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 |
|---|---|---|---|---|
| Injection intraop add-on CPT 48400 | not published | not published | $154.86 – $781.15 | 8 |
| Injection jaw joint x-ray CPT 21116 | not published | not published | $245.67 – $1,239.20 | 8 |
| Injection of sinus tract CPT 20500 | not published | not published | $190.25 – $1,882.11 | 13 |
| Injection,onabotulinumtoxina HCPCS J0585 | $2,188.44 | $6,713.00 | $5.35 – $5,370.40 | 20 |
| Injection px peyronie ds CPT 54200 | not published | not published | $104.13 – $386.27 | 13 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | not published | not published | $337.76 – $638.21 | 10 |
| Injection, renflexis HCPCS Q5104 | $3,047.78 | $9,349.00 | $27.85 – $7,479.20 | 20 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | not published | not published | $61.42 – $879.92 | 13 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | not published | not published | $88.11 – $879.92 | 13 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | not published | not published | $257.02 – $1,131.20 | 13 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | not published | not published | $99.59 – $502.35 | 8 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | not published | not published | $201.04 – $1,131.20 | 13 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | not published | not published | $91.21 – $460.10 | 8 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | not published | not published | $180.56 – $1,131.20 | 13 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | not published | not published | $223.38 – $944.90 | 13 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | not published | not published | $220.03 – $930.73 | 13 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | not published | not published | $82.10 – $375.07 | 13 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | not published | not published | $52.49 – $375.07 | 13 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | not published | not published | $56.22 – $375.07 | 13 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $223.64 | $686.00 | $26.61 – $548.80 | 21 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $163.00 | $500.00 | $125.00 – $606.00 | 13 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $243.20 | $746.00 | $62.28 – $596.80 | 21 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $221.03 | $678.00 | $23.44 – $542.40 | 21 |
| Injection torsemide 10 mg/ml HCPCS J3265 | $38.15 | $117.00 | $7.81 – $76.00 | 13 |
| Injection treatment of eye CPT 66020 | not published | not published | $151.52 – $2,897.90 | 13 |
| Injection treatment of eye CPT 66030 | not published | not published | $102.79 – $2,897.90 | 13 |
| Injection treatment of nerve CPT 64605 | not published | not published | $285.04 – $2,481.19 | 13 |
| Injection treatment of nerve CPT 64610 | not published | not published | $367.81 – $2,481.19 | 13 |
| Injection treatment of nerve CPT 64681 | not published | not published | $494.58 – $1,414.00 | 13 |
| Injection treatment of nose CPT 30200 | not published | not published | $56.75 – $647.05 | 13 |
| Inject sacroiliac joint CPT 27096 | not published | not published | $526.67 – $2,656.80 | 8 |
| Inject/treat eye socket CPT 67500 | not published | not published | $267.67 – $484.20 | 13 |
| Inject/treat eye socket CPT 67505 | not published | not published | $216.29 – $474.77 | 13 |
| Inject/treat eye socket CPT 67515 | not published | not published | $204.94 – $474.77 | 13 |
| Inj epidural sgl cerv-thor without img CPT 62320 | not published | not published | $147.80 – $879.92 | 13 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | not published | not published | $138.50 – $1,131.20 | 13 |
| Inj fluphenazine hcl 1.25 mg HCPCS J2679 | $39.12 | $120.00 | $19.20 – $96.00 | 12 |
| Inj for ext venography CPT 36005 | not published | not published | $515.35 – $2,599.50 | 8 |
| Inj for mammo ductogram CPT 19030 | not published | not published | $347.13 – $1,750.95 | 8 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | $705.14 | $2,163.00 | $116.50 – $1,730.40 | 14 |
| Inj hrt cath w/s&i sel hrt ang CPT 93563 | $774.91 | $2,377.00 | $58.63 – $1,901.60 | 14 |
| Inj hrt cath w/s&i sel left vent CPT 93565 | $606.69 | $1,861.00 | $45.04 – $1,488.80 | 14 |
| Inj hydroxocobalamin IV 25mg HCPCS J3424 | $4,037.19 | $12,384.00 | $1,981.44 – $9,907.20 | 12 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | not published | not published | $240.98 – $1,131.20 | 13 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | not published | not published | $38.05 – $252.47 | 13 |
| Inj intralesional > 7 lsns CPT 11901 | not published | not published | $54.74 – $252.47 | 13 |
| Inj, lidocaine w epinephrine HCPCS J2004 | $52.16 | $160.00 | $4.16 – $20.80 | 12 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | $37.49 | $115.00 | $2.27 – $75.20 | 15 |
| Inj, meropenem (b. braun) HCPCS J2184 | $100.74 | $309.00 | $34.08 – $170.40 | 12 |
| Inj., meropenem, vaborbactam HCPCS J2186 | $721.12 | $2,212.00 | $1.79 – $1,769.60 | 20 |
