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 |
|---|---|---|---|---|
| Escharotomy ea addl incision CPT 16036 | not published | not published | $85.02 – $104.57 | 3 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $2,588.12 | $6,047.00 | $39.60 – $86.24 | 8 |
| Esophageal lengthening add on code 43338 CPT 43338 | not published | not published | $112.01 – $169.53 | 3 |
| Esophagomyotomy abdominal 43330 CPT 43330 | not published | not published | $919.38 – $1,449.26 | 3 |
| Esophagomyotomy thoracic 43331 CPT 43331 | not published | not published | $919.38 – $1,449.26 | 3 |
| Esophagoplasty congenital CPT 43313 | not published | not published | $2,200.29 – $3,328.82 | 3 |
| Esophagosc dilate balloon 30 CPT 43214 | not published | not published | $169.77 – $2,410.32 | 9 |
| Esophagosc flex trnsn biopsy CPT 43198 | not published | not published | $82.28 – $1,191.26 | 9 |
| Esophagoscop mucosal resect CPT 43211 | not published | not published | $211.09 – $2,410.32 | 9 |
| Esophagoscop stent placement CPT 43212 | not published | not published | $165.30 – $7,563.64 | 9 |
| Esophagoscop ultrasound exam CPT 43231 | not published | not published | $228.14 – $2,410.32 | 9 |
| Esophagoscopy balloon <30mm CPT 43220 | not published | not published | $205.06 – $2,410.32 | 9 |
| Esophagoscopy control bleed CPT 43227 | not published | not published | $197.80 – $2,410.32 | 9 |
| Esophagoscopy flex biopsy CPT 43202 | not published | not published | $208.06 – $2,410.32 | 9 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | not published | not published | $193.53 – $1,191.26 | 9 |
| Esophagoscopy flex dx brush CPT 43197 | not published | not published | $69.25 – $1,191.26 | 9 |
| Esophagoscopy flex remove fb CPT 43215 | $1,347.78 | $3,149.00 | $256.33 – $3,086.02 | 14 |
| Esophagoscopy lesion ablate CPT 43229 | not published | not published | $179.08 – $4,834.04 | 9 |
| Esophagoscopy lesion removal CPT 43216 | not published | not published | $227.28 – $2,410.32 | 9 |
| Esophagoscopy retro balloon CPT 43213 | not published | not published | $234.18 – $2,410.32 | 9 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | $156.74 – $4,834.04 | 9 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | not published | not published | $110.57 – $2,410.32 | 9 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | not published | not published | $485.85 – $7,516.44 | 9 |
| Esophagoscopy snare les remv CPT 43217 | not published | not published | $163.20 – $2,410.32 | 9 |
| Esophagoscopy w/us needle bx CPT 43232 | not published | not published | $265.31 – $2,410.32 | 9 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | not published | not published | $170.89 – $2,410.32 | 9 |
| Esophagoscp rig trnso biopsy CPT 43193 | not published | not published | $156.37 – $2,410.32 | 9 |
| Esophagoscp rig trnso inject CPT 43192 | not published | not published | $131.42 – $2,410.32 | 9 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $140.36 – $2,410.32 | 9 |
| Esophagotomy thrc rmvl fb CPT 43045 | not published | not published | $919.38 – $1,449.26 | 3 |
| Esophagus endoscopy/ligation CPT 43205 | not published | not published | $203.35 – $2,410.32 | 9 |
| Esophagus motility study CPT 91010 | $637.30 | $1,489.00 | $79.31 – $1,459.22 | 14 |
| Esoph egd dilation <30 mm CPT 43249 | not published | not published | $255.91 – $2,410.32 | 9 |
| Esoph endoscopy dilation CPT 43226 | not published | not published | $205.06 – $2,410.32 | 9 |
| Esoph fundoplasty lap 43327 CPT 43327 | not published | not published | $682.05 – $1,031.87 | 3 |
| Esoph fundoplasty thor 43328 CPT 43328 | not published | not published | $988.46 – $1,495.45 | 3 |
| Esoph imped function test CPT 91037 | $332.13 | $776.00 | $134.22 – $760.48 | 14 |
| Esoph optical endomicroscopy CPT 43206 | not published | not published | $2,410.32 – $2,410.32 | 6 |
| Esoph scope w/sclerosis inj CPT 43204 | not published | not published | $320.42 – $2,410.32 | 9 |
| Esoph scope w/submucous inj CPT 43201 | not published | not published | $240.31 – $2,410.32 | 9 |
| Esphg dstl 2/3 w/laps moblj 43287 CPT 43287 | not published | not published | $3,042.06 – $4,602.33 | 3 |
| Esphg thrsc moblj CPT 43288 | not published | not published | $3,182.42 – $4,814.69 | 3 |
| Esphg tot w/laps moblj CPT 43286 | not published | not published | $2,672.00 – $4,042.47 | 3 |
| Esphg tot w/thrcm CPT 43112 | not published | not published | $1,995.12 – $3,145.02 | 3 |
| Essure 58565 CPT 58565 | not published | not published | $737.76 – $6,272.25 | 9 |
| Establish access to aorta CPT 36160 | $538.43 | $1,258.00 | $128.17 – $1,232.84 | 9 |
| Establish access to artery CPT 36100 | $657.41 | $1,536.00 | $213.61 – $1,505.28 | 9 |
| Establish brain cavity shunt CPT 62223 | not published | not published | $1,110.78 – $1,750.97 | 3 |
| Establish brain cavity shunt CPT 62180 | not published | not published | $1,367.11 – $2,155.04 | 3 |
| Establish brain cavity shunt CPT 62190 | not published | not published | $1,110.78 – $1,750.97 | 3 |
