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 |
|---|---|---|---|---|
| Diagnostic anoscopy CPT 46601 | not published | not published | $507.02 – $507.02 | 6 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $1,498.14 – $1,498.14 | 6 |
| Diagnostic anoscopy spx 46600 CPT 46600 | not published | not published | $25.21 – $163.78 | 9 |
| Diagnostic laryngoscopy 31505 CPT 31505 | not published | not published | $67.93 – $246.67 | 9 |
| Diagnostic laryngoscopy 31575 CPT 31575 | not published | not published | $88.44 – $246.67 | 9 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $377.93 | $883.00 | $148.03 – $823.20 | 12 |
| Diagnostic radio unlisted proc CPT 76499 | $281.20 | $657.00 | $111.88 – $380.27 | 12 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $1,572.90 | $3,675.00 | $1,806.03 – $3,601.50 | 9 |
| Dialysis one evaluation CPT 90945 | $1,432.09 | $3,346.00 | $82.81 – $3,279.08 | 14 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $270.50 | $632.00 | $0.08 – $362.60 | 11 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $172.92 | $404.00 | $2.25 – $5.00 | 11 |
| Dicyclomine injection HCPCS J0500 | $431.86 | $1,009.00 | $24.59 – $988.82 | 11 |
| Diffusing capacity CPT 94729 | $190.46 | $445.00 | $55.31 – $436.10 | 10 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $674.96 | $1,577.00 | $4.13 – $52.92 | 11 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $16,050.00 | $37,500.00 | $1,489.81 – $30,203.60 | 15 |
| Digoxin total therapeutic drug level CPT 80162 | $177.20 | $414.00 | $13.28 – $44.10 | 17 |
| Dilate biliary duct/ampulla CPT 47542 | $751.14 | $1,755.00 | $469.47 – $1,719.90 | 9 |
| Dilate esophagus CPT 43453 | not published | not published | $115.35 – $2,410.32 | 9 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $53.41 – $1,191.26 | 9 |
| Dilate tear duct opening CPT 68801 | not published | not published | $156.79 – $507.02 | 9 |
| Dilate urethra stricture CPT 53600 | not published | not published | $99.97 – $309.02 | 9 |
| Dilate urethra stricture CPT 53601 | not published | not published | $94.42 – $163.78 | 9 |
| Dilate urethra stricture CPT 53605 | not published | not published | $33.75 – $4,382.26 | 9 |
| Dilate urethra stricture CPT 53621 | not published | not published | $140.12 – $309.02 | 9 |
| Dilation/female urethra/initial 53660 CPT 53660 | not published | not published | $85.87 – $198.80 | 9 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $173.02 – $1,498.14 | 9 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $39.54 – $4,039.91 | 9 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $121.33 – $1,498.14 | 9 |
| Dilation of salivary duct CPT 42660 | not published | not published | $44.86 – $647.05 | 9 |
| Dilation of urethra CPT 53661 | not published | not published | $87.15 – $163.78 | 9 |
| Dilation of urethra CPT 53665 | not published | not published | $20.08 – $2,602.84 | 9 |
| Dilation of vagina CPT 57400 | not published | not published | $86.49 – $4,039.91 | 9 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $34.61 – $1,882.11 | 9 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | not published | not published | $145.68 – $848.09 | 9 |
| Dilator fascial 10fx20cm HCPCS C2627 | $564.54 | $1,319.00 | $20.70 – $88.20 | 12 |
| Dilat xst trc ndurlgc px CPT 50436 | $3,333.70 | $7,789.00 | $131.42 – $7,633.22 | 14 |
| Dilat xst trc new access rcs CPT 50437 | $5,608.52 | $13,104.00 | $218.91 – $12,841.92 | 14 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $95.45 | $223.00 | $24.30 – $52.92 | 8 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $23.12 | $54.00 | $1.20 – $52.92 | 11 |
| Disability dlco CPT 94727 | $376.64 | $880.00 | $37.62 – $862.40 | 14 |
| Disaccharidases CPT 82657 | $177.62 | $415.00 | $22.17 – $60.59 | 17 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $387.06 – $2,324.22 | 9 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $1,379.50 – $2,174.58 | 3 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $223.87 – $352.89 | 3 |
| Discography cerv/thor spine CPT 72285 | $3,076.47 | $7,188.00 | $144.11 – $8,254.75 | 15 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $786.88 – $6,868.48 | 9 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $677.58 – $7,516.44 | 9 |
| Division of fallopian tube 58605 CPT 58605 | not published | not published | $634.03 – $959.23 | 3 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | $2,189.65 | $5,116.00 | $247.21 – $5,013.68 | 9 |
| Dmd dup/delet analysis CPT 81161 | $222.27 | $519.31 | $112.90 – $718.87 | 16 |
| Dmpk gene detc abnor allele CPT 81234 | $166.92 | $390.00 | $109.60 – $352.99 | 16 |
