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 |
|---|---|---|---|---|
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $1,508.63 – $7,610.00 | 8 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $5,752.27 | $17,645.00 | $40.00 – $2,133.45 | 17 |
| Graft tis hmatrix dermis 10x5 -cost per sq cm HCPCS Q4134 | $2,011.42 | $6,170.00 | $40.00 – $6,108.30 | 16 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $16,433.66 | $50,410.00 | $40.00 – $4,697.55 | 16 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $4,423.82 | $13,570.00 | $40.00 – $2,776.95 | 17 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $29,113.43 | $89,305.00 | $23.00 – $113.85 | 16 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $2,011.42 | $6,170.00 | $40.00 – $331.65 | 16 |
| Granulocyte pheresis ea unit HCPCS P9050 | $2,950.30 | $9,050.00 | $1,387.55 – $7,240.00 | 14 |
| Great toe-hand transfer CPT 26551 | not published | not published | $4,417.74 – $22,284.50 | 8 |
| Great toe with reduction 28495 CPT 28495 | not published | not published | $118.17 – $380.99 | 13 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $518.61 – $2,324.22 | 13 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $513.77 – $4,651.63 | 13 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $159.72 – $798.60 | 8 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $424.05 – $4,651.63 | 13 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $1,709.55 – $8,623.55 | 8 |
| Gstr rstcv oth/thn v-band CPT 43843 | not published | not published | $1,417.85 – $7,152.05 | 8 |
| Gstr rstcv px shrt roux-en-y CPT 43846 | not published | not published | $1,871.10 – $9,438.40 | 8 |
| Gstr rstcv px sm int rcnstj CPT 43847 | not published | not published | $1,824.38 – $9,202.70 | 8 |
| Gstr rstcv px v-banded gstp CPT 43842 | not published | not published | $1,162.58 – $5,812.90 | 8 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $867.80 – $3,012.90 | 13 |
| G-tube reposition CPT 43761 | not published | not published | $142.19 – $386.27 | 13 |
| Gu dilat ureter/urethra s&i CPT 74485 | $763.50 | $2,342.00 | $119.07 – $7,285.59 | 21 |
| Guided cath fluid drainage 10030 CPT 10030 | not published | not published | $166.60 – $893.98 | 13 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $3,401.81 | $10,435.00 | $9.00 – $44.55 | 16 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $702.53 | $2,155.00 | $30.00 – $148.50 | 16 |
| Gum graft CPT 41870 | not published | not published | $1,882.11 – $2,352.64 | 10 |
| Gw stiffened micro access kit HCPCS C1894 | $7,478.44 | $22,940.00 | $9.00 – $44.55 | 16 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $457.56 – $4,865.48 | 13 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $777.77 – $972.21 | 10 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $507.64 – $634.55 | 10 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $507.64 – $634.55 | 10 |
| Halo cervical into jckt vest HCPCS L0810 | $9,722.95 | $29,825.00 | $40.00 – $13,434.30 | 17 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $87.70 | $269.00 | $0.01 – $60.00 | 15 |
| Halo repl liner/interface HCPCS L0861 | $414.02 | $1,270.00 | $40.00 – $742.50 | 17 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | $14.35 | $44.00 | $3.63 – $35.20 | 13 |
| Handpiece aquabeam hp2000 HCPCS C2596 | $7,478.44 | $22,940.00 | $4,411.25 – $14,116.00 | 9 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $907.19 – $4,122.60 | 13 |
| Hand tendon reconstruction CPT 26500 | not published | not published | $554.05 – $9,076.82 | 13 |
| Hand tendon reconstruction CPT 26502 | not published | not published | $604.78 – $4,122.60 | 13 |
| Haptoglobin quantitative CPT 83010 | $46.30 | $142.00 | $1.60 – $28.07 | 20 |
| Harvest allogeneic stem cell CPT 38205 | not published | not published | $84.70 – $427.25 | 8 |
| Harvest auto stem cells CPT 38206 | not published | not published | $86.10 – $2,082.87 | 13 |
| Harvest cultured skin graft 15040 CPT 15040 | not published | not published | $269.45 – $2,324.22 | 13 |
| Harvest eye tissue alograft CPT 68371 | not published | not published | $188.27 – $2,964.26 | 13 |
| Harvest femoropopliteal vein 35572 CPT 35572 | not published | not published | $274.21 – $1,382.70 | 8 |
| Harvest stem cell concentrte CPT 38215 | not published | not published | $33.60 – $694.35 | 10 |
| Harvest vein for bypass 35500 CPT 35500 | not published | not published | $427.96 – $427.96 | 1 |
| Hast w/i&r phys/qhp CPT 94452 | $160.07 | $491.00 | $122.75 – $392.80 | 17 |
| Hast w/oxygen titrate CPT 94453 | $160.07 | $491.00 | $122.75 – $392.80 | 17 |
