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 |
|---|---|---|---|---|
| Partial removal of tongue CPT 41120 | not published | not published | $387.06 – $7,516.44 | 9 |
| Partial removal of tongue CPT 41130 | not published | not published | $580.60 – $915.22 | 3 |
| Partial removal of ulna CPT 25119 | not published | not published | $484.05 – $4,122.60 | 9 |
| Partial removal of ulna CPT 25150 | not published | not published | $344.77 – $4,122.60 | 9 |
| Partial removal of ulna CPT 25240 | not published | not published | $290.51 – $4,122.60 | 9 |
| Partial removal of vaginal wall 57106 CPT 57106 | not published | not published | $423.74 – $4,039.91 | 9 |
| Partial removal tear gland CPT 68505 | not published | not published | $580.60 – $4,791.43 | 9 |
| Partial thyroid excision CPT 60210 | not published | not published | $648.95 – $7,413.14 | 9 |
| Partial thyroid lobect w/contratlat stot lobec 60212 CPT 60212 | not published | not published | $839.92 – $7,413.14 | 9 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | $4,624.54 | $10,805.00 | $1.86 – $587.02 | 13 |
| Part removal hip bone deep CPT 27071 | not published | not published | $580.60 – $915.22 | 3 |
| Part removal of metatarsal CPT 28110 | not published | not published | $215.32 – $4,122.60 | 9 |
| Part removal of metatarsal CPT 28113 | not published | not published | $233.27 – $4,122.60 | 9 |
| Part removal of metatarsal 28112 CPT 28112 | not published | not published | $228.14 – $4,122.60 | 9 |
| Part remove hip bone super CPT 27070 | not published | not published | $535.73 – $844.50 | 3 |
| Passy muir valve metal trach HCPCS L8501 | $256.38 | $599.00 | $61.18 – $260.68 | 12 |
| Path clin consltj high 41-60 CPT 80505 | $249.96 | $584.00 | $80.50 – $157.78 | 6 |
| Path clin consltj mod 21-40 CPT 80504 | $131.40 | $307.00 | $97.50 – $191.10 | 6 |
| Path clin consltj prolng svc CPT 80506 | $249.96 | $584.00 | $80.50 – $157.78 | 6 |
| Path clin consltj sf 5-20 CPT 80503 | $131.40 | $307.00 | $97.50 – $191.10 | 6 |
| Pdgfra gene CPT 81314 | $252.52 | $590.00 | $250.00 – $849.01 | 16 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | $666.04 – $2,324.22 | 9 |
| Pedicle enel/ntroral 15576 CPT 15576 | not published | not published | $362.71 – $2,324.22 | 9 |
| Pegaspargase injection HCPCS J9266 | $16,050.00 | $37,500.00 | $2,952.12 – $37,500.00 | 15 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $16,050.00 | $37,500.00 | $16,875.00 – $36,750.00 | 8 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $16,050.00 | $37,500.00 | $172.86 – $36,750.00 | 15 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $16,050.00 | $37,500.00 | $131.77 – $36,750.00 | 15 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $3,433.85 | $8,023.00 | $226.19 – $5,978.98 | 15 |
| Pelvic CT scan (with contrast) CPT 72193 | $2,647.18 | $6,185.00 | $226.19 – $4,238.50 | 15 |
| Pelvic CT scan (without contrast) CPT 72192 | $2,352.29 | $5,496.00 | $135.12 – $4,038.58 | 15 |
| Pelvic exenteration CPT 45126 | not published | not published | $2,003.67 – $3,158.49 | 3 |
| Pelvic MRI (with and without contrast) CPT 72197 | $2,962.19 | $6,921.00 | $332.91 – $5,141.08 | 15 |
| Pelvic MRI (with contrast) CPT 72196 | $2,288.95 | $5,348.00 | $380.16 – $4,769.66 | 15 |
| Pelvic MRI (without contrast) CPT 72195 | $2,021.02 | $4,722.00 | $226.34 – $3,520.16 | 15 |
| Pelvic Ultrasound (complete) CPT 76856 | $915.92 | $2,140.00 | $97.04 – $1,741.46 | 15 |
| Pelvic Ultrasound (limited) CPT 76857 | $567.96 | $1,327.00 | $60.49 – $1,111.32 | 15 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $16,050.00 | $37,500.00 | $55.81 – $36,750.00 | 15 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $16,050.00 | $37,500.00 | $4.74 – $36,750.00 | 15 |
| Peng benzathine/procaine inj HCPCS J0558 | $225.13 | $526.00 | $7.49 – $468.44 | 15 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $797.80 | $1,864.00 | $9.47 – $229.32 | 15 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $180.62 | $422.00 | $1.24 – $52.92 | 11 |
| Penile injection CPT 54235 | not published | not published | $309.02 – $309.02 | 6 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | $17,178.21 | $40,136.00 | $105.57 – $449.82 | 12 |
| Penile venous occlusion CPT 37790 | not published | not published | $4,382.26 – $4,382.26 | 6 |
| Penis plastic surgery CPT 54360 | not published | not published | $610.93 – $4,382.26 | 9 |
| Penis study CPT 54240 | not published | not published | $90.57 – $395.66 | 9 |
| Pentobarbital sodium inj HCPCS J2515 | $2.14 | $5.00 | $2.25 – $5.00 | 11 |
| Perc cryo ablate renal tum CPT 50593 | $15,488.04 | $36,187.00 | $3,895.37 – $35,463.26 | 14 |
| Perc d-e cor revasc chro add HCPCS C9608 | $14,070.08 | $32,874.00 | $16,437.00 – $32,216.52 | 6 |
