Supplies, drugs & other prices at Glendale Adventist Medical Center

Glendale, CA · every code in this section with a posted price and a Medicare benchmark.

57 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
2d tte w or w/o fol w/con,co (C8923) $34.05 $227 0.0×
2d tte w or w/o fol w/con,fu (C8924) $17.55 $117 0.0×
Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral (0581T) $2,880.15 $19,201 0.6×
Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) $1,405.95 $9,373 0.6×
Abltj Perc Cryoabltj Img Gdn Nrv Plex/Trncl Nrv (0442T)
unusually low: confirm this is the full procedure
$4,610.85 $30,739 0.4×
Catheterize for urine spec (P9612) $9.90 $66 1.1×
Comt gene analysis c.472g>a variant (0032U) $96.54 $643.60 0.6×
Direct refer hospital observ (G0379) $233.40 $1,556 0.3×
Fecal blood scrn immunoassay (G0328)
range across 4 matching MRF lines
$27.30–$55.35 $182–$369 varies
Initial preventive exam (G0402) $52.20 $348 0.3×
Instill pharm renal pelvis (C9789) $1,620.30 $10,802 1.0×
Mra w/cont, lwr ext (C8912) $797.85 $5,319 1.8×
Mra w/cont, pelvis (C8918) $1,428 $9,520 3.2×
Mra w/o cont, lwr ext (C8913) $598.35 $3,989 1.9×
Mra w/o cont, pelvis (C8919) $1,428 $9,520 4.7×
Mra w/o fol w/cont, lwr ext (C8914) $930 $6,200 2.1×
Mra w/o fol w/cont, pelvis (C8920) $1,428 $9,520 3.2×
Neuro csf prion prtn qual (0035U) $70.78 $471.87 0.1×
Njx dx/ther paraver fct jt w/us cer/thor 1 lvl (0213T) $383.55 $2,557 0.3×
Njx platelet plasma (0232T)
range across 2 matching MRF lines
$32.25–$76.95 $215–$513 varies
Onc Merkel Cll Carc Srm Quan (0058U) $51.21 $341.38 0.2×
Oth resp proc, group (G0239) $43.95 $293 0.9×
Oth resp proc, indiv (G0238) $43.95 $293 1.2×
Perc d-e cor revasc chro sin (C9607) $13,710.45 $91,403 0.6×
Perc d-e cor revasc t cabg s (C9604) $8,994.75 $59,965 0.6×
Perc d-e cor stent ather s (C9602) $13,710.45 $91,403 0.6×
Perc drug-el cor stent sing (C9600) $8,994.75 $59,965 0.6×
Perq Sacral Augmt Bilat Inj (0201T)
unusually low: confirm this is the full procedure
$4,613.55 $30,757 0.5×
Perq Sacral Augmt Unilat Inj (0200T)
unusually low: confirm this is the full procedure
$4,613.55 $30,757 0.5×
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T)
likely a partial charge, not the full procedure
$4,105.05 $27,367 0.3×
Place device/marker, non pro (C9728) $976.65 $6,511 0.5×
Posterior vertebral joint(s) arthroplasty (e.g., facet joint(s) replacement) including facetectomy, laminectomy,… (0202T)
likely a partial charge, not the full procedure
$4,266.45 $28,443 0.3×
Ppps, initial visit (G0438) $66 $440 0.4×
Ppps, subseq visit (G0439) $52.35 $349 0.4×
Prostate biopsy, any mthd (G0416) $105.15 $701 0.2×
Psa screening (G0103)
range across 5 matching MRF lines
$1.91–$72 $12.70–$480 varies
Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) $36 $240 0.1×
Revasc intra lithotrip-ather (C9766)
unusually low: confirm this is the full procedure
$9,016.95 $60,113 0.4×
Revasc intra lithotrip-stent (C9765)
unusually low: confirm this is the full procedure
$10,075.50 $67,170 0.4×
Revasc intravasc lithotripsy (C9764) $7,441.05 $49,607 0.5×
Revasc lithotr-ather tib/per (C9774) $12,928.80 $86,192 0.5×
Revasc lithotrip tibi/perone (C9772) $7,664.55 $51,097 0.5×
Revasc lithotrip-stent-ather (C9767) $14,507.10 $96,714 0.6×
Sim ang w/prs cath rad emb (C8004) $7,809.90 $52,066 0.5×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) $14,168.70 $94,458 0.6×
Therapeutic procd strg endur (G0237) $43.95 $293 1.2×
Tomosynthesis, mammo (G0279)
range across 2 matching MRF lines
$13.05–$84.45 $87–$563 varies
Transcatheter Renal Sympath Denervation Bilat (0339T) $4,186.65 $27,911 0.6×
Transcatheter renal sympath denervation unilat (0338T) $4,186.65 $27,911 0.6×
Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) $525 $3,500 0.2×
Trim nail(s) (G0127) $5.25 $35 0.1×
Trluml Perip Athrc Brchiocph (0237T) $8,994.75 $59,965 0.6×
Trluml Perip Athrc Iliac Art (0238T)
range across 2 matching MRF lines
$13,710.45 $2,740–$91,403 0.6×
Tte w or w/o contr, cont ecg (C8930)
range across 2 matching MRF lines
$64.80–$411.75 $432–$2,745 varies
Tte w or wo fol wcon,doppler (C8929)
range across 2 matching MRF lines
$54–$188.25 $360–$1,255 varies
Unsched dialysis esrd pt hos (G0257) $649.50 $4,330 0.7×
Vasc emb/occ w/prs cath (C9797)
unusually low: confirm this is the full procedure
$11,779.50 $78,530 0.5×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.