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 |
|---|---|---|---|---|
| T4 (thyroxine) total CPT 84436 | $154.51 | $361.00 | $3.27 – $17.72 | 17 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $20.55 | $48.00 | $0.30 – $5.88 | 10 |
| Tacrolimus therapeutic drug level CPT 80197 | $5.34 | $12.46 | $6.00 – $35.36 | 17 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | not published | $1,674.14 – $2,532.80 | 3 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $1,540.37 – $2,330.43 | 3 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $1,388.21 – $2,100.22 | 3 |
| Target gsa panel hmtlmph neop CPT 81450 | $1,391.00 | $3,250.00 | $90.00 – $1,956.99 | 13 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $1,624.47 | $3,795.48 | $97.50 – $7,522.64 | 16 |
| Target gsa panel organ neop CPT 81445 | $1,284.00 | $3,000.00 | $597.91 – $1,540.57 | 15 |
| Tas congenital car anomal CPT 33741 | not published | not published | $627.33 – $949.09 | 3 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $777.77 – $777.77 | 6 |
| Tavr perq femoral CPT 33361 | $48,468.01 | $113,243.00 | $1,078.93 – $110,978.14 | 9 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $1,964.52 | $4,590.00 | $0.37 – $2,810.64 | 15 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $204.16 | $477.00 | $69.78 – $317.52 | 17 |
| Tc-99m bicisate HCPCS A9557 | $1,203.54 | $2,812.00 | $339.34 – $2,755.76 | 14 |
| Tc-99m diag per dose HCPCS A4641 | $137.82 | $322.00 | $161.00 – $315.56 | 6 |
| Tc-99m disofenin HCPCS A9510 | $401.47 | $938.00 | $34.83 – $919.24 | 10 |
| Tc-99m exametazime diag HCPCS A9521 | $1,725.70 | $4,032.00 | $454.09 – $3,951.36 | 14 |
| Tc-99m labeled rbc HCPCS A9560 | $537.14 | $1,255.00 | $51.80 – $1,229.90 | 10 |
| Tc-99m maa HCPCS A9540 | $374.50 | $875.00 | $17.22 – $857.50 | 10 |
| Tc-99m mebrofenin HCPCS A9537 | $485.36 | $1,134.00 | $45.36 – $1,111.32 | 10 |
| Tc-99m medronate HCPCS A9503 | $380.07 | $888.00 | $18.87 – $870.24 | 10 |
| Tc-99m mertiatide HCPCS A9562 | $743.01 | $1,736.00 | $306.98 – $1,701.28 | 10 |
| Tc-99m pentetate dtpa HCPCS A9539 | $512.32 | $1,197.00 | $13.00 – $1,173.06 | 10 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $1,177.00 | $2,750.00 | $33.63 – $2,695.00 | 9 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $215.72 | $504.00 | $3.78 – $493.92 | 7 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $384.35 | $898.00 | $19.76 – $880.04 | 10 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $751.14 | $1,755.00 | $97.36 – $1,719.90 | 10 |
| Tc-99m sulfur colloid HCPCS A9541 | $212.29 | $496.00 | $42.56 – $486.08 | 10 |
| Tc-99m tilmanocept diag HCPCS A9520 | $1,344.78 | $3,142.00 | $533.83 – $3,079.16 | 7 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $209.77 – $777.77 | 9 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $555.48 – $555.48 | 6 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $32.49 | $75.91 | $7.71 – $121.06 | 17 |
| T cells absolute cd 4 count CPT 86361 | $12.84 | $30.00 | $14.00 – $69.01 | 17 |
| T cells total count CPT 86359 | $40.24 | $94.00 | $7.71 – $97.20 | 17 |
| Tdh sdrl/ventr pnxr CPT 61105 | not published | not published | $338.78 – $534.04 | 3 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | not published | not published | $1,367.11 – $2,155.04 | 3 |
| Telehealth original site facility fee HCPCS Q3014 | $36.38 | $85.00 | $22.94 – $83.30 | 10 |
| Temozolomide HCPCS J8700 | $1,940.13 | $4,533.00 | $0.45 – $2,765.56 | 10 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $7,426.23 | $17,351.00 | $41.02 – $17,003.98 | 15 |
| Tendon lengthening CPT 26476 | not published | not published | $387.06 – $4,122.60 | 9 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $319.56 – $4,122.60 | 9 |
| Tendon shortening CPT 26477 | not published | not published | $387.06 – $4,122.60 | 9 |
| Tendon transfer with graft CPT 26492 | not published | not published | $532.32 – $4,122.60 | 9 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $16,050.00 | $37,500.00 | $118.13 – $36,750.00 | 14 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $598.11 – $9,076.82 | 9 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | $371.68 – $4,122.60 | 9 |
| Tenolysis triceps CPT 24332 | not published | not published | $411.02 – $4,122.60 | 9 |
| Tenoplasty elbow to sho 1 CPT 24320 | not published | not published | $768.57 – $9,076.82 | 9 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | $484.05 – $2,033.48 | 9 |
| Tenotomy hip flexor open CPT 27005 | not published | not published | $378.95 – $597.36 | 3 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | not published | not published | $206.35 – $4,122.60 | 9 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | not published | not published | $192.68 – $2,033.48 | 9 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $92.45 | $216.00 | $2.13 – $211.68 | 11 |
