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 |
|---|---|---|---|---|
| Ins/rpl ldless pm right vent w img & eval CPT 33274 | $27,923.15 | $65,241.00 | $417.72 – $63,936.18 | 14 |
| Ins/rpl pm gen exist dual lead CPT 33213 | not published | not published | $408.43 – $13,297.25 | 9 |
| Ins/rpl pm gen exist sgl lead CPT 33212 | $9,845.72 | $23,004.00 | $338.78 – $22,543.92 | 14 |
| Ins/rpl pm w/tv ld atrl CPT 33206 | $38,626.58 | $90,249.00 | $854.44 – $88,444.02 | 14 |
| Ins/rpl prph sac/gstr npg/r CPT 64590 | not published | not published | $135.14 – $27,247.24 | 9 |
| Ins/rpl wireless pulm art sensor incl s&i CPT 33289 | $4,895.47 | $11,438.00 | $275.87 – $11,438.00 | 14 |
| Insrt/redo neurostim 1 array CPT 61885 | not published | not published | $445.59 – $27,247.24 | 9 |
| Ins subq extnsn pertneal cath CPT 49435 | not published | not published | $97.91 – $148.13 | 3 |
| Install spinal shunt CPT 63740 | not published | not published | $1,110.78 – $1,750.97 | 3 |
| Install spinal shunt 63741 CPT 63741 | $5,800.69 | $13,553.00 | $888.62 – $13,281.94 | 14 |
| Inst fibrinolysis agent ini day CPT 32561 | $802.93 | $1,876.00 | $79.67 – $1,838.48 | 14 |
| Inst fibrinolysis agent sbsq d CPT 32562 | $802.93 | $1,876.00 | $71.11 – $1,838.48 | 14 |
| Instillation anticarcinogenic agent bladder CPT 51720 | $386.49 | $903.00 | $114.50 – $884.94 | 14 |
| Instll rx agnt into rnal tub CPT 50391 | not published | not published | $136.77 – $309.02 | 9 |
| Ins tun cvad 2 cath w/subq port(s) CPT 36566 | $7,408.26 | $17,309.00 | $249.86 – $16,962.82 | 14 |
| Ins tun cv cath wo subq prt/pm CPT 36557 | $4,093.40 | $9,564.00 | $158.83 – $9,372.72 | 14 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $4,220.51 | $9,861.00 | $155.64 – $9,276.68 | 14 |
| Ins tun intraperit dia cath CPT 49421 | not published | not published | $300.34 – $4,484.02 | 9 |
| Inst via cath agent pleurds CPT 32560 | $1,169.73 | $2,733.00 | $225.99 – $2,678.34 | 14 |
| Insulin total CPT 83525 | $33.17 | $77.50 | $4.00 – $29.45 | 17 |
| Ins vag brachytx device CPT 57156 | not published | not published | $86.82 – $386.50 | 9 |
| Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm HCPCS Q4114 | $7,817.85 | $18,266.00 | $897.11 – $17,900.68 | 13 |
| Intercalary algrft compl CPT 20934 | not published | not published | $606.85 – $918.11 | 3 |
| Interdental fixation CPT 21110 | not published | not published | $379.79 – $1,882.11 | 9 |
| Interdental wirg oth/thn fx CPT 21497 | not published | not published | $305.89 – $1,882.11 | 9 |
| Interdiscal perq aspir dx CPT 62267 | $702.35 | $1,641.00 | $116.53 – $1,561.14 | 14 |
| Internal nerve revision 64727 CPT 64727 | not published | not published | $202.08 – $318.54 | 3 |
| Interrog dev eval icpms ip CPT 93290 | $50.08 | $117.00 | $27.40 – $114.66 | 14 |
| Interthoracoscplr amputation CPT 23900 | not published | not published | $1,161.19 – $1,830.44 | 3 |
| Intestinal stricturoplasty CPT 44615 | not published | not published | $649.81 – $1,024.32 | 3 |
| Int hrhc lig 1 hroid without img CPT 46945 | not published | not published | $117.91 – $3,484.48 | 9 |
| Int hrhc lig 2+hroid without img CPT 46946 | not published | not published | $290.51 – $3,484.48 | 9 |
| Intracard echo interv w/s&i CPT 93662 | $1,374.74 | $3,212.00 | $310.47 – $3,147.76 | 10 |
| Intracranial vessel surgery CPT 61680 | not published | not published | $1,922.92 – $3,031.20 | 3 |
| Intracranial vessel surgery CPT 61682 | not published | not published | $3,750.15 – $5,911.55 | 3 |
| Intracranial vessel surgery CPT 61684 | not published | not published | $2,500.53 – $3,941.70 | 3 |
| Intracranial vessel surgery CPT 61686 | not published | not published | $3,953.94 – $6,232.78 | 3 |
| Intracranial vessel surgery CPT 61690 | not published | not published | $1,927.20 – $3,037.93 | 3 |
| Intracranial vessel surgery CPT 61692 | not published | not published | $3,143.93 – $4,955.92 | 3 |
| Intranasal biopsy 30100 CPT 30100 | not published | not published | $41.44 – $1,882.11 | 9 |
| Intranasal reconstruction CPT 30620 | not published | not published | $434.91 – $7,516.44 | 9 |
| Intraop colon lavage add-on CPT 44701 | not published | not published | $140.39 – $172.68 | 3 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | not published | not published | $65.79 – $647.05 | 9 |
| Intrauterine transfusion ftl CPT 36460 | $485.36 | $1,134.00 | $444.31 – $1,111.32 | 14 |
| Intrinsic factor antibody CPT 86340 | $8.56 | $20.00 | $10.00 – $38.85 | 17 |
| Intro cath dialysis circuit CPT 36901 | $1,842.54 | $4,305.00 | $518.24 – $1,435.00 | 14 |
| Intro cath dialysis circuit w/pta CPT 36902 | $14,586.24 | $34,080.00 | $1,112.06 – $31,992.10 | 14 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | $14,893.12 | $34,797.00 | $5,174.97 – $31,992.10 | 14 |
| Intro catheter aorta CPT 36200 | $582.94 | $1,362.00 | $170.89 – $1,320.06 | 9 |
