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 |
|---|---|---|---|---|
| Asp & inj bone cyst CPT 20615 | not published | not published | $193.53 – $893.98 | 9 |
| Asp & inj w/heparin pleurx cath CPT 32999 | $1,591.74 | $3,719.00 | $785.56 – $3,644.62 | 11 |
| Aspirate bladder/sprapubic cath 51102 CPT 51102 | $3,530.58 | $8,249.00 | $316.14 – $7,539.14 | 14 |
| Aspirate/inj ganglion cyst 20612 CPT 20612 | $480.22 | $1,122.00 | $62.38 – $1,099.56 | 14 |
| Aspirate pleura without imaging 32554 CPT 32554 | not published | not published | $85.02 – $785.56 | 9 |
| Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion CPT 10005 | $1,768.93 | $4,133.00 | $111.69 – $2,327.50 | 14 |
| Aspiration orbital contents CPT 67415 | not published | not published | $96.13 – $2,964.26 | 9 |
| Aspiration peritonsillar abscess CPT 42999 | not published | not published | $295.06 – $295.06 | 6 |
| Aspir/inj thyroid cyst 60300 CPT 60300 | $757.14 | $1,769.00 | $96.55 – $1,733.62 | 14 |
| Asp pq spinal cord cyst/syrinx CPT 62268 | not published | not published | $367.41 – $1,131.20 | 9 |
| Assay acid phosphatase CPT 84060 | $4.54 | $10.60 | $5.30 – $19.70 | 17 |
| Assay dir meas fr estradiol CPT 82681 | $52.65 | $123.00 | $22.35 – $120.54 | 15 |
| Assay myeloperoxidase CPT 83876 | $29.31 | $68.46 | $15.13 – $131.05 | 17 |
| Assay of corticosterone CPT 82528 | $11.11 | $25.94 | $12.97 – $58.03 | 17 |
| Assay of feces porphyrins CPT 84126 | $46.31 | $108.20 | $39.11 – $106.04 | 17 |
| Assay of fluoride CPT 82735 | $46.23 | $108.00 | $18.54 – $105.84 | 17 |
| Assay of glutathione CPT 82978 | $29.11 | $68.00 | $15.45 – $66.64 | 17 |
| Assay of interleukin-6 (il-6) CPT 83529 | $27.82 | $65.00 | $9.34 – $18.31 | 7 |
| Assay of leflunomide CPT 80193 | $28.30 | $66.11 | $30.86 – $99.38 | 15 |
| Assay of lrh hormone CPT 83727 | $104.86 | $245.00 | $17.19 – $240.10 | 17 |
| Assay of osteocalcin CPT 83937 | $15.84 | $37.00 | $18.50 – $76.90 | 14 |
| Assay of prostaglandin CPT 84150 | $139.10 | $325.00 | $38.97 – $112.70 | 17 |
| Assay of PSA complexed CPT 84152 | $41.53 | $97.02 | $14.71 – $95.08 | 17 |
| Assay of sialic acid CPT 84275 | $50.72 | $118.50 | $13.44 – $116.13 | 17 |
| Assay of somatostatin CPT 84307 | $83.04 | $194.00 | $18.28 – $166.90 | 17 |
| Assay of thiocyanate CPT 84430 | $45.37 | $106.00 | $11.63 – $79.87 | 17 |
| Assay of tyrosine CPT 84510 | $17.61 | $41.14 | $5.15 – $27.39 | 17 |
| Assay of urine sulfate CPT 84392 | $7.76 | $18.13 | $2.50 – $14.15 | 17 |
| Assay toxin or antitoxin CPT 87230 | $38.96 | $91.01 | $10.75 – $50.86 | 17 |
| Assess cyst contrast inject CPT 49424 | $140.39 | $328.00 | $41.01 – $299.88 | 9 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $148.52 | $347.00 | $3.41 – $12.74 | 17 |
| Assist-bilat spinal disk surgery add-on 63035 CPT 63035 | not published | not published | $283.04 – $428.21 | 3 |
| Ast/sgot CPT 84450 | $173.77 | $406.00 | $3.54 – $13.36 | 17 |
| Athrectomy fem/pop/unilateral 37225 CPT 37225 | $15,342.09 | $35,846.00 | $523.83 – $34,105.96 | 14 |
