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 |
|---|---|---|---|---|
| Warde islet cell antibody zinc transporter 8 CPT 86341 | $181.39 | $423.80 | $10.00 – $60.73 | 17 |
| Warde lipoprotein (a) CPT 83695 | $24.40 | $56.99 | $8.00 – $36.90 | 17 |
| Warde lipoprotein-associated phospholipase a2 CPT 83698 | $78.67 | $183.80 | $28.50 – $119.32 | 17 |
| Warde mitochondrial antibody each CPT 86381 | $34.24 | $80.00 | $5.00 – $9.80 | 7 |
| Warde neutralization rabies CPT 86382 | $32.96 | $77.00 | $16.91 – $75.46 | 17 |
| Warde oxcarbazepine therapeutic drug level CPT 80183 | $8.56 | $20.00 | $10.00 – $34.13 | 17 |
| Warde pancreatic elastase fecal quantitative CPT 82653 | $14.98 | $35.00 | $17.50 – $34.30 | 7 |
| Warde protein c antigen CPT 85302 | $6.00 | $14.00 | $6.50 – $30.96 | 17 |
| Warde sex hormone binding globulin CPT 84270 | $46.51 | $108.66 | $1.50 – $55.97 | 17 |
| Warde somatomedin CPT 84305 | $3.43 | $8.00 | $4.00 – $54.78 | 17 |
| Warde sugars single qualitative each specimen stool CPT 84376 | $5.11 | $11.92 | $5.50 – $14.19 | 17 |
| Warde t3 (triiodothyronine) reverse CPT 84482 | $8.38 | $19.57 | $7.00 – $40.59 | 17 |
| Warde thyroid stimulating immunoglobulins CPT 84445 | $16.76 | $39.15 | $19.58 – $131.05 | 17 |
| Warde topiramate therapeutic drug level CPT 80201 | $6.00 | $14.00 | $7.00 – $30.72 | 17 |
| Warde virus isolation tissue culture innoculation presumptive id herpes simplex CPT 87252 | $24.29 | $56.75 | $15.07 – $67.19 | 17 |
| Warde viscosity CPT 85810 | $4.26 | $9.93 | $4.97 – $30.09 | 17 |
| Warde vitamin a CPT 84590 | $3.00 | $7.00 | $3.50 – $29.93 | 17 |
| Warde vitamin b-1 (thiamine) CPT 84425 | $4.28 | $10.00 | $4.50 – $54.70 | 17 |
| Warde vitamin b6 (pyridoxine) CPT 84207 | $3.00 | $7.00 | $3.50 – $72.42 | 17 |
| Warde vitamin c (ascorbic acid) CPT 82180 | $7.71 | $18.00 | $9.00 – $25.49 | 17 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $6.85 | $16.00 | $8.00 – $99.22 | 17 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | $3.00 | $7.00 | $3.50 – $36.55 | 17 |
| Warde zinc CPT 84630 | $19.69 | $46.00 | $2.50 – $29.33 | 17 |
| Wash harvest stem cells CPT 38209 | not published | not published | $555.48 – $555.48 | 6 |
| Wbc automated CPT 85048 | $113.85 | $266.00 | $2.54 – $7.84 | 17 |
| Wedge biopsy of liver 47100 CPT 47100 | not published | not published | $468.66 – $738.77 | 3 |
| Wedge rescj/bisctj ovary uni/bi 58920 CPT 58920 | not published | not published | $872.17 – $9,395.85 | 9 |
| Wedge resect of lung add-on 32506 CPT 32506 | not published | not published | $127.33 – $192.64 | 3 |
| Wedge resect of lung diag 32507 CPT 32507 | not published | not published | $127.33 – $192.64 | 3 |
| Wedge resect of lung initial 32505 CPT 32505 | not published | not published | $770.65 – $1,165.93 | 3 |
| Wedging of cast CPT 29740 | not published | not published | $83.73 – $337.45 | 9 |
| Wedging of clubfoot cast CPT 29750 | not published | not published | $71.34 – $337.45 | 9 |
| Western blot test CPT 84181 | $51.36 | $120.00 | $17.03 – $112.06 | 17 |
| Whfo w/joint(s) custom fab HCPCS L3806 | $433.57 | $1,013.00 | $292.28 – $992.74 | 13 |
