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 |
|---|---|---|---|---|
| Cystoscopy and treatment CPT 52315 | not published | not published | $526.96 – $2,602.84 | 9 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $299.06 – $4,382.26 | 9 |
| Cystoscopy and treatment CPT 52330 | not published | not published | $481.48 – $4,382.26 | 9 |
| Cystoscopy (Bladder Scope) CPT 52000 | not published | not published | $99.55 – $848.09 | 9 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | $137.38 – $2,602.84 | 9 |
| Cystoscopy & duct catheter CPT 52010 | not published | not published | $174.31 – $848.09 | 9 |
| Cystoscopy implant stent CPT 52282 | not published | not published | $377.24 – $4,382.26 | 9 |
| Cystoscopy inject material CPT 52327 | not published | not published | $220.77 – $6,459.25 | 9 |
| Cystoscopy removal of clots CPT 52001 | not published | not published | $110.57 – $4,382.26 | 9 |
| Cystoscopy & revise urethra CPT 52270 | not published | not published | $193.53 – $2,602.84 | 9 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | $227.28 – $2,602.84 | 9 |
| Cystoscopy stone removal CPT 52325 | not published | not published | $598.11 – $6,459.25 | 9 |
| Cystoscopy & ureter catheter CPT 52005 | not published | not published | $174.31 – $2,602.84 | 9 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | not published | not published | $512.67 – $2,602.84 | 9 |
| Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 | not published | not published | $619.48 – $4,382.26 | 9 |
| Cystotomy excise/incise/repair 51535 CPT 51535 | not published | not published | $734.39 – $4,382.26 | 9 |
| Cystouretero & or pyeloscope CPT 52351 | not published | not published | $299.06 – $4,382.26 | 9 |
| Cysto/uretero stricture tx CPT 52344 | not published | not published | $413.12 – $4,382.26 | 9 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $375.10 – $6,459.25 | 9 |
| Cystouretero w/excise tumor CPT 52355 | not published | not published | $451.15 – $6,459.25 | 9 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $354.06 – $6,459.25 | 9 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $406.72 – $6,459.25 | 9 |
| Cystouretero w/renal strict CPT 52346 | not published | not published | $495.58 – $6,459.25 | 9 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $351.60 – $4,382.26 | 9 |
| Cysto/uretero w/up stricture CPT 52345 | not published | not published | $440.46 – $4,382.26 | 9 |
| Cystourethro cut ejacul duct CPT 52402 | not published | not published | $200.56 – $4,382.26 | 9 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | not published | not published | $145.25 – $2,602.84 | 9 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | $156.79 – $2,602.84 | 9 |
| Cystourethro w/addl implant 52442 CPT 52442 | not published | not published | $879.37 – $1,330.40 | 3 |
| Cystourethro w/implant CPT 52441 | not published | not published | $1,137.00 – $1,720.17 | 3 |
| Cysto w/renal stricture tx CPT 52343 | not published | not published | $386.63 – $4,382.26 | 9 |
| Cysto w/up stricture tx CPT 52342 | not published | not published | $349.04 – $4,382.26 | 9 |
| Cysto w/ureter stricture tx CPT 52341 | not published | not published | $322.56 – $4,382.26 | 9 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $34.67 | $81.00 | $1.30 – $79.38 | 12 |
| Cytogenomic neo microra alys CPT 81277 | $578.15 | $1,350.80 | $675.40 – $2,988.86 | 16 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $34.24 | $80.00 | $4.37 – $37.06 | 17 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $4.28 | $10.00 | $4.83 – $43.41 | 17 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $18.03 | $42.12 | $21.06 – $102.55 | 15 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $85.60 | $200.00 | $16.69 – $52.21 | 16 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $132.68 | $310.00 | $24.03 – $110.56 | 15 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $19.38 | $45.26 | $22.63 – $105.20 | 15 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $62.06 | $145.00 | $8.80 – $142.10 | 12 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $674.10 | $1,575.00 | $40.58 – $509.60 | 15 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $259.80 | $607.00 | $59.71 – $230.03 | 15 |
| Cytp urine 3-5 probes cmptr CPT 88121 | $168.36 | $393.36 | $196.68 – $1,020.06 | 15 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $61.64 | $144.00 | $5.97 – $141.12 | 12 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | $71.91 | $168.00 | $28.73 – $168.00 | 15 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $7,652.64 | $17,880.00 | $19.76 – $17,522.40 | 15 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $2,285.52 | $5,340.00 | $0.05 – $5,233.20 | 11 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $16,050.00 | $37,500.00 | $3.81 – $9,102.24 | 15 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | $689.08 | $1,610.00 | $25.11 – $1,577.80 | 15 |
