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 |
|---|---|---|---|---|
| Shunt supr v/c p-art bth lng CPT 33767 | not published | not published | $1,431.62 – $2,256.73 | 3 |
| Sialolithotomy 42330 CPT 42330 | not published | not published | $93.56 – $4,120.64 | 9 |
| Sickling rbc CPT 85660 | $37.75 | $88.20 | $5.51 – $22.75 | 17 |
| Sigmoidoscopy and biopsy CPT 45331 | not published | not published | $82.89 – $1,158.42 | 9 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | not published | not published | $143.12 – $1,158.42 | 9 |
| Sigmoidoscopy for bleeding CPT 45334 | not published | not published | $141.41 – $1,498.14 | 9 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | not published | not published | $176.16 – $1,158.42 | 9 |
| Sigmoidoscopy w/ablation CPT 45346 | not published | not published | $1,498.14 – $1,498.14 | 6 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | not published | not published | $107.66 – $1,498.14 | 9 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | not published | not published | $7,563.64 – $7,563.64 | 6 |
| Sigmoidoscopy w/resection CPT 45349 | not published | not published | $3,484.48 – $3,484.48 | 6 |
| Sigmoidoscopy w/tumr remove CPT 45338 | not published | not published | $164.49 – $1,498.14 | 9 |
| Sigmoidoscopy w/ultrasound CPT 45341 | not published | not published | $198.23 – $1,158.42 | 9 |
| Sigmoidoscopy w/us guide bx CPT 45342 | not published | not published | $227.71 – $1,498.14 | 9 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | not published | not published | $121.76 – $1,158.42 | 9 |
| Sig w/tndsc balloon dilation CPT 45340 | not published | not published | $408.09 – $1,498.14 | 9 |
| Simple cystometrogram 51725 CPT 51725 | not published | not published | $48.70 – $309.02 | 9 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $428.86 | $1,002.00 | $67.50 – $150.00 | 11 |
| Single transfer toe-hand CPT 26553 | not published | not published | $2,797.02 – $4,409.09 | 3 |
| Sinus CT scan (with and without contrast) CPT 70488 | $4,855.24 | $11,344.00 | $226.19 – $8,389.78 | 15 |
| Sinus CT scan (with contrast) CPT 70487 | $3,439.41 | $8,036.00 | $210.35 – $5,970.16 | 15 |
| Sinus CT scan (without contrast) CPT 70486 | $2,247.86 | $5,252.00 | $135.12 – $3,911.18 | 15 |
| Sinus/juglr venogram s&i CPT 75860 | $5,143.71 | $12,018.00 | $951.38 – $13,457.70 | 12 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | not published | not published | $145.25 – $4,120.64 | 9 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | not published | not published | $512.67 – $7,516.44 | 9 |
| Sinusotomy sphenoid w/wo bx 31050 CPT 31050 | not published | not published | $469.94 – $7,516.44 | 9 |
| Sipuleucel-t - su HCPCS Q2043 | $23,882.40 | $55,800.00 | $25,110.00 – $55,800.00 | 15 |
| Skin and muscle repair face CPT 15845 | not published | not published | $857.44 – $4,651.63 | 9 |
| Skin Biopsy CPT 11102 | $1,110.24 | $2,594.00 | $71.48 – $2,542.12 | 14 |
| Skin full graft 20sq cm less 15200 CPT 15200 | not published | not published | $337.51 – $2,324.22 | 9 |
| Skin full graft add-on 15241 CPT 15241 | not published | not published | $170.89 – $269.38 | 3 |
| Skin pedicle flap arms/legs CPT 15572 | not published | not published | $628.01 – $4,651.63 | 9 |
| Skin pedicle flap trunk CPT 15570 | not published | not published | $662.20 – $2,324.22 | 9 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | not published | not published | $58.10 – $91.59 | 3 |
| Skull base/brainstem surgery CPT 61575 | not published | not published | $2,135.26 – $3,365.91 | 3 |
| Skull base/brainstem surgery CPT 61576 | not published | not published | $3,389.15 – $5,342.48 | 3 |
| Slco1b1 gene com variants CPT 81328 | $61.68 | $144.10 | $72.05 – $450.43 | 13 |
| Sleep Study (Polysomnography) CPT 95810 | $2,736.21 | $6,393.00 | $399.42 – $6,265.14 | 14 |
| Sleeve fing rolyan med HCPCS L3933 | $86.89 | $203.00 | $79.00 – $154.84 | 13 |
| Sleeve pneumonectomy CPT 32442 | not published | not published | $1,033.02 – $1,628.40 | 3 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $150.23 | $351.00 | $46.69 – $198.94 | 12 |
| Sling suprapubic suburetheral HCPCS C1771 | $13,212.36 | $30,870.00 | $668.61 – $2,848.86 | 12 |
| Slitting of prepuce CPT 54000 | not published | not published | $135.01 – $4,382.26 | 9 |
| Slitting of prepuce CPT 54001 | not published | not published | $155.51 – $2,602.84 | 9 |
| Small bowel endoscopy CPT 44360 | not published | not published | $174.73 – $2,410.32 | 9 |
| Small bowel endoscopy CPT 44364 | not published | not published | $232.83 – $2,410.32 | 9 |
| Small bowel endoscopy CPT 44366 | not published | not published | $269.58 – $2,410.32 | 9 |
| Small bowel endoscopy CPT 44369 | not published | not published | $302.47 – $2,410.32 | 9 |
