office Visit (level 2) CPT 99212 | $55.75 | $171.00 | $32.25 – $232.00 | 14 |
| Established Patient Office Visit (level 3) CPT 99213 | $70.75 | $217.00 | $42.76 – $232.00 | 14 |
| Established Patient Office Visit (level 4) CPT 99214 | $631.47 | $1,937.00 | $66.81 – $282.61 | 14 |
| Established Patient Office Visit (level 5) CPT 99215 | $188.43 | $578.00 | $101.90 – $462.40 | 14 |
| Estim aid bone healg invasiv CPT 20975 | not published | not published | $230.93 – $230.93 | 1 |
| Estradiol total CPT 82670 | $34.89 | $107.00 | $1.80 – $62.31 | 20 |
| Ethanolamine oleate 100 mg HCPCS J1430 | $1,211.75 | $3,717.00 | $397.77 – $2,973.60 | 19 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | not published | not published | $982.61 – $4,193.24 | 13 |
| Ethylene glycol -sendout CPT 82693 | $10.35 | $31.72 | $6.35 – $33.25 | 20 |
| Etonogestrel implant system HCPCS J7307 | $4,419.26 | $13,556.00 | $957.40 – $6,000.00 | 15 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $38.15 | $117.00 | $0.79 – $93.60 | 15 |
| Etoposide 50 mg cap HCPCS J8560 | $238.96 | $733.00 | $62.38 – $586.40 | 13 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $436.09 – $4,039.91 | 13 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $140.51 | $431.00 | $86.20 – $344.80 | 19 |
| Evaluation heart device CPT 93640 | $2,359.27 | $7,237.00 | $866.75 – $5,789.60 | 13 |
| Evasc prlng admn rx agnt 1st CPT 61650 | not published | not published | $444.15 – $2,220.75 | 8 |
| Evasc prlng admn rx agnt add CPT 61651 | not published | not published | $188.38 – $1,393.96 | 8 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | not published | not published | $1,044.30 – $5,221.50 | 8 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | not published | not published | $1,030.15 – $5,150.75 | 8 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | not published | not published | $1,538.34 – $7,691.70 | 8 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | not published | not published | $1,919.21 – $9,596.05 | 8 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | not published | not published | $371.93 – $1,859.65 | 8 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | not published | not published | $1,154.87 – $5,774.35 | 8 |
| Evasc rpr a-unilac ndgft rpt CPT 34704 | not published | not published | $1,921.07 – $9,605.35 | 8 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | not published | not published | $959.79 – $4,798.95 | 8 |
| Evasc rpr ilio-iliac rpt CPT 34708 | not published | not published | $1,542.44 – $7,712.20 | 8 |
| Evoked potentials auditory screening automated analysis CPT 92650 | $33.58 | $103.00 | $25.68 – $108.63 | 13 |
| Evoked potentials upper limbs CPT 95925 | $259.17 | $795.00 | $151.97 – $636.00 | 18 |
| Exam of vagina w/scope 57420 CPT 57420 | not published | not published | $109.04 – $461.24 | 13 |
| Exam plvc w/anes othr thn lcl CPT 57410 | not published | not published | $107.57 – $4,039.91 | 13 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | not published | not published | $604.78 – $3,636.52 | 13 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | not published | not published | $572.23 – $3,636.52 | 13 |
| Exc 1st&/crv rib w/sympth CPT 21616 | not published | not published | $1,232.28 – $6,215.95 | 8 |
| Exc abd les sc 3 cm/> CPT 22903 | not published | not published | $452.81 – $3,636.52 | 13 |
| Exc abdl tum deep < 5 cm CPT 22900 | not published | not published | $579.43 – $3,636.52 | 13 |
| Exc abdl tum deep 5 cm/> CPT 22901 | not published | not published | $543.19 – $3,636.52 | 13 |
| Exc abd tum 5 cm or less 49203 CPT 49203 | not published | not published | $1,044.07 – $1,061.05 | 2 |
| Exc abd tum over 10 cm 49205 CPT 49205 | not published | not published | $1,521.24 – $1,545.98 | 2 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | not published | not published | $418.38 – $3,636.52 | 13 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | not published | not published | $604.78 – $2,573.35 | 13 |
| Exc aurl glomus tum extended CPT 69554 | not published | not published | $3,414.43 – $17,223.50 | 8 |
| Exc aurl glomus tum trnscanl CPT 69550 | not published | not published | $1,369.11 – $7,516.44 | 13 |