| D&c after delivery 59160 CPT 59160 | $4,237.20 | $9,900.00 | $290.72 – $9,702.00 | 14 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | not published | not published | $255.84 – $4,039.91 | 9 |
| Dch pulmonary stress test CPT 94621 | $888.53 | $2,076.00 | $114.30 – $2,034.48 | 14 |
| Dch validity tests CPT 81002 | $62.49 | $146.00 | $3.08 – $9.80 | 17 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | not published | not published | $1,068.05 – $2,481.19 | 9 |
| Dcmprn orbit only transcrnl CPT 61330 | not published | not published | $1,258.16 – $4,120.64 | 9 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | $232.41 – $2,481.19 | 9 |
| D&c of cervical stump CPT 57558 | not published | not published | $202.68 – $4,039.91 | 9 |
| Deamidated gliadin antibody iga CPT 86258 | $43.86 | $102.47 | $4.50 – $8.82 | 7 |
| Debr g/per/abd wall 11006 CPT 11006 | not published | not published | $489.14 – $601.64 | 3 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | not published | not published | $22.64 – $777.77 | 9 |
| Debridement (>20 cm) charge pt CPT 97598 | $145.10 | $339.00 | $61.36 – $230.00 | 10 |
| Debridement bone <= 20 sq cm CPT 11044 | $2,248.29 | $5,253.00 | $232.41 – $5,147.94 | 14 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $201.59 | $471.00 | $35.88 – $461.58 | 9 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $863.71 | $2,018.00 | $62.38 – $1,977.64 | 9 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $613.76 | $1,434.00 | $119.19 – $1,405.32 | 14 |
| Debride nail1-5 11720 CPT 11720 | not published | not published | $22.64 – $75.47 | 9 |
| Debride nail6 or more 11721 CPT 11721 | not published | not published | $38.02 – $75.47 | 9 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | not published | not published | $324.27 – $893.98 | 9 |
| Debride skin bone at fx site CPT 11012 | not published | not published | $441.75 – $3,636.52 | 9 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | not published | not published | $389.15 – $478.65 | 3 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | not published | not published | $520.88 – $640.68 | 3 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $201.59 | $471.00 | $16.75 – $461.58 | 9 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | not published | not published | $48.28 – $252.47 | 9 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | not published | not published | $258.47 – $893.98 | 9 |
| Debr inf skin add-on 11001 CPT 11001 | not published | not published | $11.96 – $18.86 | 3 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $870.98 | $2,035.00 | $179.86 – $1,994.30 | 14 |
| Decalcification CPT 88311 | $3.53 | $8.24 | $4.12 – $22.28 | 12 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $4,879.20 | $11,400.00 | $2.68 – $11,172.00 | 12 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $445.12 | $1,040.00 | $33.51 – $890.82 | 14 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | not published | not published | $338.78 – $4,122.60 | 9 |
| Decomp forearm 1 space 25020 CPT 25020 | not published | not published | $571.63 – $2,033.48 | 9 |
| Decomp forearm 2 spaces w/debrid 25025 CPT 25025 | not published | not published | $931.87 – $2,033.48 | 9 |
| Decompress fasciotomyhand 26037 CPT 26037 | not published | not published | $356.30 – $4,122.60 | 9 |
| Decompress fingers/hand CPT 26035 | not published | not published | $939.04 – $4,122.60 | 9 |
| Decompress forearm 1 space CPT 25023 | not published | not published | $557.10 – $4,122.60 | 9 |
| Decompress forearm 2 spaces CPT 25024 | not published | not published | $578.18 – $4,122.60 | 9 |
| Decompression fasct forearm CPT 24495 | not published | not published | $666.04 – $9,076.82 | 9 |
| Decompression of leg CPT 27892 | not published | not published | $297.35 – $4,122.60 | 9 |
| Decompression of leg CPT 27893 | not published | not published | $290.51 – $9,076.82 | 9 |
| Decompression of leg CPT 27894 | not published | not published | $387.06 – $4,122.60 | 9 |
| Decompression of lower leg CPT 27600 | not published | not published | $265.31 – $4,122.60 | 9 |
| Decompression of lower leg CPT 27601 | not published | not published | $497.71 – $4,122.60 | 9 |
| Decompression of thigh/knee CPT 27496 | not published | not published | $293.93 – $4,122.60 | 9 |
| Decompression of thigh/knee CPT 27497 | not published | not published | $358.86 – $4,122.60 | 9 |
| Decompression of thigh/knee CPT 27498 | not published | not published | $409.27 – $2,033.48 | 9 |
| Decompression of thigh/knee CPT 27499 | not published | not published | $471.65 – $9,076.82 | 9 |
| Decompression of tibia nerve CPT 28035 | not published | not published | $425.94 – $2,481.19 | 9 |
| Decompression unspecified nerve 64722 CPT 64722 | not published | not published | $2,481.19 – $2,481.19 | 6 |
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.