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 |
|---|---|---|---|---|
| Treat midfoot fracture each CPT 28455 | not published | not published | $167.04 – $2,033.48 | 9 |
| Treat midfoot fracture each CPT 28465 | not published | not published | $563.50 – $9,076.82 | 9 |
| Treat neck spine fracture CPT 22326 | not published | not published | $1,161.19 – $1,830.44 | 3 |
| Treat odontoid fx w/graft CPT 22319 | not published | not published | $1,267.14 – $1,997.46 | 3 |
| Treat odontoid fx without graft CPT 22318 | not published | not published | $1,120.60 – $1,766.46 | 3 |
| Treat pelvic fracture(s) CPT 27215 | not published | not published | $911.59 – $1,379.15 | 3 |
| Treat pelvic ring fracture CPT 27216 | not published | not published | $667.00 – $1,009.10 | 3 |
| Treat pelvic ring fracture CPT 27217 | not published | not published | $1,045.09 – $1,581.12 | 3 |
| Treat pelvic ring fracture CPT 27218 | not published | not published | $1,173.80 – $1,775.84 | 3 |
| Treat penis lesion graft CPT 54111 | not published | not published | $774.13 – $6,459.25 | 9 |
| Treat penis lesion graft CPT 54112 | not published | not published | $941.17 – $11,749.43 | 9 |
| Treat radius fracture CPT 24665 | not published | not published | $387.06 – $9,076.82 | 9 |
| Treat radius fracture CPT 24666 | not published | not published | $532.32 – $16,348.58 | 9 |
| Treat sesamoid bone fracture CPT 28531 | not published | not published | $317.85 – $9,076.82 | 9 |
| Treat skull fracture CPT 62000 | not published | not published | $769.00 – $4,120.64 | 9 |
| Treat skull fracture CPT 62005 | not published | not published | $1,025.33 – $1,616.28 | 3 |
| Treat slipped epiphysis CPT 27176 | not published | not published | $939.89 – $1,481.59 | 3 |
| Treat slipped epiphysis CPT 27175 | not published | not published | $603.66 – $951.58 | 3 |
| Treat slipped epiphysis CPT 27177 | not published | not published | $960.82 – $1,514.60 | 3 |
| Treat slipped epiphysis CPT 27178 | not published | not published | $939.89 – $1,481.59 | 3 |
| Treat slipped epiphysis CPT 27181 | not published | not published | $1,025.33 – $1,616.28 | 3 |
| Treat spinal cord lesion CPT 62280 | not published | not published | $141.83 – $1,131.20 | 9 |
| Treat spinal cord lesion CPT 62281 | not published | not published | $123.04 – $1,131.20 | 9 |
| Treat spine fracture CPT 22325 | not published | not published | $832.65 – $1,312.56 | 3 |
| Treat sternum fracture CPT 21820 | not published | not published | $132.87 – $304.79 | 9 |
| Treat tail bone fracture CPT 27202 | not published | not published | $1,129.15 – $4,122.60 | 9 |
| Treat thigh fracture CPT 27230 | not published | not published | $304.79 – $304.79 | 6 |
| Treat thigh fracture CPT 27235 | not published | not published | $939.89 – $9,076.82 | 9 |
| Treat thigh fracture CPT 27236 | not published | not published | $1,035.59 – $1,632.45 | 3 |
| Treat thigh fracture CPT 27238 | not published | not published | $281.04 – $2,033.48 | 9 |
| Treat thigh fracture CPT 27245 | not published | not published | $1,071.90 – $1,689.69 | 3 |
| Treat thigh fracture CPT 27246 | not published | not published | $304.79 – $669.41 | 9 |
| Treat thigh fracture CPT 27248 | not published | not published | $395.61 – $623.62 | 3 |
| Treat thigh fracture CPT 27240 | not published | not published | $459.69 – $724.63 | 3 |
| Treat thigh fracture CPT 27244 | not published | not published | $967.66 – $1,525.37 | 3 |
| Treat thigh fx growth plate CPT 27516 | not published | not published | $304.79 – $893.67 | 9 |
| Treat thigh fx growth plate CPT 27517 | not published | not published | $377.24 – $2,033.48 | 9 |
| Treat thigh fx growth plate CPT 27519 | not published | not published | $803.17 – $1,266.09 | 3 |
| Treat thorax spine fracture CPT 22327 | not published | not published | $1,161.19 – $1,830.44 | 3 |
| Treat thumb fracture CPT 26650 | not published | not published | $290.51 – $4,122.60 | 9 |
| Treat thumb fracture CPT 26665 | not published | not published | $484.05 – $4,122.60 | 9 |
| Treat toe dislocation CPT 28636 | not published | not published | $170.46 – $4,122.60 | 9 |
| Treat toe dislocation CPT 28665 | not published | not published | $102.96 – $337.45 | 9 |
| Treat toe dislocation CPT 28666 | not published | not published | $225.57 – $4,122.60 | 9 |
| Treat toe fracture CPT 28525 | not published | not published | $402.01 – $4,122.60 | 9 |
| Treat trigeminal nerve CPT 61790 | not published | not published | $636.56 – $2,481.19 | 9 |
| Treat trigeminal tract CPT 61791 | not published | not published | $1,025.33 – $2,481.19 | 9 |
| Treat ulnar fracture CPT 24675 | not published | not published | $275.13 – $2,033.48 | 9 |
| Treat ulnar fracture CPT 24685 | not published | not published | $387.06 – $9,076.82 | 9 |
| Treat vaginal bleeding CPT 57180 | not published | not published | $92.30 – $255.61 | 9 |
| Treat wrist bone fracture CPT 25635 | not published | not published | $264.45 – $2,033.48 | 9 |
| Treat wrist dislocation CPT 25675 | not published | not published | $263.60 – $415.52 | 9 |
