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 |
|---|---|---|---|---|
| X-ray abdomen 2 views CPT 74019 | $412.07 | $1,264.00 | $30.06 – $1,011.20 | 21 |
| X-ray abdomen >=3 views CPT 74021 | $427.39 | $1,311.00 | $37.40 – $1,048.80 | 21 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $530.41 | $1,627.00 | $56.54 – $1,301.60 | 21 |
| X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 | $363.49 | $1,115.00 | $37.15 – $892.00 | 21 |
| X-ray bone age studies CPT 77072 | $136.27 | $418.00 | $19.67 – $443.01 | 21 |
| X-ray bone length studies CPT 77073 | $213.21 | $654.00 | $32.05 – $523.20 | 21 |
| X-ray bone survey complete CPT 77075 | $613.54 | $1,882.00 | $78.50 – $1,505.60 | 21 |
| X-ray bone survey infant CPT 77076 | $619.73 | $1,901.00 | $63.60 – $1,520.80 | 21 |
| X-ray cervical spine 2-3 views CPT 72040 | $330.89 | $1,015.00 | $37.27 – $812.00 | 21 |
| X-ray cervical spine 4-5 views CPT 72050 | $446.95 | $1,371.00 | $57.38 – $1,096.80 | 21 |
| X-ray cervical spine >= 6 views CPT 72052 | $572.46 | $1,756.00 | $72.16 – $1,404.80 | 21 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $852.17 | $2,614.00 | $74.46 – $2,091.20 | 21 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $1,201.31 | $3,685.00 | $90.14 – $2,948.00 | 21 |
| Xray endovasc thor ao repr CPT 75956 | $313.62 | $962.00 | $240.50 – $1,379.78 | 15 |
| Xray endovasc thor ao repr CPT 75957 | $313.62 | $962.00 | $240.50 – $1,181.99 | 15 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $456.73 | $1,401.00 | $54.64 – $1,120.80 | 21 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $1,037.99 | $3,184.00 | $61.12 – $2,547.20 | 21 |
| X-ray exam entire spi 6/> vw CPT 72084 | $1,297.48 | $3,980.00 | $73.11 – $3,184.00 | 21 |
| X-ray exam of eye sockets CPT 70200 | $482.16 | $1,479.00 | $54.35 – $1,183.20 | 21 |
| X-ray exam of mastoids CPT 70120 | $418.59 | $1,284.00 | $37.27 – $1,027.20 | 21 |
| X-ray exam of sinuses CPT 70210 | $361.86 | $1,110.00 | $31.01 – $888.00 | 21 |
| X-ray exam si joints CPT 72200 | $342.96 | $1,052.00 | $31.01 – $841.60 | 21 |
| X-ray exam thorac spine4/>vw CPT 72074 | $558.12 | $1,712.00 | $50.36 – $1,369.60 | 21 |
| X-ray facial bones complete > 3 views CPT 70150 | $565.94 | $1,736.00 | $53.47 – $1,388.80 | 21 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $388.92 | $1,193.00 | $34.80 – $954.40 | 21 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $484.11 | $1,485.00 | $43.85 – $1,188.00 | 21 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $608.32 | $1,866.00 | $51.04 – $1,492.80 | 21 |
| X-ray knee ap standing bilateral CPT 73565 | $477.92 | $1,466.00 | $27.28 – $1,172.80 | 21 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $290.14 | $890.00 | $49.64 – $712.00 | 21 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $560.07 | $1,718.00 | $62.90 – $1,374.40 | 21 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $731.87 | $2,245.00 | $75.89 – $1,796.00 | 21 |
| X-ray mandible complete > 4 views CPT 70110 | $491.94 | $1,509.00 | $48.83 – $1,207.20 | 21 |
| X-ray mandible ltd <4 views CPT 70100 | $428.04 | $1,313.00 | $36.00 – $1,050.40 | 21 |
| X-ray nasal bones complete > 3 views CPT 70160 | $362.84 | $1,113.00 | $35.56 – $890.40 | 21 |
| X-ray neck soft tissue CPT 70360 | $335.78 | $1,030.00 | $24.82 – $824.00 | 21 |
