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 |
|---|---|---|---|---|
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $195.60 | $600.00 | $63.61 – $480.00 | 13 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $97.80 | $300.00 | $10.09 – $240.00 | 13 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $195.60 | $600.00 | $48.19 – $240.00 | 13 |
| Ghs musc test done w/n test comp CPT 95886 | $187.45 | $575.00 | $96.05 – $460.00 | 13 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $168.87 | $518.00 | $62.30 – $414.40 | 13 |
| Ghs musc tst done w/n tst non ext CPT 95887 | $285.25 | $875.00 | $86.04 – $700.00 | 13 |
| Ghs myocardial strain img spckl track CPT 93356 | $309.70 | $950.00 | $36.69 – $760.00 | 13 |
| Ghs nailbed repair/nail removal CPT 11760 | not published | not published | $180.24 – $777.77 | 13 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | not published | not published | $151.52 – $1,131.20 | 13 |
| Ghs nerve blk intercostal, single level CPT 64420 | not published | not published | $106.81 – $879.92 | 13 |
| Ghs nerve block axillary nerve CPT 64417 | not published | not published | $116.81 – $1,131.20 | 13 |
| Ghs nerve block brachial plexus CPT 64415 | not published | not published | $129.52 – $1,131.20 | 13 |
| Ghs nerve block celiac plexus CPT 64530 | not published | not published | $251.66 – $1,131.20 | 13 |
| Ghs nerve block interscaline CPT 64510 | not published | not published | $108.80 – $1,131.20 | 13 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | not published | not published | $150.20 – $1,131.20 | 13 |
| Ghs nerve block sciatic nerve CPT 64445 | not published | not published | $140.87 – $879.92 | 13 |
| Ghs nerve block suprascapular CPT 64418 | not published | not published | $108.80 – $879.92 | 13 |
| Ghs ng placement w fluoro guidance CPT 43752 | not published | not published | $162.41 – $633.77 | 13 |
| Ghs o2 saturation CPT 82810 | $150.62 | $462.00 | $9.77 – $140.80 | 20 |
| Ghs o2 uptake rest & indirect CPT 94690 | $197.23 | $605.00 | $26.65 – $484.00 | 18 |
| Ghs opcc repair cvp without subq port CPT 36575 | not published | not published | $57.05 – $785.56 | 13 |
| Ghs opcc repair cvp w subq port CPT 36576 | not published | not published | $143.60 – $1,973.80 | 13 |
| Ghs ot work hardening-additional hours CPT 97546 | $101.39 | $311.00 | $77.75 – $570.00 | 13 |
| Ghs pacing - transcutaneous CPT 92953 | $567.90 | $1,742.00 | $36.57 – $1,260.00 | 18 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | not published | not published | $100.99 – $509.40 | 8 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | not published | not published | $92.61 – $467.15 | 8 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | $95.85 | $294.00 | $8.00 – $50.16 | 15 |
| Ghs peritonsillar abscess i andd CPT 42700 | not published | not published | $130.84 – $368.82 | 13 |
| Ghs picc line insert < 5 CPT 36568 | not published | not published | $85.70 – $1,973.80 | 13 |
| Ghs plngl fx pm cl CPT 26725 | not published | not published | $242.98 – $439.54 | 13 |
| Ghs ppd (tb intradermal) CPT 86580 | $19.89 | $61.00 | $4.82 – $48.80 | 20 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $3.84 | $11.75 | $2.35 – $21.55 | 20 |
| Ghs protoporphyrins fract CPT 84202 | $17.25 | $52.91 | $3.20 – $32.01 | 20 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | $3.94 | $12.07 | $2.42 – $27.31 | 20 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | $201.47 | $618.00 | $154.50 – $570.00 | 13 |
| Ghs removal intranasal foreign body CPT 30300 | not published | not published | $100.80 – $204.72 | 13 |
| Ghs removal pharyngeal foreign body CPT 42809 | not published | not published | $266.35 – $633.77 | 13 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | not published | not published | $535.35 – $2,284.67 | 13 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | not published | not published | $583.43 – $4,122.60 | 13 |
| Ghs reticulocyte count CPT 85044 | $38.47 | $118.00 | $3.79 – $94.40 | 20 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $38.15 | $117.00 | $4.19 – $93.60 | 20 |
| Ghs sedimentation rate CPT 85651 | $49.56 | $152.00 | $3.40 – $121.60 | 20 |
| Ghs semen analysis fert CPT 89320 | $77.59 | $238.00 | $12.31 – $190.40 | 19 |
| Ghs sensitivity (per antimicro) CPT 87184 | $83.46 | $256.00 | $6.07 – $34.83 | 20 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | not published | not published | $182.90 – $634.55 | 13 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | not published | not published | $279.69 – $634.55 | 13 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | not published | not published | $246.99 – $634.55 | 13 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | not published | not published | $507.64 – $1,056.56 | 13 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | not published | not published | $166.21 – $315.59 | 13 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | not published | not published | $150.87 – $315.59 | 13 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | not published | not published | $202.26 – $365.88 | 13 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | not published | not published | $252.47 – $912.87 | 13 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | not published | not published | $252.47 – $1,232.85 | 13 |