| Treponema pallidum antibody CPT 86780 | $47.51 | $111.00 | $4.79 – $34.13 | 17 |
| Trg gene rearrangement anal CPT 81342 | $282.48 | $660.00 | $118.50 – $519.20 | 16 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $44.09 | $103.00 | $1.35 – $3.00 | 11 |
| Trichinella antibody CPT 86784 | $32.02 | $74.81 | $12.56 – $73.32 | 17 |
| Triglycerides CPT 84478 | $154.51 | $361.00 | $3.83 – $14.79 | 17 |
| Trimethobenzamide hcl inj HCPCS J3250 | $130.97 | $306.00 | $10.85 – $299.88 | 10 |
| Trim nondyst nails CPT 11719 | not published | not published | $75.47 – $75.47 | 6 |
| Triptorelin pamoate HCPCS J3315 | $4,693.02 | $10,965.00 | $432.68 – $10,745.70 | 15 |
| Trluml dil aq o/f can without st CPT 66174 | not published | not published | $5,111.45 – $5,111.45 | 6 |
| Trluml dil aq o/f can w/st CPT 66175 | not published | not published | $6,555.93 – $6,555.93 | 6 |
| Trmt of fracture (femoral shaft) 27500 CPT 27500 | not published | not published | $304.79 – $748.96 | 9 |
| Trnscath plc stent crv crtd without prtct CPT 37216 | not published | not published | $588.23 – $889.93 | 3 |
| Trnscath plc stent crv crtd w/prtct CPT 37215 | $25,816.96 | $60,320.00 | $702.78 – $59,113.60 | 9 |
| Trnscath plc stnt ante carotid art CPT 37218 | not published | not published | $708.86 – $1,072.44 | 3 |
| Trnscath plc vas stent w/s&i ea addl artery CPT 37237 | $9,001.70 | $21,032.00 | $182.80 – $19,629.40 | 9 |
| Trnscath plc vas stent w/s&i ea addl vein CPT 37239 | $9,001.70 | $21,032.00 | $127.33 – $20,611.36 | 9 |
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | $18,613.30 | $43,489.00 | $275.13 – $42,619.22 | 14 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | $4,523.96 | $10,570.00 | $290.94 – $10,358.60 | 14 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | $5,836.21 | $13,636.00 | $328.37 – $12,962.46 | 14 |
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | $5,836.21 | $13,636.00 | $201.41 – $12,962.46 | 14 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | $5,836.21 | $13,636.00 | $119.51 – $12,962.46 | 14 |
| Trnscath tx thromblytc vein ini day CPT 37212 | $5,836.21 | $13,636.00 | $288.90 – $12,962.46 | 14 |
| Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm CPT 14301 | not published | not published | $888.68 – $4,651.63 | 9 |
| Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/< CPT 14302 | not published | not published | $189.50 – $286.69 | 3 |
| Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< CPT 14060 | not published | not published | $484.05 – $2,324.22 | 9 |
| Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm CPT 14061 | not published | not published | $850.17 – $2,324.22 | 9 |
| Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm CPT 14021 | not published | not published | $387.06 – $2,324.22 | 9 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm CPT 14001 | not published | not published | $334.94 – $2,324.22 | 9 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/< CPT 14000 | not published | not published | $257.18 – $2,324.22 | 9 |
| Trnsxj/repos abrrnt rnl vsls CPT 50100 | not published | not published | $822.40 – $1,296.40 | 3 |
| Troponin quantitative CPT 84484 | $309.45 | $723.00 | $12.15 – $32.15 | 17 |
| Tr retinal les preterm inf CPT 67229 | not published | not published | $697.05 – $1,443.50 | 9 |
| Trurl dstrj prst8 tiss rf wv CPT 53854 | not published | not published | $1,696.94 – $4,382.26 | 9 |
| Tte w or without fol w/con,stres HCPCS C8928 | $1,557.50 | $3,639.00 | $1,003.85 – $3,566.22 | 11 |
| Tubal Ligation (Laparoscopic) CPT 58670 | not published | not published | $604.44 – $7,413.14 | 9 |
| Tumor cell deplete of harvst CPT 38211 | not published | not published | $555.48 – $555.48 | 6 |
| Tvh >250 gms 58290 CPT 58290 | not published | not published | $598.41 – $9,395.85 | 9 |
| Tvh w/mmk 58267 CPT 58267 | not published | not published | $1,511.77 – $2,287.16 | 3 |
| Tx atrial fib pulm vein isol CPT 93656 | $30,782.62 | $71,922.00 | $1,010.36 – $71,922.00 | 15 |
| Tx closed distal humerus fx CPT 24999 | not published | not published | $304.79 – $304.79 | 6 |
| Tx closed hip disl traumatic without anes CPT 27250 | not published | not published | $253.54 – $383.58 | 9 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | not published | not published | $287.10 – $4,122.60 | 9 |
| Tx closed tib shaft fx without manip CPT 27750 | not published | not published | $212.28 – $321.15 | 9 |
| Tx contour defects >10.0 cc CPT 11954 | not published | not published | $777.77 – $777.77 | 6 |
| Tx contour defects 1.1-5.0cc 11951 CPT 11951 | not published | not published | $777.77 – $777.77 | 6 |
| Tx ectopic pregnancy abdl pregnancy 59130 CPT 59130 | not published | not published | $994.28 – $1,504.24 | 3 |
| Tx ectopic pregnancy ntrstl prtl rescj uter 59136 CPT 59136 | not published | not published | $1,206.50 – $1,825.32 | 3 |
| Tx l/r atrial fib addl CPT 93657 | $1,539.09 | $3,596.00 | $378.65 – $3,596.00 | 10 |
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.