| Dna antibody native/double stranded CPT 86225 | $56.18 | $131.25 | $5.00 – $35.40 | 17 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $104.44 | $244.00 | $10.61 – $66.64 | 11 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $1,433.80 | $3,350.00 | $0.76 – $821.24 | 12 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $79.61 | $186.00 | $0.76 – $52.92 | 11 |
| Doppler echo complete CPT 93320 | $600.92 | $1,404.00 | $87.87 – $1,375.92 | 10 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $1,402.99 | $3,278.00 | $278.63 – $3,212.44 | 9 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $566.25 | $1,323.00 | $111.72 – $1,168.16 | 15 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $566.25 | $1,323.00 | $59.79 – $1,168.16 | 15 |
| Dornhoffer fixed part w/window HCPCS L8614 | $7,817.85 | $18,266.00 | $28.06 – $119.56 | 12 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $659.98 | $1,542.00 | $4.76 – $108.78 | 12 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $16,036.74 | $37,469.00 | $138.86 – $11,395.44 | 15 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $124.12 | $290.00 | $94.50 – $205.80 | 8 |
| Dpyd gene common variants CPT 81232 | $316.68 | $739.90 | $111.57 – $450.43 | 15 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | not published | not published | $56.83 – $893.98 | 9 |
| Drainage ext aud canal abscess 69020 CPT 69020 | not published | not published | $67.50 – $893.98 | 9 |
| Drainage external ear complex 69005 CPT 69005 | not published | not published | $131.74 – $2,058.68 | 9 |
| Drainage external ear simple 69000 CPT 69000 | not published | not published | $64.94 – $893.98 | 9 |
| Drainage lymph node lesion 38300 CPT 38300 | not published | not published | $107.66 – $3,636.52 | 9 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | $306.89 – $3,636.52 | 9 |
| Drainage mouth roof lesion CPT 42000 | not published | not published | $66.65 – $295.06 | 9 |
| Drainage of arm bursa 23931 CPT 23931 | not published | not published | $130.73 – $2,058.68 | 9 |
| Drainage of bladder abscess CPT 51080 | not published | not published | $387.06 – $3,636.52 | 9 |
| Drainage of eye CPT 65800 | not published | not published | $90.15 – $2,897.90 | 9 |
| Drainage of eye CPT 65810 | not published | not published | $387.06 – $2,897.90 | 9 |
| Drainage of eye CPT 65815 | not published | not published | $261.46 – $2,897.90 | 9 |
| Drainage of forearm bursa CPT 25031 | not published | not published | $470.37 – $2,033.48 | 9 |
| Drainage of kidney lesion CPT 50390 | $2,095.06 | $4,895.00 | $81.18 – $2,986.06 | 14 |
| Drainage of mouth lesion CPT 41005 | not published | not published | $61.94 – $295.06 | 9 |
| Drainage of mouth lesion CPT 41006 | not published | not published | $254.20 – $1,882.11 | 9 |
| Drainage of mouth lesion CPT 41007 | not published | not published | $240.96 – $1,882.11 | 9 |
| Drainage of mouth lesion CPT 41008 | not published | not published | $251.20 – $4,120.64 | 9 |
| Drainage of mouth lesion CPT 41009 | not published | not published | $263.17 – $647.05 | 9 |
| Drainage of mouth lesion CPT 41015 | not published | not published | $153.80 – $647.05 | 9 |
| Drainage of mouth lesion CPT 41016 | not published | not published | $281.97 – $7,516.44 | 9 |
| Drainage of mouth lesion CPT 41017 | not published | not published | $290.51 – $4,120.64 | 9 |
| Drainage of mouth lesion CPT 41018 | not published | not published | $352.04 – $1,882.11 | 9 |
| Drainage of nose lesion int 30000 CPT 30000 | not published | not published | $71.34 – $295.06 | 9 |
| Drainage of nose lesion sept 30020 CPT 30020 | not published | not published | $75.62 – $647.05 | 9 |
| Drainage of pelvis bursa CPT 26991 | not published | not published | $343.91 – $2,033.48 | 9 |
| Drainage of pelvis lesion 26990 CPT 26990 | not published | not published | $774.98 – $4,122.60 | 9 |
| Drainage of prostate abscess CPT 52700 | not published | not published | $387.06 – $4,382.26 | 9 |
| Drainage of prostate abscess CPT 55720 | not published | not published | $387.06 – $4,382.26 | 9 |
| Drainage of prostate abscess CPT 55725 | not published | not published | $598.11 – $4,382.26 | 9 |
| Drainage of rectal abscess CPT 45005 | not published | not published | $145.25 – $1,498.14 | 9 |
| Drainage of rectal abscess 45020 CPT 45020 | not published | not published | $232.41 – $3,484.48 | 9 |
| Drainage of salivary gland CPT 42305 | not published | not published | $470.37 – $4,120.64 | 9 |
| Drainage of salivary gland CPT 42320 | not published | not published | $101.68 – $647.05 | 9 |
| Drainage of throat abscess CPT 42725 | not published | not published | $702.78 – $7,516.44 | 9 |
| Drainage of urethra abscess CPT 53040 | not published | not published | $310.59 – $4,382.26 | 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.