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 |
|---|---|---|---|---|
| Revision tips CPT 37183 | $41,050.34 | $95,912.00 | $249.81 – $25,078.20 | 14 |
| Revis reconst shoulder joint CPT 23473 | not published | not published | $1,356.29 – $16,348.58 | 9 |
| Revis reconst shoulder joint CPT 23474 | not published | not published | $1,463.51 – $2,214.15 | 3 |
| Revita, per sq cm HCPCS Q4180 | $955.30 | $2,232.00 | $166.13 – $2,187.36 | 13 |
| Revj fem anast autog vn grf CPT 35884 | not published | not published | $1,180.19 – $6,868.48 | 9 |
| Revj fem anast nonautog grf CPT 35883 | not published | not published | $1,111.69 – $6,868.48 | 9 |
| Revj mstdc rsltg compl mstdc CPT 69601 | not published | not published | $725.85 – $7,516.44 | 9 |
| Revj mstdc rsltg tympanplsty CPT 69604 | not published | not published | $1,025.33 – $7,516.44 | 9 |
| Revj open gstr rstcv px CPT 43848 | not published | not published | $1,557.66 – $1,915.92 | 3 |
| Revj prior hypspad repair CPT 54352 | not published | not published | $1,064.63 – $6,459.25 | 9 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | not published | not published | $893.75 – $7,516.44 | 9 |
| Rev-rem impl neurostim gen-rec CPT 63688 | not published | not published | $347.33 – $4,369.61 | 9 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | not published | not published | $141.83 – $4,369.61 | 9 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | $108.34 – $4,369.61 | 9 |
| Rev rplcm arthrp 1ntrspc crv CPT 22861 | not published | not published | $1,492.55 – $2,258.08 | 3 |
| Rev rplcm rthrp 1ntrspc lmbr CPT 22862 | not published | not published | $1,143.15 – $1,729.75 | 3 |
| Revsc opn/prq tib/pero stent CPT 37234 | $7,009.79 | $16,378.00 | $235.67 – $16,050.44 | 9 |
| Rf abltj nrv nrvtg si jt CPT 64625 | not published | not published | $456.44 – $2,481.19 | 9 |
| Rheumatoid factor qualitative CPT 86430 | $14.34 | $33.50 | $6.14 – $32.83 | 17 |
| Rheumatoid factor quantitative CPT 86431 | $79.61 | $186.00 | $3.13 – $14.63 | 17 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | not published | not published | $580.60 – $7,516.44 | 9 |
| Rho d immune globulin inj HCPCS J2790 | $606.05 | $1,416.00 | $81.99 – $331.24 | 11 |
| Rib cartilage graft CPT 21230 | not published | not published | $769.00 – $7,516.44 | 9 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | $824.76 | $1,927.00 | $24.30 – $52.92 | 8 |
| Ring fx reform 11-13x17mm HCPCS L8610 | $1,244.20 | $2,907.00 | $61.18 – $260.68 | 12 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $16,050.00 | $37,500.00 | $92.24 – $7,585.20 | 15 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $16,050.00 | $37,500.00 | $39.62 – $9,944.06 | 15 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $16,050.00 | $37,500.00 | $33.67 – $8,429.96 | 15 |
| Rmv anterior spine instrumentation 22855 CPT 22855 | not published | not published | $551.97 – $870.09 | 3 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | $753.28 | $1,760.00 | $114.37 – $1,724.80 | 14 |
| Rmvl esophgl sphnctr dev CPT 43285 | not published | not published | $559.57 – $7,413.14 | 9 |
| Rmvl ext fixj sys under anes CPT 20694 | not published | not published | $230.27 – $2,033.48 | 9 |
