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 |
|---|---|---|---|---|
| Excise sublingual gland CPT 42450 | not published | not published | $266.16 – $7,516.44 | 9 |
| Excise submaxillary gland CPT 42440 | not published | not published | $466.10 – $7,516.44 | 9 |
| Excise subq tumor/abd wall <3 cm 22902 CPT 22902 | not published | not published | $410.14 – $2,058.68 | 9 |
| Excise tendon forearm/wrist CPT 25109 | not published | not published | $422.19 – $4,122.60 | 9 |
| Excise wrist tendon sheath CPT 25118 | not published | not published | $427.22 – $2,033.48 | 9 |
| Excision addl breast lesion 19126 CPT 19126 | not published | not published | $138.43 – $218.20 | 3 |
| Excision aural polyp CPT 69540 | not published | not published | $59.81 – $1,882.11 | 9 |
| Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 | not published | not published | $85.44 – $893.98 | 9 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | not published | not published | $85.02 – $2,058.68 | 9 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | not published | not published | $82.45 – $893.98 | 9 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | not published | not published | $221.72 – $2,058.68 | 9 |
| Excision breast lesion CPT 19125 | not published | not published | $275.99 – $4,865.48 | 9 |
| Excision coa w/graft CPT 33845 | not published | not published | $1,606.36 – $2,532.18 | 3 |
| Excision floor mouth lesion 41116 CPT 41116 | not published | not published | $205.06 – $4,120.64 | 9 |
| Excision graft abdomen CPT 35907 | not published | not published | $843.76 – $1,330.06 | 3 |
| Excision graft extremity CPT 35903 | not published | not published | $569.49 – $3,999.21 | 9 |
| Excision graft neck CPT 35901 | not published | not published | $526.77 – $830.36 | 3 |
| Excision graft thorax 35905 CPT 35905 | not published | not published | $819.83 – $1,292.35 | 3 |
| Excision gum each quadrant CPT 41820 | not published | not published | $4,120.64 – $4,120.64 | 6 |
| Excision hand/finger tendon CPT 26415 | not published | not published | $813.01 – $4,122.60 | 9 |
| Excision lesion mouth roof CPT 42106 | not published | not published | $170.89 – $4,120.64 | 9 |
| Excision lesion mouth roof CPT 42107 | not published | not published | $317.00 – $7,516.44 | 9 |
| Excision nasal polyp(s) simple 30110 CPT 30110 | not published | not published | $78.18 – $1,882.11 | 9 |
| Excision of anal lesion(s) CPT 46922 | not published | not published | $109.37 – $3,484.48 | 9 |
| Excision of bile duct cyst CPT 47715 | not published | not published | $930.49 – $1,466.77 | 3 |
| Excision of bile duct tumor CPT 47711 | not published | not published | $1,101.80 – $1,736.83 | 3 |
| Excision of bile duct tumor CPT 47712 | not published | not published | $1,392.75 – $2,195.45 | 3 |
| Excision of bowel lesion(s) CPT 44111 | not published | not published | $703.64 – $1,109.18 | 3 |
| Excision of brain tumor CPT 61545 | not published | not published | $1,462.38 – $2,305.22 | 3 |
| Excision of esophagus lesion CPT 43100 | not published | not published | $811.72 – $1,279.56 | 3 |
| Excision of esophagus lesion CPT 43101 | not published | not published | $919.38 – $1,449.26 | 3 |
| Excision of gum flap CPT 41821 | not published | not published | $1,882.11 – $1,882.11 | 6 |
| Excision of gum lesion CPT 41822 | not published | not published | $183.28 – $1,882.11 | 9 |
