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 |
|---|---|---|---|---|
| Injection, edaravone, 1 mg HCPCS J1301 | $2,788.85 | $6,516.00 | $21.08 – $6,385.68 | 15 |
| Injection epidural blood patch or clot CPT 62273 | $1,639.24 | $3,830.00 | $87.15 – $2,991.94 | 14 |
| Injection eye drug CPT 67028 | not published | not published | $417.82 – $658.63 | 9 |
| Injection for arthrography wrist (both sides) CPT 25246 | $606.05 | $1,416.00 | $208.91 – $1,291.64 | 9 |
| Injection for bladder x-ray CPT 51600 | $730.17 | $1,706.00 | $196.90 – $362.59 | 9 |
| Injection for hip x-ray CPT 27095 | $656.13 | $1,533.00 | $237.11 – $1,439.62 | 9 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $638.58 | $1,492.00 | $197.80 – $677.18 | 9 |
| Injection for spleen x-ray CPT 38200 | $514.46 | $1,202.00 | $96.98 – $1,177.96 | 9 |
| Injection for tear sac x-ray CPT 68850 | not published | not published | $278.97 – $439.76 | 3 |
| Injection for ureter x-ray CPT 50684 | not published | not published | $289.66 – $456.60 | 3 |
| Injection for ureter x-ray CPT 50690 | $964.72 | $2,254.00 | $308.45 – $2,208.92 | 9 |
| Injection into brain canal CPT 61026 | not published | not published | $149.53 – $879.92 | 9 |
| Injection into brain canal CPT 61055 | not published | not published | $162.34 – $375.07 | 9 |
| Injection into hemorrhoid(s) CPT 46500 | not published | not published | $83.73 – $1,158.42 | 9 |
| Injection into spinal artery CPT 62294 | $1,183.00 | $2,764.00 | $707.91 – $2,708.72 | 14 |
| Injection into vocal cord CPT 31513 | not published | not published | $150.81 – $493.39 | 9 |
| Injection intraop add-on CPT 48400 | not published | not published | $99.11 – $156.23 | 3 |
| Injection jaw joint x-ray CPT 21116 | $629.16 | $1,470.00 | $157.22 – $1,440.60 | 9 |
| Injection of sinus tract CPT 20500 | $2,446.45 | $5,716.00 | $121.76 – $5,601.68 | 14 |
| Injection,onabotulinumtoxina HCPCS J0585 | $5,392.80 | $12,600.00 | $8.26 – $6,362.16 | 15 |
| Injection, peramivir HCPCS J2547 | $1,626.40 | $3,800.00 | $2.13 – $3,724.00 | 15 |
| Injection px peyronie ds CPT 54200 | not published | not published | $66.65 – $309.02 | 9 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $481.93 | $1,126.00 | $510.57 – $1,103.48 | 11 |
| Injection, renflexis HCPCS Q5104 | $3,869.55 | $9,041.00 | $31.83 – $8,860.18 | 15 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $1,184.28 | $2,767.00 | $879.92 – $2,277.52 | 11 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | not published | not published | $56.39 – $879.92 | 9 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $708.77 | $1,656.00 | $56.39 – $1,622.88 | 14 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $1,486.02 | $3,472.00 | $164.49 – $3,206.56 | 14 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $420.73 | $983.00 | $91.42 – $963.34 | 9 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $1,529.68 | $3,574.00 | $184.56 – $3,502.52 | 14 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $412.60 | $964.00 | $83.73 – $897.68 | 9 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $1,146.19 | $2,678.00 | $165.76 – $2,302.02 | 14 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $1,829.28 | $4,274.00 | $223.38 – $2,291.24 | 14 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $1,643.52 | $3,840.00 | $220.03 – $2,259.88 | 14 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $404.04 | $944.00 | $52.54 – $925.12 | 14 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $481.50 | $1,125.00 | $52.49 – $848.68 | 14 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $481.50 | $1,125.00 | $56.22 – $1,069.18 | 14 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $93.74 | $219.00 | $24.43 – $995.00 | 16 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $265.79 | $621.00 | $112.50 – $1,208.00 | 10 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $493.92 | $1,154.00 | $57.17 – $995.00 | 16 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $153.23 | $358.00 | $21.52 – $995.00 | 16 |
| Injection treatment of eye CPT 66020 | not published | not published | $96.98 – $2,897.90 | 9 |
| Injection treatment of eye CPT 66030 | not published | not published | $65.79 – $2,897.90 | 9 |
| Injection treatment of nerve CPT 64605 | not published | not published | $182.42 – $2,481.19 | 9 |
| Injection treatment of nerve CPT 64610 | not published | not published | $235.40 – $2,481.19 | 9 |
| Injection treatment of nerve CPT 64681 | not published | not published | $454.03 – $1,131.20 | 9 |
| Injection treatment of nose CPT 30200 | not published | not published | $36.32 – $647.05 | 9 |
| Inject sacroiliac joint CPT 27096 | not published | not published | $337.07 – $531.36 | 3 |
| Inject/treat eye socket CPT 67500 | not published | not published | $171.31 – $379.82 | 9 |
| Inject/treat eye socket CPT 67505 | not published | not published | $138.43 – $379.82 | 9 |
| Inject/treat eye socket CPT 67515 | not published | not published | $131.16 – $379.82 | 9 |
| Inj epidural sgl cerv-thor without img CPT 62320 | not published | not published | $147.80 – $879.92 | 9 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $1,314.82 | $3,072.00 | $138.50 – $3,010.56 | 14 |
| Inj for ext venography CPT 36005 | $148.95 | $348.00 | $191.40 – $405.68 | 9 |
| Inj for mammo ductogram CPT 19030 | $536.72 | $1,254.00 | $222.16 – $1,180.90 | 9 |
| Inj, gadopiclenol, 1 ml HCPCS A9573 | $2,866.75 | $6,698.00 | $454.50 – $989.80 | 8 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | $115.14 | $269.00 | $106.95 – $263.62 | 9 |
| Inj hrt cath w/s&i sel right vent CPT 93566 | $249.96 | $584.00 | $177.51 – $572.32 | 9 |
| Inj hydroxocobalamin IV 25mg HCPCS J3424 | $5,125.73 | $11,976.00 | $5,389.20 – $11,736.48 | 8 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | not published | not published | $154.23 – $1,131.20 | 9 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | not published | not published | $24.35 – $252.47 | 9 |
| Inj intralesional > 7 lsns CPT 11901 | not published | not published | $35.03 – $252.47 | 9 |
| Inj ivig privigen 500 mg HCPCS J1459 | $16,050.00 | $37,500.00 | $47.64 – $13,053.60 | 15 |
| Inj, lidocaine w epinephrine HCPCS J2004 | $65.92 | $154.00 | $24.30 – $52.92 | 8 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | $70.62 | $165.00 | $4.78 – $80.36 | 11 |
| Inj, moxifloxacin 100 mg HCPCS J2280 | $236.26 | $552.00 | $13.73 – $540.96 | 10 |