| Wilate injection HCPCS J7183 | $6.42 | $15.00 | $1.27 – $14.70 | 14 |
| Wnd prep f/n/hf/g addl cm CPT 15005 | not published | not published | $100.15 – $151.51 | 3 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $532.44 | $1,244.00 | $507.64 – $1,219.12 | 11 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | $532.44 | $1,244.00 | $507.64 – $1,219.12 | 11 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $475.08 | $1,110.00 | $230.00 – $450.80 | 11 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $667.26 | $1,559.00 | $353.50 – $692.86 | 11 |
| Wrist arthroscopy CPT 29840 | not published | not published | $306.74 – $4,122.60 | 9 |
| Wrist arthroscopy/surgery CPT 29843 | not published | not published | $417.40 – $4,122.60 | 9 |
| Wrist arthroscopy/surgery CPT 29844 | not published | not published | $430.22 – $4,122.60 | 9 |
| Wrist arthroscopy/surgery CPT 29845 | not published | not published | $522.92 – $4,122.60 | 9 |
| Wrist arthroscopy/surgery CPT 29846 | not published | not published | $616.91 – $4,122.60 | 9 |
| Wrist arthroscopy/surgery CPT 29847 | not published | not published | $495.15 – $9,076.82 | 9 |
| Wrist endoscopy/surgery CPT 29848 | not published | not published | $287.52 – $2,033.48 | 9 |
| Xcapsl ctrc rmvl cplx w/ecp CPT 66987 | not published | not published | $5,111.45 – $5,111.45 | 6 |
| Xcapsl ctrc rmvl cplx wo ecp CPT 66982 | not published | not published | $1,157.77 – $2,897.90 | 9 |
| Xcapsl ctrc rmvl w/ecp CPT 66988 | not published | not published | $5,111.45 – $5,111.45 | 6 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | not published | not published | $387.06 – $2,324.22 | 9 |
| Xfer tis s/a/l 10 sq cm/< CPT 14020 | not published | not published | $290.51 – $2,324.22 | 9 |
| Xpos opn axillary/sbclvn art w/cndt crtn CPT 34716 | not published | not published | $315.71 – $477.63 | 3 |
| Xpos opn fmrl eprst aor uni add-on CPT 34812 | $891.53 | $2,083.00 | $365.70 – $2,041.34 | 9 |
| X-ray abdomen 1 view CPT 74018 | $374.93 | $876.00 | $24.60 – $737.94 | 15 |
| X-ray abdomen 2 views CPT 74019 | $468.24 | $1,094.00 | $30.06 – $927.08 | 15 |
| X-ray abdomen >=3 views CPT 74021 | $588.08 | $1,374.00 | $35.12 – $1,158.36 | 15 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $708.34 | $1,655.00 | $56.54 – $1,295.56 | 15 |
| X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 | $295.32 | $690.00 | $37.15 – $585.06 | 15 |
| X-ray bone age studies CPT 77072 | $464.81 | $1,086.00 | $19.67 – $886.90 | 15 |
| X-ray bone length studies CPT 77073 | $311.59 | $728.00 | $32.05 – $588.98 | 15 |
| X-ray bone survey complete CPT 77075 | $669.82 | $1,565.00 | $78.50 – $1,226.96 | 15 |
| X-ray bone survey infant CPT 77076 | $512.32 | $1,197.00 | $63.60 – $880.04 | 15 |
| X-ray cervical spine 2-3 views CPT 72040 | $486.21 | $1,136.00 | $37.27 – $924.14 | 15 |
| X-ray cervical spine 4-5 views CPT 72050 | $695.50 | $1,625.00 | $57.38 – $1,324.96 | 15 |
