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 |
|---|---|---|---|---|
| Induced abortion 1+njx hyst CPT 59852 | not published | not published | $934.55 – $5,233.50 | 8 |
| Induced abortion d&c CPT 59840 | not published | not published | $313.56 – $4,039.91 | 13 |
| Induced abortion dilat&evac CPT 59841 | not published | not published | $443.03 – $4,039.91 | 13 |
| Infect ag drug suscept pheno predict CPT 87900 | $134.48 | $412.50 | $23.08 – $290.71 | 20 |
| Infect ag eia influenza a or b ea CPT 87400 | $74.01 | $227.00 | $5.79 – $181.60 | 20 |
| Infect ag genotype na cytomegalovirus CPT 87910 | $134.48 | $412.50 | $23.38 – $574.14 | 20 |
| Infect ag genotype na dna hepatitis b CPT 87912 | $83.74 | $256.85 | $23.38 – $574.14 | 20 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $45.64 | $140.00 | $28.00 – $287.07 | 20 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $45.64 | $140.00 | $23.08 – $574.14 | 20 |
| Infect ag ia optc obs influenza CPT 87804 | $35.86 | $110.00 | $8.85 – $88.00 | 20 |
| Infect ag if hep delta agent CPT 87380 | $40.75 | $125.00 | $18.36 – $100.00 | 20 |
| Infect ag if influenza a CPT 87276 | $2.79 | $8.54 | $1.71 – $35.85 | 20 |
| Infect ag if influenza b CPT 87275 | $2.79 | $8.54 | $1.71 – $27.31 | 20 |
| Infect ag if legionella pneumophila CPT 87278 | $9.78 | $30.00 | $6.00 – $34.79 | 20 |
| Infect ag if nos ea CPT 87299 | $19.19 | $58.85 | $1.71 – $35.92 | 20 |
| Infect ag if pneumocystis carinii CPT 87281 | $4.89 | $15.00 | $3.00 – $26.73 | 20 |
| Infect ag if varicella zoster CPT 87290 | $19.66 | $60.28 | $12.06 – $48.23 | 20 |
| Infect ag na hpv high-risk types CPT 87624 | $32.60 | $100.00 | $7.60 – $78.26 | 20 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $124.54 | $382.00 | $13.38 – $213.65 | 20 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $27.71 | $85.00 | $17.00 – $68.00 | 9 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $328.29 | $1,007.00 | $42.43 – $929.49 | 20 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | $37.63 | $115.40 | $17.76 – $1,089.79 | 20 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | $37.63 | $115.40 | $17.74 – $88.67 | 20 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $17.93 | $55.00 | $11.00 – $46.91 | 20 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | $7.18 | $22.00 | $4.00 – $29.92 | 20 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $48.90 | $150.00 | $3.00 – $30.81 | 20 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $80.85 | $248.00 | $2.40 – $26.73 | 20 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $5.55 | $17.00 | $3.40 – $32.08 | 20 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $50.21 | $154.00 | $10.33 – $123.20 | 20 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $17.28 | $53.00 | $6.15 – $30.71 | 20 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $52.49 | $161.00 | $2.00 – $53.70 | 20 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $76.94 | $236.00 | $2.00 – $26.73 | 20 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $26.74 | $82.00 | $11.98 – $65.60 | 20 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $5.37 | $16.46 | $3.30 – $26.73 | 20 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $84.76 | $260.00 | $4.00 – $78.26 | 20 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $45.91 | $140.80 | $2.00 – $78.26 | 20 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $70.42 | $216.00 | $18.80 – $94.00 | 20 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $883.46 | $2,710.00 | $57.20 – $929.49 | 20 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $20.87 | $64.00 | $10.00 – $78.26 | 20 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $35.86 | $110.00 | $22.00 – $110.00 | 20 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $40.75 | $125.00 | $25.00 – $125.00 | 20 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $43.04 | $132.00 | $2.00 – $78.26 | 20 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $54.77 | $168.00 | $14.96 – $74.80 | 19 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $139.53 | $428.00 | $85.60 – $428.00 | 19 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $12.39 | $38.00 | $7.60 – $78.26 | 20 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | $40.75 | $125.00 | $25.00 – $100.00 | 9 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $397.72 | $1,220.00 | $97.00 – $929.49 | 20 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | $61.68 | $189.20 | $37.84 – $286.11 | 20 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $310.36 | $952.00 | $190.40 – $952.00 | 20 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $66.51 | $204.00 | $13.20 – $95.55 | 20 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $16.30 | $50.00 | $10.00 – $95.55 | 20 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $42.06 | $129.00 | $7.74 – $95.55 | 20 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $26.83 | $82.28 | $12.00 – $189.80 | 20 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $141.16 | $433.00 | $30.00 – $318.09 | 20 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $3,675.98 | $11,276.00 | $30.52 – $9,020.80 | 20 |