| Excision of gum lesion CPT 41823 | not published | not published | $249.07 – $7,516.44 | 9 |
| Excision of gum lesion CPT 41826 | not published | not published | $179.86 – $4,120.64 | 9 |
| Excision of gum lesion CPT 41827 | not published | not published | $256.33 – $7,516.44 | 9 |
| Excision of gum lesion CPT 41828 | not published | not published | $226.85 – $1,882.11 | 9 |
| Excision of gum lesion 41825 CPT 41825 | not published | not published | $128.17 – $4,120.64 | 9 |
| Excision of lesion of mesentery 44820 CPT 44820 | not published | not published | $637.41 – $1,004.78 | 3 |
| Excision of lingual tonsil CPT 42870 | not published | not published | $232.41 – $7,516.44 | 9 |
| Excision of meckels diverticulum 44800 CPT 44800 | not published | not published | $484.05 – $763.01 | 3 |
| Excision of mouth lesion complex 40816 CPT 40816 | not published | not published | $290.51 – $4,120.64 | 9 |
| Excision of neck cyst CPT 42815 | not published | not published | $484.05 – $7,516.44 | 9 |
| Excision of neck cyst confined 42810 CPT 42810 | not published | not published | $193.53 – $4,120.64 | 9 |
| Excision of penis lesion(s) 54060 CPT 54060 | not published | not published | $138.43 – $2,324.22 | 9 |
| Excision of rectal lesion CPT 45160 | not published | not published | $795.06 – $3,484.48 | 9 |
| Excision of rectal prolapse CPT 45135 | not published | not published | $1,110.78 – $1,750.97 | 3 |
| Excision of rectal stricture CPT 45150 | not published | not published | $419.96 – $1,498.14 | 9 |
| Excision of salivary cyst CPT 42408 | not published | not published | $312.72 – $4,120.64 | 9 |
| Excision of skull/sutures CPT 61558 | not published | not published | $1,451.70 – $2,288.38 | 3 |
| Excision of skull/sutures CPT 61559 | not published | not published | $2,031.44 – $3,202.25 | 3 |
| Excision of skull tumor CPT 61563 | not published | not published | $931.77 – $1,468.80 | 3 |
| Excision of skull tumor CPT 61564 | not published | not published | $1,446.58 – $2,280.31 | 3 |
| Excision of stomach lesion CPT 43610 | not published | not published | $634.43 – $1,000.08 | 3 |
| Excision of stomach lesion CPT 43611 | not published | not published | $764.73 – $1,205.48 | 3 |
| Excision of tongue lesion CPT 41112 | not published | not published | $219.59 – $4,120.64 | 9 |
| Excision of tongue lesion CPT 41114 | not published | not published | $534.46 – $4,120.64 | 9 |
| Excision of tongue lesion w/closure 41113 CPT 41113 | not published | not published | $4,120.64 – $4,120.64 | 6 |
| Excision of tonsil tags CPT 42860 | not published | not published | $135.43 – $4,120.64 | 9 |
| Excision of umbilicus 49250 CPT 49250 | not published | not published | $4,484.02 – $4,484.02 | 6 |
| Excision of uvula CPT 42140 | not published | not published | $93.13 – $4,120.64 | 9 |
| Excision of vaginal septum 57130 CPT 57130 | not published | not published | $232.57 – $4,039.91 | 9 |
| Excision olecranon bursa CPT 24105 | not published | not published | $232.41 – $4,122.60 | 9 |
| Excision perinephric cyst CPT 50290 | not published | not published | $834.36 – $1,315.24 | 3 |
| Excision radial head CPT 24130 | not published | not published | $387.06 – $4,122.60 | 9 |
| Excision tongue lesion without closure 41110 CPT 41110 | not published | not published | $153.38 – $4,120.64 | 9 |
| Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931 | not published | not published | $386.08 – $2,058.68 | 9 |