| Exc aurl glomus tum trnsmstd CPT 69552 | not published | not published | $2,120.07 – $9,047.46 | 13 |
| Exc back les sbq <3 cm 21930 CPT 21930 | not published | not published | $463.97 – $2,573.35 | 13 |
| Exc back tum deep 5 cm/> CPT 21933 | not published | not published | $609.08 – $3,636.52 | 13 |
| Exc bartholins gland/cyst CPT 56740 | not published | not published | $348.87 – $4,039.91 | 13 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | not published | not published | $220.29 – $2,058.68 | 13 |
| Exc benign feenlm >4.0cm 11446 CPT 11446 | not published | not published | $499.31 – $3,636.52 | 13 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | not published | not published | $181.57 – $2,058.68 | 13 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | not published | not published | $104.13 – $893.98 | 13 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | not published | not published | $115.48 – $893.98 | 13 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | not published | not published | $143.51 – $893.98 | 13 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | not published | not published | $177.56 – $2,058.68 | 13 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | not published | not published | $120.15 – $893.98 | 13 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | not published | not published | $155.53 – $2,058.68 | 13 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | not published | not published | $430.55 – $3,636.52 | 13 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | not published | not published | $117.48 – $507.64 | 13 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | not published | not published | $145.52 – $893.98 | 13 |
| Exc breast duct fistula 19112 CPT 19112 | not published | not published | $612.13 – $4,865.48 | 13 |
| Exc carotid body tumor without exc art 60600 CPT 60600 | not published | not published | $1,285.01 – $6,482.00 | 8 |
| Exc cervix repair bowel 57556 CPT 57556 | not published | not published | $1,053.88 – $6,272.25 | 13 |
| Exc cervix/repair pelvis 57545 CPT 57545 | not published | not published | $956.49 – $4,782.45 | 8 |
| Exc cervix/repair vagina 57555 CPT 57555 | not published | not published | $1,053.88 – $6,272.25 | 13 |
| Exc chest wall tumor w/ribs 21601 CPT 21601 | not published | not published | $1,021.96 – $4,322.89 | 13 |
| Exc ch wal tum without lymphadec CPT 21602 | not published | not published | $1,384.21 – $6,921.05 | 8 |
| Exc ch wal tum w/lymphadec CPT 21603 | not published | not published | $1,525.69 – $7,628.45 | 8 |
| Exc coa rpr l subcl art/prst CPT 33851 | not published | not published | $2,644.76 – $13,341.05 | 8 |
| Exc coa w/direct anastomosis CPT 33840 | not published | not published | $2,670.14 – $13,469.00 | 8 |
| Exc coccygl pr ulc flap clsr CPT 15922 | not published | not published | $1,030.01 – $4,651.63 | 13 |
| Exc coccygl pr ulc prim sutr CPT 15920 | not published | not published | $453.91 – $3,636.52 | 13 |
| Exc constrict ring finger w/mlt z-plasties 26596 CPT 26596 | not published | not published | $708.06 – $5,153.25 | 10 |
| Exc/crtg b1 cst/b9 tum rds CPT 24120 | not published | not published | $604.78 – $4,122.60 | 13 |
| Exc/crtg b1 cst/tum hum agrf CPT 24115 | not published | not published | $945.24 – $9,076.82 | 13 |
| Exc/crtg b1 cst/tum hum algr CPT 24116 | not published | not published | $945.24 – $9,076.82 | 13 |
| Exc/crtg b1 cst/tum rds agrf CPT 24125 | not published | not published | $756.32 – $4,122.60 | 13 |
| Exc/crtg b1 cst/tum rds algr CPT 24126 | not published | not published | $756.32 – $9,076.82 | 13 |
| Exc/curetg cst/tum tarsal/metar w/iliac/agrf 28106 CPT 28106 | not published | not published | $425.22 – $9,076.82 | 13 |
| Exc/curtg b1 cst/b9 tum hum CPT 24110 | not published | not published | $718.27 – $4,122.60 | 13 |
| Exc/destruct open intra-abd tumors cysts or endometriomas CPT 49204 | not published | not published | $1,330.28 – $1,351.92 | 2 |
| Exc excessive skin buttock CPT 15835 | not published | not published | $3,636.52 – $4,545.65 | 10 |
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.