| Inj multihance HCPCS A9577 | $425.43 | $1,305.00 | $1.84 – $41.60 | 14 |
| Inj. mycophenolate mofetil HCPCS J7519 | $436.84 | $1,340.00 | $214.40 – $1,072.00 | 12 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | not published | not published | $147.06 – $848.09 | 13 |
| Inj non-compmd foam sclrsnt mlt trncl veins same leg CPT 36466 | not published | not published | $1,543.56 – $2,905.28 | 13 |
| Inj non-compmd foam sclrsnt sgl trncl vein CPT 36465 | not published | not published | $1,480.64 – $2,905.28 | 13 |
| Inj peritoneal venous shunt CPT 49427 | not published | not published | $73.43 – $370.45 | 8 |
| Inj proc ankle arthr CPT 27648 | not published | not published | $287.04 – $1,447.95 | 8 |
| Inj proc elbow arthro CPT 24220 | not published | not published | $366.47 – $1,848.65 | 8 |
| Inj proc for lymphang CPT 38790 | not published | not published | $811.05 – $4,091.20 | 8 |
| Inj proc lumbr disk ea lvl CPT 62290 | not published | not published | $228.96 – $1,155.00 | 8 |
| Inj proc myelogram lumbar CPT 62284 | not published | not published | $158.87 – $801.40 | 8 |
| Inj proc sialogram CPT 42550 | not published | not published | $391.83 – $1,976.60 | 8 |
| Inj retacrit esrd on dialysi HCPCS Q5105 | $446.30 | $1,369.00 | $0.91 – $109.60 | 20 |
| Inj retro urethrocysto CPT 51610 | not published | not published | $493.32 – $2,488.40 | 8 |
| Inj scleros sol mult veins CPT 36471 | not published | not published | $149.54 – $634.55 | 13 |
| Inj scleros sol sgl vein CPT 36470 | not published | not published | $120.83 – $515.64 | 13 |
| Inj(s) sclerosant spider veins limb/trunk CPT 36468 | not published | not published | $507.64 – $634.55 | 10 |
| Inj testosterone cypionate HCPCS J1071 | $96.83 | $297.00 | $0.03 – $237.60 | 15 |
| Inj thiotepa nos 1 mg HCPCS J9342 | $5,663.28 | $17,372.00 | $2,779.52 – $13,897.60 | 12 |
| Inj w/fluor eval cv device CPT 36598 | not published | not published | $138.22 – $334.63 | 13 |
| Inner skull vessel surgery CPT 61702 | not published | not published | $3,023.92 – $15,253.70 | 8 |
| Ins cath ren art 1st bi CPT 36252 | not published | not published | $296.72 – $3,999.21 | 13 |
| Ins cath ren art 1st uni CPT 36251 | not published | not published | $227.85 – $3,999.21 | 13 |
| Ins cath ren art 2nd+ bi CPT 36254 | not published | not published | $341.03 – $3,999.21 | 13 |
| Ins cath ren art 2nd+ uni CPT 36253 | not published | not published | $316.46 – $6,868.48 | 13 |
| Ins cerv dilator (sep proc) CPT 59200 | not published | not published | $386.50 – $483.13 | 10 |
| Ins device for right guide open CPT 49412 | not published | not published | $67.39 – $336.95 | 8 |
| Insert abdomen-venous drain CPT 49425 | not published | not published | $1,058.71 – $5,340.50 | 8 |
| Insert and remove bone pin CPT 20650 | not published | not published | $186.90 – $4,122.60 | 13 |
| Insert ant drainage device CPT 66183 | not published | not published | $5,111.45 – $6,389.31 | 10 |
| Insert balloon device CPT 33973 | not published | not published | $824.40 – $4,158.55 | 8 |
| Insert brain-fluid device 61215 CPT 61215 | not published | not published | $377.82 – $8,137.01 | 13 |
| Insert cannula hemo oth 36815 CPT 36815 | not published | not published | $400.52 – $6,868.48 | 13 |
| Insert cannula vein-to-vein hemodialysis CPT 36800 | not published | not published | $226.97 – $6,868.48 | 13 |
| Insert cath pleura with image CPT 32557 | not published | not published | $126.58 – $1,973.80 | 13 |
| Insert cath pleura without image CPT 32556 | not published | not published | $115.41 – $2,410.32 | 13 |
| Insert drug delivery implant CPT 11981 | not published | not published | $163.78 – $250.63 | 13 |
| Insert epicard eltrd endo 33203 CPT 33203 | not published | not published | $688.76 – $3,443.80 | 8 |
| Insert epicardial lead open 33202 CPT 33202 | not published | not published | $670.14 – $3,350.70 | 8 |
| Insert eye socket implant CPT 67550 | not published | not published | $982.61 – $4,791.43 | 13 |
| Insert hepatic shunt (tips) CPT 37182 | not published | not published | $545.05 – $2,725.25 | 8 |
| Insert heyman uteri capsule CPT 58346 | not published | not published | $343.04 – $6,272.25 | 13 |
| Insert intervert bimech device 22854 CPT 22854 | not published | not published | $284.06 – $1,420.30 | 8 |
| Insert intracorporeal device CPT 33979 | not published | not published | $1,299.32 – $6,554.20 | 8 |
| Insert intrauterine device iud CPT 58300 | not published | not published | $193.04 – $965.20 | 8 |
| Insertion catheter artery nfs ther chemotx 36640 CPT 36640 | not published | not published | $151.52 – $3,999.21 | 13 |
| Insertion catheter bladder non indwelling CPT 51701 | not published | not published | $137.14 – $248.33 | 13 |
| Insertion catheter bladder temporary simple CPT 51702 | not published | not published | $124.32 – $224.77 | 13 |
| Insertion catheter pleural indwelling tunneled with cuff CPT 32550 | not published | not published | $749.25 – $4,484.02 | 13 |
| Insertion intra aortic balloon assist device percutaneous CPT 33967 | not published | not published | $270.85 – $1,366.25 | 8 |
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.