| Ghs somatosensory testing lower extremit CPT 95926 | $259.17 | $795.00 | $141.32 – $636.00 | 18 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $388.92 | $1,193.00 | $298.25 – $954.40 | 18 |
| Ghs sphenopalatine ganglion block CPT 64505 | not published | not published | $108.80 – $464.33 | 13 |
| Ghs strapping shoulder - 29240 CPT 29240 | not published | not published | $64.08 – $204.72 | 13 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | $279.06 | $856.00 | $16.92 – $684.80 | 20 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | not published | not published | $307.08 – $972.21 | 13 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | not published | not published | $225.63 – $634.55 | 13 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | not published | not published | $190.92 – $1,882.11 | 13 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | not published | not published | $229.63 – $415.38 | 13 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | not published | not published | $171.86 – $380.99 | 13 |
| Ghs urine, porphyrins quant CPT 84120 | $8.48 | $26.00 | $4.80 – $32.80 | 20 |
| Ghs vaginal delivery only CPT 59409 | not published | not published | $780.72 – $4,039.91 | 13 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $498.78 | $1,530.00 | $382.50 – $1,224.00 | 18 |
| Ghs windowing of cast CPT 29730 | not published | not published | $50.73 – $216.49 | 13 |
| Giardia ag if CPT 87269 | $30.97 | $95.00 | $10.10 – $76.00 | 20 |
| Gi inhouse confirmation CPT 87045 | $80.53 | $247.00 | $9.44 – $197.60 | 20 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $308.40 – $4,120.64 | 13 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $1,080.37 | $3,314.00 | $828.50 – $2,651.20 | 19 |
| Glaucoma surgery CPT 66150 | not published | not published | $907.19 – $5,111.45 | 13 |
| Glaucoma surgery CPT 66155 | not published | not published | $907.19 – $5,111.45 | 13 |
| Glaucoma surgery CPT 66160 | not published | not published | $907.19 – $3,622.38 | 13 |
| Glaucoma surgery CPT 66170 | not published | not published | $1,209.58 – $3,622.38 | 13 |
| Glove finger flexion right lg xl HCPCS L3912 | $187.45 | $575.00 | $40.00 – $435.60 | 17 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $694.38 | $2,130.00 | $142.08 – $1,704.00 | 20 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $524.21 | $1,608.00 | $257.28 – $1,286.40 | 12 |
| Glucagon plasma - sendout CPT 82943 | $6.52 | $19.98 | $4.00 – $31.87 | 20 |
| Glucose 1 hr post dose CPT 82950 | $86.07 | $264.00 | $4.75 – $38.40 | 20 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | $5.87 | $18.00 | $3.60 – $18.00 | 20 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $28.04 | $86.00 | $2.87 – $68.80 | 20 |
| Glucose blood quantitative CPT 82947 | $69.77 | $214.00 | $3.93 – $24.64 | 20 |
| Glucose body fluid CPT 82945 | $82.81 | $254.00 | $1.30 – $8.75 | 20 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $15.65 | $48.00 | $9.60 – $48.00 | 20 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $7.83 | $24.00 | $3.92 – $19.76 | 20 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $112.80 | $346.00 | $27.04 – $135.20 | 12 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $33.91 | $104.00 | $1.83 – $41.45 | 20 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $34.89 | $107.00 | $1.65 – $41.31 | 20 |
| Goniotomy CPT 65820 | not published | not published | $756.32 – $5,111.45 | 13 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $2,569.86 | $7,883.00 | $705.14 – $6,306.40 | 20 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $2,616.15 | $8,025.00 | $30.36 – $7,944.75 | 17 |
| Graft axiofill 1000mg HCPCS J3590 | $3,042.56 | $9,333.00 | $1,493.28 – $7,466.40 | 13 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $1,008.65 – $4,304.36 | 13 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $9,722.95 | $29,825.00 | $25.78 – $742.50 | 17 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | $4,423.82 | $13,570.00 | $40.00 – $10,330.65 | 17 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $38,748.36 | $118,860.00 | $40.00 – $252.45 | 16 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $18,076.70 | $55,450.00 | $40.00 – $331.65 | 16 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $5,752.27 | $17,645.00 | $39.06 – $17,468.55 | 17 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $12,640.65 | $38,775.00 | $40.00 – $3,613.50 | 17 |
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.