GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $193.27 | $251.00 | $17.50 – $31.92 | 17 |
| 17-hydroxypregnenolone CPT 84143 | $150.15 | $195.00 | $15.06 – $50.46 | 17 |
| 17-ketosteroids CPT 83586 | $83.93 | $109.00 | $8.45 – $28.30 | 17 |
| 1pc ost pch drain hgh output HCPCS A4435 | not published | not published | $4.15 – $14.73 | 13 |
| 1 pc ost pouch w filter HCPCS A5056 | not published | not published | $3.37 – $11.95 | 13 |
| 1 pc ost pou w built-in conv HCPCS A5057 | not published | not published | $6.92 – $24.54 | 13 |
| 1st hosp/birthing center care per day nml nb 99460 CPT 99460 | $59.34 | $258.00 | $37.41 – $353.01 | 17 |
| 1st inpatient critical care pr day age 28 days/less than 99468 CPT 99468 | $570.63 | $2,481.00 | $576.26 – $2,351.00 | 8 |
| 1st psyc collab care mgmt CPT 99492 | $60.72 | $264.00 | $61.48 – $253.38 | 17 |
| 1st/sbsq psyc collab care CPT 99494 | $25.99 | $113.00 | $33.63 – $65.37 | 14 |
| 2019-ncov diagnostic p HCPCS U0001 | not published | not published | $23.71 – $44.91 | 17 |
| 24 hr ambulatory b/p monitor CPT 93786 | $377.30 | $490.00 | $18.20 – $353.10 | 14 |
| 2d tee w or without fol w/con,in HCPCS C8925 | not published | not published | $525.12 – $2,164.21 | 13 |
| 2d tte w or without fol w/con,co HCPCS C8923 | $2,311.54 | $3,002.00 | $525.12 – $2,164.21 | 13 |
| 2nd order venous cath CPT 36012 | $4,895.66 | $6,358.00 | $114.50 – $272.02 | 14 |
| 2vhpv vaccine 3 dose im CPT 90650 | not published | not published | $128.00 – $184.87 | 3 |
| 3d anat seg imaging preop HCPCS C8001 | not published | not published | $103.99 – $428.59 | 13 |
| 3d bn img algor drvd fr MRI HCPCS G0566 | not published | not published | $103.99 – $428.59 | 13 |
| 3d ech img cgen car anomal CPT 93319 | $14.95 | $65.00 | $19.00 – $37.11 | 14 |
| 3-d radiotherapy plan CPT 77295 | $146.74 | $638.00 | $184.99 – $3,748.07 | 16 |
| 3d recon without postprocess indpndt CPT 76376 | $1,170.40 | $1,520.00 | $7.75 – $31.50 | 5 |
| 4-bar link above knee w/swng HCPCS L5614 | not published | not published | $1,025.00 – $3,638.57 | 13 |
| 5% dextrose and 0.45% saline HCPCS S5010 | not published | not published | $8.06 – $8.87 | 2 |
| 5% dextrose with potassium HCPCS S5012 | not published | not published | $4.85 – $5.34 | 2 |
| 5' nucleotidase - sendout CPT 83915 | $73.15 | $95.00 | $7.36 – $24.66 | 17 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $23.46 | $102.00 | $9.78 – $18.26 | 11 |
| 99381 initial comp preventive med less than 1 year new CPT 99381 | $49.68 | $216.00 | $32.00 – $272.08 | 6 |
| 99382 initial comp preventive med 1 to 4 years new CPT 99382 | $52.90 | $230.00 | $32.00 – $311.27 | 6 |
| 99383 initial comp preventive med 5 to 11 years new CPT 99383 | $56.12 | $244.00 | $32.00 – $278.25 | 6 |
| 99391 periodic comp preventive med less than 1 year est CPT 99391 | $45.08 | $196.00 | $32.00 – $233.99 | 6 |
| 99392 periodic comp preventive med 1 to 4 years est CPT 99392 | $49.68 | $216.00 | $32.00 – $272.08 | 6 |
| 99393 periodic comp preventive med 5 to 11 years est CPT 99393 | $49.68 | $216.00 | $32.00 – $225.75 | 6 |
| 99394 periodic comp preventive med 12 to 17 years est CPT 99394 | $56.12 | $244.00 | $32.00 – $364.65 | 11 |