| Rmvl fb upr arm/elbow deep CPT 24201 | not published | not published | $440.04 – $3,636.52 | 9 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | not published | not published | $236.25 – $1,498.14 | 9 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | not published | not published | $126.88 – $2,058.68 | 9 |
| Rmvl i-artic rx delivery dev 20705 CPT 20705 | not published | not published | $103.50 – $156.58 | 3 |
| Rmvl icd by tv extr CPT 33244 | $3,331.98 | $7,785.00 | $626.73 – $7,629.30 | 14 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $36,158.73 | $84,483.00 | $313.43 – $82,793.34 | 14 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $39,735.10 | $92,839.00 | $325.02 – $90,982.22 | 14 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $35,761.54 | $83,555.00 | $301.56 – $81,883.90 | 14 |
| Rmvl icd pulse gen only CPT 33241 | $3,331.98 | $7,785.00 | $172.17 – $7,629.30 | 14 |
| Rmvl imed rx delivery device CPT 20703 | not published | not published | $86.37 – $130.68 | 3 |
| Rmvl left heart vent thor inscn ecmo CPT 33989 | not published | not published | $337.30 – $510.30 | 3 |
| Rmvl lung xcp tot pneumonectomy sleeve lob 32486 CPT 32486 | not published | not published | $953.55 – $1,503.14 | 3 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $1,459.06 | $3,409.00 | $175.16 – $961.38 | 14 |
| Rmvl perm pm pulse gen CPT 33233 | $4,276.58 | $9,992.00 | $178.58 – $9,992.00 | 14 |
| Rmvl perq right heart vad CPT 33997 | $989.11 | $2,311.00 | $134.40 – $2,264.78 | 9 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $11,848.33 | $27,683.00 | $301.48 – $27,129.34 | 14 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $9,586.78 | $22,399.00 | $278.10 – $21,951.02 | 14 |
| Rmvl pq iabp CPT 33968 | $636.44 | $1,487.00 | $30.77 – $1,457.26 | 9 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | $520.88 | $1,217.00 | $166.05 – $1,192.66 | 9 |
| Rmvl prosthhumrl&ulnar cmpnt CPT 24160 | not published | not published | $319.56 – $4,122.60 | 9 |
| Rmvl sq defib electrode CPT 33272 | $3,867.84 | $9,037.00 | $316.08 – $8,856.26 | 14 |
| Rmvl subq card rhythm mntr CPT 33286 | $2,054.83 | $4,801.00 | $115.41 – $4,704.98 | 14 |
| Rmvl tiss expndr without implant insrtn CPT 11971 | not published | not published | $188.84 – $3,636.52 | 9 |
| Rmvl tongs/halo anthr indiv CPT 20665 | not published | not published | $70.07 – $507.02 | 9 |
| Rmvl tot arthrp 1ntrspc crv CPT 22864 | not published | not published | $1,366.34 – $2,067.14 | 3 |
| Rmvl tot arthrp 1ntrspc lmbr CPT 22865 | not published | not published | $1,111.28 – $1,681.31 | 3 |
| Rmvl transplanted rnl algrft CPT 50370 | not published | not published | $667.74 – $1,052.61 | 3 |
| Rmvl tv pm lead dual CPT 33235 | $4,190.98 | $9,792.00 | $371.26 – $9,596.16 | 14 |
| Rmvl tv pm lead sgl CPT 33234 | $4,190.98 | $9,792.00 | $305.46 – $9,596.16 | 14 |
| Rmv prosth mat/mesh/abd wall/infec 11008 CPT 11008 | not published | not published | $196.89 – $242.17 | 3 |
| Rnl altrnsplj without rcp nfrct CPT 50360 | not published | not published | $1,451.70 – $2,288.38 | 3 |
| Rnl altrnsplj w/rcp nfrct CPT 50365 | not published | not published | $2,136.11 – $3,367.25 | 3 |
| Rnl autotrnsplj rimpltj kdn CPT 50380 | not published | not published | $1,281.67 – $2,020.35 | 3 |
| Romidepsin 10 mg/2 ml intravenous powder for solution HCPCS J9319 | $15,034.36 | $35,127.00 | $15,807.15 – $34,424.46 | 8 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | $16,050.00 | $37,500.00 | $6,761.70 – $14,725.48 | 8 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $4,687.03 | $10,951.00 | $13.77 – $10,731.98 | 15 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $307.74 | $719.00 | $0.12 – $56.84 | 10 |