| Hba1/hba2 full gene sequence CPT 81259 | $152.41 | $467.50 | $116.88 – $1,338.09 | 20 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $114.10 | $350.00 | $87.50 – $451.38 | 20 |
| Hbb full gene sequence CPT 81364 | $293.40 | $900.00 | $225.00 – $900.00 | 20 |
| Hbb gene dup/del variants CPT 81363 | $150.22 | $460.79 | $115.20 – $460.79 | 20 |
| Hbot, full body chamber, 30m HCPCS G0277 | $161.05 | $494.00 | $46.41 – $570.00 | 18 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | $1,048.09 | $3,215.00 | $226.19 – $2,572.00 | 21 |
| Hcg qualitative CPT 84703 | $47.27 | $145.00 | $7.52 – $116.00 | 20 |
| Hcg quantitative CPT 84702 | $76.29 | $234.00 | $2.80 – $33.56 | 20 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | $100.41 | $308.00 | $30.46 – $246.40 | 14 |
| Hc metata joint dislocation anes CPT 28635 | not published | not published | $151.52 – $2,033.48 | 13 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | not published | not published | $577.07 – $972.21 | 13 |
| Hc mohs micrographic h/n/h/f/g each addl stage CPT 17312 | not published | not published | $348.47 – $1,742.35 | 8 |
| Hc mohs trunk/arm/leg 1st stage 5 blocks CPT 17313 | not published | not published | $527.18 – $972.21 | 13 |
| Hc mohs trunk/arm/leg ea addl block any stage CPT 17315 | not published | not published | $68.13 – $340.65 | 8 |
| Hc mohs trunk/arm/leg ea stage after 1st stage CPT 17314 | not published | not published | $322.78 – $1,613.90 | 8 |
| Hc nm kidney imaging with flow CPT 78701 | $577.35 | $1,771.00 | $171.88 – $1,533.86 | 21 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | $1,421.04 | $4,359.00 | $683.93 – $3,487.20 | 20 |
| Head CT scan (with and without contrast) CPT 70470 | $2,571.49 | $7,888.00 | $226.19 – $6,310.40 | 21 |
| Head CT scan (with contrast) CPT 70460 | $2,092.27 | $6,418.00 | $204.88 – $5,134.40 | 21 |
| Head CT scan (without contrast) CPT 70450 | $1,597.08 | $4,899.00 | $135.12 – $3,919.20 | 21 |
| Heart image spect CPT 78494 | $303.84 | $932.00 | $233.00 – $1,533.86 | 21 |
| Heart infarct image CPT 78466 | $376.86 | $1,156.00 | $125.54 – $1,533.86 | 21 |
| Hematocrit CPT 85014 | $59.34 | $182.00 | $2.37 – $95.20 | 20 |
| Hemicrt intrclry algrft prtl CPT 20933 | not published | not published | $556.96 – $2,784.80 | 8 |
| Hemiepiphyseal arrest CPT 24470 | not published | not published | $529.35 – $4,122.60 | 13 |
| Hemodialysis one evaluation CPT 90935 | $1,860.16 | $5,706.00 | $101.49 – $4,564.80 | 18 |
| Hemoglobin CPT 85018 | $33.58 | $103.00 | $2.37 – $80.00 | 20 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $114.76 | $352.00 | $4.60 – $23.00 | 20 |
| Hemoglobin plasma CPT 83051 | $4.57 | $14.00 | $2.80 – $16.30 | 20 |
| Hemoglobin urine CPT 83069 | $5.00 | $15.31 | $3.07 – $15.31 | 20 |
| Hemolysins/agglutinins auto CPT 86940 | $154.85 | $475.00 | $8.77 – $72.00 | 20 |
| Hemolysins and agglutinins incubated CPT 86941 | $89.86 | $275.63 | $12.11 – $190.00 | 20 |
| Hemorrhoidectomy intern transanal deater 2+ 46948 CPT 46948 | not published | not published | $390.17 – $3,484.48 | 13 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | not published | not published | $138.19 – $1,158.42 | 13 |
| Hemorrhoidopexy stapling 46947 CPT 46947 | not published | not published | $226.65 – $3,484.48 | 13 |
| Hepagam b intravenous, inj HCPCS J1573 | $3,431.81 | $10,527.00 | $65.15 – $8,421.60 | 20 |
| Heparin assay CPT 85520 | $47.60 | $146.00 | $9.00 – $45.00 | 20 |
| Heparin bolus from bag HCPCS J1644 | $58.68 | $180.00 | $0.33 – $20.80 | 15 |
| Heparin neutralization CPT 85525 | $10.05 | $30.80 | $6.16 – $30.80 | 20 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $34.23 | $105.00 | $0.03 – $20.80 | 15 |
| Hepatectomy removal of liver 47120 CPT 47120 | not published | not published | $1,436.54 – $7,246.30 | 8 |
| Hepatitis a antibody igm CPT 86709 | $31.63 | $97.00 | $1.60 – $25.11 | 20 |
| Hepatitis b core antibody igm CPT 86705 | $35.86 | $110.00 | $2.00 – $26.25 | 20 |
| Hepatitis b core antibody total CPT 86704 | $98.78 | $303.00 | $1.20 – $26.86 | 20 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | $624.29 | $1,915.00 | $124.66 – $724.00 | 19 |
| Hepatitis b surface antibody CPT 86706 | $57.05 | $175.00 | $1.30 – $23.95 | 20 |
| Hepatitis c antibody CPT 86803 | $44.01 | $135.00 | $14.27 – $108.00 | 20 |
| Hepatobiliary system imaging CPT 78226 | $917.04 | $2,813.00 | $291.01 – $2,250.40 | 21 |
| Hernia Repair (Inguinal) CPT 49505 | not published | not published | $616.81 – $4,484.02 | 13 |
| Herpes simplex 1 ag if CPT 87274 | $7.91 | $24.25 | $4.85 – $26.73 | 20 |
| Herpes simplex 2 ag if CPT 87273 | $7.91 | $24.25 | $4.85 – $26.73 | 20 |
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.