| Small bowel endoscopy CPT 44376 | not published | not published | $289.66 – $2,410.32 | 9 |
| Small bowel endoscopy CPT 44378 | not published | not published | $399.45 – $2,410.32 | 9 |
| Small bowel endoscopy CPT 44382 | not published | not published | $125.17 – $1,191.26 | 9 |
| Small bowel endoscopy CPT 44384 | not published | not published | $2,410.32 – $2,410.32 | 6 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | not published | not published | $193.95 – $2,410.32 | 9 |
| Small bowel endoscopy 44365 CPT 44365 | not published | not published | $298.21 – $2,410.32 | 9 |
| Small bowel endoscopy/biopsy CPT 44361 | not published | not published | $205.06 – $2,410.32 | 9 |
| Small bowel endoscopy/biopsy CPT 44377 | not published | not published | $306.32 – $2,410.32 | 9 |
| Small bowel endoscopy br/wa CPT 44380 | not published | not published | $96.55 – $1,191.26 | 9 |
| Small bowel endoscopy br/wa CPT 44381 | not published | not published | $2,410.32 – $2,410.32 | 6 |
| Small bowel endoscopy/stent 44370 CPT 44370 | not published | not published | $226.43 – $7,563.64 | 9 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $95.26 | $222.56 | $5.39 – $36.26 | 17 |
| Smear gram stain CPT 87205 | $104.01 | $243.00 | $4.27 – $11.76 | 17 |
| Smear nasal eosinophil CPT 89190 | $89.03 | $208.00 | $5.79 – $16.66 | 17 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $32.96 | $77.00 | $4.34 – $15.42 | 17 |
| Smear wet mount CPT 87210 | $105.29 | $246.00 | $5.11 – $18.62 | 17 |
| Smpd1 gene common variants CPT 81330 | $119.59 | $279.40 | $20.31 – $121.10 | 13 |
| Snrpn/ube3a gene CPT 81331 | $143.38 | $335.00 | $40.85 – $328.30 | 16 |
| Sodium 24 hour urine CPT 84300 | $93.31 | $218.00 | $2.50 – $13.04 | 17 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $23.12 | $54.00 | $3.74 – $52.92 | 11 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $23.12 | $54.00 | $1.88 – $52.92 | 11 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $23.12 | $54.00 | $0.93 – $52.92 | 11 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $23.12 | $54.00 | $0.10 – $7.84 | 10 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $379.64 | $887.00 | $2.94 – $373.38 | 11 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | $44.94 | $105.00 | $47.25 – $105.00 | 11 |
| Sodium serum/plasma/whole blood CPT 84295 | $77.04 | $180.00 | $4.81 – $14.70 | 17 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $457.96 | $1,070.00 | $481.50 – $1,048.60 | 8 |
| Sp bone agrft morsel add-on CPT 20937 | not published | not published | $148.67 – $234.37 | 3 |
| Sp bone agrft struct add-on CPT 20938 | not published | not published | $160.21 – $252.54 | 3 |
| Special physics consult CPT 77370 | $312.87 | $731.00 | $136.54 – $11,311.00 | 15 |
| Special pump services CPT 99190 | $918.49 | $2,146.00 | $1,073.00 – $2,103.08 | 6 |
| Special pump services CPT 99191 | $708.34 | $1,655.00 | $827.50 – $1,621.90 | 6 |
| Special pump services CPT 99192 | $478.51 | $1,118.00 | $559.00 – $1,095.64 | 6 |
| Special radiation dosimetry CPT 77331 | $243.11 | $568.00 | $76.60 – $11,311.00 | 15 |
| Special radiation treatment CPT 77470 | $1,081.13 | $2,526.00 | $166.73 – $11,311.00 | 15 |
| Special teletx port plan CPT 77321 | $663.83 | $1,551.00 | $117.20 – $11,311.00 | 15 |
| Sperm washing 58323 CPT 58323 | not published | not published | $255.61 – $255.61 | 6 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $487.89 – $7,516.44 | 9 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $478.49 – $3,484.48 | 9 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | not published | $96.13 – $151.53 | 3 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $851.30 | $1,989.00 | $237.90 – $1,766.94 | 14 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $636.44 | $1,487.00 | $51.67 – $1,457.26 | 14 |
| Splenectomy total open 38100 CPT 38100 | not published | not published | $701.50 – $1,105.81 | 3 |
| Splice spleen/kidney veins CPT 37181 | not published | not published | $1,416.67 – $2,233.16 | 3 |
| Splicing of ureters CPT 50770 | not published | not published | $1,073.18 – $1,691.70 | 3 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $150.23 | $351.00 | $101.50 – $203.00 | 13 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | $86.89 | $203.00 | $11.50 – $23.00 | 13 |
| Splint finger frog med HCPCS L3927 | $9.85 | $23.00 | $11.50 – $22.54 | 13 |
| Splint func pos polyflex ii med HCPCS L3999 | $52.22 | $122.00 | $20.70 – $88.20 | 12 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $67.63 | $158.00 | $22.26 – $88.20 | 13 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | not published | not published | $532.32 – $4,651.63 | 9 |
| Split blood or products CPT 86985 | $250.38 | $585.00 | $66.87 – $477.26 | 12 |
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.