| Teriparatide injection HCPCS J3110 | $7,935.12 | $18,540.00 | $17.27 – $18,169.20 | 10 |
| Test stress cardiovascular tracing only CPT 93017 | $995.10 | $2,325.00 | $60.24 – $1,799.28 | 14 |
| Tetanus immune globulin inj HCPCS J1670 | $1,939.70 | $4,532.00 | $235.80 – $4,441.36 | 15 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | $16,050.00 | $37,500.00 | $16,875.00 – $36,750.00 | 8 |
| Tgsap so/hl 51/< rna alys CPT 81456 | $1,348.20 | $3,150.00 | $1,575.00 – $3,087.00 | 6 |
| Thaw preserved stem cells CPT 38208 | not published | not published | $555.48 – $555.48 | 6 |
| Theophylline therapeutic drug level CPT 80198 | $202.02 | $472.00 | $14.14 – $41.16 | 17 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $78.76 | $184.00 | $30.35 – $166.60 | 15 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $68.91 | $161.00 | $26.11 – $157.78 | 15 |
| Ther fx nasal inf turbinate CPT 30930 | not published | not published | $87.15 – $4,120.64 | 9 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $154.08 | $360.00 | $1.99 – $52.92 | 10 |
| Thorabd diaphr hern repair CPT 43336 | not published | not published | $1,253.16 – $1,895.91 | 3 |
| Thorabd diaphr hern repair CPT 43337 | not published | not published | $1,371.55 – $2,075.02 | 3 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $2,178.52 | $5,090.00 | $105.95 – $2,878.26 | 14 |
| Thoracic aortic graft 33875 CPT 33875 | not published | not published | $2,007.94 – $3,165.22 | 3 |
| Thoracic duct procedure CPT 38380 | not published | not published | $484.05 – $763.01 | 3 |
| Thoracic duct procedure CPT 38381 | not published | not published | $952.71 – $1,501.80 | 3 |
| Thoracic duct procedure CPT 38382 | not published | not published | $854.44 – $1,346.90 | 3 |
| Thoracic lymphadenect/thoracotomy 38746 CPT 38746 | not published | not published | $216.61 – $341.44 | 3 |
| Thoracoabdominal graft 33877 CPT 33877 | not published | not published | $2,659.88 – $4,192.91 | 3 |
| Thoracoscop w/esoph musc exc CPT 32665 | not published | not published | $714.32 – $1,126.00 | 3 |
| Thoracoscopy bilobectomy 32670 CPT 32670 | not published | not published | $1,314.96 – $1,989.40 | 3 |
| Thoracoscopy diagnostic 32601 CPT 32601 | not published | not published | $211.90 – $7,413.14 | 9 |
| Thoracoscopy for lvrs CPT 32672 | not published | not published | $1,247.21 – $1,886.91 | 3 |
| Thoracoscopy lymph node exc CPT 32674 | not published | not published | $174.92 – $264.73 | 3 |
| Thoracoscopy pneumonectomy CPT 32671 | not published | not published | $1,455.54 – $2,202.32 | 3 |
| Thoracoscopy remove cortex CPT 32651 | not published | not published | $592.13 – $933.41 | 3 |
| Thoracoscopy remove segment CPT 32669 | not published | not published | $1,103.50 – $1,669.48 | 3 |
| Thoracoscopy remov fb/fibrin 32653 CPT 32653 | not published | not published | $555.81 – $876.16 | 3 |
| Thoracoscopy resect bullae 32655 CPT 32655 | not published | not published | $642.54 – $1,012.87 | 3 |
| Thoracoscopy surgical 32650 CPT 32650 | not published | not published | $448.15 – $706.46 | 3 |
| Thoracoscopy surgical with control of traumatic hemorrhage CPT 32654 | not published | not published | $569.49 – $897.70 | 3 |
| Thoracoscopy/thoracic sympathectomy32664 CPT 32664 | not published | not published | $588.29 – $927.34 | 3 |
| Thoracoscopy/tot pulm decortication32652 CPT 32652 | not published | not published | $821.12 – $1,294.37 | 3 |
| Thoracoscopy w/bx med space CPT 32606 | not published | not published | $291.37 – $7,413.14 | 9 |
| Thoracoscopy wbx sac CPT 32604 | not published | not published | $306.32 – $13,228.50 | 9 |
| Thoracoscopy w/lobectomy CPT 32663 | not published | not published | $856.15 – $1,349.60 | 3 |
| Thoracoscopy w/mediast exc CPT 32662 | not published | not published | $746.78 – $1,177.20 | 3 |
| Thoracoscopy w/pericard exc CPT 32661 | not published | not published | $539.58 – $850.57 | 3 |
| Thoracoscopy w/pleurectomy 32656 CPT 32656 | not published | not published | $631.43 – $995.36 | 3 |
| Thoracoscopy w/sac drng 32659 CPT 32659 | not published | not published | $627.59 – $989.31 | 3 |
| Thoracoscopy w/sac fb remove CPT 32658 | not published | not published | $613.06 – $966.40 | 3 |
| Thoracoscopy w/thymus resect CPT 32673 | not published | not published | $991.04 – $1,499.37 | 3 |
| Thoracoscopy w/wedge resect CPT 32666 | not published | not published | $721.15 – $1,091.02 | 3 |
| Thoracoscopy w w resect addl 32667 CPT 32667 | not published | not published | $127.33 – $192.64 | 3 |
| Thoracoscopy w w resect diag 32668 CPT 32668 | not published | not published | $128.07 – $193.76 | 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.