| Establish brain cavity shunt CPT 62192 | not published | not published | $1,110.78 – $1,750.97 | 3 |
| Establish brain cavity shunt CPT 62200 | not published | not published | $1,367.11 – $2,155.04 | 3 |
| Establish brain cavity shunt CPT 62220 | not published | not published | $1,110.78 – $1,750.97 | 3 |
| Established Patient Office Visit (level 1) CPT 99211 | $145.10 | $339.00 | $17.21 – $232.00 | 12 |
| Established Patient Office Visit (level 2) CPT 99212 | $130.54 | $305.00 | $16.37 – $305.00 | 12 |
| Established Patient Office Visit (level 3) CPT 99213 | $150.23 | $351.00 | $34.43 – $351.00 | 12 |
| Established Patient Office Visit (level 4) CPT 99214 | $1,129.07 | $2,638.00 | $53.79 – $381.00 | 12 |
| Established Patient Office Visit (level 5) CPT 99215 | $254.66 | $595.00 | $82.05 – $480.00 | 12 |
| Estradiol total CPT 82670 | $133.11 | $311.00 | $14.00 – $71.99 | 17 |
| Estradiol valerate 10 mg inj HCPCS J1380 | $24.83 | $58.00 | $13.10 – $56.84 | 11 |
| Ethanolamine oleate 100 mg HCPCS J1430 | $1,538.24 | $3,594.00 | $132.65 – $3,522.12 | 14 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | not published | not published | $628.88 – $4,120.64 | 9 |
| Etonogestrel implant system HCPCS J7307 | $5,611.08 | $13,110.00 | $981.56 – $12,847.80 | 12 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $179.34 | $419.00 | $1.25 – $110.74 | 12 |
| Etoposide 50 mg cap HCPCS J8560 | $303.46 | $709.00 | $86.95 – $694.82 | 10 |
| Euglobulin lysis CPT 85360 | $47.95 | $112.03 | $8.41 – $99.96 | 17 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $436.09 – $4,039.91 | 9 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $205.44 | $480.00 | $98.11 – $317.52 | 14 |
| Evaluation heart device CPT 93640 | $2,973.32 | $6,947.00 | $554.72 – $6,808.06 | 9 |
| Evasc prlng admn rx agnt 1st CPT 61650 | $4,031.76 | $9,420.00 | $444.15 – $9,231.60 | 9 |
| Evasc prlng admn rx agnt add CPT 61651 | $4,031.76 | $9,420.00 | $188.38 – $9,231.60 | 9 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | not published | not published | $1,044.30 – $1,579.92 | 3 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | $4,226.08 | $9,874.00 | $1,030.15 – $9,676.52 | 9 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | $4,226.08 | $9,874.00 | $1,538.34 – $9,676.52 | 9 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | $4,226.08 | $9,874.00 | $1,919.21 – $9,676.52 | 9 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | $2,089.07 | $4,881.00 | $371.93 – $4,783.38 | 9 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | $3,887.96 | $9,084.00 | $1,154.87 – $8,902.32 | 9 |
| Evasc rpr a-unilac ndgft rpt CPT 34704 | $3,887.96 | $9,084.00 | $1,921.07 – $8,902.32 | 9 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | $2,089.07 | $4,881.00 | $959.79 – $4,783.38 | 9 |
| Evasc rpr ilio-iliac rpt CPT 34708 | $2,089.07 | $4,881.00 | $1,542.44 – $4,783.38 | 9 |
| Evoked potentials auditory screening automated analysis CPT 92650 | $272.64 | $637.00 | $25.68 – $437.08 | 9 |
| Evoked potentials upper limbs CPT 95925 | $802.50 | $1,875.00 | $97.25 – $1,837.50 | 14 |
| Exam of vagina w/scope 57420 CPT 57420 | not published | not published | $109.01 – $386.50 | 9 |
| Exam plvc w/anes othr thn lcl CPT 57410 | not published | not published | $107.57 – $4,039.91 | 9 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | not published | not published | $387.06 – $3,636.52 | 9 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | not published | not published | $572.23 – $3,636.52 | 9 |
| Exc 1st&/crv rib w/sympth CPT 21616 | not published | not published | $788.66 – $1,243.19 | 3 |
| Exc abd les sc 3 cm/> CPT 22903 | not published | not published | $415.69 – $3,636.52 | 9 |
| Exc abdl tum deep < 5 cm CPT 22900 | not published | not published | $579.43 – $3,636.52 | 9 |
| Exc abdl tum deep 5 cm/> CPT 22901 | not published | not published | $543.19 – $3,636.52 | 9 |
| Exc abd tum 5 cm or less 49203 CPT 49203 | not published | not published | $848.84 – $848.84 | 1 |
| Exc abd tum over 10 cm 49205 CPT 49205 | not published | not published | $1,236.78 – $1,236.78 | 1 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | not published | not published | $384.07 – $3,636.52 | 9 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | not published | not published | $387.06 – $2,058.68 | 9 |
| Exc aurl glomus tum extended CPT 69554 | not published | not published | $2,185.23 – $3,444.70 | 3 |
| Exc aurl glomus tum trnscanl CPT 69550 | not published | not published | $876.23 – $7,516.44 | 9 |
| Exc aurl glomus tum trnsmstd CPT 69552 | not published | not published | $1,356.85 – $7,516.44 | 9 |
| Exc back les sbq <3 cm 21930 CPT 21930 | not published | not published | $425.94 – $2,058.68 | 9 |
| Exc back tum deep 5 cm/> CPT 21933 | not published | not published | $609.08 – $3,636.52 | 9 |
| Exc bartholins gland/cyst CPT 56740 | not published | not published | $348.87 – $4,039.91 | 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.