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 |
|---|---|---|---|---|
| Incision of vagus nerve CPT 64760 | not published | not published | $598.11 – $942.83 | 3 |
| Incision of windpipe CPT 31601 | not published | not published | $256.33 – $7,516.44 | 9 |
| Incision of windpipe CPT 31610 | not published | not published | $376.81 – $7,516.44 | 9 |
| Incision of wrist capsule CPT 25085 | not published | not published | $387.06 – $4,122.60 | 9 |
| Incision secondary cataract CPT 66820 | not published | not published | $241.81 – $2,897.90 | 9 |
| Incision tendon sheath CPT 26055 | not published | not published | $241.81 – $2,033.48 | 9 |
| Incisn of toe tndn CPT 28010 | not published | not published | $170.04 – $2,033.48 | 9 |
| Incisn windpipe CPT 31600 | not published | not published | $230.70 – $4,120.64 | 9 |
| Incis spine 3 column adl seg CPT 22208 | not published | not published | $430.01 – $650.56 | 3 |
| Incis spine 3 column lumbar CPT 22207 | not published | not published | $1,702.16 – $2,575.20 | 3 |
| Incis spine 3 column thorac CPT 22206 | not published | not published | $1,723.38 – $2,607.30 | 3 |
| Inc&subq plmt crnl bone grf CPT 61316 | not published | not published | $71.15 – $87.51 | 3 |
| Indigotindisulfonate 8 mg/ml soln 5 ml ampule HCPCS J9220 | $2,054.40 | $4,800.00 | $2,160.00 – $4,704.00 | 8 |
| Induced ab 1+vag supp d&c CPT 59856 | not published | not published | $586.73 – $887.67 | 3 |
| Induced ab 1+vag supp hyst CPT 59857 | not published | not published | $1,183.41 – $1,790.38 | 3 |
| Induced ab 1+ vag sup w/dlv fetus CPT 59855 | not published | not published | $406.81 – $615.47 | 3 |
| Induced abortion 1+njx d&c CPT 59851 | not published | not published | $470.57 – $711.92 | 3 |
| Induced abortion 1+njx hyst CPT 59852 | not published | not published | $1,046.70 – $1,583.55 | 3 |
| Induced abortion d&c CPT 59840 | not published | not published | $287.86 – $4,039.91 | 9 |
| Induced abortion dilat&evac CPT 59841 | not published | not published | $508.39 – $4,039.91 | 9 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | $20.72 | $48.40 | $24.20 – $47.44 | 7 |
| Infect ag drug suscept pheno predict CPT 87900 | $176.55 | $412.50 | $54.20 – $335.87 | 17 |
| Infect ag genotype na cytomegalovirus CPT 87910 | $176.55 | $412.50 | $23.38 – $663.34 | 17 |
| Infect ag genotype na dna hepatitis b CPT 87912 | $109.94 | $256.85 | $23.38 – $663.34 | 17 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $118.56 | $277.00 | $54.20 – $331.67 | 17 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $140.06 | $327.22 | $54.20 – $663.34 | 17 |
| Infect ag if hep delta agent CPT 87380 | $53.50 | $125.00 | $18.36 – $122.50 | 17 |
| Infect ag if influenza a CPT 87276 | $3.66 | $8.54 | $4.27 – $41.42 | 17 |
| Infect ag if influenza b CPT 87275 | $3.66 | $8.54 | $4.27 – $31.55 | 17 |
| Infect ag if nos ea CPT 87299 | $3.66 | $8.54 | $4.27 – $41.50 | 17 |
| Infect ag if pneumocystis carinii CPT 87281 | $6.42 | $15.00 | $7.50 – $30.88 | 17 |
| Infect ag if varicella zoster CPT 87290 | $25.80 | $60.28 | $13.42 – $35.54 | 17 |
| Infect ag na herpes simplex quant CPT 87530 | $56.57 | $132.15 | $42.84 – $129.51 | 17 |
| Infect ag na hpv high-risk types CPT 87624 | $175.48 | $410.00 | $19.00 – $90.42 | 17 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $204.16 | $477.00 | $76.64 – $294.98 | 17 |
| Infect ag na influenza revr/amp ea type CPT 87501 | $59.07 | $138.00 | $41.04 – $132.20 | 17 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $36.38 | $85.00 | $42.50 – $83.30 | 7 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | $49.40 | $115.40 | $44.38 – $1,259.09 | 17 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | $49.40 | $115.40 | $20.85 – $86.90 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $146.81 | $343.00 | $8.58 – $30.88 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | $53.08 | $124.00 | $10.00 – $34.57 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $38.10 | $89.00 | $7.50 – $35.60 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $217.43 | $508.00 | $6.00 – $30.88 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $7.28 | $17.00 | $8.50 – $37.06 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $72.34 | $169.00 | $2.50 – $26.60 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $13.15 | $30.71 | $8.26 – $30.10 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $105.72 | $247.00 | $5.00 – $62.04 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $50.94 | $119.00 | $5.00 – $30.88 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $121.56 | $284.00 | $6.32 – $30.88 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $205.87 | $481.00 | $8.23 – $30.88 | 17 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $170.65 | $398.70 | $10.00 – $90.42 | 17 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $113.42 | $265.00 | $5.00 – $90.42 | 17 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $205.87 | $481.00 | $28.64 – $96.05 | 17 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $1,215.95 | $2,841.00 | $143.00 – $1,073.89 | 17 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $27.40 | $64.00 | $25.00 – $90.42 | 17 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $78.33 | $183.00 | $28.07 – $107.80 | 17 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $122.41 | $286.00 | $41.68 – $107.38 | 17 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $113.42 | $265.00 | $5.00 – $90.42 | 17 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $98.44 | $230.00 | $37.40 – $77.63 | 15 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $286.76 | $670.00 | $142.63 – $419.34 | 15 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $98.44 | $230.00 | $10.00 – $90.42 | 17 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | $53.50 | $125.00 | $62.50 – $122.50 | 7 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $842.74 | $1,969.00 | $242.50 – $1,073.89 | 17 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | $261.08 | $610.00 | $94.60 – $330.56 | 17 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $531.58 | $1,242.00 | $210.39 – $810.46 | 17 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $208.45 | $487.01 | $33.00 – $110.40 | 17 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $21.40 | $50.00 | $25.00 – $110.40 | 17 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $16.56 | $38.68 | $19.34 – $110.40 | 17 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $32.67 | $76.33 | $30.00 – $219.29 | 17 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $361.24 | $844.00 | $61.07 – $367.50 | 17 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $4,667.34 | $10,905.00 | $39.62 – $10,686.90 | 15 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $4,860.37 | $11,356.00 | $19.06 – $11,128.88 | 15 |
| Infratemporal approach/skull CPT 61591 | not published | not published | $2,494.55 – $3,932.28 | 3 |
| Infratemporal approach/skull CPT 61590 | not published | not published | $2,378.34 – $3,749.11 | 3 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $176.34 | $412.00 | $134.43 – $746.00 | 16 |
| Initiation & management bipap/cpap initial day CPT 94660 | $4,133.63 | $9,658.00 | $54.94 – $3,407.46 | 16 |
| Inj, adalimumab, 1 mg HCPCS J0139 | $16,050.00 | $37,500.00 | $16,875.00 – $36,750.00 | 8 |
| Inj, artesunate, 1mg HCPCS J0391 | $16,050.00 | $37,500.00 | $16,875.00 – $36,750.00 | 8 |
| Inj., benralizumab, 1 mg HCPCS J0517 | $16,050.00 | $37,500.00 | $177.07 – $36,750.00 | 15 |
| Inj, bupivacaine liposome HCPCS J0666 | $1,617.84 | $3,780.00 | $1,701.00 – $3,704.40 | 8 |
| Inj cefazolin sodium, baxter HCPCS J0689 | $29.96 | $70.00 | $25.65 – $55.86 | 8 |
| Inj cefazolin sodium, hikma HCPCS J0688 | $41.52 | $97.00 | $43.65 – $95.06 | 8 |
| Inj. cefepime hcl (baxter) HCPCS J0701 | $113.85 | $266.00 | $119.70 – $260.68 | 8 |
| Inj, cefepime hcl (b braun) HCPCS J0703 | $124.98 | $292.00 | $131.40 – $286.16 | 8 |
| Inj ceftolozane tazobactam HCPCS J0695 | $426.29 | $996.00 | $9.78 – $976.08 | 14 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $467.81 | $1,093.00 | $130.68 – $975.10 | 9 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | $6,779.52 | $15,840.00 | $1,269.93 – $15,523.20 | 15 |
| Inj, cyclophosphamd, sandoz HCPCS J9074 | $7,054.30 | $16,482.00 | $7,416.90 – $16,152.36 | 8 |
| Inj disk cerv-thor ea lev CPT 62291 | $491.35 | $1,148.00 | $147.39 – $1,125.04 | 9 |
| Inj dupuytren cord w/enzyme CPT 20527 | not published | not published | $56.60 – $375.07 | 9 |
| Inj dx for sinogram CPT 20501 | $418.59 | $978.00 | $256.33 – $883.96 | 9 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $753.71 | $1,761.00 | $194.71 – $1,725.78 | 14 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $403.18 | $942.00 | $231.12 – $861.42 | 9 |
| Injection, burosumab-twza 1m HCPCS J0584 | $16,050.00 | $37,500.00 | $373.49 – $36,750.00 | 15 |
| Injection, cangrelor HCPCS C9460 | $5,142.42 | $12,015.00 | $20.34 – $11,774.70 | 15 |
| Injection, caplacizumab-yhdp HCPCS C9047 | $16,050.00 | $37,500.00 | $668.03 – $36,750.00 | 11 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | not published | not published | $60.23 – $375.07 | 9 |
| Injection, daratumumab 10 mg HCPCS J9145 | $7,704.00 | $18,000.00 | $62.10 – $4,410.00 | 15 |
| Injection, doxercalciferol HCPCS J1270 | $23.12 | $54.00 | $0.58 – $52.92 | 11 |
| Injection during cath supravalvular aortography CPT 93567 | $197.74 | $462.00 | $106.95 – $452.76 | 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.