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 |
|---|---|---|---|---|
| Expose endoprosth brachial 34834 CPT 34834 | $729.74 | $1,705.00 | $197.36 – $1,670.90 | 9 |
| Exp w remove/deep fb/forearm/wrist 25248 CPT 25248 | not published | not published | $534.46 – $2,033.48 | 9 |
| Ex sq tumor/face or scalp < 2 cm 21011 CPT 21011 | not published | not published | $309.74 – $2,058.68 | 9 |
| Ex sq tumor/face or scalp 2 cm/> 21012 CPT 21012 | not published | not published | $322.56 – $2,058.68 | 9 |
| Extensive ear canal surgery 69150 CPT 69150 | not published | not published | $884.35 – $7,516.44 | 9 |
| Extensive ear/neck surgery 69155 CPT 69155 | not published | not published | $1,441.02 – $2,271.54 | 3 |
| Extensive hand surgery CPT 26250 | not published | not published | $580.60 – $4,122.60 | 9 |
| Extensive hysterectomy CPT 58285 | not published | not published | $1,744.35 – $2,639.03 | 3 |
| Extensive jaw surgery CPT 21045 | not published | not published | $970.22 – $1,529.40 | 3 |
| Extensive mastoid surgery CPT 69511 | not published | not published | $890.76 – $7,516.44 | 9 |
| Extensive mastoid surgery CPT 69530 | not published | not published | $1,281.67 – $7,516.44 | 9 |
| Extensive prostate surgery CPT 55810 | not published | not published | $1,222.71 – $1,927.42 | 3 |
| Extensive prostate surgery CPT 55812 | not published | not published | $1,499.98 – $2,364.48 | 3 |
| Extensive prostate surgery CPT 55815 | not published | not published | $1,708.89 – $2,693.80 | 3 |
| Extensive prostate surgery CPT 55840 | not published | not published | $1,258.16 – $1,983.32 | 3 |
| Extensive prostate surgery CPT 55842 | not published | not published | $1,306.44 – $2,059.41 | 3 |
| Extensive prostate surgery CPT 55845 | not published | not published | $1,543.13 – $2,432.50 | 3 |
| Extensive prostate surgery CPT 55862 | not published | not published | $628.88 – $991.31 | 3 |
| Extensive prostate surgery CPT 55865 | not published | not published | $1,112.91 – $1,754.34 | 3 |
| Extensive removal of liver CPT 47122 | not published | not published | $1,067.63 – $1,682.95 | 3 |
| Extensive sternum surgery CPT 21632 | not published | not published | $1,279.11 – $2,016.31 | 3 |
| Extensive surgery of throat CPT 42842 | not published | not published | $591.27 – $7,516.44 | 9 |
| Extensive surgery of throat CPT 42844 | not published | not published | $1,013.37 – $7,516.44 | 9 |
| Extensive surgery of throat CPT 42845 | not published | not published | $1,679.41 – $2,647.33 | 3 |
| Extensive testis surgery CPT 54535 | not published | not published | $580.60 – $4,382.26 | 9 |
| Extensive thyroid surgery CPT 60254 | not published | not published | $1,354.72 – $2,135.51 | 3 |
| Extensive vulva surgery CPT 56632 | not published | not published | $2,075.78 – $3,140.45 | 3 |
| External cannula declotting CPT 36860 | $3,040.52 | $7,104.00 | $1,973.80 – $6,961.92 | 11 |
| External chromosome analysis 20-25 cells CPT 88264 | $77.90 | $182.00 | $75.00 – $372.62 | 16 |
| External newborn metabolic screening panel HCPCS S3620 | $96.30 | $225.00 | $112.50 – $220.50 | 7 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | $47.19 | $110.25 | $23.88 – $108.05 | 16 |
| External profiling gene expression oncology (breast) mrna 21 genes CPT 81519 | $1,977.36 | $4,620.00 | $2,310.00 – $9,979.17 | 16 |
| External recharg sys intern HCPCS L8689 | $3,555.40 | $8,307.00 | $1,910.61 – $8,140.86 | 12 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $156.22 | $365.00 | $47.50 – $370.40 | 16 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $59.07 | $138.00 | $2.50 – $46.18 | 17 |
| Extraction of lens CPT 66930 | not published | not published | $854.44 – $5,111.45 | 9 |
| Extraction of lens CPT 66940 | not published | not published | $854.44 – $2,897.90 | 9 |
| Extraction of lens 66920 CPT 66920 | not published | not published | $854.44 – $2,897.90 | 9 |
| Eye photodynamic ther add-on CPT 67225 | not published | not published | $766.00 – $942.18 | 3 |
| F-18 fdg pet diag HCPCS A9552 | $1,347.35 | $3,148.00 | $360.00 – $3,085.04 | 10 |
| F-18 sodium fluoride HCPCS A9580 | $1,414.12 | $3,304.00 | $225.00 – $441.00 | 6 |
| Face bone graft CPT 21210 | not published | not published | $854.44 – $7,516.44 | 9 |
| Facial bones <3 CPT 70140 | $254.66 | $595.00 | $37.27 – $488.04 | 15 |
| Factor ix CPT 85250 | $97.60 | $228.03 | $16.46 – $49.07 | 17 |
| Factor ix complex HCPCS J7194 | $6.42 | $15.00 | $0.92 – $8.82 | 14 |
| Factor viii CPT 85240 | $51.13 | $119.45 | $7.93 – $46.14 | 17 |
| Factor viii recombinant nos HCPCS J7192 | $9.85 | $23.00 | $1.53 – $22.54 | 14 |
| Fallopian tube recnl CPT 58345 | not published | not published | $4,039.91 – $4,039.91 | 6 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $23.12 | $54.00 | $24.30 – $52.92 | 8 |
