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 |
|---|---|---|---|---|
| Drainage of urethra abscess 53060 CPT 53060 | not published | not published | $170.04 – $2,602.84 | 9 |
| Drainage of urinary leakage CPT 53080 | not published | not published | $289.66 – $848.09 | 9 |
| Drainage of urinary leakage CPT 53085 | not published | not published | $815.99 – $2,602.84 | 9 |
| Drain bladder by trocar/cath CPT 51101 | not published | not published | $122.19 – $1,292.70 | 9 |
| Drain blood from under nail 11740 CPT 11740 | not published | not published | $22.48 – $163.78 | 9 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $2,851.77 | $6,663.00 | $594.94 – $6,529.74 | 14 |
| Drain cath image guided visceral pq CPT 49405 | $2,287.66 | $5,345.00 | $183.92 – $4,718.70 | 14 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $1,644.38 | $3,842.00 | $94.42 – $3,655.40 | 14 |
| Drain chest lesion CPT 21502 | not published | not published | $296.50 – $4,122.60 | 9 |
| Drain finger abscess;simple 26010 CPT 26010 | not published | not published | $120.05 – $252.47 | 9 |
| Drain lower leg bursa CPT 27604 | not published | not published | $268.73 – $4,122.60 | 9 |
| Drain lower leg lesion 27603 CPT 27603 | not published | not published | $687.82 – $3,636.52 | 9 |
| Drain neck/chest lesion 21501 CPT 21501 | not published | not published | $293.08 – $3,636.52 | 9 |
| Drain open lung lesion 32200 CPT 32200 | not published | not published | $677.58 – $1,068.10 | 3 |
| Drain ovarn cyst abd CPT 58805 | not published | not published | $872.17 – $4,039.91 | 9 |
| Drain ovary abscess open CPT 58820 | not published | not published | $329.25 – $4,039.91 | 9 |
| Drain pancreatic pseudocyst 48510 CPT 48510 | not published | not published | $729.70 – $1,150.26 | 3 |
| Drain penis lesion CPT 54015 | not published | not published | $252.91 – $2,058.68 | 9 |
| Drain shoulder bone lesion CPT 23035 | not published | not published | $874.95 – $2,033.48 | 9 |
| Drain shoulder bursa 23031 CPT 23031 | not published | not published | $158.93 – $3,636.52 | 9 |
| Drain shoulder lesion CPT 23030 | not published | not published | $322.12 – $3,636.52 | 9 |
| Drain thigh/knee lesion 27301 CPT 27301 | not published | not published | $404.16 – $3,636.52 | 9 |
| Drain thyroid/tongue cyst CPT 60000 | not published | not published | $77.76 – $1,882.11 | 9 |
| Drain to peritoneal cavity CPT 49062 | not published | not published | $667.32 – $1,051.93 | 3 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $376.22 | $879.00 | $69.21 – $861.42 | 14 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $301.74 | $705.00 | $36.32 – $690.90 | 14 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $584.65 | $1,366.00 | $93.56 – $1,338.68 | 14 |
| Dressing change not for burn w/anes 15852 CPT 15852 | not published | not published | $777.77 – $777.77 | 6 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | $3,555.40 | $8,307.00 | $18.85 – $8,140.86 | 13 |
| Drill hole evac+/drg subdural hematoma 61108 CPT 61108 | not published | not published | $580.60 – $915.22 | 3 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | not published | not published | $448.58 – $678.65 | 3 |
| Drng appendix abscess open 44900 CPT 44900 | not published | not published | $338.78 – $534.04 | 3 |
| Drng hand tendon sheath 26020 CPT 26020 | not published | not published | $293.93 – $4,122.60 | 9 |
| Drng of eyelid abscess 67700 CPT 67700 | not published | not published | $143.12 – $379.82 | 9 |
| Drng of finger abscess comp 26011 CPT 26011 | not published | not published | $162.78 – $2,058.68 | 9 |
| Drng of hydrocele 55000 CPT 55000 | not published | not published | $64.09 – $893.98 | 9 |
| Drng of mouth lesion 40801 CPT 40801 | not published | not published | $176.02 – $647.05 | 9 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | not published | not published | $329.25 – $4,039.91 | 9 |
| Drng of palm multi bursas 26030 CPT 26030 | not published | not published | $621.61 – $4,122.60 | 9 |
| Drng of palm single bursa 26025 CPT 26025 | not published | not published | $298.63 – $4,122.60 | 9 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | not published | not published | $159.78 – $1,498.14 | 9 |
| Drng of salivary cyst 42409 CPT 42409 | not published | not published | $218.32 – $4,120.64 | 9 |
| Drng of scrotum abscess 55100 CPT 55100 | not published | not published | $223.87 – $2,058.68 | 9 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | not published | not published | $532.32 – $839.12 | 3 |
| Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 | not published | not published | $580.60 – $915.22 | 3 |
| Drng ovary abscess perqt 58822 CPT 58822 | not published | not published | $872.17 – $1,319.51 | 3 |
| Drng peritoneal abscess open 49020 CPT 49020 | not published | not published | $532.32 – $839.12 | 3 |
