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 |
|---|---|---|---|---|
| Prtl exchange transfuse nb CPT 36456 | not published | not published | $91.96 – $555.48 | 9 |
| Prtl excision bone clavicle CPT 23180 | not published | not published | $445.59 – $9,076.82 | 9 |
| Prtl excision bone scapula CPT 23182 | not published | not published | $473.79 – $9,076.82 | 9 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $1,121.79 | $2,621.00 | $150.81 – $2,127.58 | 14 |
| PSA (Prostate) Test CPT 84153 | $176.34 | $412.00 | $2.50 – $47.37 | 17 |
| Pten gene full sequence CPT 81321 | $62.30 | $145.54 | $72.77 – $1,545.96 | 16 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | not published | not published | $582.73 – $7,516.44 | 9 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $113.00 | $264.00 | $145.20 – $258.72 | 7 |
| Pulm endartercomy w/bypass 33916 CPT 33916 | not published | not published | $1,645.23 – $2,593.45 | 3 |
| Pulmonary decortication partial 32225 CPT 32225 | not published | not published | $677.58 – $1,068.10 | 3 |
| Pulse ox continuous overnight monitoring CPT 94762 | $310.30 | $725.00 | $198.80 – $710.50 | 11 |
| Pulse ox multiple CPT 94761 | $253.38 | $592.00 | $256.50 – $502.74 | 6 |
| Pulse ox single CPT 94760 | $113.00 | $264.00 | $6.41 – $96.04 | 9 |
| Pump on-q 100mlx2ml/hr 2 day delivery HCPCS C9804 | $433.57 | $1,013.00 | $229.50 – $449.82 | 6 |
| Punc of shunt for asp or inj CPT 61070 | $1,048.60 | $2,450.00 | $149.96 – $2,401.00 | 14 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $219.14 | $512.00 | $14.53 – $699.00 | 16 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $3,088.45 | $7,216.00 | $53.83 – $620.34 | 14 |
| Puncture/clear windpipe 31612 CPT 31612 | not published | not published | $85.44 – $4,120.64 | 9 |
| Puncture spinal lumbar diagnostic CPT 62270 | $1,010.08 | $2,360.00 | $93.99 – $1,803.20 | 14 |
| Puraply 1 sq cm HCPCS Q4195 | $13,212.36 | $30,870.00 | $71.23 – $3,704.40 | 13 |
| Puraply xt 1 sq cm HCPCS Q4197 | $3,555.40 | $8,307.00 | $72.64 – $8,140.86 | 13 |
| Pvb thoracic 2nd+ inj site CPT 64462 | not published | not published | $74.09 – $112.09 | 3 |
| Pvb thoracic cont infusion CPT 64463 | not published | not published | $143.71 – $879.92 | 9 |
| Pvb thoracic single inj site CPT 64461 | not published | not published | $131.42 – $879.92 | 9 |
| Pyelotomy complicated CPT 50135 | not published | not published | $1,048.83 – $1,653.32 | 3 |
| Pyelotomy w/drg pyelostomy CPT 50125 | not published | not published | $927.07 – $1,461.40 | 3 |
| Pyelotomy w/exploration CPT 50120 | not published | not published | $885.21 – $1,395.38 | 3 |
| Pyelotomy w/removal calculus CPT 50130 | not published | not published | $954.84 – $1,505.16 | 3 |
| Pyloroplasty 43800 CPT 43800 | not published | not published | $604.51 – $952.93 | 3 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $48.37 | $113.00 | $6.57 – $105.84 | 10 |
| Pyruvate CPT 84210 | $10.57 | $24.68 | $9.40 – $37.30 | 17 |
| Pyruvate kinase CPT 84220 | $14.98 | $35.00 | $9.44 – $34.30 | 17 |
| Quant diff pulm perf w/imaging CPT 78597 | $1,588.31 | $3,711.00 | $177.59 – $3,463.32 | 15 |
| Quest t3 uptake CPT 84479 | $161.36 | $377.00 | $3.00 – $16.69 | 17 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $16,050.00 | $37,500.00 | $172.71 – $8,351.56 | 15 |
