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 |
|---|---|---|---|---|
| Bone/joint imaging ltd area CPT 78300 | $2,037.71 | $4,761.00 | $116.06 – $4,057.20 | 15 |
| Bone marrow;aspiration only 38220 CPT 38220 | not published | not published | $210.62 – $2,058.68 | 9 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $765.70 | $1,789.00 | $224.72 – $1,723.00 | 14 |
| Bone marrow harvest allogen CPT 38230 | not published | not published | $253.77 – $2,082.87 | 9 |
| Bone marrow harvest autolog CPT 38232 | not published | not published | $150.04 – $5,952.98 | 9 |
| Bone marrow interpretation CPT 85097 | $1,097.82 | $2,565.00 | $50.56 – $1,615.95 | 16 |
| Bone/skin graft great toe CPT 20973 | not published | not published | $2,926.04 – $9,076.82 | 9 |
| Bone/skin graft metatarsal CPT 20972 | not published | not published | $2,550.94 – $9,076.82 | 9 |
| Bone void filler nanoss 10cc HCPCS C9362 | $1,617.84 | $3,780.00 | $40.70 – $2,848.86 | 13 |
| Boot j walker l HCPCS L4386 | $196.46 | $459.00 | $79.00 – $154.84 | 13 |
| Boot mlti podous univ xlg HCPCS L4396 | $67.63 | $158.00 | $79.00 – $154.84 | 13 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $21.40 | $50.00 | $11.22 – $43.88 | 17 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $8,233.01 | $19,236.00 | $3.23 – $18,851.28 | 12 |
| Bowel imaging CPT 78290 | $1,536.10 | $3,589.00 | $155.12 – $3,378.06 | 15 |
| Brace ank air stirrup univ HCPCS L4350 | $113.85 | $266.00 | $27.00 – $54.00 | 13 |
| Brace back epic lso 637 HCPCS L0650 | $1,244.20 | $2,907.00 | $890.84 – $2,848.86 | 13 |
| Brace back pinnacle tlso 464 HCPCS L0464 | $2,103.20 | $4,914.00 | $934.38 – $4,815.72 | 13 |
| Brace back t-lso custom HCPCS L0486 | $3,555.40 | $8,307.00 | $1,354.09 – $8,140.86 | 13 |
| Brace cust back lso HCPCS L0631 | $1,617.84 | $3,780.00 | $299.50 – $599.00 | 13 |
| Brace knee extender plus 22-30in HCPCS L1832 | $256.38 | $599.00 | $101.50 – $203.00 | 13 |
| Brace ortho exos 28-50in sm HCPCS L0637 | $256.38 | $599.00 | $229.50 – $459.00 | 13 |
| Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr HCPCS L0456 | $1,617.84 | $3,780.00 | $389.50 – $763.42 | 13 |
| Brace oths wrist hnd fngr without HCPCS L3807 | $196.46 | $459.00 | $46.69 – $198.94 | 12 |
| Brace wrist classic lft sm HCPCS L3908 | $67.63 | $158.00 | $11.50 – $23.00 | 13 |
| Brachioplasty 15836 CPT 15836 | not published | not published | $3,636.52 – $3,636.52 | 6 |
| Brach/thor cath 1st CPT 36215 | $916.35 | $2,141.00 | $206.77 – $1,760.08 | 9 |
| Brach/thor cath 2nd CPT 36216 | $847.44 | $1,980.00 | $251.20 – $996.66 | 9 |
| Brach/thor cath 3rd CPT 36217 | $1,151.75 | $2,691.00 | $301.61 – $996.66 | 9 |
| Brach/thor cath addl CPT 36218 | $1,304.98 | $3,049.00 | $49.56 – $1,166.20 | 9 |
| Brachy source i-125 injection HCPCS C2638 | $134.82 | $315.00 | $47.06 – $308.70 | 15 |
| Brachy source iodine-125 nonstranded HCPCS C2639 | $46.66 | $109.00 | $25.07 – $106.82 | 15 |
| Brachy source palladium HCPCS C2640 | $70.62 | $165.00 | $37.95 – $161.70 | 15 |
| Brachy source palladium-103 nonstranded HCPCS C2641 | $95.45 | $223.00 | $51.29 – $218.54 | 15 |
| Brachy source yttrium-90 HCPCS C2616 | $26,608.76 | $62,170.00 | $14,299.10 – $60,926.60 | 15 |
