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 |
|---|---|---|---|---|
| Csf leakage imaging CPT 78650 | $4,876.64 | $11,394.00 | $212.22 – $10,633.98 | 15 |
| Csf shunt reprogram 62252 CPT 62252 | not published | not published | $83.31 – $381.07 | 9 |
| CT 3d report other modality w/workstation CPT 76377 | $371.08 | $867.00 | $332.51 – $1,756.00 | 9 |
| Cta abdomen without & /or w/contrast CPT 74175 | $1,778.77 | $4,156.00 | $226.19 – $3,420.20 | 15 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $1,630.68 | $3,810.00 | $226.19 – $2,800.84 | 15 |
| Cta neck without &/or w/contrast CPT 70498 | $2,379.68 | $5,560.00 | $226.19 – $4,304.16 | 15 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $3,557.11 | $8,311.00 | $351.77 – $6,759.06 | 15 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $3,241.25 | $7,573.00 | $226.19 – $5,565.42 | 15 |
| CT Angiogram of the Head CPT 70496 | $2,426.34 | $5,669.00 | $226.19 – $4,388.44 | 15 |
| CT angio hrt w/3d image CPT 75574 | $1,095.26 | $2,559.00 | $312.13 – $2,295.16 | 14 |
| CT angio pelvis CPT 72191 | $1,827.14 | $4,269.00 | $226.19 – $3,807.30 | 15 |
| CT bone density axial CPT 77078 | $424.58 | $992.00 | $111.88 – $1,756.00 | 12 |
| CT colonography dx CPT 74261 | $212.72 | $497.00 | $135.12 – $1,756.00 | 15 |
| CT colonography dx w/dye CPT 74262 | $448.55 | $1,048.00 | $226.19 – $1,756.00 | 15 |
| CT colonography screening CPT 74263 | $505.90 | $1,182.00 | $307.13 – $1,756.00 | 12 |
| CT guidance for needle placement CPT 77012 | $2,071.10 | $4,839.00 | $111.05 – $4,506.04 | 12 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $766.55 | $1,791.00 | $149.92 – $1,756.00 | 12 |
| CT guid cryo ablat intramuscular CPT 20999 | $279.06 | $652.00 | $304.79 – $638.96 | 11 |
| CT guid parench tis ablat CPT 77013 | $217.00 | $507.00 | $160.82 – $1,756.00 | 12 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $266.65 | $623.00 | $81.33 – $561.54 | 14 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | $1,095.26 | $2,559.00 | $292.38 – $2,295.16 | 14 |
| CT hrt w/3d image CPT 75572 | $1,095.26 | $2,559.00 | $218.16 – $2,295.16 | 14 |
| CT neck soft tissue w/contrast CPT 70491 | $3,052.93 | $7,133.00 | $226.19 – $5,311.60 | 15 |
| CT neck soft tissue without contrast CPT 70490 | $2,198.21 | $5,136.00 | $135.12 – $3,773.98 | 15 |
| CT neck soft tissue without & w/contrast CPT 70492 | $3,449.68 | $8,060.00 | $226.19 – $5,941.74 | 15 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $1,197.12 | $2,797.00 | $226.19 – $2,284.38 | 15 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $2,494.82 | $5,829.00 | $226.19 – $4,740.26 | 15 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $1,296.84 | $3,030.00 | $135.12 – $2,455.88 | 15 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | not published | not published | $136.28 – $295.06 | 9 |
| CT scan for therapy guide CPT 77014 | $899.23 | $2,101.00 | $105.16 – $1,770.86 | 12 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $4,666.92 | $10,904.00 | $319.24 – $8,014.44 | 15 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $4,274.01 | $9,986.00 | $281.80 – $7,413.70 | 15 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $4,263.31 | $9,961.00 | $174.31 – $7,399.00 | 15 |
| CT thoracic spine w/contrast CPT 72129 | $3,130.82 | $7,315.00 | $226.19 – $5,445.86 | 15 |
| CT thoracic spine without contrast CPT 72128 | $3,010.56 | $7,034.00 | $135.12 – $5,239.08 | 15 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $91.60 | $214.00 | $107.00 – $1,756.00 | 15 |
| CT t-spine w /wo contrast CPT 72130 | $3,793.37 | $8,863.00 | $226.19 – $7,238.28 | 15 |
| Cult skin graft fnhfg 15155 CPT 15155 | not published | not published | $632.72 – $4,651.63 | 9 |
| Cult skin grft t/arm/leg CPT 15150 | not published | not published | $633.57 – $2,324.22 | 9 |
| Culture aerobic additional method definitive id each CPT 87077 | $119.84 | $280.00 | $6.46 – $20.81 | 17 |
| Culture afb any source CPT 87116 | $42.80 | $100.00 | $10.80 – $27.83 | 17 |
| Culture anaerobic additional method definitive id each CPT 87076 | $23.92 | $55.88 | $8.08 – $23.76 | 17 |
| Culture anaerobic except blood CPT 87075 | $261.51 | $611.00 | $9.47 – $27.44 | 17 |
| Culture bact stool aero addl path ea CPT 87046 | $65.92 | $154.00 | $2.61 – $24.34 | 17 |
| Culture body fluid CPT 87070 | $521.74 | $1,219.00 | $8.62 – $22.20 | 17 |
| Culture fungi definitive id mold CPT 87107 | $40.24 | $94.00 | $8.25 – $30.35 | 17 |
| Culture fungi definitive id yeast CPT 87106 | $102.72 | $240.00 | $10.32 – $32.34 | 17 |
| Culture fungi other (except blood) CPT 87102 | $181.05 | $423.00 | $8.41 – $24.50 | 17 |