| X-ray cervical spine >= 6 views CPT 72052 | $783.24 | $1,830.00 | $72.16 – $1,481.76 | 15 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $532.86 | $1,245.00 | $74.46 – $1,017.24 | 15 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $1,019.50 | $2,382.00 | $90.14 – $1,949.22 | 15 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $619.32 | $1,447.00 | $54.64 – $1,178.94 | 15 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $486.21 | $1,136.00 | $61.12 – $921.20 | 15 |
| X-ray exam of eye sockets CPT 70200 | $652.28 | $1,524.00 | $54.35 – $1,254.40 | 15 |
| X-ray exam of sinuses CPT 70210 | $281.20 | $657.00 | $31.01 – $560.56 | 15 |
| X-ray exam si joints CPT 72200 | $447.26 | $1,045.00 | $31.01 – $889.84 | 15 |
| X-ray exam thorac spine4/>vw CPT 72074 | $709.20 | $1,657.00 | $50.36 – $1,291.64 | 15 |
| X-ray facial bones complete > 3 views CPT 70150 | $418.16 | $977.00 | $53.47 – $794.78 | 15 |
| X-ray fallopian tube CPT 74742 | $532.01 | $1,243.00 | $344.61 – $1,218.14 | 8 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $802.93 | $1,876.00 | $34.80 – $1,467.06 | 15 |
| X-ray knee ap standing bilateral CPT 73565 | $403.61 | $943.00 | $27.28 – $810.46 | 15 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $267.50 | $625.00 | $49.64 – $538.02 | 15 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $508.90 | $1,189.00 | $62.90 – $928.06 | 15 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $587.65 | $1,373.00 | $75.89 – $1,175.02 | 15 |
| X-ray mandible complete > 4 views CPT 70110 | $485.78 | $1,135.00 | $48.83 – $923.16 | 15 |
| X-ray mandible ltd <4 views CPT 70100 | $296.61 | $693.00 | $36.00 – $556.64 | 15 |
| X-ray nasal bones complete > 3 views CPT 70160 | $339.41 | $793.00 | $35.56 – $643.86 | 15 |
| X-ray neck soft tissue CPT 70360 | $373.65 | $873.00 | $24.82 – $683.06 | 15 |
| X-ray nose to rectum for foreign body child CPT 76010 | $890.67 | $2,081.00 | $33.48 – $1,685.60 | 15 |
| X-ray pelvis 1-2 views CPT 72170 | $485.78 | $1,135.00 | $31.01 – $845.74 | 15 |
| X-ray pelvis complete > 3 views CPT 72190 | $485.78 | $1,135.00 | $45.26 – $889.84 | 15 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $1,697.45 | $3,966.00 | $80.93 – $3,108.56 | 15 |
| X-ray ribs 3 views bilateral CPT 71110 | $537.57 | $1,256.00 | $47.78 – $975.10 | 15 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $734.45 | $1,716.00 | $60.82 – $1,396.50 | 15 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $485.78 | $1,135.00 | $42.42 – $889.84 | 15 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $447.26 | $1,045.00 | $35.89 – $811.44 | 15 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $306.02 | $715.00 | $47.84 – $560.56 | 15 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $1,560.92 | $3,647.00 | $59.94 – $3,574.06 | 15 |
| X-ray skull < 4 views CPT 70250 | $441.70 | $1,032.00 | $37.27 – $839.86 | 15 |
| X-ray skull > 4 views complete CPT 70260 | $441.70 | $1,032.00 | $57.69 – $839.86 | 15 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $635.58 | $1,485.00 | $135.72 – $1,207.36 | 15 |
| X-ray small intestine follow-through study CPT 74248 | $8,467.56 | $19,784.00 | $74.76 – $1,702.26 | 11 |
| X-ray spine single view CPT 72020 | $278.20 | $650.00 | $24.82 – $529.20 | 15 |
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.