| Athrectomy tib/pero/unilat/ini ves 37229 CPT 37229 | $14,930.78 | $34,885.00 | $613.18 – $34,187.30 | 14 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $46.23 | $108.00 | $0.13 – $94.08 | 11 |
| Attach bladder/urethra comp 51841 CPT 51841 | not published | not published | $701.50 – $1,105.81 | 3 |
| Attach bladder/urethra simple 51840 CPT 51840 | not published | not published | $623.32 – $982.56 | 3 |
| Attach ocular implant CPT 65140 | not published | not published | $672.87 – $4,791.43 | 9 |
| Augmentation cheek bone CPT 21270 | not published | not published | $676.29 – $7,516.44 | 9 |
| Augmentation lower jaw bone CPT 21125 | not published | not published | $7,516.44 – $7,516.44 | 6 |
| Augmentation lower jaw bone CPT 21127 | not published | not published | $1,093.69 – $7,516.44 | 9 |
| Augmentation of facial bones CPT 21208 | not published | not published | $710.90 – $7,516.44 | 9 |
| Augment injectable kit 3.0cc HCPCS C1734 | $6,012.98 | $14,049.00 | $28.06 – $119.56 | 12 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | $11,124.15 | $25,991.00 | $195.09 – $25,471.18 | 9 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | $11,124.15 | $25,991.00 | $466.86 – $20,054.72 | 14 |
| Autgrft implnt knee w/scope CPT 29866 | not published | not published | $566.22 – $9,076.82 | 9 |
| Autochondrocyte implant knee CPT 27412 | not published | not published | $957.58 – $9,076.82 | 9 |
| Autoimmune rheumatoid arthr anl 12 mrk ia CPT 81490 | $312.02 | $729.00 | $364.50 – $2,166.01 | 13 |
| Autologous blood op salvage CPT 86891 | $2,303.50 | $5,382.00 | $364.69 – $5,274.36 | 13 |
| Av fistula revision CPT 36833 | not published | not published | $625.88 – $6,868.48 | 9 |
| Av fuse uppr arm basilic CPT 36819 | not published | not published | $624.17 – $6,868.48 | 9 |
| Av fuse uppr arm cephalic CPT 36818 | not published | not published | $467.22 – $6,868.48 | 9 |
| Av fusion direct any site CPT 36821 | not published | not published | $498.56 – $3,999.21 | 9 |
| Av fusion/forearm vein 36820 CPT 36820 | not published | not published | $767.29 – $6,868.48 | 9 |
| Avul nail plate addl CPT 11732 | not published | not published | $17.09 – $26.94 | 3 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | not published | not published | $36.74 – $252.47 | 9 |
| Axillary lymphadenect/superficial 38740 CPT 38740 | not published | not published | $387.06 – $7,413.14 | 9 |
| Azacitidine injection HCPCS J9025 | $2,643.76 | $6,177.00 | $0.48 – $2,058.00 | 12 |
| Azathioprine 50 mg tablet HCPCS J7500 | $3.86 | $9.00 | $1.96 – $9.00 | 10 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $128.40 | $300.00 | $3.36 – $104.86 | 11 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $358.24 | $837.00 | $140.85 – $306.74 | 8 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | $4,365.60 | $10,200.00 | $135.41 – $2,779.28 | 15 |
| Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476 | $359.52 | $840.00 | $23.04 – $823.20 | 11 |
| Bacterial meningitis antigen CPT 86403 | $23.97 | $56.00 | $4.79 – $29.73 | 17 |
| Bacterial vaginosis pcr CPT 87801 | $179.34 | $419.00 | $21.07 – $180.88 | 17 |
| #bac vag cand-c. albicans naa CPT 87481 | $89.46 | $209.00 | $18.48 – $90.42 | 17 |
