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 |
|---|---|---|---|---|
| Splt agrft f/s/n/h/f/g/m ea CPT 15121 | not published | not published | $96.98 – $152.88 | 3 |
| Srs cranial lesion complex CPT 61798 | not published | not published | $531.27 – $803.76 | 3 |
| Srs cranial lesion simple CPT 61796 | not published | not published | $531.27 – $803.76 | 3 |
| Srs cran les complex addl CPT 61799 | not published | not published | $198.06 – $299.64 | 3 |
| Srs cran les simple addl CPT 61797 | not published | not published | $143.34 – $216.86 | 3 |
| Srs linear based CPT 77372 | $13,913.86 | $32,509.00 | $806.21 – $31,858.82 | 15 |
| Srs spinal lesion CPT 63620 | not published | not published | $531.27 – $803.76 | 3 |
| Srs spinal lesion addl CPT 63621 | not published | not published | $164.93 – $249.52 | 3 |
| Staging lapro hodgkins disease/lymphoma 49220 CPT 49220 | not published | not published | $936.04 – $1,151.33 | 2 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | $25,769.03 | $60,208.00 | $632.81 – $59,003.84 | 14 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $36,120.21 | $84,393.00 | $394.45 – $1,680.70 | 12 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $1,617.84 | $3,780.00 | $46.69 – $198.94 | 12 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $13,212.36 | $30,870.00 | $61.18 – $260.68 | 12 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $7,227.21 | $16,886.00 | $431.69 – $16,067.10 | 14 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | $7,227.21 | $16,886.00 | $182.32 – $16,067.10 | 9 |
| Stent placemt retro carotid CPT 37217 | not published | not published | $948.62 – $1,435.16 | 3 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | $14,930.78 | $34,885.00 | $594.56 – $34,187.30 | 14 |
| Stereotactic bx aspir/exc burr intracranial les 61750 CPT 61750 | not published | not published | $1,196.22 – $1,885.66 | 3 |
| Sternal debridement CPT 21627 | not published | not published | $840.34 – $1,324.68 | 3 |
| Stimulation of spinal cord CPT 63610 | not published | not published | $266.16 – $2,481.19 | 9 |
| Stot/tot hysterectomy after cesaren delivery 59525 CPT 59525 | not published | not published | $342.95 – $518.85 | 3 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $278.20 | $650.00 | $20.08 – $699.00 | 15 |
| Strapping of chest CPT 29200 | not published | not published | $40.16 – $200.49 | 9 |
| Strapping of elbow or wrist 29260 CPT 29260 | $145.10 | $339.00 | $32.46 – $699.00 | 15 |
| Strapping of hand or finger CPT 29280 | $145.10 | $339.00 | $59.81 – $699.00 | 15 |
| Strapping of hip CPT 29520 | not published | not published | $34.61 – $163.78 | 9 |
| Strapping of knee CPT 29530 | $145.10 | $339.00 | $34.17 – $699.00 | 15 |
| Strapping of toes 29550 CPT 29550 | not published | not published | $19.22 – $75.47 | 9 |
| Strep a ag ia CPT 87430 | $101.01 | $236.00 | $11.73 – $53.90 | 17 |
| Strep b dna amp probe CPT 87653 | $144.67 | $338.00 | $24.68 – $119.56 | 17 |
| Streptomycin injection HCPCS J3000 | $96.30 | $225.00 | $12.68 – $104.00 | 10 |
| Stress test pulmonary CPT 94618 | $288.48 | $674.00 | $30.12 – $660.52 | 14 |
| Stress tte complete CPT 93351 | $1,201.83 | $2,808.00 | $247.29 – $2,749.88 | 14 |
| Str markers specimen anal CPT 81265 | $79.18 | $185.00 | $92.50 – $600.55 | 16 |
| Subdural tap fontanelle/sutur infant init 61000 CPT 61000 | not published | not published | $96.98 – $879.92 | 9 |
| Subq njx filling matrl 1cc/< CPT 11950 | not published | not published | $252.47 – $252.47 | 6 |
| Subq njx fil matrl 5.1-10cc CPT 11952 | not published | not published | $777.77 – $777.77 | 6 |
| Subsequent repair of nerve CPT 64872 | not published | not published | $130.30 – $205.41 | 3 |
| Subtalar arthro w/deb CPT 29906 | not published | not published | $511.17 – $4,122.60 | 9 |
| Subtalar arthro w/exc CPT 29905 | not published | not published | $485.11 – $9,076.82 | 9 |
| Subtalar arthro w/fb rmvl CPT 29904 | not published | not published | $450.11 – $4,122.60 | 9 |
| Subtalar arthro w/fusion CPT 29907 | not published | not published | $623.60 – $16,348.58 | 9 |
| Subtemporal cranial dcmprn CPT 61340 | not published | not published | $774.13 – $1,220.29 | 3 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $83.46 | $195.00 | $1.26 – $94.08 | 11 |
| Suction lipectomy head&neck CPT 15876 | not published | not published | $4,651.63 – $4,651.63 | 6 |
| Suction lipectomy lwr extrem CPT 15879 | not published | not published | $4,651.63 – $4,651.63 | 6 |
| Suction lipectomy trunk CPT 15877 | not published | not published | $4,651.63 – $4,651.63 | 6 |
| Suction lipectomy upr extrem CPT 15878 | not published | not published | $2,324.22 – $2,324.22 | 6 |
| Sugars single quant CPT 84378 | $44.02 | $102.85 | $11.53 – $37.24 | 17 |
| Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution HCPCS C9399 | $8,988.00 | $21,000.00 | $50.00 – $1,305.36 | 8 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $128.83 | $301.00 | $25.20 – $54.88 | 8 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $363.80 | $850.00 | $56.61 – $833.00 | 10 |
| Support clav 29.6-40.5in med HCPCS L3650 | $23.12 | $54.00 | $11.50 – $23.00 | 13 |
| Surg dx exam anorectal CPT 45990 | not published | not published | $96.13 – $3,484.48 | 9 |
| Surg ect salp-oophorectomy 59120 CPT 59120 | not published | not published | $1,017.53 – $1,539.42 | 3 |
| Surg ect without salp-oophorectomy 59121 CPT 59121 | not published | not published | $1,017.53 – $1,539.42 | 3 |
| Surgery for urethra pouch CPT 53240 | not published | not published | $220.45 – $4,382.26 | 9 |
| Surgery of pancreatic cyst CPT 48500 | not published | not published | $701.50 – $1,105.81 | 3 |
| Surgery to stop leg growth CPT 27475 | not published | not published | $633.57 – $9,076.82 | 9 |
| Surgery to stop leg growth CPT 27477 | not published | not published | $720.72 – $9,076.82 | 9 |
| Surgery to stop leg growth CPT 27479 | not published | not published | $865.98 – $9,076.82 | 9 |
| Surgery to stop leg growth CPT 27485 | not published | not published | $532.32 – $9,076.82 | 9 |
| Surgical exposure prostate 55860 CPT 55860 | not published | not published | $556.67 – $6,459.25 | 9 |
| Surgical opening esophagus CPT 43351 | not published | not published | $677.58 – $1,068.10 | 3 |
| Surgical opening esophagus CPT 43352 | not published | not published | $677.58 – $1,068.10 | 3 |
| Surgical opening of stomach CPT 43510 | not published | not published | $627.59 – $1,191.26 | 9 |
| Surgical opening of stomach 43500 CPT 43500 | not published | not published | $499.42 – $787.27 | 3 |
| Surgical opening of throat CPT 42955 | not published | not published | $554.96 – $1,882.11 | 9 |
| Surgical pathology level 1 gross examination only CPT 88300 | $4.39 | $10.24 | $5.12 – $28.54 | 15 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $10.56 | $24.66 | $12.33 – $65.09 | 15 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $14.30 | $33.39 | $16.70 – $79.36 | 15 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $170.18 | $397.60 | $16.70 – $89.15 | 15 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $141.24 | $330.00 | $109.34 – $536.77 | 15 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $132.85 | $310.39 | $155.20 – $765.05 | 15 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | not published | not published | $848.04 – $1,336.80 | 3 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | not published | not published | $983.03 – $1,549.61 | 3 |
| Surgical revision intestine CPT 44680 | not published | not published | $854.44 – $1,346.90 | 3 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $158.93 – $3,484.48 | 9 |
| Susceptibility agar dilution per agent CPT 87181 | $27.22 | $63.58 | $1.66 – $15.68 | 17 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $19.26 | $45.00 | $1.21 – $12.74 | 17 |
| Susceptibility mic per plate CPT 87186 | $199.02 | $465.00 | $8.65 – $25.48 | 17 |
| Suscept studies macrobroth dilution ea CPT 87188 | $96.73 | $226.00 | $6.64 – $221.48 | 17 |
| Suspend bowel w/prosthesis CPT 44700 | not published | not published | $818.56 – $1,290.33 | 3 |
| Suspension of testis CPT 54620 | not published | not published | $193.53 – $4,382.26 | 9 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | not published | not published | $785.24 – $1,237.80 | 3 |
| Suture bile duct injury 47900 CPT 47900 | not published | not published | $1,012.09 – $1,595.41 | 3 |
| Svc venogram s&i CPT 75827 | $2,964.33 | $6,926.00 | $156.71 – $6,787.48 | 15 |
| Sympathectomy cervical CPT 64802 | not published | not published | $619.48 – $2,481.19 | 9 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $455.84 – $2,481.19 | 9 |
| Sympathectomy lumbar CPT 64818 | not published | not published | $640.83 – $1,010.18 | 3 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $594.56 – $4,122.60 | 9 |
| Sympathectomy thoracolumbar CPT 64809 | not published | not published | $854.44 – $1,346.90 | 3 |
| Synvisc or synvisc-one HCPCS J7325 | $1,904.60 | $4,450.00 | $11.55 – $4,361.00 | 15 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $20.98 | $49.00 | $4.40 – $11.34 | 17 |
| System cardiomems hosp electronics HCPCS C2624 | $48,075.10 | $112,325.00 | $21,351.13 – $90,974.38 | 12 |
| System pacing micra av HCPCS C1786 | $27,137.34 | $63,405.00 | $1,469.70 – $6,262.20 | 10 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $17,178.21 | $40,136.00 | $1,910.61 – $8,140.86 | 10 |
| T3 (triiodothyronine) free CPT 84481 | $72.34 | $169.00 | $2.50 – $43.64 | 17 |
| T3 (triiodothyronine) total CPT 84480 | $84.75 | $198.00 | $2.50 – $36.55 | 17 |
| T4 (thyroxine) free CPT 84439 | $153.23 | $358.00 | $4.00 – $23.23 | 17 |
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.