| Fancc gene CPT 81242 | $119.59 | $279.40 | $20.31 – $94.34 | 13 |
| Fasciotomy hip/thigh any typ CPT 27025 | not published | not published | $484.05 – $763.01 | 3 |
| Fat/lipids feces qualitative CPT 82705 | $6.00 | $14.00 | $5.10 – $13.72 | 17 |
| Fatty acids nonesterified CPT 82725 | $12.84 | $30.00 | $15.00 – $48.36 | 17 |
| Fecal microbiota, live-jslm 150 ml rectal suspension enema HCPCS J1440 | $6,933.60 | $16,200.00 | $7,290.00 – $15,876.00 | 8 |
| #fecal-sodium CPT 84302 | $9.42 | $22.00 | $3.88 – $12.53 | 17 |
| Feeding tube reposition CPT 74355 | $567.10 | $1,325.00 | $147.83 – $1,298.50 | 11 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $7.29 | $17.03 | $8.52 – $48.04 | 15 |
| Femoral endovas graft add-on 34813 CPT 34813 | $621.03 | $1,451.00 | $259.75 – $1,421.98 | 9 |
| Fem/popl revasc w/stent CPT 37226 | $15,342.09 | $35,846.00 | $441.08 – $34,105.96 | 14 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $299.60 | $700.00 | $1.11 – $52.92 | 11 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $4,253.47 | $9,938.00 | $1.45 – $9,739.24 | 15 |
| Ferritin CPT 82728 | $129.26 | $302.00 | $4.50 – $35.12 | 17 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $4,650.22 | $10,865.00 | $0.39 – $10,647.70 | 15 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $803.36 | $1,877.00 | $135.12 – $1,533.70 | 12 |
| Fetal contract stress test 59020 - 26 CPT 59020 | not published | not published | $72.68 – $255.61 | 9 |
| Fetal cord puncture prenatal CPT 59012 | $445.55 | $1,041.00 | $215.13 – $1,020.18 | 14 |
| Fetal fibronectin CPT 82731 | $1,006.23 | $2,351.00 | $51.52 – $230.30 | 17 |
| Fetal fluid drainage w/us CPT 59074 | not published | not published | $314.15 – $475.27 | 9 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $80.04 | $187.00 | $7.73 – $23.52 | 17 |
| Fetal hemoglobin rosette CPT 85461 | $86.89 | $203.00 | $5.98 – $28.42 | 17 |
| Fetal monitor/interpret only CPT 59051 | not published | not published | $106.83 – $161.62 | 3 |
| Fetal monitor w/report CPT 59050 | not published | not published | $116.29 – $175.94 | 3 |
| Fetal non stress test CPT 59025 | $338.12 | $790.00 | $32.70 – $774.20 | 14 |
| Fetal scalp blood sampling 59030 CPT 59030 | not published | not published | $82.13 – $386.50 | 9 |
| Fetal shunt placement w/us CPT 59076 | not published | not published | $284.26 – $430.06 | 9 |
| Fibrin degradation d dimer quantitative CPT 85379 | $269.64 | $630.00 | $10.18 – $37.24 | 17 |
| Fibrin degradation products CPT 85362 | $44.20 | $103.25 | $6.89 – $34.61 | 17 |
| Fibrinogen activity CPT 85384 | $114.71 | $268.00 | $7.02 – $25.05 | 17 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $51.13 | $119.44 | $8.08 – $39.88 | 17 |
| Fibrinolytic antiplasmin CPT 85410 | $15.12 | $35.31 | $7.71 – $34.61 | 17 |
| Fibrinolytic plasminogen CPT 85415 | $23.97 | $56.00 | $17.19 – $54.88 | 17 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $77.79 | $181.75 | $6.53 – $17.86 | 17 |
| Fibula bone graft microvasc CPT 20955 | not published | not published | $2,661.17 – $4,194.93 | 3 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $1,525.40 | $3,564.00 | $1.25 – $3,492.72 | 15 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $2,831.65 | $6,616.00 | $0.47 – $3,308.00 | 15 |
| Filleted finger/toe flap CPT 14350 | not published | not published | $577.18 – $2,324.22 | 9 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $7,817.85 | $18,266.00 | $869.40 – $3,704.40 | 12 |
| Filter vena cava fem denali HCPCS C1880 | $4,624.54 | $10,805.00 | $137.77 – $587.02 | 12 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $1,667.49 | $3,896.00 | $259.49 – $2,537.22 | 14 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | $1,108.10 | $2,589.00 | $145.57 – $2,537.22 | 9 |
| Fine needle aspiration biopsy without img gdn; ea addtl 10004 CPT 10004 | not published | not published | $45.05 – $68.15 | 3 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $762.27 | $1,781.00 | $51.75 – $1,745.38 | 9 |
| Fine needle asp without image guide 10021 CPT 10021 | $386.49 | $903.00 | $73.34 – $884.94 | 14 |
| Finger tendon transfer CPT 26497 | not published | not published | $484.05 – $4,122.60 | 9 |
| Finger tendon transfer CPT 26498 | not published | not published | $725.85 – $4,122.60 | 9 |
| Fistula repair & colostomy CPT 57307 | not published | not published | $1,453.62 – $2,199.18 | 3 |
| Fistula repair transperine 57308 CPT 57308 | not published | not published | $924.50 – $1,398.68 | 3 |
| Fitting of diaphragm/cap 57170 CPT 57170 | not published | not published | $43.61 – $255.61 | 9 |
| Fixation of ankle joint CPT 27860 | not published | not published | $107.66 – $4,122.60 | 9 |
| Fixation of knee joint CPT 27570 | not published | not published | $89.29 – $2,033.48 | 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.