| Balloon dilate urtrl strix CPT 50706 | $629.16 | $1,470.00 | $699.92 – $1,440.60 | 9 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | not published | not published | $232.58 – $4,039.91 | 9 |
| Bartonella dna pcr-sendout CPT 87471 | $42.80 | $100.00 | $35.09 – $98.00 | 17 |
| Bausch health Ultrasound surg HCPCS V2788 | $2,103.20 | $4,914.00 | $137.77 – $587.02 | 12 |
| B cells total count CPT 86355 | $78.35 | $183.06 | $7.74 – $97.20 | 17 |
| Bckdhb gene CPT 81205 | $17.39 | $40.61 | $20.31 – $244.74 | 13 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | $4,740.53 | $11,076.00 | $4.94 – $10,854.48 | 15 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | $9,276.90 | $21,675.00 | $52.04 – $6,370.00 | 15 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | $15,262.48 | $35,660.00 | $1.88 – $8,741.60 | 15 |
| Benign lesion paring 2-4 CPT 11056 | not published | not published | $29.06 – $252.47 | 9 |
| Benign lesion paring 4+ CPT 11057 | not published | not published | $30.77 – $252.47 | 9 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | $231.12 | $540.00 | $13.30 – $529.20 | 11 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $116.06 | $271.16 | $3.50 – $65.56 | 17 |
| Beta-2 microglobulin CPT 82232 | $53.08 | $124.00 | $5.50 – $41.70 | 17 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $205.44 | $480.00 | $10.39 – $470.40 | 11 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | $13,636.51 | $31,861.00 | $75.06 – $7,806.68 | 15 |
| Bevacizumab-bvzr 25 mg/ml intravenous solution HCPCS Q5118 | $12,602.04 | $29,444.00 | $30.41 – $7,213.78 | 15 |
| Bilateral laminotomy addl lumbar 63044 CPT 63044 | not published | not published | $280.68 – $345.24 | 3 |
| Bilateral n blobk inj pudendal 64430 CPT 64430 | not published | not published | $80.31 – $1,131.20 | 9 |
| Bilateral n block inj occipital 64405 CPT 64405 | $1,591.74 | $3,719.00 | $72.20 – $1,037.82 | 14 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | not published | not published | $64.94 – $375.07 | 9 |
| Bile duct endoscopy add-on 47550 CPT 47550 | not published | not published | $126.88 – $200.01 | 3 |
| Biliary endo perq dx w/speci CPT 47552 | not published | not published | $190.55 – $7,928.23 | 9 |
| Biliary endoscopy thru skin CPT 47553 | not published | not published | $277.70 – $7,928.23 | 9 |
| Biliary endoscopy thru skin CPT 47554 | not published | not published | $348.18 – $13,228.50 | 9 |
| Biliary endoscopy thru skin CPT 47555 | $1,916.59 | $4,478.00 | $264.88 – $4,478.00 | 14 |
| Biliary endoscopy thru skin CPT 47556 | $2,499.10 | $5,839.00 | $394.76 – $5,839.00 | 14 |
| Bilicheck CPT 88720 | $150.23 | $351.00 | $4.01 – $343.98 | 17 |
| Bilirubin direct CPT 82248 | $124.55 | $291.00 | $4.56 – $12.92 | 17 |
| Bilirubin total CPT 82247 | $150.23 | $351.00 | $3.68 – $12.92 | 17 |
| Bilobectomy 32482 CPT 32482 | not published | not published | $878.79 – $1,385.29 | 3 |
| Binder abdominal lg 12 x 62-74 HCPCS L0625 | $38.52 | $90.00 | $11.50 – $23.00 | 13 |
| Biopsy abdominal mass CPT 49180 | $2,163.12 | $5,054.00 | $286.66 – $3,120.32 | 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.