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 |
|---|---|---|---|---|
| Unlstd laps px mat care&dlvr CPT 59898 | not published | not published | $7,413.14 – $7,413.14 | 6 |
| Unlstd laps px sprmatic cord CPT 55559 | not published | not published | $7,413.14 – $7,413.14 | 6 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $1,268.17 | $2,963.00 | $889.06 – $2,081.52 | 12 |
| Upgrade pm system CPT 33214 | $13,520.95 | $31,591.00 | $455.42 – $30,959.18 | 14 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $3,608.90 | $8,432.00 | $449.80 – $6,858.04 | 15 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $2,778.58 | $6,492.00 | $384.05 – $5,288.08 | 15 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $2,201.21 | $5,143.00 | $265.87 – $4,214.00 | 15 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | not published | not published | $257.18 – $1,191.26 | 9 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | not published | not published | $268.73 – $1,191.26 | 9 |
| Upper ext fx orthosis rad/ul HCPCS L3982 | $734.02 | $1,715.00 | $420.74 – $1,680.70 | 13 |
| Upper ext harvest for cabg1 seg 35600 CPT 35600 | not published | not published | $273.42 – $336.31 | 3 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $279.05 – $1,191.26 | 9 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $598.11 – $7,413.14 | 9 |
| Urea nitrogen CPT 84520 | $98.87 | $231.00 | $3.54 – $10.19 | 17 |
| Urea nitrogen 24 hour urine CPT 84540 | $119.42 | $279.00 | $3.54 – $14.31 | 17 |
| Urea nitrogen clearance CPT 84545 | $5.04 | $11.77 | $5.89 – $18.55 | 17 |
| Ureteral embolization/occl CPT 50705 | $1,218.95 | $2,848.00 | $1,566.40 – $2,791.04 | 9 |
| Ureter endoscopy CPT 50970 | not published | not published | $189.26 – $4,382.26 | 9 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $387.06 – $6,459.25 | 9 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $241.81 – $6,459.25 | 9 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $181.57 – $4,382.26 | 9 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $389.20 – $6,459.25 | 9 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $572.90 – $6,459.25 | 9 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $239.25 – $6,459.25 | 9 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $179.44 – $6,459.25 | 9 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $1,019.35 – $1,606.86 | 3 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $1,024.91 – $1,615.61 | 3 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $889.82 | $2,079.00 | $59.56 – $1,704.22 | 15 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $441.68 – $4,382.26 | 9 |
| Urethrocystography void s&i CPT 74455 | $1,617.84 | $3,780.00 | $86.91 – $3,074.26 | 15 |
| Uric acid blood CPT 84550 | $182.76 | $427.00 | $4.52 – $12.74 | 17 |
| Uric acid urine CPT 84560 | $3.90 | $9.11 | $2.50 – $13.08 | 17 |
| Urinalysis microscopic only CPT 81015 | $78.76 | $184.00 | $3.05 – $7.85 | 17 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | $0.82 | $1.90 | $0.95 – $5.59 | 17 |
| Urinalysis (with microscopy) CPT 81001 | $175.06 | $409.00 | $3.17 – $11.76 | 17 |
| Urinalysis (without microscopy) CPT 81003 | $100.58 | $235.00 | $2.25 – $6.86 | 17 |
| Urinary reflex study CPT 51792 | not published | not published | $75.47 – $191.94 | 9 |
| Urine Culture Test CPT 87086 | $13.23 | $30.91 | $8.07 – $30.30 | 17 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $33.75 – $163.78 | 9 |
| Urine pregnancy test CPT 81025 | $114.28 | $267.00 | $4.02 – $28.42 | 17 |
| Urine shunt to intestine CPT 50815 | not published | not published | $1,281.67 – $2,020.35 | 3 |
| Urography inf drip &/or bolus CPT 74410 | $796.94 | $1,862.00 | $124.10 – $1,824.76 | 15 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $8,217.18 | $19,199.00 | $16.21 – $18,815.02 | 15 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | $17,783.40 | $41,550.00 | $176.93 – $36,750.00 | 15 |
| Vaccine dtap < 7 years im CPT 90700 | $136.96 | $320.00 | $32.54 – $313.60 | 11 |
| Vaccine dtap-hep b-ipv im CPT 90723 | $459.68 | $1,074.00 | $90.76 – $1,052.52 | 11 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | $116.42 | $272.00 | $30.96 – $266.56 | 11 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $59.07 | $138.00 | $19.95 – $135.24 | 11 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $378.36 | $884.00 | $67.37 – $866.32 | 11 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $177.20 | $414.00 | $38.49 – $405.72 | 11 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $134.82 | $315.00 | $32.68 – $308.70 | 15 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $101.01 | $236.00 | $19.98 – $231.28 | 16 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $1,317.82 | $3,079.00 | $139.82 – $1,348.48 | 11 |
