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 |
|---|---|---|---|---|
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $12.39 – $31.12 | 9 |
| Lymphatics/lymph node imaging CPT 78195 | $1,600.30 | $3,739.00 | $271.89 – $3,187.94 | 15 |
| Lymphocyte transformation mitogen CPT 86353 | $243.96 | $570.00 | $23.75 – $126.33 | 17 |
| Lymph vessel x-ray arms/legs CPT 75803 | $2,964.33 | $6,926.00 | $186.19 – $6,787.48 | 15 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $64.51 – $647.05 | 9 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $108.30 – $4,039.91 | 9 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $188.38 – $2,602.84 | 9 |
| Macroscopic exam arthropod CPT 87168 | $32.96 | $77.00 | $3.41 – $75.46 | 17 |
| Macroscopic exam parasite CPT 87169 | $19.69 | $46.00 | $3.44 – $12.74 | 17 |
| Magnesium CPT 83735 | $151.52 | $354.00 | $2.50 – $17.28 | 17 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $51.36 | $120.00 | $0.77 – $52.92 | 11 |
| Magnetic image bone marrow CPT 77084 | $1,866.51 | $4,361.00 | $307.13 – $4,273.78 | 12 |
| Malaria antibody CPT 86750 | $24.40 | $57.00 | $7.49 – $33.97 | 17 |
| Male sling procedure CPT 53440 | not published | not published | $854.44 – $16,508.17 | 9 |
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $1,678.56 – $2,645.99 | 3 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $229.34 – $2,033.48 | 9 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $298.21 – $2,033.48 | 9 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $41.52 | $97.00 | $15.75 – $746.00 | 16 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $42.80 | $100.00 | $26.80 – $746.00 | 16 |
| Manipulation of hip joint CPT 27275 | not published | not published | $105.95 – $2,033.48 | 9 |
| Manipulation of spine CPT 22505 | not published | not published | $119.62 – $2,033.48 | 9 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $72.86 – $304.79 | 9 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $23.12 | $54.00 | $3.42 – $52.92 | 11 |
| Mapping io sentinel lymph node CPT 38900 | not published | not published | $111.32 – $168.41 | 3 |
| Map tachycard site(s) CPT 93609 | $752.00 | $1,757.00 | $337.32 – $1,721.86 | 9 |
| Marker biop eviva buckle ss HCPCS A4648 | $2,103.20 | $4,914.00 | $5.29 – $22.54 | 12 |
| Marker lymphatic sentimag magtrace 10 vial HCPCS A9697 | $1,617.84 | $3,780.00 | $1,890.00 – $3,704.40 | 6 |
| Marsupialization liver lesion 47300 CPT 47300 | not published | not published | $619.48 – $976.51 | 3 |
| Mastectomy partial CPT 19301 | not published | not published | $333.55 – $4,865.48 | 9 |
| Mast mod rad CPT 19307 | not published | not published | $919.21 – $8,286.17 | 9 |
| Mastoidectomy CPT 69501 | not published | not published | $580.60 – $7,516.44 | 9 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $580.60 – $7,516.44 | 9 |
| Mastoid surgery revision CPT 69603 | not published | not published | $921.09 – $7,516.44 | 9 |
| Mastopexy CPT 19316 | not published | not published | $474.31 – $8,286.17 | 9 |
| Mast radical CPT 19305 | not published | not published | $870.44 – $1,316.89 | 3 |
| Mast rad urban type CPT 19306 | not published | not published | $909.53 – $1,376.03 | 3 |
| Mast simple complete CPT 19303 | not published | not published | $762.84 – $8,286.17 | 9 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $7,817.85 | $18,266.00 | $18.55 – $4,815.72 | 13 |
| M.avium-intra dna dir prob CPT 87560 | $42.80 | $100.00 | $27.29 – $83.30 | 17 |
| Maxillofacial fixation CPT 21100 | not published | not published | $175.59 – $7,516.44 | 9 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $10.85 | $25.33 | $5.50 – $37.26 | 17 |
| Mayo aathr protein s free CPT 85306 | $77.79 | $181.75 | $7.62 – $39.48 | 17 |
| Mayo activated protein c resistance assay CPT 85307 | $77.79 | $181.75 | $7.57 – $39.48 | 17 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $63.13 | $147.50 | $30.85 – $144.55 | 17 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $12.84 | $30.00 | $2.50 – $38.09 | 17 |
| Mayo alpha 1 antitrypsin CPT 82103 | $37.33 | $87.21 | $4.50 – $34.65 | 17 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $29.96 | $70.00 | $15.08 – $68.60 | 17 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $342.40 | $800.00 | $97.30 – $313.39 | 16 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $279.49 | $653.00 | $35.00 – $236.18 | 16 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $166.92 | $390.00 | $70.83 – $352.99 | 16 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $732.42 | $1,711.24 | $169.32 – $2,988.86 | 13 |