| Infratemporal approach/skull CPT 61591 | not published | not published | $3,897.72 – $19,661.40 | 8 |
| Infratemporal approach/skull CPT 61590 | not published | not published | $3,716.15 – $18,745.55 | 8 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $241.24 | $740.00 | $153.04 – $592.00 | 19 |
| Initiation & management bipap/cpap initial day CPT 94660 | $847.60 | $2,600.00 | $72.68 – $2,080.00 | 19 |
| Init pm e/m new pat 65+ yrs CPT 99387 | $71.72 | $220.00 | $55.00 – $751.29 | 14 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | $6,900.12 | $21,166.00 | $0.01 – $15,728.00 | 20 |
| Inj allopurinol sodium 1 mg HCPCS J0206 | $16,126.25 | $49,467.00 | $7,914.72 – $39,573.60 | 12 |
| Inj alymsys 10 mg HCPCS Q5126 | $11,627.12 | $35,666.00 | $1,426.72 – $7,133.60 | 12 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | $15,371.23 | $47,151.00 | $31.46 – $37,720.80 | 20 |
| Inj, bortezomib, dr. reddy's HCPCS J9046 | $2,418.92 | $7,420.00 | $1,187.20 – $5,936.00 | 12 |
| Inj bulking agent anal canal HCPCS L8605 | $4,423.82 | $13,570.00 | $40.00 – $13,434.30 | 17 |
| Inj, bupivacaine liposome HCPCS J0666 | $1,274.34 | $3,909.00 | $625.44 – $3,127.20 | 12 |
| Inj calcitriol per 0.1 mcg HCPCS J0636 | $40.43 | $124.00 | $0.80 – $99.20 | 15 |
| Inj cefazolin sodium, baxter HCPCS J0689 | $39.78 | $122.00 | $19.52 – $97.60 | 12 |
| Inj. cefepime hcl (baxter) HCPCS J0701 | $89.65 | $275.00 | $44.00 – $220.00 | 12 |
| Inj, cefepime hcl (b braun) HCPCS J0703 | $98.46 | $302.00 | $48.32 – $241.60 | 12 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | $741.65 | $2,275.00 | $364.00 – $1,820.00 | 12 |
| Inj ceftolozane tazobactam HCPCS J0695 | $335.78 | $1,030.00 | $6.57 – $824.00 | 19 |
| Inj, clindamycin (baxter) HCPCS J0737 | $56.08 | $172.00 | $14.72 – $73.60 | 12 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | not published | not published | $130.68 – $653.40 | 8 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | $5,339.56 | $16,379.00 | $1,043.55 – $13,103.20 | 20 |
| Inj cyclophosphamd (ingenus) HCPCS J9073 | $15.00 | $46.00 | $7.36 – $36.80 | 12 |
| Inj disk cerv-thor ea lev CPT 62291 | not published | not published | $230.29 – $1,161.70 | 8 |
| Inj dupuytren cord w/enzyme CPT 20527 | not published | not published | $61.65 – $375.07 | 13 |
| Inj dx for sinogram CPT 20501 | not published | not published | $400.52 – $2,020.35 | 8 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | not published | not published | $194.71 – $879.92 | 13 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | not published | not published | $361.13 – $1,821.70 | 8 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | not published | not published | $65.61 – $375.07 | 13 |
| Injection, doxercalciferol HCPCS J1270 | $25.43 | $78.00 | $0.38 – $62.40 | 15 |
| Injection during cath supravalvular aortography CPT 93567 | $774.91 | $2,377.00 | $116.50 – $1,901.60 | 14 |
| Injection epidural blood patch or clot CPT 62273 | not published | not published | $136.18 – $879.92 | 13 |
| Injection eye drug CPT 67028 | not published | not published | $421.45 – $1,180.92 | 13 |
| Injection for arthrography wrist (both sides) CPT 25246 | not published | not published | $326.41 – $1,646.60 | 8 |
| Injection for bladder x-ray CPT 51600 | not published | not published | $460.60 – $2,323.45 | 8 |
| Injection for hip x-ray CPT 27095 | not published | not published | $370.48 – $1,868.80 | 8 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | not published | not published | $309.06 – $1,559.05 | 8 |
| Injection for spleen x-ray CPT 38200 | not published | not published | $151.52 – $764.40 | 8 |
| Injection for tear sac x-ray CPT 68850 | not published | not published | $435.90 – $2,198.80 | 8 |
| Injection for ureter x-ray CPT 50684 | not published | not published | $452.59 – $2,283.00 | 8 |
| Injection for ureter x-ray CPT 50690 | not published | not published | $481.97 – $2,431.15 | 8 |
| Injection into brain canal CPT 61026 | not published | not published | $233.65 – $997.05 | 13 |
| Injection into brain canal CPT 61055 | not published | not published | $253.65 – $468.84 | 13 |
| Injection into hemorrhoid(s) CPT 46500 | not published | not published | $130.84 – $1,158.42 | 13 |
| Injection into spinal artery CPT 62294 | not published | not published | $1,106.10 – $2,000.83 | 13 |
| Injection into vocal cord CPT 31513 | not published | not published | $235.64 – $616.74 | 13 |
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.