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 |
|---|---|---|---|---|
| Chemo ia push tecnique CPT 96420 | $322.29 | $753.00 | $48.39 – $11,311.00 | 16 |
| Chemotx admn pertl cav impl CPT 96446 | $570.10 | $1,332.00 | $129.48 – $11,311.00 | 16 |
| Chest 2 vws w oblique CPT 71048 | $895.81 | $2,093.00 | $37.78 – $1,767.92 | 15 |
| Chest apical lordotic proj CPT 71047 | $716.05 | $1,673.00 | $35.26 – $1,493.52 | 15 |
| Chest CT scan (with and without contrast) CPT 71270 | $3,449.68 | $8,060.00 | $226.19 – $5,941.74 | 15 |
| Chest CT scan (with contrast) CPT 71260 | $3,052.93 | $7,133.00 | $226.19 – $5,311.60 | 15 |
| Chest CT scan (without contrast) CPT 71250 | $2,777.72 | $6,490.00 | $135.12 – $3,773.98 | 15 |
| Chest X-ray CPT 71046 | $580.80 | $1,357.00 | $27.47 – $1,158.36 | 15 |
| Chest X-ray (single view) CPT 71045 | $374.93 | $876.00 | $17.65 – $694.82 | 15 |
| Chg pr pul rehab for copd patients CPT 94626 | $104.44 | $244.00 | $122.00 – $244.00 | 6 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $243.11 | $568.00 | $99.36 – $839.73 | 15 |
| Chlamydia culture CPT 87110 | $9.63 | $22.50 | $11.25 – $50.50 | 17 |
| Chlamydia type CPT 87140 | $9.63 | $22.50 | $5.57 – $16.38 | 17 |
| Chloride CPT 82435 | $86.03 | $201.00 | $4.32 – $13.72 | 17 |
| Chloride 24 hour urine CPT 82436 | $102.30 | $239.00 | $2.50 – $14.83 | 17 |
| Chloroprocaine hcl injection HCPCS J2401 | $115.14 | $269.00 | $44.55 – $97.02 | 8 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $98.87 | $231.00 | $20.17 – $226.38 | 11 |
| Cholangiogram percutaneous compl CPT 47532 | $1,754.80 | $4,100.00 | $749.07 – $3,981.00 | 14 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $515.74 | $1,205.00 | $62.08 – $1,180.90 | 10 |
| Cholecystectomy w/cholangiography 47605 CPT 47605 | not published | not published | $709.19 – $1,117.93 | 3 |
| Cholecystoenterostomy direct 47720 CPT 47720 | not published | not published | $701.50 – $1,105.81 | 3 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $4,439.22 | $10,372.00 | $499.42 – $9,554.02 | 14 |
| Cholesterol CPT 82465 | $109.57 | $256.00 | $4.35 – $11.76 | 17 |
| Cholesterol body fluid CPT 84999 | $63.03 | $147.25 | $5.88 – $91.13 | 9 |
| Cholesterol (Lipid) Test CPT 80061 | $415.16 | $970.00 | $5.82 – $34.49 | 17 |
| Cholinesterase CPT 82480 | $5.67 | $13.24 | $6.04 – $20.30 | 17 |
| Cholinesterase challenge CPT 95857 | $148.95 | $348.00 | $34.10 – $348.00 | 14 |
| Chorion biopsy CPT 59015 | $573.95 | $1,341.00 | $159.18 – $1,314.18 | 14 |
| Chrom analysis CPT 88273 | $50.27 | $117.43 | $34.81 – $115.09 | 16 |
| Chromatography CPT 83021 | $10.85 | $25.34 | $9.00 – $46.54 | 17 |
| Chromogenic substrate assay CPT 85130 | $60.35 | $141.00 | $11.89 – $138.18 | 17 |
| Chromo high res and frag x - sendout CPT 81243 | $148.09 | $346.00 | $41.80 – $146.99 | 16 |
| Chromosome analys amniotic CPT 88269 | $70.39 | $164.45 | $82.23 – $447.46 | 16 |
| Chromosome analysis 100 CPT 88249 | $188.75 | $441.00 | $173.17 – $446.19 | 16 |
| Chromosome analysis 15-20 cell count CPT 88262 | $114.28 | $267.00 | $77.50 – $323.34 | 16 |
| Chromosome analysis 45 CPT 88263 | $88.04 | $205.70 | $102.85 – $387.24 | 16 |
| Chromosome analysis 5 CPT 88261 | $74.90 | $175.00 | $87.50 – $681.09 | 16 |
| Chromosome count additional CPT 88285 | $14.13 | $33.00 | $10.90 – $69.33 | 16 |
| Chromosome karyotype study CPT 88280 | $16.27 | $38.00 | $12.50 – $86.26 | 16 |
| Chromosome study additional CPT 88289 | $114.28 | $267.00 | $17.33 – $261.66 | 16 |
| Chylomicron screen, bf - sendout CPT 82664 | $42.42 | $99.11 | $15.03 – $158.48 | 17 |
| Cidofovir injection HCPCS J0740 | $3,800.64 | $8,880.00 | $496.82 – $8,702.40 | 15 |
| Cilastatin sodium injection HCPCS J0743 | $167.78 | $392.00 | $11.88 – $231.28 | 10 |
| Ciliary transsleral therapy CPT 66710 | not published | not published | $285.39 – $2,964.26 | 9 |
| Cinacalcet 30 mg tablet HCPCS J0604 | $89.03 | $208.00 | $0.01 – $203.84 | 12 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $23.12 | $54.00 | $1.37 – $52.92 | 10 |
| Circum 28 days or older CPT 54161 | not published | not published | $181.57 – $2,602.84 | 9 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | not published | not published | $848.09 – $848.09 | 6 |
| Circumcision (newborn) CPT 54150 | $459.68 | $1,074.00 | $511.50 – $1,023.00 | 11 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $26.97 | $63.00 | $3.07 – $61.74 | 12 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $107.00 | $250.00 | $125.00 – $849.01 | 16 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | $2,234.16 | $5,220.00 | $12.36 – $5,115.60 | 15 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $17,178.21 | $40,136.00 | $668.61 – $2,848.86 | 12 |