| Mayo androstenedione CPT 82157 | $29.43 | $68.76 | $6.00 – $75.43 | 17 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $8.56 | $20.00 | $2.50 – $37.62 | 17 |
| Mayo antithrombin iii antigen CPT 85301 | $7.98 | $18.64 | $5.34 – $27.87 | 17 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $39.49 | $92.25 | $2.70 – $38.77 | 17 |
| Mayo avwpr vw factor activity CPT 85397 | $72.34 | $169.00 | $21.50 – $79.52 | 17 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $29.96 | $70.00 | $20.00 – $39.20 | 7 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $4.28 | $9.99 | $5.00 – $26.24 | 17 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $72.76 | $170.00 | $20.83 – $373.21 | 16 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $17.84 | $41.68 | $20.84 – $552.98 | 16 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $4.66 | $10.87 | $4.89 – $33.26 | 17 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $10.70 | $25.00 | $6.00 – $33.97 | 17 |
| Mayo brcmg brucella antibody igm CPT 86622 | $5.30 | $12.38 | $6.19 – $22.99 | 17 |
| Mayo c1 esterase inhibitor CPT 83883 | $62.06 | $145.00 | $7.35 – $35.04 | 17 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $23.94 | $55.93 | $13.59 – $43.49 | 17 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $44.68 | $104.39 | $7.71 – $69.01 | 17 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $94.16 | $220.00 | $72.94 – $314.90 | 16 |
| Mayo ceruloplasmin CPT 82390 | $3.00 | $7.00 | $3.50 – $27.67 | 17 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $101.69 | $237.58 | $8.09 – $36.39 | 17 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $52.52 | $122.70 | $5.44 – $33.18 | 17 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $47.08 | $110.00 | $3.72 – $30.44 | 17 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $290.62 | $679.00 | $3.72 – $32.66 | 17 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $166.92 | $390.00 | $60.00 – $300.15 | 16 |
| Mayo chromium CPT 82495 | $117.28 | $274.00 | $7.00 – $52.25 | 17 |
| Mayo coccidioides antibody CPT 86635 | $41.95 | $98.00 | $4.86 – $29.57 | 17 |
| Mayo cocou cortisone urine CPT 82542 | $222.56 | $520.00 | $11.70 – $62.08 | 17 |
| Mayo cortisol free CPT 82530 | $12.84 | $30.00 | $8.13 – $43.05 | 17 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $80.90 | $189.00 | $13.75 – $33.83 | 15 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $27.12 | $63.36 | $6.60 – $31.24 | 17 |
| Mayo cyanide CPT 82600 | $36.38 | $85.00 | $19.40 – $83.30 | 17 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | $168.36 | $393.36 | $178.99 – $1,474.81 | 15 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $3.91 | $9.13 | $4.57 – $34.13 | 17 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $29.42 | $68.73 | $5.50 – $65.13 | 17 |
| Mayo dihydrotestosterone CPT 82642 | $87.74 | $205.00 | $10.00 – $75.43 | 17 |
| Mayo efpo chloride stool CPT 82438 | $9.85 | $23.00 | $3.84 – $12.88 | 17 |
| Mayo estriol CPT 82677 | $5.04 | $11.77 | $5.89 – $62.31 | 17 |
| Mayo estrone CPT 82679 | $10.70 | $25.00 | $12.50 – $64.30 | 17 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $6.42 | $14.99 | $7.50 – $42.10 | 17 |
| Mayo everolimus therapeutic drug level CPT 80169 | $8.56 | $20.00 | $10.00 – $35.36 | 17 |
| Mayo factor ii CPT 85210 | $16.24 | $37.93 | $12.98 – $37.18 | 17 |
| Mayo factor v CPT 85220 | $32.10 | $75.00 | $10.58 – $45.47 | 17 |
| Mayo factor vii CPT 85230 | $80.52 | $188.12 | $13.22 – $46.14 | 17 |
| Mayo factor viii vw factor antigen CPT 85246 | $51.13 | $119.45 | $11.67 – $59.10 | 17 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $25.15 | $58.74 | $12.39 – $59.10 | 17 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $11.13 | $26.00 | $11.67 – $59.10 | 17 |
| Mayo factor x CPT 85260 | $78.58 | $183.59 | $12.34 – $46.14 | 17 |
| Mayo factor xi CPT 85270 | $93.30 | $217.97 | $17.90 – $46.14 | 17 |
| Mayo fat/lipids feces quantitative CPT 82710 | $12.15 | $28.38 | $14.19 – $43.29 | 17 |
| Mayo fbl culture fungi blood CPT 87103 | $13.23 | $30.91 | $11.49 – $52.72 | 17 |
| Mayo fdp/fsp paracoagulation CPT 85366 | $51.13 | $119.44 | $12.29 – $207.32 | 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.