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 |
|---|---|---|---|---|
| Ghs inj neurolytic intercostal nerve CPT 64620 | not published | not published | $114.06 – $1,131.20 | 9 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $892.81 | $2,086.00 | $143.98 – $2,044.28 | 14 |
| Ghs inj tendon origin/insertion CPT 20551 | $420.30 | $982.00 | $52.49 – $876.12 | 14 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $1,364.47 | $3,188.00 | $161.07 – $3,124.24 | 9 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $1,529.25 | $3,573.00 | $177.29 – $3,501.54 | 14 |
| Ghs insertion of needle - bone CPT 36680 | not published | not published | $59.81 – $507.02 | 9 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | not published | not published | $129.88 – $507.64 | 9 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | not published | not published | $181.57 – $777.77 | 9 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | not published | not published | $2,324.22 – $2,324.22 | 6 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $168.21 | $393.00 | $29.90 – $333.20 | 9 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | not published | not published | $155.08 – $309.02 | 9 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $1,214.24 | $2,837.00 | $284.95 – $2,673.44 | 14 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | not published | not published | $85.87 – $507.02 | 9 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | not published | not published | $96.98 – $507.64 | 9 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | not published | not published | $107.66 – $507.64 | 9 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | not published | not published | $108.08 – $507.64 | 9 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | not published | not published | $113.64 – $507.64 | 9 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | not published | not published | $114.50 – $507.64 | 9 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | not published | not published | $123.46 – $507.64 | 9 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | not published | not published | $119.19 – $507.64 | 9 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | not published | not published | $124.32 – $777.77 | 9 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | not published | not published | $179.00 – $507.64 | 9 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | not published | not published | $140.98 – $777.77 | 9 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | not published | not published | $266.16 – $507.64 | 9 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | not published | not published | $185.42 – $777.77 | 9 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | not published | not published | $408.43 – $643.82 | 9 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | not published | not published | $394.76 – $2,324.22 | 9 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | not published | not published | $431.49 – $680.19 | 9 |
| Ghs mbp CPT 83873 | $10.06 | $23.50 | $11.75 – $44.32 | 17 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $197.74 | $462.00 | $69.63 – $224.42 | 9 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $174.63 | $408.00 | $78.32 – $399.84 | 9 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $174.63 | $408.00 | $63.61 – $399.84 | 9 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $197.74 | $462.00 | $10.09 – $330.26 | 9 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $174.63 | $408.00 | $48.19 – $399.84 | 9 |
| Ghs nailbed repair/nail removal CPT 11760 | not published | not published | $115.35 – $777.77 | 9 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $1,373.46 | $3,209.00 | $96.98 – $3,144.82 | 14 |
| Ghs nerve blk intercostal, single level CPT 64420 | $1,109.38 | $2,592.00 | $68.36 – $2,540.16 | 14 |
| Ghs nerve block axillary nerve CPT 64417 | $1,431.24 | $3,344.00 | $74.76 – $3,277.12 | 14 |
| Ghs nerve block brachial plexus CPT 64415 | $1,122.22 | $2,622.00 | $82.89 – $2,569.56 | 14 |
| Ghs nerve block celiac plexus CPT 64530 | $1,218.52 | $2,847.00 | $161.07 – $2,708.72 | 14 |
| Ghs nerve block interscaline CPT 64510 | $892.81 | $2,086.00 | $69.63 – $2,044.28 | 14 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $892.81 | $2,086.00 | $96.13 – $2,044.28 | 14 |
| Ghs nerve block sciatic nerve CPT 64445 | not published | not published | $90.15 – $879.92 | 9 |
| Ghs nerve block suprascapular CPT 64418 | $1,104.24 | $2,580.00 | $69.63 – $1,903.16 | 14 |
| Ghs ng placement w fluoro guidance CPT 43752 | $1,671.34 | $3,905.00 | $149.10 – $453.00 | 14 |
| Ghs o2 saturation CPT 82810 | $36.81 | $86.00 | $9.77 – $84.28 | 17 |
| Ghs opcc repair cvp without subq port CPT 36575 | $1,135.06 | $2,652.00 | $52.37 – $2,598.96 | 14 |
| Ghs opcc repair cvp w subq port CPT 36576 | $1,834.41 | $4,286.00 | $131.83 – $3,884.72 | 14 |
