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 |
|---|---|---|---|---|
| Lefort i-3/> piece with graft CPT 21147 | not published | not published | $1,281.67 – $2,020.35 | 3 |
| Lefort i-3/> piece without graft CPT 21143 | not published | not published | $1,285.93 – $7,516.44 | 9 |
| Lefort ii anterior intrusion CPT 21150 | not published | not published | $1,412.39 – $7,516.44 | 9 |
| Leg vein fusion 34530 CPT 34530 | not published | not published | $725.85 – $3,999.21 | 9 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $775.54 | $1,812.00 | $193.06 – $1,537.62 | 15 |
| Leishmania antibody CPT 86717 | $16.50 | $38.53 | $12.25 – $37.76 | 17 |
| Lengthening of hand tendon CPT 26478 | not published | not published | $387.06 – $4,122.60 | 9 |
| Lengthening of palate CPT 42227 | not published | not published | $726.28 – $7,516.44 | 9 |
| Lengthening of palate+pharyngeal flap 42226 CPT 42226 | not published | not published | $726.28 – $7,516.44 | 9 |
| Lengthening of thigh bone CPT 27466 | not published | not published | $1,180.41 – $1,860.75 | 3 |
| Lengthening of thigh tendon CPT 27393 | not published | not published | $290.51 – $9,076.82 | 9 |
| Lengthening of thigh tendons CPT 27394 | not published | not published | $387.06 – $9,076.82 | 9 |
| Lengthening of thigh tendons CPT 27395 | not published | not published | $580.60 – $4,122.60 | 9 |
| Lengthening or shortening - tibia and fibula 27715 CPT 27715 | not published | not published | $1,034.31 – $1,630.43 | 3 |
| Lengthen metacarpal/finger CPT 26568 | not published | not published | $967.23 – $9,076.82 | 9 |
| Lengthen radius or ulna CPT 25391 | not published | not published | $667.74 – $16,348.58 | 9 |
| Lengthen radius & ulna CPT 25393 | not published | not published | $842.05 – $9,076.82 | 9 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | $955.30 | $2,232.00 | $179.17 – $763.42 | 12 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $3,555.40 | $8,307.00 | $80.73 – $343.98 | 12 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $256.38 | $599.00 | $105.57 – $449.82 | 12 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $834.60 | $1,950.00 | $6.86 – $111.72 | 11 |
| Leukocyte phagocytosis CPT 86344 | $141.57 | $330.75 | $10.39 – $324.14 | 17 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $234.55 | $548.00 | $0.07 – $52.92 | 11 |
| Levetiracetam therapeutic drug level CPT 80177 | $3.43 | $8.00 | $4.00 – $34.13 | 17 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $254.24 | $594.00 | $1.50 – $73.50 | 10 |
| Liberta rc ipg HCPCS C1820 | $43,704.80 | $102,114.00 | $1,469.70 – $6,262.20 | 12 |
| Lidocaine injection HCPCS J2001 | $23.12 | $54.00 | $0.05 – $52.92 | 11 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $45.80 | $107.00 | $11.70 – $25.48 | 8 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $35.53 | $83.00 | $31.50 – $68.60 | 8 |
| Lidocaine therapeutic drug level CPT 80176 | $42.38 | $99.00 | $14.69 – $97.02 | 17 |
| Lift heel adj small gl60404sm HCPCS L3332 | $9.85 | $23.00 | $11.50 – $23.00 | 13 |
| Ligate esophagus veins CPT 43400 | not published | not published | $959.11 – $1,511.90 | 3 |
| Ligate leg veins open CPT 37761 | not published | not published | $478.78 – $3,999.21 | 9 |
| Ligate leg veins radical 37760 CPT 37760 | not published | not published | $484.05 – $3,999.21 | 9 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | not published | not published | $71.16 – $107.66 | 3 |
| Ligate/staple esophagus CPT 43405 | not published | not published | $1,147.52 – $1,808.89 | 3 |
| Ligate/strip long leg vein CPT 37722 | not published | not published | $457.13 – $3,999.21 | 9 |
| Ligate/strip short leg vein CPT 37718 | not published | not published | $388.77 – $3,999.21 | 9 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | not published | not published | $1,086.57 – $4,039.91 | 9 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | not published | not published | $173.45 – $2,058.68 | 9 |
| Ligation common iliac vein CPT 37660 | not published | not published | $683.55 – $1,077.52 | 3 |
| Ligation/divis of long saph vein 37700 CPT 37700 | not published | not published | $232.41 – $3,999.21 | 9 |
| Ligation external carotid artery 37600 CPT 37600 | not published | not published | $427.22 – $3,999.21 | 9 |
| Ligation internal/common carotid artery 37605 CPT 37605 | not published | not published | $427.22 – $3,999.21 | 9 |
| Ligation internal jugular vein 37565 CPT 37565 | not published | not published | $303.32 – $3,999.21 | 9 |
| Ligation major artery neck CPT 37615 | not published | not published | $3,999.21 – $3,999.21 | 6 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | $484.05 – $3,999.21 | 9 |
| Ligation of abdomen artery 37617 CPT 37617 | not published | not published | $886.91 – $1,398.08 | 3 |
