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 |
|---|---|---|---|---|
| Anoscopy control bleeding 46614 CPT 46614 | not published | not published | $137.14 – $1,498.14 | 9 |
| Anoscopy remove fb 46608 CPT 46608 | not published | not published | $123.90 – $1,158.42 | 9 |
| Anoscopy remove lesion 46610 CPT 46610 | not published | not published | $104.24 – $3,484.48 | 9 |
| Anoscopy remove lesions w/cautery/snare 46612 CPT 46612 | not published | not published | $175.16 – $3,484.48 | 9 |
| Ant colporrhaphy/rpr cyctocele 57240 CPT 57240 | not published | not published | $617.80 – $6,272.25 | 9 |
| Antibody elution rbc reference CPT 86860 | $42.95 | $100.33 | $25.94 – $82.02 | 16 |
| Antibody htlv/hiv confirm test CPT 86689 | $29.92 | $69.90 | $19.35 – $68.51 | 17 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $151.00 | $352.80 | $15.00 – $47.33 | 17 |
| Antibody id rbc panel CPT 86870 | $463.53 | $1,083.00 | $10.75 – $112.34 | 16 |
| Antibody screen rbc CPT 86850 | $154.94 | $362.00 | $3.73 – $33.00 | 16 |
| Anti mog serum - sendout CPT 86362 | $290.62 | $679.00 | $45.00 – $88.20 | 7 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $70.98 | $165.84 | $5.25 – $10.29 | 7 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $40.86 | $95.45 | $47.73 – $93.55 | 7 |
| Ant instr 2-3 vert segm 22845 CPT 22845 | not published | not published | $410.56 – $647.19 | 3 |
| Ant instrumentation/4-7 vert seg 22846 CPT 22846 | not published | not published | $542.15 – $854.62 | 3 |
| Antinuclear antibodies CPT 86038 | $41.07 | $95.94 | $2.00 – $31.16 | 17 |
| Antinuclear antibodies titer CPT 86039 | $30.66 | $71.62 | $5.00 – $28.74 | 17 |
| Antiphosphatidylserine antibody CPT 86148 | $39.00 | $91.11 | $5.00 – $41.42 | 17 |
| Antistreptolysin o screen CPT 86063 | $105.29 | $246.00 | $5.77 – $18.62 | 17 |
| Antistreptolysin o titer CPT 86060 | $3.86 | $9.00 | $4.50 – $18.83 | 17 |
| Antithrombin iii activity CPT 85300 | $77.79 | $181.75 | $6.50 – $30.52 | 17 |
| Antithrombin iii injection HCPCS J7197 | $9,651.40 | $22,550.00 | $2.75 – $22,099.00 | 14 |
| Anti-thymocyte glob (equine)(1:1000) intradermal test dose HCPCS J7504 | $5,818.66 | $13,595.00 | $600.42 – $13,595.00 | 14 |
| Ant/post colporrhap/enterocele rpr 57265 CPT 57265 | not published | not published | $1,017.53 – $6,272.25 | 9 |
| Aortic circulation assist 33971 CPT 33971 | not published | not published | $754.47 – $1,189.32 | 3 |
| Aortic dysfunction/dilation CPT 81410 | $479.90 | $1,121.25 | $504.00 – $1,298.61 | 13 |
| Aortic dysfunction/dilation CPT 81411 | $479.90 | $1,121.25 | $560.63 – $3,478.89 | 13 |
| Aortic hemiarch graft 33866 CPT 33866 | not published | not published | $862.62 – $1,305.05 | 3 |
| Apc gene dup/delet variants CPT 81203 | $133.75 | $312.50 | $115.91 – $515.32 | 16 |
| Apc gene full sequence CPT 81201 | $133.75 | $312.50 | $72.77 – $2,009.75 | 16 |
| Apheresis immunoads slctv CPT 36516 | not published | not published | $1,208.00 – $5,952.98 | 9 |
| Apheresis plasma CPT 36514 | $2,230.31 | $5,211.00 | $1,121.46 – $5,106.78 | 14 |
| Apheresis platelets CPT 36513 | not published | not published | $343.91 – $555.48 | 9 |
| Apheresis rbc CPT 36512 | not published | not published | $1,121.46 – $2,082.87 | 9 |
| Apheresis wbc CPT 36511 | not published | not published | $1,121.46 – $2,082.87 | 9 |
