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 |
|---|---|---|---|---|
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $267.08 | $624.00 | $37.27 – $535.08 | 15 |
| X-ray sternum > 2 views CPT 71120 | $278.63 | $651.00 | $37.27 – $556.64 | 15 |
| X-ray surgical specimen CPT 76098 | $1,461.20 | $3,414.00 | $20.77 – $2,776.34 | 15 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $513.18 | $1,199.00 | $74.46 – $975.10 | 15 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $281.20 | $657.00 | $54.64 – $560.56 | 15 |
| X-ray thoracic spine 2 views CPT 72070 | $537.57 | $1,256.00 | $40.22 – $926.10 | 15 |
| X-ray thoracic spine 3 views CPT 72072 | $585.51 | $1,368.00 | $44.22 – $1,070.16 | 15 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $457.96 | $1,070.00 | $39.29 – $869.26 | 15 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $265.36 | $620.00 | $34.72 – $506.66 | 15 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $442.13 | $1,033.00 | $56.31 – $840.84 | 15 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $608.19 | $1,421.00 | $165.31 – $1,158.36 | 15 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $618.46 | $1,445.00 | $146.35 – $1,173.06 | 15 |
| Yersinia antibody CPT 86793 | $15.51 | $36.22 | $13.19 – $35.47 | 17 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | $26,293.76 | $61,434.00 | $30,717.00 – $75,563.82 | 13 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $3.43 | $8.00 | $2.23 – $7.84 | 10 |
| Zika virus dna/rna amp probe CPT 87662 | $56.50 | $132.00 | $41.04 – $132.20 | 17 |
| Zika virus igm antibody CPT 86794 | $32.02 | $74.80 | $13.48 – $73.31 | 17 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $52.65 | $123.00 | $11.86 – $120.54 | 11 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $5,058.96 | $11,820.00 | $9.24 – $5,759.46 | 11 |
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.