| Braf gene CPT 81210 | $79.18 | $185.00 | $40.00 – $451.94 | 16 |
| Brain biopsy w/ct/mr guide CPT 61751 | not published | not published | $1,388.48 – $2,188.72 | 3 |
| Brain cavity shunt w/scope CPT 62201 | not published | not published | $1,367.11 – $2,155.04 | 3 |
| Brain flow imaging only CPT 78610 | $1,536.10 | $3,589.00 | $57.69 – $3,349.64 | 15 |
| Brain image w/flow < 4 views CPT 78601 | $948.45 | $2,216.00 | $197.65 – $2,171.68 | 15 |
| Brain image w/flow 4 + views CPT 78606 | $2,039.42 | $4,765.00 | $228.33 – $4,445.28 | 15 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $4,128.06 | $9,645.00 | $324.17 – $7,135.38 | 15 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $2,600.10 | $6,075.00 | $222.78 – $4,908.82 | 15 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $1,985.07 | $4,638.00 | $210.94 – $3,454.50 | 15 |
| Brain MRI (with and without contrast) CPT 70553 | $4,627.11 | $10,811.00 | $446.18 – $8,437.80 | 15 |
| Brain MRI (with contrast) CPT 70552 | $4,481.59 | $10,471.00 | $379.01 – $8,151.64 | 15 |
| Brain MRI (without contrast) CPT 70551 | $4,188.41 | $9,786.00 | $272.77 – $7,576.38 | 15 |
| Bra surgical elizabeth pink sm HCPCS L8000 | $86.89 | $203.00 | $34.00 – $66.64 | 13 |
| Brca1&2 gene full seq alys CPT 81163 | $278.20 | $650.00 | $325.00 – $1,205.85 | 16 |
| Brcassure comprehensive panel-sendout CPT 81162 | $1,065.72 | $2,490.00 | $72.77 – $4,701.98 | 16 |
| Breast augmentation 19325 CPT 19325 | not published | not published | $769.00 – $12,158.43 | 9 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $4,430.66 | $10,352.00 | $613.92 – $9,431.52 | 14 |
| Breast punct aspir cyst, bil CPT 19000 | $1,001.10 | $2,339.00 | $40.16 – $1,672.86 | 14 |
| Breast reconstruction 19357 CPT 19357 | not published | not published | $813.43 – $22,106.34 | 9 |
| Breast reconstruction tram flap 19367 CPT 19367 | not published | not published | $1,209.89 – $1,907.21 | 3 |
| Breast reconstr w/lat flap 19361 CPT 19361 | not published | not published | $1,607.10 – $2,533.52 | 3 |
| Breast reduction CPT 19318 | not published | not published | $1,140.68 – $8,286.17 | 9 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | $16,050.00 | $37,500.00 | $193.62 – $36,750.00 | 15 |
| Bronch/asp/tracheobronch tree/subs 31646 CPT 31646 | $856.00 | $2,000.00 | $125.61 – $1,960.00 | 14 |
| Bronch ebus ivntj perph les 31654 CPT 31654 | $4,265.88 | $9,967.00 | $128.82 – $9,767.66 | 9 |
| Bronch ebus samplng 1/2 node CPT 31652 | $4,265.88 | $9,967.00 | $826.88 – $9,767.66 | 14 |
| Bronch ebus samplng 3/> node CPT 31653 | $4,265.88 | $9,967.00 | $878.26 – $9,767.66 | 14 |
| Bronchial brush biopsy CPT 31717 | not published | not published | $268.29 – $493.39 | 9 |
| Bronchial challenge CPT 94070 | $1,361.90 | $3,182.00 | $395.66 – $3,118.36 | 11 |
| Bronchial valve init insert CPT 31647 | not published | not published | $185.03 – $8,795.69 | 9 |
| Bronchial valve remov addl CPT 31649 | not published | not published | $61.80 – $2,191.11 | 9 |
| Bronchial valve remov init CPT 31648 | not published | not published | $195.09 – $4,684.64 | 9 |
| Bronchoscopy bronch stents CPT 31636 | not published | not published | $163.18 – $8,795.69 | 9 |
| Bronchoscopy clear airways 31645 CPT 31645 | $856.00 | $2,000.00 | $170.89 – $2,000.00 | 14 |