| Intro cath svc/ivc CPT 36010 | $383.92 | $897.00 | $96.98 – $804.58 | 9 |
| Intro long gi tube CPT 44500 | $1,047.75 | $2,448.00 | $22.22 – $2,399.04 | 14 |
| Intro long gi tube w/mult fluo CPT 74340 | $442.98 | $1,035.00 | $90.63 – $1,014.30 | 11 |
| Intro windpipe wire/tube CPT 31730 | not published | not published | $167.04 – $2,191.11 | 9 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $6,762.40 | $15,800.00 | $1,301.19 – $9,779.42 | 9 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | $6,762.40 | $15,800.00 | $195.46 – $9,779.42 | 9 |
| Intubation endotracheal emergency procedure CPT 31500 | $543.14 | $1,269.00 | $67.93 – $1,243.62 | 15 |
| Ionm remote/>1 pt or per hr CPT 95941 | $342.83 | $801.00 | $400.50 – $784.98 | 7 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $521.74 | $1,219.00 | $0.32 – $1.96 | 11 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $805.07 | $1,881.00 | $0.12 – $1.96 | 11 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $23,112.00 | $54,000.00 | $163.30 – $36,750.00 | 15 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $154.51 | $361.00 | $2.48 – $294.00 | 12 |
| Iron CPT 83540 | $13.70 | $32.00 | $2.34 – $16.69 | 17 |
| Iron binding capacity CPT 83550 | $168.64 | $394.00 | $2.34 – $22.52 | 17 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $256.80 | $600.00 | $0.36 – $588.00 | 11 |
| Irradiation of blood product each unit reference CPT 86945 | $100.16 | $234.00 | $36.09 – $129.36 | 16 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $150.23 | $351.00 | $69.00 – $999.00 | 13 |
| Irrigation sphenoid sinus CPT 31002 | not published | not published | $73.91 – $1,882.11 | 9 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | not published | not published | $29.08 – $75.47 | 9 |
| Island pedicle flap graft CPT 15740 | not published | not published | $580.60 – $2,324.22 | 9 |
| Ivc venogram s&i CPT 75825 | $7,790.03 | $18,201.00 | $148.49 – $13,457.70 | 15 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $153.23 | $358.00 | $35.63 – $995.00 | 16 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $107.86 | $252.00 | $20.61 – $995.00 | 13 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $93.74 | $219.00 | $22.11 – $995.00 | 16 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $493.92 | $1,154.00 | $71.83 – $1,006.46 | 16 |
| IV njx tst vasc flo flap/grf CPT 15860 | not published | not published | $118.77 – $507.02 | 9 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $944.60 | $2,207.00 | $94.30 – $2,059.96 | 15 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | $16,050.00 | $37,500.00 | $116.55 – $23,691.50 | 15 |
| Jak2 targeted sequence analysis CPT 81279 | $210.26 | $491.25 | $50.00 – $477.19 | 14 |
| Jaw arthroscopy/surgery CPT 29800 | not published | not published | $383.10 – $4,122.60 | 9 |
| Jaw arthroscopy/surgery CPT 29804 | not published | not published | $460.91 – $4,122.60 | 9 |
| Jejunstmy tube plcmt CPT 44372 | not published | not published | $275.13 – $2,410.32 | 9 |
| John cunningham antibody CPT 86711 | $606.52 | $1,417.08 | $13.51 – $43.52 | 17 |
| Keratoprosthesis CPT 65770 | not published | not published | $1,277.40 – $18,156.00 | 9 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $30.39 | $71.00 | $7.50 – $21.05 | 17 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $23.12 | $54.00 | $0.44 – $52.92 | 15 |
| Kidney endoscopy CPT 50551 | not published | not published | $199.94 – $6,459.25 | 9 |
| Kidney endoscopy CPT 50553 | not published | not published | $454.13 – $6,459.25 | 9 |
| Kidney endoscopy CPT 50570 | not published | not published | $251.63 – $4,382.26 | 9 |
| Kidney endoscopy CPT 50575 | not published | not published | $686.11 – $6,459.25 | 9 |
| Kidney endoscopy & biopsy CPT 50555 | not published | not published | $385.78 – $11,749.43 | 9 |
| Kidney endoscopy & biopsy CPT 50574 | not published | not published | $289.66 – $4,382.26 | 9 |
| Kidney endoscopy & treatment CPT 50557 | not published | not published | $501.56 – $11,749.43 | 9 |
| Kidney endoscopy & treatment CPT 50561 | not published | not published | $484.47 – $6,459.25 | 9 |
| Kidney endoscopy & treatment CPT 50576 | not published | not published | $290.51 – $11,749.43 | 9 |
| Kidney endoscopy & treatment CPT 50580 | not published | not published | $313.16 – $6,459.25 | 9 |
| Kidney imag w/bld flow multi CPT 78709 | $2,906.98 | $6,792.00 | $261.96 – $5,747.70 | 15 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $2,642.48 | $6,174.00 | $276.77 – $4,780.44 | 15 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $759.70 | $1,775.00 | $115.78 – $1,461.18 | 15 |
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | $10,163.72 | $23,747.00 | $5,461.81 – $23,272.06 | 12 |
| Kit gene analys d816 variant CPT 81273 | $119.84 | $280.00 | $99.89 – $321.76 | 16 |
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.