| Vaccine mmr live subcutaneous CPT 90707 | $402.32 | $940.00 | $84.71 – $921.20 | 11 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $189.18 | $442.00 | $40.60 – $433.16 | 11 |
| Vaccine rabies im CPT 90675 | $2,185.37 | $5,106.00 | $331.07 – $4,458.02 | 15 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $2,542.32 | $5,940.00 | $2,673.00 – $5,821.20 | 8 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | $2,542.32 | $5,940.00 | $2,673.00 – $5,821.20 | 8 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | $451.12 | $1,054.00 | $91.59 – $1,032.92 | 12 |
| Vaccine tdap >=7 years im CPT 90715 | $228.56 | $534.00 | $40.11 – $523.32 | 11 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $184.47 | $431.00 | $32.20 – $320.46 | 11 |
| Vaccine varicella live subcutaneous CPT 90716 | $895.38 | $2,092.00 | $146.18 – $2,050.16 | 11 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $1,237.03 – $6,272.25 | 9 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $656.64 – $6,272.25 | 9 |
| Vag hyst including t/o CPT 58262 | not published | not published | $1,158.54 – $6,272.25 | 9 |
| Vag hyst t/o & repair compl CPT 58292 | not published | not published | $698.23 – $9,395.85 | 9 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | not published | not published | $639.96 – $6,272.25 | 9 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $1,264.65 – $6,272.25 | 9 |
| Vaginal bx CPT 58999 | not published | not published | $255.61 – $255.61 | 6 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | not published | not published | $780.72 – $4,039.91 | 9 |
| Vaginal Delivery (full care) CPT 59400 | not published | not published | $1,994.02 – $3,016.75 | 3 |
| Vaginal hysterectomy CPT 58260 | not published | not published | $1,162.90 – $6,272.25 | 9 |
| Vaginectomy partial w/nodes CPT 57109 | not published | not published | $1,793.77 – $4,039.91 | 9 |
| Vagnc compl rmvl paravag tis CPT 57111 | not published | not published | $1,797.40 – $2,719.28 | 3 |
| Vagnc compl rmvl vag wall CPT 57110 | not published | not published | $1,017.53 – $1,539.42 | 3 |
| Vagotomy pfrmd w/prtl dstl gstrct 43635 CPT 43635 | not published | not published | $897.17 – $1,414.25 | 3 |
| Vagotomy & pylorus repair CPT 43641 | not published | not published | $912.12 – $1,437.81 | 3 |
| Vagotomy & pylorus repair 43640 CPT 43640 | not published | not published | $822.40 – $1,296.40 | 3 |
| Valproic acid total therapeutic drug level CPT 80164 | $209.30 | $489.00 | $10.00 – $34.88 | 17 |
| Valvuloplasty aortic CPT 92986 | $9,602.61 | $22,436.00 | $1,108.37 – $21,987.28 | 14 |
| Valvuloplasty aortic valve CPT 33390 | not published | not published | $1,614.29 – $2,442.26 | 3 |
| Valvuloplasty aortic valve CPT 33391 | not published | not published | $1,912.88 – $2,893.99 | 3 |
| Valvuloplasty/tv without ring insert 33463 CPT 33463 | not published | not published | $1,477.33 – $2,328.79 | 3 |
| Valvuloplasty/tv w/ring insertion 33464 CPT 33464 | not published | not published | $1,582.43 – $2,494.46 | 3 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $733.17 | $1,713.00 | $37.80 – $82.32 | 8 |
| Vancomycin peak therapeutic drug level CPT 80202 | $215.29 | $503.00 | $13.54 – $39.20 | 17 |
| Varicella zoster antibody igg CPT 86787 | $35.10 | $82.00 | $2.50 – $33.18 | 17 |
| Vasc graft into carpal bone CPT 25430 | not published | not published | $543.93 – $4,122.60 | 9 |
| Vasectomy CPT 55250 | not published | not published | $299.06 – $2,602.84 | 9 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $1,090.98 | $2,549.00 | $1,147.05 – $2,498.02 | 8 |
| Vbac delivery 59610 CPT 59610 | not published | not published | $1,994.02 – $3,016.75 | 3 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $16,050.00 | $37,500.00 | $25.48 – $36,750.00 | 15 |
| Veeg cont 2-12 hrs CPT 95713 | $630.88 | $1,474.00 | $674.18 – $1,444.52 | 14 |
| Veeg intrmnt 2-12 hrs CPT 95712 | $328.28 | $767.00 | $373.12 – $751.66 | 14 |
| Veeg unmon 12-26 hrs CPT 95714 | $630.88 | $1,474.00 | $265.07 – $1,444.52 | 14 |
| Veeg unmon 2-12 hrs CPT 95711 | $328.28 | $767.00 | $221.87 – $751.66 | 14 |
| Vein bypass grft fem-popliteal 35583 CPT 35583 | not published | not published | $1,287.22 – $2,029.10 | 3 |
| Vein byp fem-tibial peroneal 35585 CPT 35585 | not published | not published | $1,645.23 – $2,593.45 | 3 |
| Vein byp pop-tibl peroneal CPT 35587 | not published | not published | $1,367.11 – $2,155.04 | 3 |
| Vein gft fem a/p tib/pero/dis art 35566 CPT 35566 | not published | not published | $1,287.22 – $2,029.10 | 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.