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 |
|---|---|---|---|---|
| Sympathectomy cervical CPT 64802 | not published | not published | $967.93 – $3,101.49 | 13 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $712.25 – $3,039.59 | 13 |
| Sympathectomy lumbar CPT 64818 | not published | not published | $1,001.30 – $5,050.90 | 8 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $594.56 – $4,122.60 | 13 |
| Sympathectomy thoracolumbar CPT 64809 | not published | not published | $1,335.06 – $6,734.50 | 8 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $56.73 | $174.00 | $2.00 – $10.00 | 20 |
| System cardiomems hosp electronics HCPCS C2624 | $38,748.36 | $118,860.00 | $40.00 – $117,671.40 | 16 |
| System pacing micra av HCPCS C1786 | $24,060.43 | $73,805.00 | $40.00 – $6,420.00 | 14 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $16,433.66 | $50,410.00 | $40.00 – $8,348.00 | 14 |
| System sealant biosentry tract HCPCS C2613 | $702.53 | $2,155.00 | $40.00 – $1,638.45 | 16 |
| T3 (triiodothyronine) free CPT 84481 | $94.54 | $290.00 | $1.00 – $37.78 | 20 |
| T3 (triiodothyronine) total CPT 84480 | $114.10 | $350.00 | $1.00 – $31.63 | 20 |
| T4 (thyroxine) free CPT 84439 | $56.08 | $172.00 | $4.40 – $22.00 | 20 |
| T4 (thyroxine) total CPT 84436 | $84.11 | $258.00 | $1.42 – $15.34 | 20 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $7.83 | $24.00 | $0.30 – $4.80 | 13 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | $607.67 | $1,864.00 | $205.01 – $1,491.20 | 19 |
| Tacrolimus therapeutic drug level CPT 80197 | $13.37 | $41.00 | $2.40 – $30.60 | 20 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | not published | $1,674.14 – $8,370.70 | 8 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $1,540.37 – $7,701.85 | 8 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $1,388.21 – $6,941.05 | 8 |
| Tap block bilat cont infusion 64489 CPT 64489 | not published | not published | $206.40 – $206.40 | 1 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | not published | $81.18 – $81.18 | 1 |
| Target gsa panel hmtlmph neop CPT 81450 | $847.60 | $2,600.00 | $389.40 – $1,693.85 | 19 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $1,339.21 | $4,108.00 | $475.00 – $6,511.15 | 20 |
| Target gsa panel organ neop CPT 81445 | $982.60 | $3,014.10 | $597.91 – $3,014.10 | 20 |
| Tas congenital car anomal CPT 33741 | not published | not published | $627.33 – $3,136.65 | 8 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $186.56 – $972.21 | 10 |
| Tavr perq femoral CPT 33361 | not published | not published | $1,078.93 – $5,394.65 | 8 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $1,547.53 | $4,747.00 | $0.37 – $2,372.80 | 20 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $130.08 | $399.00 | $69.78 – $319.20 | 20 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $70.09 | $215.00 | $6.00 – $138.23 | 20 |
| Tc-99m bicisate HCPCS A9557 | $382.08 | $1,172.00 | $293.00 – $1,086.05 | 19 |
| Tc-99m diag per dose HCPCS A4641 | $25.11 | $77.00 | $19.25 – $61.60 | 10 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $1,206.53 | $3,701.00 | $925.25 – $2,960.80 | 18 |
| Tc-99m exametazime diag HCPCS A9521 | $511.82 | $1,570.00 | $392.50 – $1,323.86 | 19 |
| Tc-99m labeled rbc HCPCS A9560 | $75.96 | $233.00 | $51.80 – $219.11 | 14 |
| Tc-99m maa HCPCS A9540 | $27.71 | $85.00 | $21.25 – $126.90 | 14 |
| Tc-99m mebrofenin HCPCS A9537 | $41.41 | $127.00 | $31.75 – $191.87 | 14 |
| Tc-99m medronate HCPCS A9503 | $98.46 | $302.00 | $18.87 – $241.60 | 14 |
| Tc-99m mertiatide HCPCS A9562 | $41.08 | $126.00 | $31.50 – $532.98 | 14 |
| Tc-99m oxidronate HCPCS A9561 | $32.60 | $100.00 | $22.43 – $94.88 | 14 |
| Tc-99m pentetate dtpa HCPCS A9539 | $39.78 | $122.00 | $13.00 – $97.60 | 14 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $67.49 | $207.00 | $33.63 – $261.16 | 14 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $7.18 | $22.00 | $5.50 – $19.42 | 11 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $41.08 | $126.00 | $31.50 – $270.93 | 14 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $293.73 | $901.00 | $97.36 – $720.80 | 14 |
| Tc-99m sulfur colloid HCPCS A9541 | $152.57 | $468.00 | $20.75 – $180.03 | 14 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $261.46 | $802.00 | $96.84 – $641.60 | 14 |
| Tc-99m tilmanocept diag HCPCS A9520 | $625.27 | $1,918.00 | $479.50 – $1,534.40 | 11 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $327.76 – $972.21 | 13 |