| X-ray nose to rectum for foreign body child CPT 76010 | $414.35 | $1,271.00 | $33.48 – $1,016.80 | 21 |
| X-ray pelvis 1-2 views CPT 72170 | $261.46 | $802.00 | $31.01 – $641.60 | 21 |
| X-ray pelvis complete > 3 views CPT 72190 | $342.30 | $1,050.00 | $45.26 – $840.00 | 21 |
| Xray place dist ext thor ao CPT 75959 | $313.62 | $962.00 | $163.19 – $769.60 | 15 |
| Xray place prox ext thor ao CPT 75958 | $209.30 | $642.00 | $160.50 – $788.22 | 15 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $712.31 | $2,185.00 | $80.93 – $1,748.00 | 21 |
| X-ray ribs 3 views bilateral CPT 71110 | $522.58 | $1,603.00 | $47.78 – $1,282.40 | 21 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $423.15 | $1,298.00 | $60.82 – $1,038.40 | 21 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $411.42 | $1,262.00 | $42.42 – $1,009.60 | 21 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $342.96 | $1,052.00 | $35.89 – $841.60 | 21 |
| X-ray sella turcica CPT 70240 | $131.38 | $403.00 | $31.01 – $329.14 | 21 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $458.69 | $1,407.00 | $47.84 – $1,125.60 | 21 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $558.12 | $1,712.00 | $59.94 – $1,966.10 | 21 |
| X-ray skull < 4 views CPT 70250 | $286.56 | $879.00 | $37.27 – $703.20 | 21 |
| X-ray skull > 4 views complete CPT 70260 | $364.15 | $1,117.00 | $57.69 – $893.60 | 21 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $438.47 | $1,345.00 | $118.28 – $1,076.00 | 21 |
| X-ray small intestine follow-through study CPT 74248 | $201.80 | $619.00 | $74.76 – $495.20 | 15 |
| X-ray spine single view CPT 72020 | $321.77 | $987.00 | $24.82 – $609.60 | 21 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $273.84 | $840.00 | $37.27 – $672.00 | 21 |
| X-ray sternum > 2 views CPT 71120 | $248.74 | $763.00 | $37.27 – $610.40 | 21 |
| X-ray surgical specimen CPT 76098 | $518.67 | $1,591.00 | $20.77 – $1,966.10 | 21 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $576.37 | $1,768.00 | $74.46 – $1,414.40 | 21 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $576.05 | $1,767.00 | $54.64 – $1,413.60 | 21 |
| X-ray thoracic spine 2 views CPT 72070 | $417.28 | $1,280.00 | $40.22 – $1,024.00 | 21 |
| X-ray thoracic spine 3 views CPT 72072 | $469.12 | $1,439.00 | $44.22 – $1,151.20 | 21 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $272.87 | $837.00 | $39.29 – $669.60 | 21 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $272.87 | $837.00 | $34.72 – $669.60 | 21 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $806.85 | $2,475.00 | $56.31 – $1,980.00 | 21 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $625.92 | $1,920.00 | $144.06 – $1,536.00 | 21 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $291.45 | $894.00 | $127.54 – $726.82 | 21 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $118.34 | $363.00 | $0.01 – $290.40 | 13 |
| Zika virus dna/rna amp probe CPT 87662 | $43.04 | $132.00 | $26.40 – $132.00 | 20 |
| Zika virus igm antibody CPT 86794 | $24.39 | $74.80 | $14.96 – $74.64 | 20 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $41.41 | $127.00 | $9.64 – $101.60 | 15 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $3,984.38 | $12,222.00 | $9.24 – $9,777.60 | 15 |
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.