| Claviculectomy partial CPT 23120 | not published | not published | $411.41 – $4,122.60 | 9 |
| Claviculectomy total CPT 23125 | not published | not published | $710.04 – $4,122.60 | 9 |
| Clean out mastoid cavity CPT 69222 | not published | not published | $128.17 – $647.05 | 9 |
| Clearance of airways CPT 31720 | not published | not published | $58.10 – $258.43 | 9 |
| Clearance of tear duct CPT 68530 | not published | not published | $379.82 – $893.67 | 9 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $67.20 | $157.00 | $44.55 – $97.02 | 8 |
| Clip ligating vesolock lg HCPCS C1760 | $2,103.20 | $4,914.00 | $36.34 – $154.84 | 12 |
| Clitoroplasty intersex state CPT 56805 | not published | not published | $1,269.01 – $4,039.91 | 9 |
| Cllr miami j sm HCPCS L0174 | $150.23 | $351.00 | $101.50 – $203.00 | 13 |
| Close bronchial fistula 32815 CPT 32815 | not published | not published | $1,637.97 – $2,582.01 | 3 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | not published | not published | $237.54 – $374.44 | 9 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | not published | not published | $264.02 – $2,033.48 | 9 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | not published | not published | $459.69 – $724.63 | 3 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | not published | not published | $304.79 – $767.06 | 9 |
| Closed tx humerus fx with manip 23605 CPT 23605 | not published | not published | $247.78 – $2,033.48 | 9 |
| Closed tx humerus fx without manip 23600 CPT 23600 | not published | not published | $158.05 – $304.79 | 9 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | not published | not published | $308.88 – $2,033.48 | 9 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | not published | not published | $70.07 – $304.79 | 9 |
| Closed tx nose/jaw fx CPT 21345 | not published | not published | $338.78 – $1,882.11 | 9 |
| Closed tx orbit without manipulj CPT 21400 | not published | not published | $233.27 – $647.05 | 9 |
| Closed tx orbit w/manipulj CPT 21401 | not published | not published | $300.34 – $1,882.11 | 9 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | not published | not published | $529.33 – $2,033.48 | 9 |
| Closed tx septal&nose fx CPT 21337 | not published | not published | $149.96 – $4,120.64 | 9 |
| Closed tx sesamoid fx 28530 CPT 28530 | not published | not published | $189.69 – $304.79 | 9 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | not published | not published | $304.79 – $519.22 | 9 |
| Closed tx vert fx w/manj CPT 22315 | not published | not published | $456.70 – $4,122.60 | 9 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | not published | not published | $78.61 – $295.06 | 9 |
| Close mastoid fistula CPT 69700 | not published | not published | $338.78 – $1,882.11 | 9 |
| Close median sternotomy separation 21750 CPT 21750 | not published | not published | $930.91 – $1,467.45 | 3 |
| Close tear duct opening CPT 68760 | not published | not published | $157.65 – $379.82 | 9 |
| Close tear duct opening CPT 68761 | not published | not published | $143.98 – $379.82 | 9 |
| Close tear system fistula CPT 68770 | not published | not published | $411.41 – $2,964.26 | 9 |
| Clos txnose fx without stablz 21315 CPT 21315 | not published | not published | $91.00 – $1,882.11 | 9 |
| Closure enterostomy lg/sm intestine 44620 CPT 44620 | not published | not published | $484.05 – $763.01 | 3 |
| Closure enterostomy lg/sm intestine anast 44626 CPT 44626 | not published | not published | $1,188.96 – $1,874.22 | 3 |
| Closure enterostomy lg/sm intestine oth/thn 44625 CPT 44625 | not published | not published | $677.58 – $1,068.10 | 3 |
| Closure intestinal cutaneous fistula 44640 CPT 44640 | not published | not published | $688.68 – $1,085.60 | 3 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | not published | not published | $175.59 – $647.05 | 9 |
| Closure of eyelid by suture CPT 67875 | not published | not published | $241.81 – $1,230.63 | 9 |
| Closure of salivary fistula CPT 42600 | not published | not published | $392.61 – $4,120.64 | 9 |
| Closure of windpipe lesion 31820 CPT 31820 | not published | not published | $237.96 – $4,120.64 | 9 |
| Closure paravalvlr leak pq CPT 33999 | $1,511.70 | $3,532.00 | $785.56 – $2,142.28 | 11 |
| Clot factor viii reltd antgn CPT 85244 | $95.76 | $223.73 | $20.42 – $219.26 | 17 |
| Clot factor xii hageman CPT 85280 | $93.30 | $217.97 | $19.35 – $49.87 | 17 |
| Clot factor xiii fibrin scrn CPT 85291 | $51.13 | $119.45 | $9.11 – $28.90 | 17 |
| Clot factor xiii fibrin stab CPT 85290 | $56.50 | $132.00 | $16.34 – $129.36 | 17 |
| Clotting assay whole blood CPT 85396 | $43.66 | $102.00 | $17.73 – $67.00 | 13 |
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.