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 |
|---|---|---|---|---|
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $21.19 | $65.00 | $1.00 – $39.97 | 20 |
| Extraction of lens CPT 66930 | not published | not published | $1,335.06 – $5,697.39 | 13 |
| Extraction of lens CPT 66940 | not published | not published | $1,335.06 – $3,622.38 | 13 |
| Extraction of lens 66920 CPT 66920 | not published | not published | $1,335.06 – $3,622.38 | 13 |
| Eye photodynamic ther add-on CPT 67225 | not published | not published | $834.42 – $4,209.05 | 8 |
| Eye surgery follow-up add-on CPT 67331 | not published | not published | $790.55 – $790.55 | 1 |
| Eye suture during surgery CPT 67335 | not published | not published | $216.95 – $216.95 | 1 |
| Face bone graft CPT 21210 | not published | not published | $1,335.06 – $7,516.44 | 13 |
| Facial bones <3 CPT 70140 | $407.50 | $1,250.00 | $37.27 – $1,000.00 | 21 |
| Factor ix CPT 85250 | $10.73 | $32.91 | $6.59 – $42.48 | 20 |
| Factor ix recombinant nos HCPCS J7195 | $4.89 | $15.00 | $0.01 – $12.00 | 19 |
| Factor viii CPT 85240 | $8.08 | $24.78 | $3.20 – $39.94 | 20 |
| Factor viii recombinant nos HCPCS J7192 | $17.61 | $54.00 | $0.01 – $18.40 | 19 |
| Fallopian tube recnl CPT 58345 | not published | not published | $4,039.91 – $5,049.89 | 10 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $8.48 | $26.00 | $4.16 – $20.80 | 12 |
| Fasciotomy hip/thigh any typ CPT 27025 | not published | not published | $756.32 – $3,815.05 | 8 |
| Fat/lipids feces qualitative CPT 82705 | $4.57 | $14.00 | $2.80 – $14.00 | 20 |
| Fatty acids nonesterified CPT 82725 | $9.78 | $30.00 | $6.00 – $41.86 | 20 |
| Fecal microbiota, live-jslm 150 ml rectal suspension enema HCPCS J1440 | $36,405.08 | $111,672.00 | $17,867.52 – $89,337.60 | 12 |
| #fecal-sodium CPT 84302 | $37.17 | $114.00 | $1.51 – $10.84 | 20 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $5.56 | $17.03 | $3.41 – $41.58 | 20 |
| Femoral endovas graft add-on 34813 CPT 34813 | not published | not published | $282.95 – $1,427.30 | 8 |
| Femoral lgth sock fx or equa HCPCS L2850 | $83.13 | $255.00 | $35.34 – $252.45 | 17 |
| Fem/popl revasc w/stent CPT 37226 | not published | not published | $441.18 – $14,409.33 | 13 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $112.47 | $345.00 | $1.11 – $22.42 | 15 |
| Fern test HCPCS Q0114 | $56.40 | $173.00 | $9.74 – $138.40 | 18 |
| Ferritin CPT 82728 | $104.98 | $322.00 | $1.80 – $30.40 | 20 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $534.32 | $1,639.00 | $135.12 – $1,311.20 | 20 |
| Fetal contract stress test 59020 - 26 CPT 59020 | not published | not published | $72.68 – $307.44 | 13 |
| Fetal cord puncture prenatal CPT 59012 | not published | not published | $215.13 – $483.13 | 13 |
| Fetal fibronectin CPT 82731 | $301.23 | $924.00 | $56.19 – $739.20 | 20 |
| Fetal fluid drainage w/us CPT 59074 | not published | not published | $314.15 – $483.13 | 13 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $190.39 | $584.00 | $7.73 – $120.00 | 20 |
| Fetal hemoglobin rosette CPT 85461 | $110.84 | $340.00 | $5.98 – $272.00 | 20 |
| Fetal monitor/interpret only CPT 59051 | not published | not published | $106.83 – $534.15 | 8 |
| Fetal monitor w/report CPT 59050 | not published | not published | $116.29 – $581.45 | 8 |
| Fetal non stress test CPT 59025 | $160.40 | $492.00 | $32.70 – $357.60 | 18 |
| Fetal scalp blood sampling 59030 CPT 59030 | not published | not published | $82.13 – $386.50 | 13 |
| Fetal shunt placement w/us CPT 59076 | not published | not published | $284.26 – $483.13 | 13 |
| Fibrin degradation d dimer quantitative CPT 85379 | $105.30 | $323.00 | $7.60 – $38.00 | 20 |
| Fibrin degradation products CPT 85362 | $63.90 | $196.00 | $6.89 – $156.80 | 20 |
| Fibrin degrade semiquant CPT 85378 | $69.44 | $213.00 | $9.32 – $170.40 | 20 |
| Fibrin degradj d-dimer CPT 85380 | $10.76 | $33.00 | $4.72 – $33.00 | 20 |
| Fibrinogen activity CPT 85384 | $95.52 | $293.00 | $9.72 – $234.40 | 20 |
| Fibrinolytic antiplasmin CPT 85410 | $11.52 | $35.31 | $7.07 – $35.31 | 20 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $5.94 | $18.22 | $3.65 – $18.22 | 20 |
| Fibula bone graft microvasc CPT 20955 | not published | not published | $4,158.07 – $20,974.65 | 8 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $1,183.71 | $3,631.00 | $0.86 – $2,174.40 | 20 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $1,660.32 | $5,093.00 | $0.47 – $2,724.00 | 20 |
| Filleted finger/toe flap CPT 14350 | not published | not published | $901.83 – $2,905.28 | 13 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $7,478.44 | $22,940.00 | $40.00 – $4,697.55 | 16 |
