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 |
|---|---|---|---|---|
| Aldesleukin injection HCPCS J9015 | $16,050.00 | $37,500.00 | $1,537.49 – $36,750.00 | 15 |
| Alkaline phosphatase CPT 84075 | $151.52 | $354.00 | $2.50 – $13.36 | 17 |
| Allergen alpha lactalbumin ige CPT 86008 | $28.25 | $66.00 | $0.94 – $46.18 | 17 |
| Allergen egg white ige CPT 86003 | $77.47 | $181.00 | $2.20 – $13.44 | 17 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $3.15 | $7.35 | $2.85 – $20.53 | 14 |
| Allgrft implnt knee w/scope CPT 29867 | not published | not published | $689.06 – $16,348.58 | 9 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | $10,163.72 | $23,747.00 | $128.14 – $3,704.40 | 12 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | $17,178.21 | $40,136.00 | $303.37 – $1,292.62 | 12 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | $7,817.85 | $18,266.00 | $513.36 – $2,187.36 | 12 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | $29,851.29 | $69,746.00 | $30.59 – $6,262.20 | 13 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $17,178.21 | $40,136.00 | $151.60 – $2,848.86 | 13 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | $7,817.85 | $18,266.00 | $95.72 – $4,815.72 | 13 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | $1,244.20 | $2,907.00 | $668.61 – $2,848.86 | 12 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | $4,624.54 | $10,805.00 | $210.39 – $1,292.62 | 12 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | $6,012.98 | $14,049.00 | $223.73 – $6,262.20 | 13 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | $19.69 | $46.00 | $5.50 – $45.08 | 15 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $42.80 | $100.00 | $49.50 – $165.97 | 17 |
| Alpha-fetoprotein tumor marker CPT 82105 | $3.43 | $8.00 | $4.00 – $43.21 | 17 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $16,050.00 | $37,500.00 | $73.81 – $1,290.66 | 15 |
| Alt/sgpt CPT 84460 | $167.35 | $391.00 | $3.54 – $13.68 | 17 |
| Aluminum - quest CPT 82108 | $5.17 | $12.06 | $6.03 – $65.64 | 17 |
| Alveoloplasty each quadrant CPT 41874 | not published | not published | $220.01 – $4,120.64 | 9 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | $223.42 | $522.00 | $74.28 – $511.56 | 14 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $79.61 | $186.00 | $0.89 – $94.08 | 11 |
| Amino acids quant 2-5 CPT 82136 | $63.61 | $148.62 | $19.61 – $89.26 | 17 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | $185.33 | $433.00 | $39.15 – $85.26 | 8 |
| Aminolevulinic acid delta CPT 82135 | $18.88 | $44.11 | $16.45 – $43.23 | 17 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $23.12 | $54.00 | $4.74 – $52.92 | 10 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $222.56 | $520.00 | $176.85 – $385.14 | 8 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $48.37 | $113.00 | $0.64 – $64.79 | 10 |
| Ammonia CPT 82140 | $196.03 | $458.00 | $14.57 – $45.08 | 17 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $1,151.32 | $2,690.00 | $65.71 – $2,556.82 | 14 |
| Amniocentesis therapeutic CPT 59001 | not published | not published | $111.88 – $386.50 | 9 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | not published | not published | $356.73 – $4,122.60 | 9 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | $195.17 | $456.00 | $15.74 – $446.88 | 11 |
| Amphotericin b lipid complex HCPCS J0287 | $1,027.20 | $2,400.00 | $13.09 – $2,352.00 | 15 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $840.17 | $1,963.00 | $28.74 – $1,923.74 | 15 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $256.80 | $600.00 | $1.17 – $52.92 | 11 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $74.05 | $173.00 | $2.71 – $52.92 | 10 |
| Amp metatarsal w/toe single 28810 CPT 28810 | not published | not published | $290.51 – $4,122.60 | 9 |
| Amp thigh through femur re-amp 27596 CPT 27596 | not published | not published | $810.87 – $1,278.21 | 3 |
| Amputate hand at wrist CPT 25922 | not published | not published | $314.43 – $2,033.48 | 9 |
| Amputate metacarpal bone 26910 CPT 26910 | not published | not published | $390.05 – $4,122.60 | 9 |
| Amputate thigh through femur 27590 CPT 27590 | not published | not published | $701.50 – $1,105.81 | 3 |
| Amputation follow-up surgery CPT 24925 | not published | not published | $299.90 – $4,122.60 | 9 |
| Amputation follow-up surgery CPT 25907 | not published | not published | $421.24 – $4,122.60 | 9 |
| Amputation follow-up surgery CPT 25909 | not published | not published | $442.17 – $9,076.82 | 9 |
| Amputation follow-up surgery CPT 25929 | not published | not published | $306.32 – $2,324.22 | 9 |
| Amputation follow-up surgery CPT 25931 | not published | not published | $484.05 – $4,122.60 | 9 |
| Amputation follow-up surgery CPT 27594 | not published | not published | $302.90 – $4,122.60 | 9 |