| Bronchoscopy dilate/fx repr CPT 31630 | not published | not published | $256.33 – $4,684.64 | 9 |
| Bronchoscopy dilate w/stent CPT 31631 | not published | not published | $222.16 – $8,795.69 | 9 |
| Bronchoscopy/lung bx addl 31632 CPT 31632 | not published | not published | $68.02 – $83.66 | 3 |
| Bronchoscopy/lung bx each 31628 CPT 31628 | $1,447.07 | $3,381.00 | $241.81 – $1,042.00 | 14 |
| Bronchoscopy/needle bx addl 31633 CPT 31633 | not published | not published | $83.94 – $103.25 | 3 |
| Bronchoscopy/needle bx each 31629 CPT 31629 | $1,447.07 | $3,381.00 | $213.61 – $3,381.00 | 14 |
| Bronchoscopy revise stent CPT 31638 | not published | not published | $181.41 – $8,795.69 | 9 |
| Bronchoscopy treat blockage CPT 31641 | not published | not published | $241.81 – $4,684.64 | 9 |
| Bronchoscopy w/biopsy(s) 31625 CPT 31625 | not published | not published | $231.12 – $2,191.11 | 9 |
| Bronchoscopy w/fb removal 31635 CPT 31635 | $755.85 | $1,766.00 | $239.25 – $1,017.00 | 14 |
| Bronchoscopy w/markers CPT 31626 | not published | not published | $430.64 – $8,795.69 | 9 |
| Bronchoscopy w/tumor excise CPT 31640 | not published | not published | $241.81 – $4,684.64 | 9 |
| Bronch thermoplsty 1 lobe CPT 31660 | not published | not published | $186.52 – $8,795.69 | 9 |
| Bronch thermoplsty 2/> lobes CPT 31661 | not published | not published | $196.57 – $8,795.69 | 9 |
| Bronch w/balloon occlusion CPT 31634 | not published | not published | $199.38 – $8,795.69 | 9 |
| Bronch w/debrdmt subgltc & uppr trach CPT 31899 | not published | not published | $246.67 – $246.67 | 6 |
| Br punct aspir ea add, l CPT 19001 | $380.50 | $889.00 | $23.93 – $871.22 | 9 |
| Bso omentectomy w/tah 58956 CPT 58956 | not published | not published | $748.90 – $1,133.01 | 3 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | $25.68 | $60.00 | $24.30 – $52.92 | 8 |
| Bundled special stain group 1 microorganisms CPT 88312 | $122.93 | $287.20 | $28.50 – $227.38 | 15 |
| Bundled special stain group 2 CPT 88313 | $130.63 | $305.20 | $16.50 – $181.00 | 15 |
| Bundle his recording CPT 93600 | $3,072.19 | $7,178.00 | $187.56 – $7,178.00 | 15 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | $66.34 | $155.00 | $24.30 – $52.92 | 8 |
| Buprenorphine oral 1mg HCPCS J0571 | $33.39 | $78.00 | $0.09 – $41.16 | 11 |
| Burr hole for vent puncture 61120 CPT 61120 | not published | not published | $484.05 – $763.01 | 3 |
| Burr hole implant ventricular cath/other device CPT 61210 | not published | not published | $402.12 – $608.37 | 3 |
| Burr hole skull for biopsy 61140 CPT 61140 | not published | not published | $924.07 – $1,456.68 | 3 |
| Burr hole skull & remove clot 61154 CPT 61154 | not published | not published | $1,110.78 – $1,750.97 | 3 |
| Bur rotalink 2.15mm HCPCS C1724 | $7,817.85 | $18,266.00 | $1,130.22 – $4,815.72 | 12 |
| Buttock fasciotomy CPT 27027 | not published | not published | $649.66 – $9,076.82 | 9 |
| Buttock fasciotomy w/dbrdmt CPT 27057 | not published | not published | $720.03 – $2,033.48 | 9 |
| Bx arm/elbow soft tissue supf 24065 CPT 24065 | not published | not published | $139.70 – $2,058.68 | 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.