| Drng salivary gland simple 42300 CPT 42300 | not published | not published | $85.02 – $1,882.11 | 9 |
| Drng salivary gland submax/subling 42310 CPT 42310 | not published | not published | $73.91 – $647.05 | 9 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $23.12 | $54.00 | $11.61 – $52.92 | 11 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $1,617.84 | $3,780.00 | $28.06 – $119.56 | 12 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | $1,617.84 | $3,780.00 | $4.74 – $3,704.40 | 13 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $24,670.35 | $57,641.00 | $11.87 – $10,588.90 | 13 |
| Drug admin & hemodynmic meas CPT 93463 | $613.76 | $1,434.00 | $100.92 – $1,405.32 | 9 |
| Drug assay posaconazole CPT 80187 | $24.40 | $57.00 | $21.68 – $69.85 | 17 |
| Drug assay rufinamide CPT 80210 | $25.19 | $58.85 | $21.69 – $69.85 | 15 |
| Drug assay vedolizumab CPT 80280 | $60.89 | $142.25 | $30.85 – $139.41 | 17 |
| Drug assay voriconazole CPT 80285 | $22.69 | $53.00 | $21.68 – $69.85 | 17 |
| Drug asy hydroxychloroquine CPT 80220 | $125.19 | $292.50 | $67.50 – $132.30 | 7 |
| Drug test def 15-21 classes HCPCS G0482 | $50.94 | $119.00 | $20.00 – $512.07 | 17 |
| Drug test def 1-7 classes HCPCS G0480 | $412.17 | $963.00 | $6.33 – $294.84 | 17 |
| Drug test def 22+ classes HCPCS G0483 | $77.04 | $180.00 | $90.00 – $636.22 | 17 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $272.21 | $636.00 | $6.47 – $160.11 | 17 |
| Drvvt confirm - quest CPT 85597 | $44.80 | $104.65 | $17.98 – $89.29 | 17 |
| Dstrj extensive retinopathy CPT 67227 | not published | not published | $293.93 – $4,791.43 | 9 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $2,012.89 | $4,703.00 | $374.91 – $4,608.94 | 14 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $143.12 – $507.64 | 9 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $117.48 – $507.64 | 9 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $153.38 – $777.77 | 9 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $199.08 – $777.77 | 9 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $459.25 | $1,073.00 | $82.33 – $1,051.54 | 15 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $916.78 | $2,142.00 | $106.73 – $2,099.16 | 15 |
| Duragen 1x1 5ea/bx HCPCS C9354 | $10,163.72 | $23,747.00 | $44.80 – $6,262.20 | 12 |
| Dx bronchoscope/brush 31623 CPT 31623 | $755.85 | $1,766.00 | $242.67 – $1,017.00 | 14 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $856.00 | $2,000.00 | $244.80 – $2,000.00 | 14 |
| Dx bronchoscope/wash 31622 CPT 31622 | $2,270.54 | $5,305.00 | $189.26 – $5,043.08 | 14 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $51.81 – $1,191.26 | 9 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $74.04 – $1,191.26 | 9 |
| Dx gastr intub w/asp spec CPT 43754 | $400.18 | $935.00 | $31.41 – $916.30 | 14 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $56.77 – $198.80 | 9 |
| Dx laryngoscopy newborn CPT 31520 | not published | not published | $116.21 – $493.39 | 9 |
| Dx laryngoscopy w/oper scope CPT 31526 | not published | not published | $158.50 – $2,191.11 | 9 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $309.02 – $309.02 | 6 |
| Ear canal biopsy 69105 CPT 69105 | not published | not published | $42.30 – $1,882.11 | 9 |
| Ear cartilage graft CPT 21235 | not published | not published | $580.60 – $7,516.44 | 9 |
| Ear irrigation 69209 CPT 69209 | not published | not published | $13.24 – $75.47 | 9 |
| Ecallantide injection HCPCS J1290 | $13,610.40 | $31,800.00 | $503.97 – $31,164.00 | 15 |
| Ecg 12 lead tracing only CPT 93005 | $466.10 | $1,089.00 | $18.82 – $992.74 | 14 |
| Ecg external < 48 hours recording CPT 93225 | $431.43 | $1,008.00 | $42.77 – $987.84 | 14 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $431.43 | $1,008.00 | $55.94 – $858.48 | 14 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,912.74 | $4,469.00 | $239.76 – $4,379.62 | 14 |
| Echocardiography doppler color flow mapping CPT 93325 | $580.80 | $1,357.00 | $89.37 – $1,329.86 | 10 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $2,524.78 | $5,899.00 | $1,003.85 – $5,781.02 | 11 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $767.84 | $1,794.00 | $107.65 – $1,758.12 | 14 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $906.51 | $2,118.00 | $453.77 – $2,075.64 | 11 |
| Echo exam of fetal heart CPT 76825 | $1,286.14 | $3,005.00 | $116.87 – $2,832.20 | 15 |
| Echo exam of fetal heart CPT 76826 | $977.13 | $2,283.00 | $85.42 – $2,237.34 | 15 |
| Echo exam of fetal heart CPT 76827 | $554.69 | $1,296.00 | $82.58 – $1,221.08 | 15 |
| Echo exam of fetal heart CPT 76828 | $495.63 | $1,158.00 | $48.77 – $1,075.06 | 15 |
| Echo exam uterus 76831- CPT 76831 | $423.72 | $990.00 | $108.33 – $1,081.74 | 15 |
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.