| 99397 periodic comp preventive med 65+ years est CPT 99397 | $66.01 | $287.00 | $32.00 – $315.00 | 6 |
| Aa graft w/bp/aortic root replace 33863 CPT 33863 | $1,992.49 | $8,663.00 | $173.15 – $9,118.75 | 8 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | not published | not published | $35.68 – $103.00 | 15 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $79.31 | $103.00 | $7.93 – $26.56 | 17 |
| Abciximab injection HCPCS J0130 | not published | not published | $1,429.07 – $1,812.16 | 4 |
| Abd aorta w/runoff s&i CPT 75630 | $12,662.65 | $16,445.00 | $51.97 – $8,621.93 | 16 |
| Abd exp/postop hem/throm/infec 35840 CPT 35840 | $783.15 | $3,405.00 | $67.97 – $2,079.43 | 8 |
| Abd/low ext cath 1st CPT 36245 | $4,904.13 | $6,369.00 | $134.50 – $368.67 | 14 |
| Abd/low ext cath 2nd CPT 36246 | $3,990.91 | $5,183.00 | $199.02 – $395.57 | 14 |
| Abd/low ext cath 3rd CPT 36247 | $4,581.50 | $5,950.00 | $235.73 – $466.33 | 14 |
| Abd/low ext cath addl CPT 36248 | $1,124.20 | $1,460.00 | $38.31 – $75.28 | 14 |
| Abdominal and Pelvic Blood Vessel Ultrasound (complete) CPT 93975 | $884.73 | $1,149.00 | $44.62 – $662.14 | 16 |
| Abdominal and Pelvic Blood Vessel Ultrasound (limited) CPT 93976 | $388.85 | $505.00 | $30.92 – $350.25 | 17 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $2,360.82 | $3,066.00 | $54.22 – $487.65 | 16 |
| Abdominal CT scan (with contrast) CPT 74160 | $1,888.04 | $2,452.00 | $49.47 – $487.65 | 16 |
| Abdominal CT scan (without contrast) CPT 74150 | $1,128.05 | $1,465.00 | $46.19 – $291.30 | 16 |
| Abdominal MRI (with and without contrast) CPT 74183 | $3,918.53 | $5,089.00 | $85.20 – $978.28 | 16 |
| Abdominal MRI (with contrast) CPT 74182 | $3,135.44 | $4,072.00 | $66.92 – $978.28 | 16 |
| Abdominal MRI (without contrast) CPT 74181 | $2,122.12 | $2,756.00 | $56.66 – $662.14 | 16 |
| Abdominal pad HCPCS L1270 | not published | not published | $52.18 – $185.21 | 13 |
| Abdominal paracentesis w/image guidance CPT 49083 | $2,743.51 | $3,563.00 | $84.33 – $2,568.25 | 17 |
| Abdominal Ultrasound (complete) CPT 76700 | $583.66 | $758.00 | $31.27 – $291.30 | 17 |
| Abdominal Ultrasound (limited) CPT 76705 | $583.66 | $758.00 | $22.69 – $291.30 | 17 |
| Abdominal X-ray (2 views) CPT 74019 | $428.12 | $556.00 | $8.86 – $291.30 | 17 |
| Abdominal X-ray Series (acute, with chest view) CPT 74022 | $428.12 | $556.00 | $12.42 – $291.30 | 17 |
| Abdominal X-ray (single view) CPT 74018 | $354.20 | $460.00 | $7.18 – $241.19 | 17 |
| Abdominoplasty 15830 CPT 15830 | $759.46 | $3,302.00 | $94.88 – $17,864.20 | 16 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $2,743.51 | $3,563.00 | $54.53 – $2,568.25 | 17 |
| Abduct control hip semi-flex HCPCS L1630 | not published | not published | $98.41 – $349.35 | 13 |
| Abduction bar jointed adjust HCPCS L2300 | not published | not published | $165.78 – $588.49 | 13 |
| Abduction bar-straight HCPCS L2310 | not published | not published | $83.01 – $294.68 | 13 |
| Abduction rotation bar shoe HCPCS L3140 | not published | not published | $46.40 – $191.62 | 13 |
| Abduct rotation bar without shoe HCPCS L3150 | not published | not published | $46.40 – $175.17 | 13 |