| Culture fungi skin/hair/nail CPT 87101 | $289.33 | $676.00 | $7.71 – $26.46 | 17 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $67.20 | $157.00 | $14.61 – $105.84 | 17 |
| Culture mycoplasma any source CPT 87109 | $16.53 | $38.61 | $15.39 – $39.64 | 17 |
| Culture screening strep group a CPT 87081 | $67.63 | $158.00 | $6.63 – $18.62 | 17 |
| Culture typing added method CPT 87158 | $64.20 | $150.00 | $7.74 – $147.00 | 17 |
| Culture typing immunologic CPT 87147 | $102.72 | $240.00 | $5.18 – $17.64 | 17 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $440.84 | $1,030.00 | $343.50 – $673.26 | 7 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $140.39 | $328.00 | $23.05 – $107.80 | 17 |
| Culture urine each isolate CPT 87088 | $95.88 | $224.00 | $8.09 – $26.46 | 17 |
| Curette/treat cornea CPT 65435 | not published | not published | $48.28 – $1,230.63 | 9 |
| Curette/treat cornea CPT 65436 | not published | not published | $187.55 – $2,964.26 | 9 |
| Cutter lead HCPCS C1773 | $6,012.98 | $14,049.00 | $179.17 – $763.42 | 12 |
| Cv line/pic reposition CPT 36597 | $1,574.19 | $3,678.00 | $51.27 – $3,604.44 | 14 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $23.12 | $54.00 | $2.10 – $52.92 | 11 |
| Cyclic citrullinated peptide antibody CPT 86200 | $53.29 | $124.50 | $3.00 – $33.38 | 17 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $1,299.41 | $3,036.00 | $637.20 – $1,387.68 | 8 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | $212.72 | $497.00 | $63.72 – $487.06 | 10 |
| Cyclosporine 2 hour CPT 80158 | $6.42 | $15.00 | $7.50 – $46.50 | 17 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $8.14 | $19.00 | $1.37 – $18.62 | 10 |
| Cyclosporine oral 100 mg HCPCS J7502 | $88.60 | $207.00 | $3.63 – $71.54 | 10 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $22,428.49 | $52,403.00 | $513.36 – $2,187.36 | 12 |
| Cyp2c19 gene com variants CPT 81225 | $55.64 | $130.00 | $44.74 – $750.70 | 16 |
| Cyp2c9 gene com variants CPT 81227 | $38.30 | $89.48 | $32.50 – $450.43 | 15 |
| Cyp2d6 gene com variants CPT 81226 | $92.83 | $216.88 | $44.74 – $1,161.81 | 15 |
| Cyp3a4 gene common variants CPT 81230 | $38.30 | $89.48 | $30.00 – $450.43 | 13 |
| Cyp3a5 gene common variants CPT 81231 | $38.30 | $89.48 | $30.00 – $450.43 | 13 |
| Cystatin c CPT 82610 | $4.28 | $10.00 | $5.00 – $47.73 | 17 |
| Cystic fibrosis cftr CPT 81223 | $271.07 | $633.33 | $316.67 – $1,285.72 | 16 |
| Cystine urine quantitative CPT 82131 | $61.53 | $143.75 | $20.57 – $59.22 | 17 |
| Cysto cgen post urtl valves CPT 52400 | not published | not published | $578.45 – $4,382.26 | 9 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $927.05 | $2,166.00 | $47.56 – $1,943.34 | 15 |
| Cystometrogram w/up 51727 CPT 51727 | not published | not published | $209.68 – $848.09 | 9 |
| Cystorrhaphy wound comp 51865 CPT 51865 | not published | not published | $862.13 – $1,359.02 | 3 |
| Cystorrhaphy wound simple 51860 CPT 51860 | not published | not published | $701.50 – $11,749.43 | 9 |
| Cystoscopy and biopsy CPT 52007 | not published | not published | $567.35 – $4,382.26 | 9 |
| Cystoscopy and radiotracer CPT 52250 | not published | not published | $256.33 – $4,382.26 | 9 |
| Cystoscopy and treatment CPT 52214 | not published | not published | $190.55 – $4,382.26 | 9 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $176.44 – $4,382.26 | 9 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $290.51 – $4,382.26 | 9 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $512.67 – $4,382.26 | 9 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $769.00 – $6,459.25 | 9 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $145.25 – $2,602.84 | 9 |
| Cystoscopy and treatment CPT 52265 | not published | not published | $126.03 – $2,602.84 | 9 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $437.48 – $2,602.84 | 9 |
| Cystoscopy and treatment CPT 52277 | not published | not published | $280.68 – $4,382.26 | 9 |
| Cystoscopy and treatment CPT 52283 | not published | not published | $196.10 – $2,602.84 | 9 |
| Cystoscopy and treatment CPT 52285 | not published | not published | $197.80 – $848.09 | 9 |
| Cystoscopy and treatment CPT 52290 | not published | not published | $193.53 – $2,602.84 | 9 |
| Cystoscopy and treatment CPT 52300 | not published | not published | $261.04 – $4,382.26 | 9 |
| Cystoscopy and treatment CPT 52301 | not published | not published | $269.15 – $4,382.26 | 9 |
| Cystoscopy and treatment CPT 52305 | not published | not published | $260.60 – $6,459.25 | 9 |
| Cystoscopy and treatment CPT 52310 | not published | not published | $338.36 – $2,602.84 | 9 |
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.