| Amputation follow-up surgery CPT 27884 | not published | not published | $669.89 – $4,122.60 | 9 |
| Amputation leg thr tib/fib 27880 CPT 27880 | not published | not published | $580.60 – $915.22 | 3 |
| Amputation leg; tib/fib f/u 27886 CPT 27886 | not published | not published | $712.61 – $1,123.32 | 3 |
| Amputation of foot at ankle CPT 27889 | not published | not published | $580.60 – $9,076.82 | 9 |
| Amputation of lower leg CPT 27882 | not published | not published | $507.96 – $800.74 | 3 |
| Amputation of midtarsal 28800 CPT 28800 | not published | not published | $484.05 – $763.01 | 3 |
| Amputation thru metatarsal CPT 28805 | not published | not published | $484.05 – $4,122.60 | 9 |
| Amputation toe interphalangeal joint CPT 28825 | not published | not published | $232.41 – $4,122.60 | 9 |
| Amputation toe metatarsophalangeal joint CPT 28820 | not published | not published | $261.89 – $4,122.60 | 9 |
| Amylase CPT 82150 | $213.15 | $498.00 | $3.75 – $16.69 | 17 |
| Ana ds-dna CPT 86226 | $68.06 | $159.00 | $12.11 – $155.82 | 17 |
| Anal pressure record CPT 91122 | $508.04 | $1,187.00 | $69.28 – $1,163.26 | 14 |
| Anal/urinary muscle study CPT 51784 | not published | not published | $83.31 – $198.80 | 9 |
| Anal/urinary muscle study CPT 51785 | not published | not published | $72.63 – $309.02 | 9 |
| Analysis gene f2 20210g>a variant CPT 81240 | $210.26 | $491.25 | $7.62 – $169.26 | 13 |
| Analysis gene f5 leiden variant CPT 81241 | $14.98 | $35.00 | $17.50 – $189.04 | 13 |
| Analysis nerve CPT 88356 | $34.81 | $81.31 | $40.66 – $309.39 | 15 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $17.12 | $40.00 | $12.50 – $24.50 | 7 |
| Anastamo/extrahep bil duct/gi trac 47760 CPT 47760 | not published | not published | $967.66 – $1,525.37 | 3 |
| Anastamo/roux-en-y/extrahep bil/gi 47780 CPT 47780 | not published | not published | $1,064.63 – $1,678.23 | 3 |
| Anastomosis of facial/other nerve 64868 CPT 64868 | not published | not published | $1,110.78 – $1,750.97 | 3 |
| Anca screen with reflex to titer -quest CPT 86021 | $26.91 | $62.86 | $15.05 – $61.61 | 17 |
| An cholangiogram percutaneous compl CPT 47531 | $1,789.04 | $4,180.00 | $341.03 – $1,738.00 | 14 |
| Androstanediol CPT 82154 | $41.52 | $97.00 | $28.83 – $95.06 | 17 |
| An fluoro guide for cvp CPT 77001 | $1,045.18 | $2,442.00 | $63.56 – $909.44 | 11 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | $13,551.34 | $31,662.00 | $665.67 – $29,221.64 | 9 |
| Angioplasty fem/pop unilat 37224 CPT 37224 | $7,150.17 | $16,706.00 | $389.43 – $16,371.88 | 14 |
| Angioplasty/iliac/init ves/unilat 37220 CPT 37220 | $7,017.06 | $16,395.00 | $353.31 – $16,067.10 | 14 |
| Angioplasty tib/pero/unilat/ea add 37232 CPT 37232 | $7,219.94 | $16,869.00 | $171.63 – $16,050.44 | 9 |
| Angiotensin ii CPT 82163 | $46.41 | $108.43 | $20.52 – $106.27 | 17 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $16,050.00 | $37,500.00 | $2.52 – $5.70 | 8 |
| Angio tib/peroneal/init ves/unila 37228 CPT 37228 | $7,219.94 | $16,869.00 | $475.25 – $16,050.44 | 14 |
| Angio trnslmnl balloon same artery ea addl CPT 37247 | $12,326.40 | $28,800.00 | $789.65 – $28,224.00 | 9 |
| Angio trnslmnl balloon same artery ini CPT 37246 | $12,326.40 | $28,800.00 | $1,960.53 – $28,224.00 | 14 |
| Angio trnslmnl balloon same vein ea addl CPT 37249 | $12,326.40 | $28,800.00 | $577.07 – $28,224.00 | 9 |
| Angio trnslmnl balloon same vein ini CPT 37248 | $12,326.40 | $28,800.00 | $1,351.82 – $27,095.04 | 14 |
| Ankle arthroscopy/surgery CPT 29891 | not published | not published | $622.89 – $4,122.60 | 9 |
| Ankle arthroscopy/surgery CPT 29892 | not published | not published | $650.23 – $9,076.82 | 9 |
| Ankle arthroscopy/surgery CPT 29894 | not published | not published | $484.05 – $4,122.60 | 9 |
| Ankle arthroscopy/surgery CPT 29895 | not published | not published | $409.71 – $4,122.60 | 9 |
| Ankle arthroscopy/surgery CPT 29897 | not published | not published | $430.64 – $4,122.60 | 9 |
| Ankle arthroscopy/surgery CPT 29898 | not published | not published | $477.21 – $4,122.60 | 9 |
| Ankle arthroscopy/surgery CPT 29899 | not published | not published | $738.27 – $9,076.82 | 9 |
| Anl sp inf pmp w/mdreprg&fil CPT 62370 | $437.42 | $1,022.00 | $45.26 – $971.18 | 14 |
| Anora (draw only) CPT 99001 | $117.97 | $275.63 | $7.96 – $40.18 | 7 |
| Anorectal myomectomy CPT 45108 | not published | not published | $393.90 – $3,484.48 | 9 |
| Anoscopy CPT 46611 | not published | not published | $87.58 – $1,158.42 | 9 |
| Anoscopy ablation lesion 46615 CPT 46615 | not published | not published | $156.36 – $3,484.48 | 9 |
| Anoscopy and biopsy CPT 46606 | not published | not published | $33.32 – $1,498.14 | 9 |
| Anoscopy and dilation 46604 CPT 46604 | not published | not published | $45.28 – $1,498.14 | 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.