| Tcd emboli detect without inj CPT 93892 | $119.97 | $368.00 | $92.00 – $368.00 | 18 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $28.35 – $694.35 | 10 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $7.34 | $22.50 | $3.09 – $104.78 | 20 |
| T cells absolute cd 4 count CPT 86361 | $9.78 | $30.00 | $5.60 – $59.73 | 20 |
| T cells total count CPT 86359 | $9.54 | $29.24 | $3.09 – $84.13 | 20 |
| Tdh sdrl/ventr pnxr CPT 61105 | not published | not published | $529.35 – $2,670.20 | 8 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | not published | not published | $2,136.11 – $10,775.20 | 8 |
| Telavancin injection HCPCS J3095 | $2,247.12 | $6,893.00 | $7.09 – $5,514.40 | 20 |
| Telehealth original site facility fee HCPCS Q3014 | $30.32 | $93.00 | $22.94 – $97.04 | 15 |
| Temozolomide HCPCS J8700 | $1,358.12 | $4,166.00 | $0.45 – $120.00 | 13 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $5,848.77 | $17,941.00 | $30.32 – $14,352.80 | 20 |
| Tendon lengthening CPT 26476 | not published | not published | $604.78 – $4,122.60 | 13 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $499.31 – $4,122.60 | 13 |
| Tendon shortening CPT 26477 | not published | not published | $604.78 – $4,122.60 | 13 |
| Tendon transfer with graft CPT 26492 | not published | not published | $831.75 – $4,122.60 | 13 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $29,845.30 | $91,550.00 | $129.62 – $73,240.00 | 19 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $934.55 – $9,076.82 | 13 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | $580.75 – $4,122.60 | 13 |
| Tenolysis triceps CPT 24332 | not published | not published | $411.02 – $4,122.60 | 13 |
| Tenoplasty elbow to sho 1 CPT 24320 | not published | not published | $1,200.90 – $9,076.82 | 13 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | $756.32 – $2,541.85 | 13 |
| Tenotomy hip flexor open CPT 27005 | not published | not published | $592.10 – $2,986.80 | 8 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | not published | not published | $322.41 – $4,122.60 | 13 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | not published | not published | $301.06 – $2,033.48 | 13 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $73.03 | $224.00 | $1.41 – $179.20 | 15 |
| Testicular imaging w/vasc flow CPT 78761 | $487.37 | $1,495.00 | $124.10 – $1,533.86 | 21 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $37.82 | $116.00 | $22.04 – $126.78 | 19 |
| Test socket above knee HCPCS L5624 | $539.53 | $1,655.00 | $40.00 – $1,638.45 | 17 |
| Test socket below knee HCPCS L5620 | $317.85 | $975.00 | $40.00 – $965.25 | 17 |
| Test stress cardiovascular tracing only CPT 93017 | $812.72 | $2,493.00 | $72.45 – $1,994.40 | 19 |
| Tetanus immune globulin inj HCPCS J1670 | $1,527.64 | $4,686.00 | $537.51 – $3,748.80 | 20 |
| Thaw preserved stem cells CPT 38208 | not published | not published | $14.70 – $694.35 | 10 |
| Theophylline therapeutic drug level CPT 80198 | $112.15 | $344.00 | $14.14 – $103.20 | 20 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $61.94 | $190.00 | $30.35 – $152.00 | 18 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $63.90 | $196.00 | $26.11 – $156.80 | 18 |
| Ther fx nasal inf turbinate CPT 30930 | not published | not published | $136.18 – $4,120.64 | 13 |
| Ther nma rdctj intus/obstrcj CPT 74283 | $161.05 | $494.00 | $114.58 – $726.82 | 20 |
| Ther/proph/diag inj ia CPT 96373 | $243.20 | $746.00 | $19.88 – $746.00 | 21 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $23.48 | $72.00 | $2.72 – $57.60 | 13 |
| Thigh/wght bear lacer molded HCPCS L2540 | $914.43 | $2,805.00 | $40.00 – $2,776.95 | 17 |
| Thorabd diaphr hern repair CPT 43336 | not published | not published | $1,253.16 – $6,265.80 | 8 |
| Thorabd diaphr hern repair CPT 43337 | not published | not published | $1,371.55 – $6,857.75 | 8 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | not published | not published | $115.41 – $785.56 | 13 |
| Thoracic aortic graft 33875 CPT 33875 | not published | not published | $3,137.41 – $15,826.10 | 8 |
| Thoracic duct procedure CPT 38380 | not published | not published | $756.32 – $3,815.05 | 8 |
| Thoracic duct procedure CPT 38381 | not published | not published | $1,488.60 – $7,509.00 | 8 |
| Thoracic duct procedure CPT 38382 | not published | not published | $1,335.06 – $6,734.50 | 8 |
| Thoracic lymphadenect/thoracotomy 38746 CPT 38746 | not published | not published | $338.45 – $1,707.20 | 8 |
| Thoracoabdominal graft 33877 CPT 33877 | not published | not published | $4,156.06 – $20,964.55 | 8 |
| Thoracoscop w/esoph musc exc CPT 32665 | not published | not published | $1,116.13 – $5,630.00 | 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.