| Ghs pacing - transcutaneous CPT 92953 | $306.02 | $715.00 | $23.41 – $715.00 | 14 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $420.73 | $983.00 | $92.71 – $963.34 | 9 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $402.32 | $940.00 | $85.02 – $921.20 | 9 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | $86.89 | $203.00 | $11.85 – $57.95 | 12 |
| Ghs peritonsillar abscess i andd CPT 42700 | not published | not published | $83.73 – $295.06 | 9 |
| Ghs picc line insert < 5 CPT 36568 | $1,683.33 | $3,933.00 | $78.67 – $3,854.34 | 14 |
| Ghs plngl fx pm cl CPT 26725 | not published | not published | $155.51 – $304.79 | 9 |
| Ghs ppd (tb intradermal) CPT 86580 | $86.03 | $201.00 | $4.82 – $196.98 | 16 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $5.03 | $11.75 | $5.88 – $24.89 | 17 |
| Ghs protein, misc fluid CPT 84160 | $6.38 | $14.90 | $5.61 – $14.61 | 17 |
| Ghs protoporphyrins fract CPT 84202 | $22.65 | $52.91 | $5.45 – $36.98 | 17 |
| Ghs pr without cont pulse ox CPT 94625 | $104.44 | $244.00 | $122.00 – $244.00 | 6 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | $5.17 | $12.07 | $6.04 – $31.55 | 17 |
| Ghs removal intranasal foreign body CPT 30300 | not published | not published | $64.51 – $163.78 | 9 |
| Ghs removal pharyngeal foreign body CPT 42809 | not published | not published | $170.46 – $507.02 | 9 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | not published | not published | $342.63 – $2,033.48 | 9 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | not published | not published | $373.39 – $4,122.60 | 9 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | $33.13 | $77.40 | $15.89 – $75.86 | 17 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $26.97 | $63.00 | $4.19 – $41.16 | 17 |
| Ghs semen analysis fert CPT 89320 | $401.04 | $937.00 | $12.31 – $46.06 | 14 |
| Ghs sensitivity (per antimicro) CPT 87184 | $22.69 | $53.00 | $6.07 – $34.27 | 17 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | not published | not published | $117.06 – $507.64 | 9 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | not published | not published | $179.00 – $507.64 | 9 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | not published | not published | $158.07 – $507.64 | 9 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | not published | not published | $373.82 – $589.27 | 9 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | not published | not published | $106.38 – $252.47 | 9 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | not published | not published | $96.55 – $252.47 | 9 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | not published | not published | $129.45 – $252.47 | 9 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | not published | not published | $252.47 – $509.13 | 9 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | not published | not published | $252.47 – $687.59 | 9 |
| Ghs somatosensory testing lower extremit CPT 95926 | $410.88 | $960.00 | $141.32 – $940.80 | 14 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $717.33 | $1,676.00 | $307.16 – $1,642.48 | 14 |
| Ghs sphenopalatine ganglion block CPT 64505 | not published | not published | $69.63 – $375.07 | 9 |
| Ghs strapping shoulder - 29240 CPT 29240 | $145.10 | $339.00 | $41.01 – $699.00 | 15 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | not published | not published | $196.52 – $777.77 | 9 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $440.84 | $1,030.00 | $144.40 – $1,009.40 | 14 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $1,982.50 | $4,632.00 | $122.19 – $4,539.36 | 14 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | not published | not published | $146.96 – $304.79 | 9 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | not published | not published | $171.86 – $304.79 | 9 |
| Ghs urine, porphyrins quant CPT 84120 | $11.13 | $26.00 | $12.00 – $37.90 | 17 |
| Ghs vaginal delivery only CPT 59409 | not published | not published | $780.72 – $4,039.91 | 9 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $630.88 | $1,474.00 | $653.24 – $1,444.52 | 14 |
| Ghs windowing of cast CPT 29730 | not published | not published | $32.46 – $200.49 | 9 |
| Giardia lamblia antibody CPT 86674 | $18.41 | $43.00 | $14.72 – $42.14 | 17 |
| Gi inhouse confirmation CPT 87045 | $320.15 | $748.00 | $6.67 – $24.34 | 17 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $197.37 – $4,120.64 | 9 |
| Gjb2 gene full sequence CPT 81252 | $192.60 | $450.00 | $101.12 – $441.00 | 13 |
| Glaucoma surgery CPT 66150 | not published | not published | $580.60 – $5,111.45 | 9 |
| Glaucoma surgery CPT 66155 | not published | not published | $580.60 – $5,111.45 | 9 |
| Glaucoma surgery CPT 66160 | not published | not published | $580.60 – $2,897.90 | 9 |
| Glaucoma surgery CPT 66170 | not published | not published | $774.13 – $2,897.90 | 9 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $881.68 | $2,060.00 | $48.60 – $108.00 | 15 |
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.