Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $29.42 | $68.73 | $13.24 – $75.43 | 17 |
| 17-hydroxypregnenolone CPT 84143 | $29.42 | $68.73 | $10.50 – $58.79 | 17 |
| 17-ketosteroids CPT 83586 | $11.20 | $26.16 | $12.80 – $32.98 | 17 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $1,665.35 | $3,891.00 | $1,003.85 – $3,813.18 | 11 |
| 2d tte w or without fol w/con,co HCPCS C8923 | $906.51 | $2,118.00 | $1,003.85 – $2,075.64 | 11 |
| 2nd order venous cath CPT 36012 | $1,195.41 | $2,793.00 | $130.30 – $1,369.06 | 9 |
| 3-d radiotherapy plan CPT 77295 | $3,005.85 | $7,023.00 | $616.43 – $11,311.00 | 15 |
| 5' nucleotidase - sendout CPT 83915 | $5.29 | $12.35 | $6.18 – $28.74 | 17 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $9.07 | $21.17 | $10.59 – $49.95 | 12 |
| Aa graft w/bp/aortic root replace 33863 CPT 33863 | not published | not published | $2,326.65 – $3,667.62 | 3 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $6,037.80 | $14,107.00 | $44.32 – $13,824.86 | 15 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $5.14 | $12.00 | $6.00 – $30.96 | 17 |
| Abd aorta w/runoff s&i CPT 75630 | $6,994.38 | $16,342.00 | $204.00 – $13,457.70 | 15 |
| Abd exp/postop hem/throm/infec 35840 CPT 35840 | not published | not published | $577.18 – $909.83 | 3 |
| Abd/low ext cath 1st CPT 36245 | $772.97 | $1,806.00 | $232.83 – $1,769.88 | 9 |
| Abd/low ext cath 2nd CPT 36246 | $1,709.01 | $3,993.00 | $279.40 – $2,219.70 | 9 |
| Abd/low ext cath 3rd CPT 36247 | $3,367.08 | $7,867.00 | $332.38 – $2,102.10 | 9 |
| Abd/low ext cath addl CPT 36248 | $561.11 | $1,311.00 | $52.98 – $992.74 | 9 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $2,657.88 | $6,210.00 | $226.19 – $5,049.94 | 15 |
| Abdominal CT scan (with contrast) CPT 74160 | $2,604.38 | $6,085.00 | $226.19 – $4,989.18 | 15 |
| Abdominal CT scan (without contrast) CPT 74150 | $2,471.70 | $5,775.00 | $135.12 – $4,747.12 | 15 |
| Abdominal MRI (with and without contrast) CPT 74183 | $3,828.46 | $8,945.00 | $333.52 – $6,654.20 | 15 |
| Abdominal MRI (with contrast) CPT 74182 | $2,794.42 | $6,529.00 | $299.22 – $5,310.62 | 15 |
| Abdominal MRI (without contrast) CPT 74181 | $2,794.42 | $6,529.00 | $273.91 – $4,799.06 | 15 |
| Abdominal paracentesis w/image guidance CPT 49083 | $1,746.67 | $4,081.00 | $103.10 – $2,742.04 | 14 |
| Abdominal Ultrasound (complete) CPT 76700 | $1,146.62 | $2,679.00 | $119.34 – $2,190.30 | 15 |
| Abdominal Ultrasound (limited) CPT 76705 | $940.32 | $2,197.00 | $87.13 – $1,787.52 | 15 |
| Abdominoplasty 15830 CPT 15830 | not published | not published | $8,286.17 – $8,286.17 | 6 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $861.14 | $2,012.00 | $67.21 – $1,971.76 | 14 |
| Abl1 gene CPT 81170 | $279.14 | $652.19 | $210.00 – $772.98 | 16 |
| Ablate arrhythmia add on CPT 93655 | $1,539.09 | $3,596.00 | $378.45 – $3,596.00 | 10 |
| Ablate atria lmtd endo 33265 CPT 33265 | not published | not published | $1,165.67 – $1,763.54 | 3 |
| Ablate atria w/bypass exten 33256 CPT 33256 | not published | not published | $1,674.23 – $2,532.94 | 3 |
| Ablate atria x10sv add-on 33258 CPT 33258 | not published | not published | $519.73 – $786.30 | 3 |
| Ablate atria x10sv endo 33266 CPT 33266 | not published | not published | $1,592.63 – $2,409.59 | 3 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | $10,351.61 | $24,186.00 | $393.47 – $16,706.06 | 14 |
| Ablate bone tumor(s) perq CPT 20982 | $13,978.48 | $32,660.00 | $4,220.73 – $20,419.28 | 14 |
| Ablate heart dysrhythm focus CPT 93650 | $9,448.96 | $22,077.00 | $821.29 – $22,077.00 | 15 |
| Ablate inf turbinate submuc 30802 CPT 30802 | not published | not published | $93.99 – $1,882.11 | 9 |
| Ablate inf turbinate superf 30801 CPT 30801 | not published | not published | $65.79 – $1,882.11 | 9 |
| Ablate pulm tumor perq crybl CPT 32994 | $8,291.65 | $19,373.00 | $5,758.36 – $18,985.54 | 14 |
| Ablate pulm tumor perq rf CPT 32998 | $6,601.05 | $15,423.00 | $2,589.72 – $15,114.54 | 14 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $3,904.22 | $9,122.00 | $198.80 – $899.64 | 11 |
| Ablation cryo abd perit om CPT 49999 | not published | not published | $1,191.26 – $1,191.26 | 6 |
| Ablation cryo adrenal tumor CPT 60699 | not published | not published | $7,413.14 – $7,413.14 | 6 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | not published | not published | $304.79 – $304.79 | 6 |
| Ablation cryo pq liver tumor(s) CPT 47383 | $8,156.83 | $19,058.00 | $416.98 – $18,676.84 | 14 |
| Ablation cryo retro lymph node CPT 38999 | $555.98 | $1,299.00 | $555.48 – $1,273.02 | 11 |
| Ablation cryo thigh/knee CPT 27599 | not published | not published | $304.79 – $304.79 | 6 |
| Ablation of upper extremity nerves rf CPT 64999 | $448.12 | $1,047.00 | $375.07 – $739.90 | 11 |
