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 |
|---|---|---|---|---|
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $665.54 | $1,555.00 | $699.75 – $1,523.90 | 8 |
| Glucagon plasma - sendout CPT 82943 | $8.56 | $19.98 | $9.99 – $36.83 | 17 |
| Glucose 1 hr post dose CPT 82950 | $222.14 | $519.00 | $4.75 – $16.66 | 17 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | $39.38 | $92.00 | $6.05 – $18.62 | 17 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $51.36 | $120.00 | $2.25 – $10.78 | 17 |
| Glucose blood quantitative CPT 82947 | $108.72 | $254.00 | $3.93 – $11.76 | 17 |
| Glucose body fluid CPT 82945 | $205.87 | $481.00 | $2.00 – $10.11 | 17 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $50.51 | $118.00 | $12.87 – $48.02 | 17 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $38.10 | $89.00 | $3.92 – $14.70 | 17 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $142.96 | $334.00 | $150.30 – $327.32 | 8 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $1,625.12 | $3,797.00 | $14.01 – $3,721.06 | 15 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $98.02 | $229.00 | $4.56 – $47.89 | 17 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $93.74 | $219.00 | $4.12 – $47.73 | 17 |
| Goniotomy CPT 65820 | not published | not published | $484.05 – $5,111.45 | 9 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $3,262.65 | $7,623.00 | $531.63 – $7,470.54 | 16 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $3,555.40 | $8,307.00 | $30.36 – $6,262.20 | 13 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $6,012.98 | $14,049.00 | $75.46 – $13,768.02 | 13 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $645.54 – $4,122.60 | 9 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $32,836.59 | $76,721.00 | $25.78 – $1,680.70 | 13 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $22,428.49 | $52,403.00 | $46.69 – $198.94 | 12 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $17,178.21 | $40,136.00 | $5.29 – $22.54 | 12 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $13,212.36 | $30,870.00 | $103.77 – $2,848.86 | 13 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $965.52 – $1,522.00 | 3 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $4,624.54 | $10,805.00 | $134.06 – $10,588.90 | 13 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $24,670.35 | $57,641.00 | $1,910.61 – $8,140.86 | 12 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $4,624.54 | $10,805.00 | $131.42 – $10,588.90 | 13 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $22,428.49 | $52,403.00 | $20.70 – $88.20 | 12 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $2,103.20 | $4,914.00 | $61.18 – $260.68 | 12 |
| Granisetron hcl injection HCPCS J1626 | $128.40 | $300.00 | $0.38 – $117.60 | 11 |
| Great toe-hand transfer CPT 26551 | not published | not published | $2,827.35 – $4,456.90 | 3 |
| Great toe with reduction 28495 CPT 28495 | not published | not published | $75.62 – $304.79 | 9 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $518.61 – $2,324.22 | 9 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $513.77 – $4,651.63 | 9 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $159.72 – $241.65 | 3 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $424.05 – $4,651.63 | 9 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $1,094.11 – $1,724.71 | 3 |
| Gstr rstcv oth/thn v-band CPT 43843 | not published | not published | $907.42 – $1,430.41 | 3 |
| Gstr rstcv px shrt roux-en-y CPT 43846 | not published | not published | $1,197.51 – $1,887.68 | 3 |
| Gstr rstcv px sm int rcnstj CPT 43847 | not published | not published | $1,167.60 – $1,840.54 | 3 |
| Gstr rstcv px v-banded gstp CPT 43842 | not published | not published | $1,162.58 – $1,758.86 | 3 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $555.39 – $2,410.32 | 9 |
| G-tube reposition CPT 43761 | $1,437.23 | $3,358.00 | $91.00 – $3,134.04 | 14 |
| Gu dilat ureter/urethra s&i CPT 74485 | $3,239.11 | $7,568.00 | $119.07 – $8,417.40 | 15 |
| Guided cath fluid drainage 10030 CPT 10030 | $1,851.10 | $4,325.00 | $152.94 – $4,036.62 | 14 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $4,624.54 | $10,805.00 | $5.29 – $22.54 | 12 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $333.42 | $779.00 | $28.06 – $119.56 | 12 |
| Guid loc target vol rad tx CPT 77387 | $1,424.82 | $3,329.00 | $220.09 – $11,311.00 | 9 |
| Gum graft CPT 41870 | not published | not published | $1,882.11 – $1,882.11 | 6 |