| Radiation physics consult CPT 77336 | $312.87 | $731.00 | $79.01 – $11,311.00 | 15 |
| Radiation therapy dose plan CPT 77300 | $312.87 | $731.00 | $80.50 – $11,311.00 | 15 |
| Radiation treatment aid(s) CPT 77332 | $567.96 | $1,327.00 | $49.26 – $11,311.00 | 15 |
| Radiation treatment aid(s) CPT 77333 | $405.75 | $948.00 | $65.60 – $11,311.00 | 15 |
| Radiation treatment aid(s) CPT 77334 | $811.49 | $1,896.00 | $160.93 – $11,311.00 | 15 |
| Radiation treatment delivery CPT 77412 | $566.25 | $1,323.00 | $61.97 – $11,311.00 | 15 |
| Radical abdominal hysterectomy 58210 CPT 58210 | not published | not published | $2,180.43 – $3,298.77 | 3 |
| Radical rescj tumor clavicle CPT 23200 | not published | not published | $956.13 – $1,507.18 | 3 |
| Radical rescj tumor prox hum CPT 23220 | not published | not published | $1,088.56 – $1,715.96 | 3 |
| Radical rescj tumor scapula CPT 23210 | not published | not published | $949.29 – $1,496.41 | 3 |
| Radical resection of elbow CPT 24149 | not published | not published | $933.91 – $9,076.82 | 9 |
| Radical resection sternum 21630 CPT 21630 | not published | not published | $1,390.17 – $2,191.40 | 3 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | not published | not published | $968.51 – $3,636.52 | 9 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | not published | not published | $1,138.87 – $3,636.52 | 9 |
| Radiology port images(s) CPT 77417 | $484.07 | $1,131.00 | $14.09 – $11,311.00 | 12 |
| Radiotherapy dose plan imrt CPT 77301 | $2,459.29 | $5,746.00 | $1,091.50 – $11,311.00 | 15 |
| Radium ra223 dichl ther/uci HCPCS A9606 | $104.86 | $245.00 | $122.50 – $255.70 | 13 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $5,114.60 | $11,950.00 | $189.70 – $11,135.74 | 15 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $3,137.67 | $7,331.00 | $1,658.74 – $6,825.70 | 12 |
| Radphm lcl tumor plr sgl day CPT 78800 | $1,537.38 | $3,592.00 | $127.83 – $3,377.08 | 15 |
| Rad rescj tum dstl/shft hum CPT 24150 | not published | not published | $1,045.41 – $9,076.82 | 9 |
| Rad rescj tum shoulder<5 cm CPT 23077 | not published | not published | $1,074.89 – $3,636.52 | 9 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | not published | not published | $1,051.38 – $3,636.52 | 9 |
| Rad rescj tum tiss a/e <5cm CPT 24077 | not published | not published | $3,636.52 – $3,636.52 | 6 |
| Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 | not published | not published | $757.04 – $3,636.52 | 9 |
| Rad resect abd tumor 5 cm/> CPT 22905 | not published | not published | $1,094.93 – $3,636.52 | 9 |
| Rad resect hand tumor < 3 cm CPT 26117 | not published | not published | $788.22 – $3,636.52 | 9 |
| Rad resect hand tumor 3 cm/> CPT 26118 | not published | not published | $878.26 – $3,636.52 | 9 |
| Rad resection tum radial h/n CPT 24152 | not published | not published | $723.72 – $9,076.82 | 9 |
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | not published | not published | $767.71 – $3,636.52 | 9 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $16,050.00 | $37,500.00 | $66.84 – $11,995.20 | 15 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $16,032.03 | $37,458.00 | $244.05 – $32,171.44 | 14 |