| Perc d-e cor stent ather br HCPCS C9603 | $14,656.86 | $34,245.00 | $17,122.50 – $33,560.10 | 6 |
| Perc drug-el cor stent bran HCPCS C9601 | $14,656.86 | $34,245.00 | $17,122.50 – $33,560.10 | 6 |
| Perc rf ablate renal tumor CPT 50592 | $6,601.05 | $15,423.00 | $7,413.14 – $15,114.54 | 11 |
| Percut ablate liver rf CPT 47382 | $6,601.05 | $15,423.00 | $553.98 – $13,619.06 | 14 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $896.66 | $2,095.00 | $48.27 – $2,053.10 | 12 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | $2,157.55 | $5,041.00 | $193.22 – $4,940.18 | 9 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | not published | not published | $1,549.53 – $2,442.61 | 3 |
| Pericardiocentesis wwo imaging CPT 33016 | $2,157.55 | $5,041.00 | $200.67 – $4,195.38 | 14 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | not published | not published | $887.77 – $1,399.43 | 3 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $484.05 – $4,865.48 | 9 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $356.13 – $4,039.91 | 9 |
| Peripheral vascular rehab CPT 93668 | $91.60 | $214.00 | $75.47 – $214.00 | 11 |
| Peritoneal cath sub q resv per CPT 49419 | $3,869.55 | $9,041.00 | $243.68 – $8,860.18 | 14 |
| Peritoneogram rs&i CPT 74190 | $1,499.29 | $3,503.00 | $49.53 – $3,432.94 | 15 |
| Perq art m-thrombect &/nfs CPT 61645 | not published | not published | $662.32 – $1,002.02 | 3 |
| Perq clsr tcat l atr apndge CPT 33340 | $11,014.16 | $25,734.00 | $678.70 – $25,219.32 | 9 |
| Perq dev breast 1st mr guide CPT 19287 | $2,228.17 | $5,206.00 | $118.76 – $4,904.90 | 14 |
| Perq dev breast 1st strtctc CPT 19283 | $2,063.39 | $4,821.00 | $244.60 – $2,192.26 | 14 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | $8,562.14 | $20,005.00 | $725.85 – $19,604.90 | 14 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | $8,562.14 | $20,005.00 | $648.52 – $19,604.90 | 14 |
| Perq plmt bile duct stent CPT 47538 | $8,329.31 | $19,461.00 | $4,189.49 – $19,071.78 | 14 |
| Perq plmt bile duct stent CPT 47539 | $8,812.95 | $20,591.00 | $4,570.73 – $20,179.18 | 14 |
| Perq plmt bile duct stent CPT 47540 | $8,812.95 | $20,591.00 | $4,746.45 – $19,591.18 | 14 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $523.45 | $1,223.00 | $303.05 – $1,198.54 | 14 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $392.78 – $4,122.60 | 9 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $320.18 – $4,122.60 | 9 |
| Perqt bx lung/mediastinum 32405 CPT 32405 | not published | not published | $83.31 – $102.47 | 2 |
| Perq transcath closure pda CPT 93582 | $13,118.20 | $30,650.00 | $565.26 – $30,037.00 | 14 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | not published | not published | $182.42 – $4,122.60 | 9 |
| Perq tx malar fracture CPT 21355 | not published | not published | $147.82 – $4,120.64 | 9 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $381.94 – $7,516.44 | 9 |
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $850.60 – $4,120.64 | 9 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $16,050.00 | $37,500.00 | $17.99 – $36,750.00 | 15 |
| Pet fdg brain metoblic eval sb CPT 78608 | $5,082.93 | $11,876.00 | $1,853.28 – $11,638.48 | 12 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $48,075.10 | $112,325.00 | $28.06 – $119.56 | 12 |
| Phalangectomy ea toe 28150 CPT 28150 | not published | not published | $214.90 – $4,122.60 | 9 |
| Ph body fluid CPT 83986 | $79.18 | $185.00 | $2.06 – $9.24 | 17 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $291.04 | $680.00 | $7.34 – $54.00 | 11 |
| Phenobarbital therapeutic drug level CPT 80184 | $93.74 | $219.00 | $3.68 – $39.44 | 17 |
| Phentolaine mesylate inj HCPCS J2760 | $2,182.80 | $5,100.00 | $68.77 – $4,998.00 | 15 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $770.40 | $1,800.00 | $24.30 – $52.92 | 8 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $23.12 | $54.00 | $0.78 – $52.92 | 11 |
| Phenytoin total therapeutic drug level CPT 80185 | $269.22 | $629.00 | $7.21 – $34.13 | 17 |
| Phlebotomy therapeutic CPT 99195 | $154.94 | $362.00 | $18.82 – $999.00 | 16 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | not published | not published | $230.41 – $3,999.21 | 9 |
| Phleb veins 1 extrm >20 stab CPT 37766 | not published | not published | $288.49 – $3,999.21 | 9 |
| Phosphorus CPT 84100 | $111.28 | $260.00 | $3.24 – $12.21 | 17 |
| Phosphorus 24 hour urine CPT 84105 | $10.21 | $23.84 | $2.50 – $14.90 | 17 |
| Photopheresis CPT 36522 | not published | not published | $2,959.79 – $5,952.98 | 9 |
| Phys blood bank serv reactj CPT 86078 | $247.82 | $579.00 | $62.90 – $542.92 | 16 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $16,050.00 | $37,500.00 | $3.65 – $52.92 | 11 |
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.