| Rplcmt a-valve tlcj autol pv CPT 33440 | not published | not published | $2,827.25 – $4,277.35 | 3 |
| Rplcmt oi implt skl prq esp CPT 69717 | not published | not published | $569.03 – $9,076.82 | 8 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $1,834.41 | $4,286.00 | $82.47 – $3,604.44 | 14 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $2,321.90 | $5,425.00 | $189.91 – $5,028.38 | 15 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $2,095.49 | $4,896.00 | $72.64 – $1,520.00 | 14 |
| Rpl tun-cvad w subq port CPT 36582 | $6,028.81 | $14,086.00 | $379.00 – $10,470.32 | 14 |
| Rpl tun-cvad w subq pump CPT 36583 | $10,498.42 | $24,529.00 | $234.98 – $24,038.42 | 14 |
| Rpl tun cvc wo subq port CPT 36581 | $3,801.93 | $8,883.00 | $200.74 – $3,999.21 | 14 |
| Rpr acq av fistula thrx&abd CPT 35189 | not published | not published | $1,133.84 – $1,787.33 | 3 |
| Rpr blood ves w/vein graft/up ext 35236 CPT 35236 | not published | not published | $1,196.22 – $6,868.48 | 9 |
| Rpr blood vsl grf oth vein lo ex CPT 35286 | not published | not published | $1,196.22 – $6,868.48 | 9 |
| Rpr blvs gr ot/th vn ntrth w CPT 35271 | not published | not published | $1,558.50 – $2,456.75 | 3 |
| Rpr blvs gr ot/t vn ntrth wo CPT 35276 | not published | not published | $1,545.26 – $2,435.87 | 3 |
| Rpr blvsl gr ot/th vn ntr-ab CPT 35281 | not published | not published | $1,452.55 – $2,289.73 | 3 |
| Rpr blvsl vn grf intra-abdl CPT 35251 | not published | not published | $965.95 – $1,522.67 | 3 |
| Rpr blvsl vn grf ntrthrc w/b CPT 35241 | not published | not published | $2,031.01 – $3,201.58 | 3 |
| Rpr cgen av fistula thrx&abd CPT 35182 | not published | not published | $1,043.28 – $1,644.57 | 3 |
| Rpr choanal atresia ntranasl CPT 30540 | not published | not published | $490.45 – $7,516.44 | 9 |
| Rpr choanal atresia trsnpltn CPT 30545 | not published | not published | $854.44 – $7,516.44 | 9 |
| Rpr csf leak/pseudomeng/laminectomy63709 CPT 63709 | not published | not published | $1,281.67 – $2,020.35 | 3 |
| Rpr diaphragm hernia/chronic/not neonate 39541 CPT 39541 | not published | not published | $822.40 – $1,296.40 | 3 |
| Rpr diaphragm lac/any approach 39501 CPT 39501 | not published | not published | $820.27 – $1,293.03 | 3 |
| Rpr fem hernia init blocked CPT 49553 | not published | not published | $455.42 – $4,484.02 | 9 |
| Rpr hern preemie reduc CPT 49491 | not published | not published | $540.58 – $7,413.14 | 9 |
| Rpr hypopl a-arch w/byp CPT 33853 | not published | not published | $1,852.43 – $2,920.08 | 3 |
| Rpr hypopl a-arch wo byp CPT 33852 | not published | not published | $1,606.36 – $2,532.18 | 3 |
| Rpr hypspad comp dsj & urtp CPT 54348 | not published | not published | $677.58 – $6,459.25 | 9 |
| Rpr hypspad comp simple CPT 54340 | not published | not published | $326.83 – $4,382.26 | 9 |
| Rpr ing hernia baby blocked CPT 49496 | not published | not published | $507.54 – $4,484.02 | 9 |
| Rpr ing hernia baby reduc CPT 49495 | not published | not published | $366.55 – $4,484.02 | 9 |
| Rpr ing hernia init blocked CPT 49501 | not published | not published | $437.04 – $4,484.02 | 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.