| Rbc deglycerolized each unit HCPCS P9039 | $1,902.04 | $4,444.00 | $347.23 – $4,355.12 | 14 |
| Rbc depletion of harvest CPT 38212 | not published | not published | $555.48 – $555.48 | 6 |
| Rbc osmotic fragility CPT 85555 | $27.40 | $64.00 | $7.47 – $62.72 | 17 |
| Rbc serum pretx incubj drugs CPT 86975 | $74.90 | $175.00 | $23.88 – $165.38 | 16 |
| Rcnst bfrnt sp orb rm&lw fhd CPT 21175 | not published | not published | $1,693.51 – $7,516.44 | 9 |
| Rcnstj forehead w/autograft CPT 21180 | not published | not published | $1,451.70 – $2,288.38 | 3 |
| Rcnstj forehead with grafts CPT 21179 | not published | not published | $1,442.73 – $2,274.24 | 3 |
| Rcnstj mdfc lefort i 1 w/grf CPT 21145 | not published | not published | $1,064.63 – $1,678.23 | 3 |
| Rcnstj mdfc lefort i 2 w/grf CPT 21146 | not published | not published | $1,166.74 – $1,839.19 | 3 |
| Rcnstj mdfc lefort iii w/i CPT 21155 | not published | not published | $1,258.16 – $1,983.32 | 3 |
| Rcnstj mdfc lefort iii without i CPT 21154 | not published | not published | $1,258.16 – $1,983.32 | 3 |
| Rcnstj mdfc lefrtii w/b1 grf CPT 21151 | not published | not published | $1,161.19 – $1,830.44 | 3 |
| Rcnst mdfc lfrtiii advm w/i CPT 21160 | not published | not published | $1,548.26 – $2,440.59 | 3 |
| Rcnst mdfc lfrtiii advm wo i CPT 21159 | not published | not published | $1,548.26 – $2,440.59 | 3 |
| Rdctj forehead cntrg only CPT 21137 | not published | not published | $769.00 – $4,120.64 | 9 |
| Rdctj forehead cntrg&prostc CPT 21138 | not published | not published | $939.89 – $7,516.44 | 9 |
| Rdctj forehead cntrg&setback CPT 21139 | not published | not published | $939.89 – $7,516.44 | 9 |
| Realignment of knee CPT 27457 | not published | not published | $677.58 – $1,068.10 | 3 |
| Realignment of knee CPT 27455 | not published | not published | $580.60 – $915.22 | 3 |
| Realignment of tendons CPT 26437 | not published | not published | $636.13 – $4,122.60 | 9 |
| Realignment of thigh bone CPT 27454 | not published | not published | $967.66 – $1,525.37 | 3 |
| Rebuild eardrum structures CPT 69632 | not published | not published | $939.89 – $7,516.44 | 9 |
| Rebuild eardrum structures CPT 69633 | not published | not published | $939.89 – $7,516.44 | 9 |
| Rebuild eardrum structures CPT 69636 | not published | not published | $1,025.33 – $7,516.44 | 9 |
| Rebuild outer ear canal CPT 69310 | not published | not published | $725.85 – $7,516.44 | 9 |
| Rebuild outer ear canal CPT 69320 | not published | not published | $774.13 – $7,516.44 | 9 |
| Rechanneling of artery CPT 35361 | not published | not published | $1,367.11 – $2,155.04 | 3 |
| Rechanneling of artery CPT 35306 | not published | not published | $404.69 – $612.26 | 3 |
| Rechanneling of artery CPT 35311 | not published | not published | $1,404.28 – $2,213.64 | 3 |
| Rechanneling of artery CPT 35363 | not published | not published | $1,369.67 – $2,159.09 | 3 |
| Rechanneling of artery 35305 CPT 35305 | not published | not published | $1,084.02 – $1,640.19 | 3 |
| Rechanneling of artery 35341 CPT 35341 | not published | not published | $1,708.89 – $2,693.80 | 3 |
| Rechanneling w/graft tibioperoneal trunk artery 35304 CPT 35304 | not published | not published | $1,127.65 – $1,706.10 | 3 |
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.