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 |
|---|---|---|---|---|
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | not published | not published | $277.70 – $2,410.32 | 9 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $648.00 | $1,514.00 | $135.12 – $1,233.82 | 15 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $889.39 | $2,078.00 | $78.42 – $1,689.52 | 15 |
| Preparation for bladder xray CPT 51605 | not published | not published | $300.34 – $473.44 | 3 |
| Preparation palate mold CPT 42280 | not published | not published | $109.37 – $647.05 | 9 |
| Prepare heart-aorta conduit CPT 33404 | not published | not published | $2,198.05 – $3,464.91 | 3 |
| Prepare penis study CPT 54230 | not published | not published | $70.49 – $111.12 | 3 |
| Prepare sperm duct x-ray CPT 55300 | not published | not published | $174.31 – $274.77 | 3 |
| Prepj tum cav iort prtl mast CPT 19294 | not published | not published | $137.75 – $208.40 | 3 |
| Prep skin to 100cm2 other CPT 15004 | not published | not published | $325.02 – $777.77 | 9 |
| Prep skin to 100cm2 trk/ext CPT 15002 | not published | not published | $270.16 – $2,324.22 | 9 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | not published | not published | $59.94 – $90.69 | 3 |
| Pressure max expiratory/inspiratory CPT 94799 | $349.25 | $816.00 | $198.80 – $649.74 | 11 |
| Pressure treatment esophagus CPT 43460 | not published | not published | $105.53 – $166.35 | 3 |
| Pressure velocity wire add ves CPT 93572 | $1,402.99 | $3,278.00 | $322.41 – $3,212.44 | 9 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $91.55 | $213.89 | $23.88 – $213.89 | 16 |
| Pretreat rbc absorption reference CPT 86978 | $70.79 | $165.38 | $28.64 – $162.08 | 16 |
| Pretreat rbc density gradient separation reference CPT 86972 | $141.57 | $330.75 | $23.88 – $324.14 | 16 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $141.57 | $330.75 | $24.79 – $162.08 | 16 |
| Pretreat rbc w enzyme reference CPT 86971 | $70.79 | $165.38 | $24.79 – $165.38 | 16 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | not published | not published | $61.09 – $2,058.68 | 9 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | not published | not published | $101.68 – $2,058.68 | 9 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | not published | not published | $96.98 – $507.64 | 9 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | not published | not published | $628.88 – $991.31 | 3 |
| Prgrmg dev eval impltbl sys CPT 93260 | $91.60 | $214.00 | $47.38 – $209.72 | 14 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | $235.40 | $550.00 | $47.38 – $539.00 | 14 |
| Prgr stim/pace a/iv drug CPT 93623 | $752.00 | $1,757.00 | $878.50 – $1,721.86 | 6 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $5,825.94 | $13,612.00 | $2,325.79 – $13,612.00 | 14 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $5,825.94 | $13,612.00 | $983.90 – $13,339.76 | 9 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $323.57 | $756.00 | $108.67 – $740.88 | 14 |
| Pr incision & drainage abscess simple/single CPT 10060 | $323.57 | $756.00 | $48.70 – $740.88 | 14 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | not published | not published | $130.10 – $386.50 | 9 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $639.44 | $1,494.00 | $59.38 – $1,464.12 | 14 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $197.74 | $462.00 | $46.65 – $330.26 | 9 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | $512.67 – $2,481.19 | 9 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $6,012.98 | $14,049.00 | $1,910.61 – $8,140.86 | 12 |
| Probe nasolacrimal duct CPT 68810 | not published | not published | $213.19 – $379.82 | 9 |
| Probe nasolacrimal duct CPT 68811 | not published | not published | $128.59 – $2,964.26 | 9 |
| Probe nasolacrimal duct CPT 68815 | not published | not published | $253.77 – $2,964.26 | 9 |
| Probe nl duct w/balloon CPT 68816 | not published | not published | $526.33 – $2,964.26 | 9 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $233.69 | $546.00 | $68.85 – $153.00 | 15 |
| Procalcitonin CPT 84145 | $92.02 | $215.00 | $11.11 – $70.12 | 17 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $95.02 | $222.00 | $4.87 – $217.56 | 11 |
| Proctectomy combined abd pull-thru px 45112 CPT 45112 | not published | not published | $1,258.16 – $1,983.32 | 3 |
| Proctectomy complete abd w/clst 45110 CPT 45110 | not published | not published | $1,258.16 – $1,983.32 | 3 |
| Proctosigmoidoscopy ablate CPT 45320 | not published | not published | $115.35 – $3,484.48 | 9 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | not published | not published | $98.69 – $1,498.14 | 9 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | not published | not published | $46.99 – $1,498.14 | 9 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | not published | not published | $41.44 – $1,158.42 | 9 |
