Glendale Adventist Medical Center
1509 E Wilson Terrace, Glendale, CA 91206 · 100 Priced Procedures · 69% Patient Recommendation
Typical commercial prices here are +17% above the fair benchmark (1.17×) even after accounting for local nurse/doctor wages and patient complexity.
3-Star CMS clinical quality rating paired with 1.17× fair market pricing.
Cash-Arbitrage Bifurcated Pricer
Glendale Adventist Medical Center maintains elevated commercial insurance contracts (1.17× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 63% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.63× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 63% of shoppable procedures (99/100 Cash Honesty)
- 4-Star CMS clinical rating with 69% patient recommendation (68/100 safety score)
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (19.0% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.6× markup over Medicare rates
- Captive ER (2.3×) & laboratory (1.7×) services average 1.23× higher multiples than routine shoppable care (1.3×)
- Upper-quartile procedures (Q75 1.60×) jump +33% above the median procedure ratio (Q50 1.20×)
- Unnegotiated chargemaster list prices average 13.9× Medicare (14¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Glendale Adventist Medical Center
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 100 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $22,819 | 1.2× |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $21,581 | 1.1× |
| Heart stent placement (inpatient stay) MS-DRG Code: 322 | $19,514 | 1.1× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $10,826 | 1.3× |
| Blood transfusion CPT Code: 36430 | $2,339 | unverified |
| Total knee replacement CPT Code: 27447 | $408 | unverified |
| Breathing treatment (nebulizer) CPT Code: 94640 | $338 | 1.7× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $357 | unverified |
| Hospital observation (per hour) HCPCS Code: G0378 | $302 | 3.5× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $320 | 0.6× |
| Group therapy session CPT Code: 90853 | $304 | unverified |
| MRI, brain (no contrast) CPT Code: 70551 | $214 | 0.6× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $231 | 0.5× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $207 | unverified |
| Colonoscopy with biopsy CPT Code: 45380 | $224 | unverified |
| Hepatitis B immune globulin HCPCS Code: 90371 | $185 | 1.2× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $173 | 0.7× |
| MRI, knee or other leg joint CPT Code: 73721 | $197 | 0.5× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $195 | unverified |
| Speech therapy (language evaluation) CPT Code: 92507 | $151 | 1.8× |
| CT scan, head (with contrast) CPT Code: 70460 | $161 | 0.7× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $167 | 0.6× |
| MRI, lower back (no contrast) CPT Code: 72148 | $170 | 0.5× |
| Screening mammogram (both breasts) CPT Code: 77067 | $110 | 0.9× |
| CT scan, sinuses CPT Code: 70486 | $133 | 0.8× |
Audit a Bill or Quote at Glendale Adventist Medical Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $27,156
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (19.0% of gross = $27,156).
Self-Pay Cash Rate ($21,439) Beats Your Bill
Glendale Adventist Medical Center's published 45 CFR § 180 self-pay cash rate is $21,439 (vs. $22,819 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $19,432 Fair BaseRate ($14,044 Medicare)
Your bill ($142,926) is $123,494 above the denoised Fair BaseRate ($19,432) and 10.2× the $14,044 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (19.0% of gross charges)
Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)Source: CMS Hospital Care Compare (708 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Glendale Adventist Medical Center.
Notable Payer Contract Outliers (SVD Matrix Anomalies)
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.