| Gw stiffened micro access kit HCPCS C1894 | $10,163.72 | $23,747.00 | $5.29 – $22.54 | 12 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $457.55 – $4,865.48 | 9 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $777.77 – $777.77 | 6 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $507.64 – $507.64 | 6 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $507.64 – $507.64 | 6 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $203.73 | $476.00 | $9.16 – $466.48 | 11 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $30.82 | $72.00 | $1.80 – $70.56 | 11 |
| Handpiece aquabeam hp2000 HCPCS C2596 | $6,012.98 | $14,049.00 | $7,024.50 – $13,768.02 | 6 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $580.60 – $4,122.60 | 9 |
| Hand tendon reconstruction CPT 26500 | not published | not published | $354.60 – $9,076.82 | 9 |
| Hand tendon reconstruction CPT 26502 | not published | not published | $387.06 – $4,122.60 | 9 |
| Haptoglobin quantitative CPT 83010 | $136.11 | $318.00 | $4.00 – $32.43 | 17 |
| Harvest allogeneic stem cell CPT 38205 | not published | not published | $77.76 – $95.64 | 3 |
| Harvest auto stem cells CPT 38206 | not published | not published | $79.04 – $2,082.87 | 9 |
| Harvest cultured skin graft 15040 CPT 15040 | not published | not published | $247.36 – $2,324.22 | 9 |
| Harvest eye tissue alograft CPT 68371 | not published | not published | $172.83 – $2,964.26 | 9 |
| Harvest femoropopliteal vein 35572 CPT 35572 | not published | not published | $251.73 – $309.63 | 3 |
| Harvest stem cell concentrte CPT 38215 | not published | not published | $555.48 – $555.48 | 6 |
| Hast w/i&r phys/qhp CPT 94452 | $107.00 | $250.00 | $125.00 – $245.00 | 11 |
| Hast w/oxygen titrate CPT 94453 | $107.00 | $250.00 | $125.00 – $245.00 | 11 |
| Hba1/hba2 full gene sequence CPT 81259 | $200.09 | $467.50 | $204.38 – $1,545.96 | 16 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $174.95 | $408.75 | $161.92 – $521.50 | 16 |
| Hbb full gene sequence CPT 81364 | $385.20 | $900.00 | $183.50 – $836.32 | 16 |
| Hbb gene dup/del variants CPT 81363 | $197.22 | $460.79 | $161.92 – $521.50 | 16 |
| Hcg qualitative CPT 84703 | $29.54 | $69.00 | $7.52 – $28.42 | 17 |
| Hcg quantitative CPT 84702 | $558.12 | $1,304.00 | $7.00 – $38.77 | 17 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | $80.90 | $189.00 | $30.46 – $185.22 | 10 |
| Hc metata joint dislocation anes CPT 28635 | not published | not published | $96.98 – $2,033.48 | 9 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | not published | not published | $577.07 – $873.05 | 9 |
| Hc mohs micrographic h/n/h/f/g each addl stage CPT 17312 | not published | not published | $348.46 – $527.20 | 3 |
| Hc mohs trunk/arm/leg 1st stage 5 blocks CPT 17313 | not published | not published | $527.18 – $797.57 | 9 |
| Hc mohs trunk/arm/leg ea addl block any stage CPT 17315 | not published | not published | $68.13 – $103.07 | 3 |
| Hc mohs trunk/arm/leg ea stage after 1st stage CPT 17314 | not published | not published | $322.78 – $488.33 | 3 |
| Hc nm kidney imaging with flow CPT 78701 | $1,797.18 | $4,199.00 | $171.88 – $3,569.16 | 15 |
| Hc transcatheter placement and sbsq removal cepd perq CPT 33370 | $23,609.34 | $55,162.00 | $27,581.00 – $54,058.76 | 6 |
| Head CT scan (with and without contrast) CPT 70470 | $2,950.64 | $6,894.00 | $226.19 – $5,098.94 | 15 |
| Head CT scan (with contrast) CPT 70460 | $2,699.83 | $6,308.00 | $204.88 – $4,685.38 | 15 |
| Head CT scan (without contrast) CPT 70450 | $2,024.87 | $4,731.00 | $135.12 – $2,299.08 | 15 |
| Helicobacter pylori antibody igm CPT 86677 | $6.87 | $16.04 | $8.02 – $43.41 | 17 |
| Hematocrit CPT 85014 | $53.93 | $126.00 | $2.37 – $6.86 | 17 |
| Hematopoietic nuclear tx CPT 79403 | $2,380.54 | $5,562.00 | $142.26 – $5,190.08 | 15 |
| Hemicrt intrclry algrft prtl CPT 20933 | not published | not published | $556.96 – $842.62 | 3 |
| Hemiepiphyseal arrest CPT 24470 | not published | not published | $338.78 – $4,122.60 | 9 |
| Hemin 350 mg intravenous powder for solution HCPCS J1640 | $16,050.00 | $37,500.00 | $15.74 – $36,750.00 | 15 |
| Hemodialysis one evaluation CPT 90935 | $2,222.61 | $5,193.00 | $64.95 – $4,885.30 | 14 |
| Hemoglobin CPT 85018 | $70.62 | $165.00 | $2.37 – $6.86 | 17 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $54.36 | $127.00 | $8.20 – $24.50 | 17 |
| Hemoglobin-oxygen affinity CPT 82820 | $149.80 | $350.00 | $13.34 – $343.00 | 17 |
| Hemoglobin plasma CPT 83051 | $6.00 | $14.00 | $7.00 – $18.83 | 17 |
| Hemoglobin urine CPT 83069 | $6.56 | $15.31 | $3.95 – $15.01 | 17 |
| Hemolysins/agglutinins auto CPT 86940 | $123.87 | $289.40 | $8.77 – $62.23 | 17 |
| Hemolysins and agglutinins incubated CPT 86941 | $123.87 | $289.41 | $12.11 – $62.23 | 17 |
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.