| Proctosigmoidoscopy removal CPT 45308 | not published | not published | $112.79 – $3,484.48 | 9 |
| Proctosigmoidoscopy removal CPT 45309 | not published | not published | $112.79 – $1,498.14 | 9 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | not published | not published | $107.24 – $1,498.14 | 9 |
| Proctosigmoidoscopy volvul CPT 45321 | not published | not published | $99.97 – $3,484.48 | 9 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | not published | not published | $58.10 – $1,498.14 | 9 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | not published | not published | $88.86 – $3,484.48 | 9 |
| Proctosigmoidoscopy w/stent CPT 45327 | not published | not published | $89.29 – $7,563.64 | 9 |
| Progesterone CPT 84144 | $126.26 | $295.00 | $12.00 – $53.75 | 17 |
| Prolactin CPT 84146 | $152.80 | $357.00 | $5.96 – $49.95 | 17 |
| Promethazine hcl injection HCPCS J2550 | $23.12 | $54.00 | $2.14 – $52.92 | 11 |
| Proph rta dtchmnt crtx dthrm CPT 67141 | not published | not published | $379.82 – $736.75 | 9 |
| Proph rta dtchmnt pc CPT 67145 | not published | not published | $427.22 – $697.05 | 9 |
| Proph tx w/wo mthylmthcrylt CPT 24498 | not published | not published | $879.22 – $16,348.58 | 9 |
| Prophylactic tx radius CPT 25490 | not published | not published | $943.73 – $9,076.82 | 9 |
| Prophylactic tx radius&ulna CPT 25492 | not published | not published | $1,129.57 – $4,122.60 | 9 |
| Prophylactic tx ulna CPT 25491 | not published | not published | $951.42 – $16,348.58 | 9 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $145.52 | $340.00 | $0.13 – $52.92 | 11 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $41.52 | $97.00 | $7.78 – $91.14 | 11 |
| Prostatectomy (turp) CPT 52601 | not published | not published | $854.44 – $6,459.25 | 9 |
| Prostate laser enucleation CPT 52649 | not published | not published | $798.58 – $6,459.25 | 9 |
| Prostatic microwave thermotx CPT 53850 | not published | not published | $2,161.74 – $4,382.26 | 9 |
| Prostatic rf thermotx CPT 53852 | not published | not published | $1,984.88 – $4,382.26 | 9 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $139.10 | $325.00 | $1.88 – $105.84 | 11 |
| Protein c activity CPT 85303 | $77.79 | $181.75 | $7.62 – $35.68 | 17 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $6.38 | $14.90 | $2.50 – $27.67 | 17 |
| Protein s total CPT 85305 | $5.57 | $13.00 | $6.00 – $29.93 | 17 |
| Protein total 24 hour urine CPT 84156 | $227.70 | $532.00 | $2.93 – $9.47 | 17 |
| Protein total body fluid CPT 84157 | $183.19 | $428.00 | $2.99 – $10.31 | 17 |
| Protein total serum plasma whole blood CPT 84155 | $60.35 | $141.00 | $2.50 – $9.47 | 17 |
| Prothrombin complex kcentra HCPCS J7168 | $15.41 | $36.00 | $16.20 – $35.28 | 8 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $32.10 | $75.00 | $3.94 – $10.15 | 17 |
| Proton trmt simple without comp CPT 77520 | $1,416.26 | $3,309.00 | $735.00 – $11,311.00 | 12 |
| Prpertl pel pack hemrrg trma 49013 CPT 49013 | not published | not published | $376.02 – $568.88 | 3 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $475.92 – $4,484.02 | 9 |
| Prq cardiac angio addl art CPT 92921 | $7,767.78 | $18,149.00 | $9,074.50 – $17,786.02 | 6 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | not published | not published | $521.64 – $9,076.82 | 9 |
| Prq skel fix epcndylr hum fx CPT 24566 | not published | not published | $366.13 – $2,033.48 | 9 |
| Prq skel fix sprcndlr hum fx CPT 24538 | not published | not published | $484.05 – $9,076.82 | 9 |
| Prq skel fix talus fx w/mnpj CPT 28436 | not published | not published | $453.28 – $9,076.82 | 9 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | not published | not published | $154.23 – $9,076.82 | 9 |
| Pr removal drug delivery implant CPT 11982 | not published | not published | $89.94 – $507.02 | 9 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | not published | not published | $39.73 – $163.78 | 9 |
| Pr removal intrauterine device CPT 58301 | not published | not published | $55.82 – $386.50 | 9 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | not published | not published | $105.10 – $507.64 | 9 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | not published | not published | $83.73 – $252.47 | 9 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | not published | not published | $91.00 – $252.47 | 9 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | not published | not published | $80.31 – $252.47 | 9 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | not published | not published | $85.44 – $252.47 | 9 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | not published | not published | $304.61 – $2,324.22 | 9 |
| Prtl exc bone olecrn process CPT 24147 | not published | not published | $341.78 – $4,122.60 | 9 |
| Prtl exc bone radial h/n CPT 24145 | not published | not published | $349.04 – $9,076.82 | 9 |
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.