| Inj multihance HCPCS A9577 | $568.39 | $1,328.00 | $1.84 – $346.92 | 10 |
| Inj naloxone hydrochloride HCPCS J2310 | $8.56 | $20.00 | $9.00 – $20.00 | 11 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $1,150.47 | $2,688.00 | $147.06 – $1,590.54 | 14 |
| Inj non-compmd foam sclrsnt mlt trncl veins same leg CPT 36466 | not published | not published | $1,543.56 – $2,335.25 | 9 |
| Inj non-compmd foam sclrsnt sgl trncl vein CPT 36465 | not published | not published | $1,480.64 – $2,324.22 | 9 |
| Inj ogivri 10 mg HCPCS Q5114 | $6,803.49 | $15,896.00 | $56.66 – $1,043.70 | 15 |
| Inj, olaratumab, 10 mg HCPCS J9285 | $4,606.14 | $10,762.00 | $56.53 – $10,546.76 | 12 |
| Inj pemetrexed (accord) 10mg HCPCS J9296 | $3,796.36 | $8,870.00 | $3,991.50 – $8,692.60 | 8 |
| Inj peritoneal venous shunt CPT 49427 | not published | not published | $46.99 – $74.09 | 3 |
| Inj proc ankle arthr CPT 27648 | $451.54 | $1,055.00 | $183.71 – $993.72 | 9 |
| Inj proc elbow arthro CPT 24220 | $434.00 | $1,014.00 | $234.54 – $993.72 | 9 |
| Inj proc for lymphang CPT 38790 | $327.42 | $765.00 | $420.75 – $765.00 | 9 |
| Inj proc lumbr disk ea lvl CPT 62290 | $418.16 | $977.00 | $146.54 – $957.46 | 9 |
| Inj proc myelogram lumbar CPT 62284 | $353.53 | $826.00 | $101.68 – $753.62 | 9 |
| Inj proc sialogram CPT 42550 | not published | not published | $250.78 – $395.32 | 3 |
| Inj prohance multipack HCPCS A9576 | $8.56 | $20.00 | $1.42 – $19.60 | 10 |
| Inj, releuko 1 mcg HCPCS Q5125 | $1,306.69 | $3,053.00 | $858.60 – $1,869.84 | 8 |
| Inj retacrit esrd on dialysi HCPCS Q5105 | $2,266.26 | $5,295.00 | $0.96 – $52.92 | 15 |
| Inj retro urethrocysto CPT 51610 | $288.48 | $674.00 | $315.72 – $616.42 | 9 |
| Inj scleros sol mult veins CPT 36471 | not published | not published | $95.70 – $507.64 | 9 |
| Inj scleros sol sgl vein CPT 36470 | not published | not published | $77.33 – $507.64 | 9 |
| Inj(s) sclerosant spider veins limb/trunk CPT 36468 | not published | not published | $507.64 – $507.64 | 6 |
| Inj. teprotumumab-trbw 10 mg HCPCS J3241 | $16,050.00 | $37,500.00 | $320.34 – $36,750.00 | 15 |
| Inj testosterone cypionate HCPCS J1071 | $122.84 | $287.00 | $0.05 – $281.26 | 11 |
| Inj theophylline per 40 mg HCPCS J2810 | $67.20 | $157.00 | $0.60 – $153.86 | 10 |
| Inj. tigecycline (accord) HCPCS J3244 | $460.96 | $1,077.00 | $484.65 – $1,055.46 | 8 |
| Inj, tyenne, 1 mg HCPCS Q5135 | $10,058.43 | $23,501.00 | $10,575.45 – $23,030.98 | 8 |
| Inj, vancomycin hcl (mylan) HCPCS J3371 | $41.52 | $97.00 | $43.65 – $95.06 | 8 |
| Inj w/fluor eval cv device CPT 36598 | $520.45 | $1,216.00 | $126.88 – $1,025.08 | 14 |
| Inner skull vessel surgery CPT 61702 | not published | not published | $1,935.32 – $3,050.74 | 3 |
| Ins cath ren art 1st bi CPT 36252 | $7,191.69 | $16,803.00 | $296.54 – $15,987.72 | 14 |
| Ins cath ren art 1st uni CPT 36251 | $4,794.03 | $11,201.00 | $227.71 – $10,657.50 | 14 |
| Ins cath ren art 2nd+ bi CPT 36254 | $6,982.40 | $16,314.00 | $341.03 – $15,987.72 | 14 |
| Ins cath ren art 2nd+ uni CPT 36253 | $4,654.50 | $10,875.00 | $316.27 – $10,657.50 | 14 |
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.