| Apl(pml-rara) quant - sendout CPT 81315 | $139.96 | $327.00 | $94.03 – $534.15 | 16 |
| Appendectomy CPT 44950 | not published | not published | $459.69 – $7,928.23 | 9 |
| Appendectomy/open/rup/w/absc/peri 44960 CPT 44960 | not published | not published | $580.60 – $915.22 | 3 |
| Appendix Removal (Laparoscopic) CPT 44970 | not published | not published | $313.58 – $7,413.14 | 9 |
| App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm CPT 15277 | not published | not published | $203.28 – $2,324.22 | 9 |
| App high cost ss f/n/g/h/f >100sq cm addl 100sq cm CPT 15278 | not published | not published | $51.94 – $63.89 | 3 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | not published | not published | $23.25 – $28.60 | 3 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | not published | not published | $197.34 – $4,651.63 | 9 |
| App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274 | not published | not published | $42.05 – $51.72 | 3 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | not published | not published | $16.42 – $20.20 | 3 |
| Appl bdy cst sho to hip 1thi CPT 29044 | not published | not published | $200.49 – $551.56 | 9 |
| Appl bdy cst sho to hip b th CPT 29046 | not published | not published | $337.45 – $560.98 | 9 |
| Appl bdy cst sho to hip head CPT 29040 | not published | not published | $220.45 – $347.50 | 9 |
| Appl body cast sho to hips CPT 29035 | not published | not published | $281.11 – $443.13 | 9 |
| Appl cast figure-of-eight CPT 29049 | not published | not published | $138.85 – $337.45 | 9 |
| Appl cast plaster velpeau CPT 29058 | not published | not published | $158.50 – $337.45 | 9 |
| Appl cast shoulder spica CPT 29055 | not published | not published | $231.56 – $365.01 | 9 |
| Appl halo type body cast CPT 29000 | not published | not published | $248.64 – $391.95 | 9 |
| Appl hip spica cast1&1/2 CPT 29325 | not published | not published | $235.40 – $371.06 | 9 |
| Appl hip spica cast 1 leg CPT 29305 | not published | not published | $284.10 – $447.85 | 9 |
| Application clubfoot cast CPT 29450 | not published | not published | $78.61 – $200.49 | 9 |
| Application finger splntstatic 29130 CPT 29130 | $135.25 | $316.00 | $25.64 – $699.00 | 15 |
| Application halo femoral CPT 20663 | not published | not published | $193.53 – $4,122.60 | 9 |
| Application halo pelvic CPT 20662 | not published | not published | $222.58 – $2,033.48 | 9 |
| Application long leg splint 29505 CPT 29505 | not published | not published | $79.04 – $200.49 | 9 |
| Application lower leg splint 29515 CPT 29515 | not published | not published | $64.94 – $200.49 | 9 |
| Application multi layer compression below knee (both sides) CPT 29581 | not published | not published | $89.29 – $200.49 | 9 |
| Application of body cast CPT 29010 | not published | not published | $244.80 – $385.88 | 9 |
| Application of body cast CPT 29015 | not published | not published | $231.12 – $364.34 | 9 |
| Application of cylinder cast 29365 CPT 29365 | not published | not published | $118.34 – $337.45 | 9 |
| Application of forearm cast 29075 CPT 29075 | not published | not published | $94.84 – $337.45 | 9 |
| Application of long arm cast 29065 CPT 29065 | not published | not published | $106.38 – $337.45 | 9 |