| Abltj mal prst8 tiss hifu CPT 55880 | not published | not published | $837.68 – $11,749.43 | 9 |
| Abortion CPT 59850 | not published | not published | $470.57 – $711.92 | 3 |
| Abortion (mpr) CPT 59866 | not published | not published | $386.50 – $386.50 | 6 |
| Abrasion lesions add-on CPT 15787 | $123.70 | $289.00 | $11.96 – $283.22 | 9 |
| Abrasion lesion single CPT 15786 | $247.39 | $578.00 | $73.91 – $566.44 | 14 |
| Abscess drain retroperitoneal surg code CPT 49406 | $2,451.59 | $5,728.00 | $184.29 – $5,164.60 | 14 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | $2,190.51 | $5,118.00 | $107.59 – $5,015.64 | 9 |
| Access thoracic lymph duct CPT 38794 | not published | not published | $193.53 – $305.07 | 3 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $48.80 | $114.00 | $0.07 – $111.72 | 11 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $213.15 | $498.00 | $24.30 – $54.00 | 11 |
| Acetylcholine receptor modulating antibody CPT 86043 | $9.85 | $23.00 | $11.50 – $22.54 | 7 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $965.57 | $2,256.00 | $0.64 – $2,210.88 | 11 |
| Acne surgery 10040 CPT 10040 | not published | not published | $55.12 – $252.47 | 9 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $411.41 – $4,122.60 | 9 |
| Acute hepatitis panel CPT 80074 | $110.43 | $258.00 | $16.50 – $122.73 | 17 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $179.76 | $420.00 | $0.06 – $27.00 | 11 |
| #acylcarnitineprfl CPT 82017 | $77.97 | $182.16 | $16.87 – $54.81 | 17 |
| Adapter b 8 channel 10cm HCPCS C1883 | $1,244.20 | $2,907.00 | $179.17 – $763.42 | 12 |
| Adding walker to prev cast CPT 29440 | not published | not published | $58.10 – $200.49 | 9 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $873.55 | $2,041.00 | $0.53 – $129.36 | 11 |
| Adhesiolysis tube ovary 58740 CPT 58740 | not published | not published | $1,017.53 – $1,539.42 | 3 |
| Adh-sendout CPT 84588 | $96.84 | $226.25 | $22.50 – $87.45 | 17 |
| Adj gastric band via subq port CPT 43999 | not published | not published | $1,191.26 – $1,191.26 | 6 |
| Adjmt/revj ext fixj sys anes CPT 20693 | not published | not published | $322.98 – $9,076.82 | 9 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | not published | not published | $484.05 – $2,324.22 | 9 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $512.75 | $1,198.00 | $0.31 – $52.92 | 11 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $143.38 | $335.00 | $21.49 – $11,311.00 | 16 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $168.21 | $393.00 | $32.81 – $11,311.00 | 16 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $736.16 | $1,720.00 | $32.81 – $11,311.00 | 16 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $469.09 | $1,096.00 | $20.61 – $11,311.00 | 16 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $124.12 | $290.00 | $12.23 – $11,311.00 | 16 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $124.12 | $290.00 | $12.23 – $11,311.00 | 16 |
| Administration immunization 1 vaccine CPT 90471 | $98.87 | $231.00 | $4.46 – $226.38 | 13 |
| Administration immunization each additional vaccine CPT 90472 | $98.87 | $231.00 | $115.50 – $226.38 | 6 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $16,050.00 | $37,500.00 | $38.62 – $32,617.34 | 15 |
| Adrenal cortex & medulla img CPT 78075 | $5,120.60 | $11,964.00 | $312.44 – $11,166.12 | 15 |
| Adrenalectomy expl w/exc retro tumor 60545 CPT 60545 | not published | not published | $1,064.63 – $1,678.23 | 3 |
| Aep hearing status deter i&r CPT 92651 | $253.81 | $593.00 | $80.62 – $437.08 | 14 |
| _afb id by dna probe rflx ast CPT 87149 | $78.76 | $184.00 | $16.04 – $79.38 | 17 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $199.09 | $465.15 | $52.13 – $297.22 | 17 |
| After cataract laser surgery CPT 66821 | not published | not published | $213.61 – $697.05 | 9 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | $16,050.00 | $37,500.00 | $200.68 – $6,714.96 | 15 |
| Air injection into abdomen 49400 CPT 49400 | $396.33 | $926.00 | $48.28 – $907.48 | 9 |
| Albumin body fluid quantitative each specimen CPT 82042 | $158.36 | $370.00 | $3.50 – $20.06 | 17 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $385.20 | $900.00 | $52.45 – $900.00 | 11 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $920.20 | $2,150.00 | $52.45 – $540.96 | 15 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | $56.50 | $132.00 | $10.49 – $129.36 | 11 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $72.34 | $169.00 | $2.25 – $14.90 | 17 |
| Albumin serum plasma or whole blood CPT 82040 | $86.46 | $202.00 | $3.75 – $12.76 | 17 |
| Alcohol/subs interv >30 min HCPCS G0397 | $197.31 | $461.00 | $204.15 – $451.78 | 11 |
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.