| Filter vena cava fem denali HCPCS C1880 | $2,616.15 | $8,025.00 | $40.00 – $2,776.95 | 16 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | not published | not published | $259.49 – $1,097.64 | 13 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | not published | not published | $145.57 – $727.85 | 8 |
| Fine needle aspiration biopsy without img gdn; ea addtl 10004 CPT 10004 | not published | not published | $45.05 – $225.25 | 8 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | not published | not published | $51.75 – $258.75 | 8 |
| Fine needle asp without image guide 10021 CPT 10021 | not published | not published | $73.34 – $507.64 | 13 |
| Finger tendon transfer CPT 26497 | not published | not published | $756.32 – $4,122.60 | 13 |
| Finger tendon transfer CPT 26498 | not published | not published | $1,134.15 – $4,839.92 | 13 |
| Fistula repair & colostomy CPT 57307 | not published | not published | $1,453.62 – $7,268.10 | 8 |
| Fistula repair transperine 57308 CPT 57308 | not published | not published | $924.50 – $4,622.50 | 8 |
| Fitting of diaphragm/cap 57170 CPT 57170 | not published | not published | $43.61 – $255.61 | 13 |
| Fixation of ankle joint CPT 27860 | not published | not published | $168.23 – $4,122.60 | 13 |
| Fixation of knee joint CPT 27570 | not published | not published | $139.52 – $2,033.48 | 13 |
| Fixation of shoulder blade CPT 23400 | not published | not published | $1,614.10 – $9,076.82 | 13 |
| Fix g/colon tube w/device CPT 49460 | not published | not published | $679.82 – $1,489.08 | 13 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | not published | not published | $520.10 – $4,122.60 | 13 |
| Flebogamma injection HCPCS J1572 | $5,757.49 | $17,661.00 | $43.84 – $4,165.60 | 20 |
| Flecainide (tambocor)-sendout CPT 80181 | $8.22 | $25.21 | $5.05 – $41.58 | 20 |
| Fl exam g/colon tube w contrast CPT 49465 | not published | not published | $141.10 – $383.91 | 13 |
| Flexible Sigmoidoscopy CPT 45330 | not published | not published | $98.13 – $1,158.42 | 13 |
| Flexor-plasty elbow CPT 24330 | not published | not published | $604.78 – $9,076.82 | 13 |
| Flexor-plasty elbw w/advmnt CPT 24331 | not published | not published | $604.78 – $9,076.82 | 13 |
| Floor of mouth biopsy 41108 CPT 41108 | not published | not published | $174.22 – $2,058.68 | 13 |
| Flow cytometry marker each additional CPT 88185 | $53.14 | $163.00 | $2.50 – $49.41 | 15 |
| Flow cytometry one marker technical component CPT 88184 | $406.20 | $1,246.00 | $10.75 – $154.36 | 20 |
| Floxuridine injection HCPCS J9200 | $501.72 | $1,539.00 | $115.32 – $1,923.75 | 20 |
| Flt3 gene CPT 81245 | $35.15 | $107.80 | $26.95 – $369.11 | 20 |
| Flt3 gene analysis CPT 81246 | $35.15 | $107.80 | $26.95 – $185.10 | 20 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $515.74 | $1,582.00 | $3.94 – $50.40 | 13 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | $382.40 | $1,173.00 | $59.53 – $938.40 | 20 |
| Fluid pressure muscle 20950 CPT 20950 | not published | not published | $96.10 – $1,117.47 | 10 |
| Fluorescent antibody titer dna CPT 86256 | $67.42 | $206.80 | $2.40 – $26.86 | 20 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $98.46 | $302.00 | $56.88 – $241.60 | 15 |
| Fluoroguide needle placement CPT 77002 | $185.82 | $570.00 | $66.51 – $456.00 | 15 |
| Fluoroscopy up to 1 hour CPT 76000 | $235.05 | $721.00 | $40.11 – $936.29 | 21 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $20.54 | $63.00 | $2.21 – $50.40 | 15 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | $545.08 | $1,672.00 | $0.01 – $1,337.60 | 15 |
| Fna bx w/ct gdn 1st les CPT 10009 | not published | not published | $428.52 – $1,117.47 | 13 |
| Fna bx w/ct gdn ea addl CPT 10010 | not published | not published | $256.89 – $1,284.45 | 8 |
| Fna bx w/mr gdn 1st les CPT 10011 | not published | not published | $893.98 – $1,117.47 | 10 |
| Foam stability fetal lung CPT 83662 | $12.72 | $39.00 | $7.80 – $42.17 | 20 |
| Folic acid CPT 82746 | $120.30 | $369.00 | $1.00 – $32.80 | 20 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $26.08 | $80.00 | $8.64 – $43.20 | 12 |
| Follow-up angiography CPT 75898 | $2,968.23 | $9,105.00 | $149.03 – $11,648.18 | 21 |
| Follow-up surgery of eye CPT 66250 | not published | not published | $799.04 – $3,409.89 | 13 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $5,112.01 | $15,681.00 | $7.66 – $12,544.80 | 20 |
| Foot arch support remov prem HCPCS L3030 | $109.21 | $335.00 | $40.00 – $331.65 | 16 |
| Foot insert plastazote or eq HCPCS L3002 | $187.45 | $575.00 | $40.00 – $569.25 | 16 |
| Foot insert silicone gel eac HCPCS L3003 | $187.45 | $575.00 | $40.00 – $569.25 | 16 |
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.