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 |
|---|---|---|---|---|
| Fusion of ureter & kidney CPT 50740 | not published | not published | $1,024.48 – $1,614.93 | 3 |
| Fusion of ureter & kidney CPT 50750 | not published | not published | $1,064.63 – $1,678.23 | 3 |
| G6pc gene CPT 81250 | $17.39 | $40.61 | $20.31 – $150.71 | 16 |
| G6pd full gene sequence CPT 81249 | $181.50 | $424.06 | $212.03 – $1,545.96 | 13 |
| G6pd gene alys cmn variant CPT 81247 | $61.02 | $142.56 | $71.28 – $450.43 | 13 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $134.82 | $315.00 | $25.56 – $308.70 | 10 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | $85.60 | $200.00 | $64.91 – $196.00 | 11 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $2.14 | $5.00 | $0.33 – $4.90 | 11 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $540.14 | $1,262.00 | $1.58 – $9.80 | 11 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $701.07 | $1,638.00 | $13.50 – $29.40 | 11 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $76.56 | $178.87 | $21.07 – $175.30 | 17 |
| Galectin-3 CPT 82777 | $43.23 | $101.00 | $44.25 – $114.00 | 14 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $534.88 – $7,413.14 | 9 |
| Gammaglobulin iga CPT 82784 | $62.44 | $145.87 | $3.00 – $23.98 | 17 |
| Gammaglobulin ige CPT 82785 | $2.57 | $6.00 | $2.19 – $42.41 | 17 |
| Gamma glutamyltransferase CPT 82977 | $157.51 | $368.00 | $3.54 – $18.55 | 17 |
| Gamunex-c/gammaked HCPCS J1561 | $16,050.00 | $37,500.00 | $52.23 – $1,136.80 | 15 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $434.85 | $1,016.00 | $47.42 – $995.68 | 10 |
| Gastroduodenostomy CPT 43810 | not published | not published | $631.86 – $996.03 | 3 |
| Gastrointestinal repair CPT 43360 | not published | not published | $1,855.43 – $2,924.80 | 3 |
| Gastrointestinal repair CPT 43361 | not published | not published | $2,149.78 – $3,388.80 | 3 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | not published | not published | $663.47 – $1,045.86 | 3 |
| Gastrojejunostomy w/vagotomy CPT 43825 | not published | not published | $813.86 – $1,282.93 | 3 |
| Gastrostomy open neonatal CPT 43831 | not published | not published | $387.06 – $1,191.26 | 9 |
| Gated heart multiple CPT 78473 | $1,869.51 | $4,368.00 | $359.78 – $4,112.08 | 15 |
| Gba gene CPT 81251 | $119.59 | $279.40 | $20.31 – $121.73 | 13 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $465.67 | $1,088.00 | $4.51 – $127.40 | 12 |
| General health panel CPT 80050 | $801.65 | $1,873.00 | $54.43 – $1,835.54 | 10 |
| Generator barostim neo2 2014 HCPCS C1767 | $76,781.92 | $179,397.00 | $9,231.28 – $39,333.28 | 12 |
| Generator emblem MRI sicd subq HCPCS C1722 | $43,704.80 | $102,114.00 | $7,100.10 – $30,252.60 | 12 |
| Generator stim baroreceptor neo legacy implant pulse HCPCS C1825 | $43,704.80 | $102,114.00 | $23,486.22 – $100,071.72 | 12 |
| Genetic tstg severe inh cond CPT 81443 | $2,317.20 | $5,414.00 | $998.45 – $6,308.94 | 13 |
| Genioplasty augmentation CPT 21120 | not published | not published | $854.44 – $7,516.44 | 9 |
| Geniop sldg augmentation CPT 21123 | not published | not published | $854.44 – $4,120.64 | 9 |
| Geniop sldg osteot 1 CPT 21121 | not published | not published | $769.00 – $4,120.64 | 9 |
| Geniop sldg osteot 2/> CPT 21122 | not published | not published | $854.44 – $7,516.44 | 9 |
| Genome sequence analysis CPT 81425 | $1,540.80 | $3,600.00 | $0.06 – $12,963.39 | 13 |
| Genome sequence analysis CPT 81426 | $1,070.00 | $2,500.00 | $0.06 – $6,982.47 | 13 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $104.44 | $244.00 | $2.33 – $52.92 | 11 |
| Gentamicin peak therapeutic drug level CPT 80170 | $217.86 | $509.00 | $16.38 – $49.00 | 17 |
| Gfrg autol fat lipo ea addl CPT 15774 | not published | not published | $155.25 – $234.88 | 3 |
| Ghs abscess perianal iandd CPT 46050 | not published | not published | $91.42 – $1,158.42 | 9 |
| Ghs abscess postoperative iandd complex CPT 10180 | $3,376.50 | $7,889.00 | $135.01 – $7,731.22 | 14 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $6.42 | $14.99 | $6.63 – $25.29 | 17 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $169.06 | $395.00 | $17.11 – $131.32 | 17 |
| Ghs analysis neurostim without reprogramming CPT 95970 | $125.84 | $294.00 | $22.71 – $288.12 | 14 |
| Ghs antibodies (torch) igm CPT 86694 | $6.97 | $16.28 | $4.00 – $37.06 | 17 |
| Ghs aspiration bladder - needle CPT 51100 | not published | not published | $59.81 – $309.02 | 9 |
| Ghs bladder cath - complex-foley CPT 51703 | $207.58 | $485.00 | $124.06 – $475.30 | 14 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $709.20 | $1,657.00 | $79.04 – $1,623.86 | 14 |
| Ghs central line insert < age 5, failed CPT 36555 | $1,934.99 | $4,521.00 | $99.26 – $4,430.58 | 14 |
| Ghs change cysto/gastrost CPT 43762 | $753.28 | $1,760.00 | $205.14 – $1,234.80 | 14 |