| Excis partial tal calc CPT 28120 | not published | not published | $317.85 – $4,122.60 | 9 |
| Excis uppr jaw cyst w/repair CPT 21049 | not published | not published | $646.29 – $7,516.44 | 9 |
| Exc leg/ankle tum dep 5 cm/ > 27634 CPT 27634 | not published | not published | $554.73 – $3,636.52 | 9 |
| Exc leg/ankle tum subfasc<5cm 27619 CPT 27619 | not published | not published | $423.38 – $3,636.52 | 9 |
| Exc les conjunctiva <1 cm CPT 68110 | not published | not published | $172.17 – $2,964.26 | 9 |
| Exc les conjunctiva >1 cm CPT 68115 | not published | not published | $178.58 – $2,964.26 | 9 |
| Exc les conjunctiva adj scl CPT 68130 | not published | not published | $271.71 – $2,964.26 | 9 |
| Exc les/mucos/sub/ves mouth/no rpr 40810 CPT 40810 | not published | not published | $4,120.64 – $4,120.64 | 6 |
| Exc malig feenl <0.5cm 11640 CPT 11640 | not published | not published | $145.25 – $893.98 | 9 |
| Exc malig feenl 1.1-2 11642 CPT 11642 | not published | not published | $213.61 – $893.98 | 9 |
| Exc malig feenl 3.1-4.0 11644 CPT 11644 | not published | not published | $320.42 – $2,058.68 | 9 |
| Exc malig feenl >4cm 11646 CPT 11646 | not published | not published | $406.72 – $3,636.52 | 9 |
| Exc malig snhfg 0.5cm or less 11620 CPT 11620 | not published | not published | $96.98 – $2,058.68 | 9 |
| Exc malig snhfg 0.6-1.0 cm 11621 CPT 11621 | not published | not published | $145.25 – $893.98 | 9 |
| Exc malig snhfg 2.1-3 cm 11623 CPT 11623 | not published | not published | $210.62 – $2,058.68 | 9 |
| Exc malig tal <0.5cm 11600 CPT 11600 | not published | not published | $79.47 – $893.98 | 9 |
| Exc malig tal 0.6-1.0cm 11601 CPT 11601 | not published | not published | $91.00 – $893.98 | 9 |
| Exc mal+marg tal 1.1-2 cm 11602 CPT 11602 | not published | not published | $96.98 – $507.64 | 9 |
| Exc mal+marg tal 2.1-3 cm 11603 CPT 11603 | not published | not published | $193.10 – $893.98 | 9 |
| Exc mal+marg tal 3.1-4 cm 11604 CPT 11604 | not published | not published | $208.48 – $893.98 | 9 |
| Exc mandible 21025 CPT 21025 | not published | not published | $339.64 – $7,516.44 | 9 |
| Exc neck tum deep < 5 cm CPT 21556 | not published | not published | $457.99 – $3,636.52 | 9 |
| Exc neck tum deep 5 cm/> CPT 21554 | not published | not published | $605.36 – $3,636.52 | 9 |
| Exc of facial bones/osteomy/abcess 21026 CPT 21026 | not published | not published | $7,516.44 – $7,516.44 | 6 |
| Exc of rectal prlpse 45130 CPT 45130 | not published | not published | $701.50 – $1,105.81 | 3 |
| Exc of residual cervix 57540 CPT 57540 | not published | not published | $872.17 – $1,319.51 | 3 |
| Exc of residual cervix via aginal approach 57550 CPT 57550 | not published | not published | $872.17 – $6,272.25 | 9 |
| Exc/pilonidal cyst/sinus/simple 11770 CPT 11770 | not published | not published | $111.50 – $3,636.52 | 9 |
| Exc prtl bn phlnx toe CPT 28124 | not published | not published | $239.67 – $4,122.60 | 9 |
| Exc rect tum transanal full CPT 45172 | not published | not published | $673.12 – $3,484.48 | 9 |
| Exc rect tum transanal part CPT 45171 | not published | not published | $494.41 – $3,484.48 | 9 |
| Exc sac pr ulc prim str ostc CPT 15933 | not published | not published | $619.48 – $3,636.52 | 9 |
| Exc sac pr ulc skn flp ostc CPT 15935 | not published | not published | $954.84 – $4,651.63 | 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.