| Abl1 gene CPT 81170 | $877.80 | $1,140.00 | $198.00 – $421.78 | 17 |
| Ablat 1/+thyr ndul addl prq rf CPT 60661 | $141.68 | $616.00 | $178.06 – $419.55 | 8 |
| Ablate arrhythmia add on CPT 93655 | $193.20 | $840.00 | $240.58 – $477.37 | 7 |
| Ablate atria lmtd endo 33265 CPT 33265 | $867.33 | $3,771.00 | $75.47 – $2,139.16 | 7 |
| Ablate atria w/bypass exten 33256 CPT 33256 | $1,222.45 | $5,315.00 | $106.27 – $3,014.78 | 7 |
| Ablate atria without bypass ext CPT 33255 | $1,032.24 | $4,488.00 | $89.76 – $2,544.63 | 7 |
| Ablate atria x10sv add-on 33258 CPT 33258 | $413.54 | $1,798.00 | $82.87 – $1,018.86 | 7 |
| Ablate atria x10sv endo 33266 CPT 33266 | $1,170.93 | $5,091.00 | $101.79 – $2,889.78 | 7 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | $220.11 | $957.00 | $275.26 – $19,568.78 | 15 |
| Ablate bone tumor(s) perq CPT 20982 | $235.52 | $1,024.00 | $294.03 – $35,246.01 | 17 |
| Ablate heart dysrhythm focus CPT 93650 | $366.62 | $1,594.00 | $457.01 – $20,786.04 | 16 |
| Ablate heart dysrhythm focus CPT 33250 | $924.83 | $4,021.00 | $80.45 – $3,915.30 | 8 |
| Ablate heart dysrhythm focus CPT 33251 | $1,036.15 | $4,505.00 | $90.20 – $5,091.29 | 8 |
| Ablate heart dysrhythm focus CPT 33261 | $1,023.04 | $4,448.00 | $88.94 – $4,757.13 | 8 |
| Ablate inf turbinate submuc 30802 CPT 30802 | $127.88 | $556.00 | $16.55 – $4,057.66 | 17 |
| Ablate inf turbinate superf 30801 CPT 30801 | $94.76 | $412.00 | $12.41 – $4,057.66 | 18 |
| Ablate pulm tumor perq crybl CPT 32994 | $278.99 | $1,213.00 | $349.97 – $28,519.39 | 15 |
| Ablate pulm tumor perq rf CPT 32998 | $278.76 | $1,212.00 | $35.63 – $15,982.03 | 17 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $458.15 | $595.00 | $103.99 – $428.59 | 13 |
| Ablation cryo abd perit om CPT 49999 | not published | $0.01 | $623.16 – $2,568.25 | 13 |
| Ablation cryo adrenal tumor CPT 60699 | not published | $0.01 | $3,877.86 – $15,982.03 | 13 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | not published | $0.01 | $159.44 – $1,075.00 | 14 |
| Ablation cryo pq liver tumor(s) CPT 47383 | $289.11 | $1,257.00 | $35.91 – $28,519.39 | 17 |
| Ablation cryo retro lymph node CPT 38999 | not published | $0.01 | $290.58 – $1,197.56 | 13 |
| Ablation cryo thigh/knee CPT 27599 | not published | $0.01 | $159.44 – $1,075.00 | 14 |
| Ablation of upper extremity nerves rf CPT 64999 | $2,026.64 | $2,632.00 | $183.75 – $808.61 | 14 |
| Abltj 1/+thyr ndul 1lobe prq CPT 60660 | $204.24 | $888.00 | $256.85 – $4,438.31 | 15 |
| Abltj mal prst8 tiss hifu CPT 55880 | $632.50 | $2,750.00 | $63.73 – $25,330.66 | 16 |
| Ablt trurl prst8 tis thrm Ultrasound CPT 55881 | $314.64 | $1,368.00 | $397.91 – $930.68 | 8 |
| Ablt trurl prst8 tis trnsdcr CPT 55882 | $386.17 | $1,679.00 | $488.11 – $35,590.06 | 15 |
| Abobotulinumtoxina HCPCS J0586 | not published | not published | $7.35 – $19.26 | 14 |
| Abortion CPT 59850 | $254.15 | $1,105.00 | $53.89 – $1,250.91 | 8 |
| Abortion (mpr) CPT 59866 | $153.64 | $668.00 | $190.46 – $833.27 | 14 |
| Above elbow prosth tiss shap HCPCS L6500 | not published | not published | $1,909.21 – $6,777.35 | 13 |
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.