| Ghs chemo >8 hrs CPT 96416 | $736.16 | $1,720.00 | $53.00 – $11,311.00 | 16 |
| Ghs chemo IV push, ea addtl CPT 96411 | $168.21 | $393.00 | $20.61 – $11,311.00 | 16 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $113.42 | $265.00 | $35.09 – $90.42 | 17 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | not published | not published | $143.12 – $304.79 | 9 |
| Ghs closed reduction ankle dislocation CPT 27840 | not published | not published | $195.45 – $304.79 | 9 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | not published | not published | $287.52 – $2,033.48 | 9 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | not published | not published | $192.68 – $304.79 | 9 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | not published | not published | $312.72 – $2,033.48 | 9 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | not published | not published | $629.30 – $2,324.22 | 9 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | not published | not published | $203.03 – $307.17 | 9 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | not published | not published | $289.23 – $2,033.48 | 9 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | not published | not published | $378.95 – $2,033.48 | 9 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | not published | not published | $295.34 – $446.82 | 9 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | not published | not published | $159.78 – $304.79 | 9 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | not published | not published | $134.57 – $507.02 | 9 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | not published | not published | $127.74 – $201.36 | 9 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | not published | not published | $165.33 – $507.02 | 9 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | not published | not published | $135.01 – $212.81 | 9 |
| Ghs cricothyroidotomy CPT 31605 | not published | not published | $230.70 – $363.66 | 9 |
| Ghs cutdown placement age 1 and over CPT 36425 | $412.60 | $964.00 | $68.78 – $944.72 | 13 |
| Ghs cutdown placement under 1 yr CPT 36420 | $86.03 | $201.00 | $48.28 – $196.98 | 13 |
| Ghs dislocation elbow closed treatment CPT 24600 | not published | not published | $254.44 – $384.94 | 9 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | $1,178.72 | $2,754.00 | $93.43 – $2,698.92 | 14 |
| Ghs ed rmvl or bivalving cast CPT 29700 | not published | not published | $26.06 – $337.45 | 9 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $791.38 | $1,849.00 | $294.12 – $1,687.56 | 14 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | $328.28 | $767.00 | $198.80 – $751.66 | 14 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | not published | not published | $53.83 – $507.64 | 9 |
| Ghs excision ingrown nail CPT 11765 | not published | not published | $60.67 – $507.64 | 9 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | not published | not published | $313.58 – $494.31 | 9 |
| Ghs fb removal foot - deep - left CPT 28192 | not published | not published | $420.82 – $2,058.68 | 9 |
| Ghs fb removal from muscle - complicated CPT 20525 | not published | not published | $332.80 – $3,636.52 | 9 |
| Ghs fb removal - incisional CPT 10121 | not published | not published | $134.70 – $2,058.68 | 9 |
| Ghs fb removal - non-incisional CPT 20520 | not published | not published | $129.02 – $2,058.68 | 9 |
| Ghs fish cytogen CPT 88271 | $53.50 | $125.00 | $21.42 – $55.18 | 16 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $53.50 | $125.00 | $27.50 – $131.88 | 16 |
| Ghs flow volume loop CPT 94375 | $327.42 | $765.00 | $26.65 – $749.70 | 14 |
| Ghs gastric intub aspiration lavage CPT 43753 | not published | not published | $19.84 – $395.66 | 9 |
| Ghs histoplasma antigen CPT 87385 | $19.26 | $45.00 | $13.25 – $34.30 | 17 |
| Ghs HIV antibody CPT 86703 | $68.91 | $161.00 | $13.71 – $51.94 | 17 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | not published | not published | $227.71 – $2,602.84 | 9 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | not published | not published | $205.06 – $1,498.14 | 9 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $1,727.84 | $4,037.00 | $165.72 – $3,956.26 | 14 |
| Ghs i and d pilonidal cyst simple CPT 10080 | not published | not published | $63.23 – $893.98 | 9 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | not published | not published | $219.16 – $345.48 | 9 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | not published | not published | $95.27 – $246.67 | 9 |
| Ghs inf midline insertion CPT 36140 | $541.85 | $1,266.00 | $96.98 – $1,007.44 | 9 |
| Ghs inhibitor screen CPT 85335 | $93.30 | $217.97 | $12.87 – $73.50 | 17 |
| Ghs init tx 1st degree burn CPT 16000 | not published | not published | $36.74 – $252.47 | 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.