| Ligation of femoral vein CPT 37650 | not published | not published | $598.11 – $3,999.21 | 9 |
| Ligation of inf vena cava CPT 37619 | not published | not published | $1,327.61 – $6,868.48 | 9 |
| Ligation of neck artery CPT 37606 | not published | not published | $427.22 – $3,999.21 | 9 |
| Ligation of salivary duct CPT 42665 | not published | not published | $223.01 – $4,120.64 | 9 |
| Ligation of shunt CPT 49428 | not published | not published | $122.61 – $193.29 | 3 |
| Ligation upper jaw artery CPT 30920 | not published | not published | $739.52 – $3,999.21 | 9 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | not published | not published | $216.17 – $3,999.21 | 9 |
| Lig/band angioaccess av fistula CPT 37607 | not published | not published | $312.72 – $3,999.21 | 9 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $513.09 – $3,999.21 | 9 |
| Liletta, 52 mg HCPCS J7297 | $3,195.45 | $7,466.00 | $845.10 – $7,316.68 | 12 |
| Limb nerve surgery add-on CPT 64783 | not published | not published | $239.67 – $377.81 | 3 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $246.96 | $577.00 | $4.92 – $565.46 | 10 |
| Lipase CPT 83690 | $234.55 | $548.00 | $3.98 – $17.76 | 17 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | not published | not published | $448.59 – $4,120.64 | 9 |
| Lipoprotein blood high res frac & quant CPT 83701 | $13.25 | $30.95 | $12.75 – $87.25 | 17 |
| Lipoprotein blood quant CPT 83704 | $29.96 | $70.00 | $7.04 – $88.08 | 17 |
| Lipoprotein direct measurement hdl CPT 83718 | $218.28 | $510.00 | $8.19 – $29.40 | 17 |
| Lipoprotein direct measurement ldl CPT 83721 | $33.39 | $78.00 | $4.86 – $27.07 | 17 |
| Lip surgery procedure CPT 40799 | not published | not published | $295.06 – $295.06 | 6 |
| Lithium therapeutic drug level CPT 80178 | $122.41 | $286.00 | $6.61 – $22.54 | 17 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $7,833.26 | $18,302.00 | $9,151.00 – $17,935.96 | 6 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | not published | not published | $632.72 – $997.38 | 3 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | $77.04 | $180.00 | $90.00 – $176.40 | 7 |
| Liver Function Test CPT 80076 | $306.02 | $715.00 | $8.17 – $28.42 | 17 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | not published | not published | $602.82 – $950.23 | 3 |
| Liver/spleen imag static only CPT 78215 | $1,536.10 | $3,589.00 | $124.10 – $3,349.64 | 15 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $1,536.10 | $3,589.00 | $163.23 – $3,349.64 | 15 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $338.78 – $4,122.60 | 9 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $101.44 | $237.00 | $0.76 – $2.25 | 11 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $526.02 | $1,229.00 | $1.19 – $5.00 | 11 |
| Low back disk surgery CPT 63030 | not published | not published | $1,281.67 – $9,076.82 | 9 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $3,794.22 | $8,865.00 | $226.19 – $7,264.74 | 15 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $3,402.18 | $7,949.00 | $233.92 – $5,917.24 | 15 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $3,271.21 | $7,643.00 | $135.12 – $5,692.82 | 15 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $3,805.78 | $8,892.00 | $447.95 – $6,622.84 | 15 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $2,918.11 | $6,818.00 | $380.88 – $5,519.36 | 15 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $2,416.49 | $5,646.00 | $266.80 – $4,191.46 | 15 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $485.78 | $1,135.00 | $43.45 – $648.76 | 15 |
| Lower jaw bone graft CPT 21215 | not published | not published | $854.44 – $7,516.44 | 9 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $710.90 – $13,228.50 | 9 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $800.08 – $13,228.50 | 9 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $698.74 – $13,228.50 | 9 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $865.95 – $13,228.50 | 9 |
| Lumbar diskogram s&i CPT 72295 | $3,076.47 | $7,188.00 | $125.48 – $8,254.75 | 15 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $1,710.49 – $23,366.40 | 9 |
| Lung Function Test (Spirometry) CPT 94010 | $357.38 | $835.00 | $28.23 – $818.30 | 14 |
| Lung perfusion imaging CPT 78580 | $1,449.64 | $3,387.00 | $161.37 – $2,894.92 | 15 |
| Lung transplant double CPT 32853 | not published | not published | $3,064.04 – $4,829.98 | 3 |
| Lung transplant with bypass CPT 32852 | not published | not published | $2,665.01 – $4,200.98 | 3 |
| Lung transplant with bypass CPT 32854 | not published | not published | $3,236.63 – $5,102.06 | 3 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $1,010.42 – $1,528.67 | 3 |
| Lutetium lu 177 vipivotide HCPCS A9607 | $356.96 | $834.00 | $417.00 – $817.32 | 6 |
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.