| Application of long leg cast CPT 29355 | not published | not published | $146.96 – $337.45 | 9 |
| Application of long leg cast 29345 CPT 29345 | not published | not published | $139.27 – $337.45 | 9 |
| Application of paste boot 29580 CPT 29580 | $213.15 | $498.00 | $31.19 – $699.00 | 15 |
| Application short leg cast 29405 CPT 29405 | not published | not published | $97.84 – $337.45 | 9 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | not published | not published | $95.35 – $2,324.22 | 9 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | not published | not published | $82.85 – $2,324.22 | 9 |
| Applicator tag rfid localizer 12gx7cm HCPCS C1819 | $113.85 | $266.00 | $61.18 – $260.68 | 12 |
| Appl long leg cast brace CPT 29358 | not published | not published | $158.07 – $337.45 | 9 |
| Appl mltpln uni ext fixj sys CPT 20692 | not published | not published | $305.03 – $16,348.58 | 9 |
| Appl multlay comprs arm/hand CPT 29584 | $384.78 | $899.00 | $14.72 – $881.02 | 14 |
| Appl patllr tdn bearing cast CPT 29435 | not published | not published | $149.96 – $337.45 | 9 |
| Appl unipln uni ext fixj sys CPT 20690 | not published | not published | $193.53 – $9,076.82 | 9 |
| Apply finger cast 29086 CPT 29086 | not published | not published | $37.23 – $200.49 | 9 |
| Apply forearm splintdynamic 29126 CPT 29126 | $135.68 | $317.00 | $73.91 – $699.00 | 15 |
| Apply halo w/removal cranial CPT 20661 | not published | not published | $226.85 – $357.60 | 3 |
| Apply hand/wrist cast 29085 CPT 29085 | not published | not published | $95.70 – $200.49 | 9 |
| Apply of finger splint 29131 CPT 29131 | not published | not published | $38.45 – $75.47 | 9 |
| Apply rem fixation device CPT 20660 | not published | not published | $145.25 – $2,033.48 | 9 |
| Apply rigid leg cast 29445 CPT 29445 | not published | not published | $156.79 – $337.45 | 9 |
| Apply short leg castambul type 29425 CPT 29425 | not published | not published | $96.13 – $337.45 | 9 |
| App mltpln uni xtrnl fix 1st CPT 20696 | not published | not published | $739.02 – $23,366.40 | 9 |
| App mltpln uni xtrnl fix xch CPT 20697 | not published | not published | $1,065.15 – $2,033.48 | 9 |
| Aqaprn-4 antb flo cytmtry ea CPT 86053 | $243.41 | $568.70 | $57.20 – $112.11 | 7 |
| Aquaporin-4 antibody cba each CPT 86052 | $85.60 | $200.00 | $40.95 – $80.27 | 7 |
| Aqueous shunt eye w/graft CPT 66180 | not published | not published | $1,281.67 – $6,555.93 | 9 |
| Aqueous shunt eye without graft CPT 66179 | not published | not published | $6,555.93 – $6,555.93 | 6 |
| Aripiprazole 441 mg/1.6 ml inj HCPCS J1944 | $11,562.42 | $27,015.00 | $4.24 – $26,474.70 | 15 |
| Arsenic trioxide 2 mg/ml intravenous solution HCPCS J9017 | $3,050.79 | $7,128.00 | $7.24 – $6,985.44 | 15 |
| Art byp aor celiac msn and renal 35631 CPT 35631 | not published | not published | $1,367.11 – $2,155.04 | 3 |
| Art byp aortofemoral 35647 CPT 35647 | not published | not published | $1,489.72 – $1,832.36 | 3 |
| Art byp aortoiliac 35637 CPT 35637 | not published | not published | $1,518.24 – $2,296.95 | 3 |
| Art bypass aorsubcl/carot/innom 35626 CPT 35626 | not published | not published | $1,367.11 – $2,155.04 | 3 |
| Art bypass aortobifemoral 35646 CPT 35646 | not published | not published | $1,437.18 – $2,265.49 | 3 |
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.