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 |
|---|---|---|---|---|
| Attach bladder/urethra comp 51841 CPT 51841 | $518.19 | $2,253.00 | $52.51 – $2,757.14 | 8 |
| Attach bladder/urethra simple 51840 CPT 51840 | $447.81 | $1,947.00 | $45.39 – $2,269.25 | 8 |
| Attach ocular implant CPT 65140 | $580.06 | $2,522.00 | $75.45 – $10,329.88 | 16 |
| Attn at delivery+ 1 stabilization of newborn 99464 CPT 99464 | $46.23 | $201.00 | $48.83 – $178.00 | 8 |
| Atxn10 gene detc abnor allel CPT 81183 | $94.76 | $412.00 | $90.42 – $149.33 | 14 |
| Atxn1 gene detc abnor allele CPT 81178 | $94.76 | $412.00 | $90.42 – $149.33 | 14 |
| Atxn2 gene detc abnor allele CPT 81179 | $94.76 | $412.00 | $90.42 – $149.33 | 14 |
| Atxn3 gene detc abnor allele CPT 81180 | $94.76 | $412.00 | $90.42 – $149.33 | 14 |
| Atxn7 gene detc abnor allele CPT 81181 | $94.76 | $412.00 | $90.42 – $149.33 | 14 |
| Atxn8os gen detc abnor allel CPT 81182 | $94.76 | $412.00 | $90.42 – $149.33 | 14 |
| Aud brainstem implt programg CPT 92640 | $60.03 | $261.00 | $76.40 – $428.59 | 15 |
| Audiometry air + bone CPT 92553 | not published | not published | $14.00 – $428.59 | 17 |
| Audit/dast 15-30 min CPT 99408 | $21.39 | $93.00 | $25.93 – $88.00 | 5 |
| Audit/dast over 30 min CPT 99409 | $42.78 | $186.00 | $51.87 – $171.00 | 5 |
| Auditory function + 15 min CPT 92621 | $11.96 | $52.00 | $8.83 – $29.39 | 11 |
| Auditory function 60 min CPT 92620 | $51.06 | $222.00 | $34.79 – $428.59 | 17 |
| Aud rehab postling hear loss CPT 92633 | not published | not published | $82.10 – $135.46 | 8 |
| Aud rehab pre-ling hear loss CPT 92630 | not published | not published | $82.10 – $135.46 | 8 |
| Augmentation cheek bone CPT 21270 | $484.61 | $2,107.00 | $60.72 – $16,204.73 | 15 |
| Augmentation lower jaw bone CPT 21125 | $436.08 | $1,896.00 | $54.64 – $16,204.73 | 17 |
| Augmentation lower jaw bone CPT 21127 | $503.70 | $2,190.00 | $63.26 – $16,204.73 | 17 |
| Augmentation of facial bones CPT 21208 | $480.24 | $2,088.00 | $60.27 – $16,204.73 | 17 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | $15,676.43 | $20,359.00 | $174.05 – $344.18 | 11 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | $20,902.42 | $27,146.00 | $41.09 – $19,568.78 | 17 |
| Autgrft implnt knee w/scope CPT 29866 | $685.17 | $2,979.00 | $85.84 – $19,568.78 | 14 |
| Autochondrocyte implant knee CPT 27412 | $1,067.43 | $4,641.00 | $133.53 – $19,568.78 | 14 |
| Autoimmune rheumatoid arthr anl 12 mrk ia CPT 81490 | $580.06 | $2,522.00 | $554.83 – $916.31 | 14 |
| Autologous blood op salvage CPT 86891 | not published | not published | $108.48 – $2,237.73 | 14 |
| Autologous blood process CPT 86890 | $1,128.05 | $1,465.00 | $46.78 – $469.41 | 14 |
| Autolog prp diab wound ulcer HCPCS G0465 | $373.52 | $1,624.00 | $74.34 – $5,010.80 | 15 |
| Autolog prp not diab ulcer HCPCS G0460 | not published | not published | $230.14 – $5,010.80 | 14 |
| Automated diff wbc count CPT 85004 | $4.60 | $20.00 | $4.27 – $11.57 | 17 |
| Autonomic nrv adrenrg inervj CPT 95922 | $28.98 | $126.00 | $37.45 – $353.10 | 14 |
| Autonomic nrv parasym inervj CPT 95921 | $28.06 | $122.00 | $35.65 – $428.59 | 14 |
| Autonomic nrv syst funj test CPT 95923 | $28.29 | $123.00 | $36.23 – $353.10 | 14 |
| Autopsy (necropsy) complete CPT 88020 | not published | not published | $292.95 – $866.36 | 4 |
| Autopsy (necropsy) complete CPT 88025 | not published | not published | $283.55 – $2,274.32 | 4 |
| Autopsy (necropsy) complete CPT 88027 | not published | not published | $302.35 – $1,039.63 | 5 |
| Autopsy (necropsy) complete CPT 88028 | not published | not published | $170.24 – $901.01 | 4 |
| Autopsy (necropsy) complete CPT 88029 | not published | not published | $170.24 – $901.01 | 4 |
| Autopsy (necropsy) gross CPT 88000 | not published | not published | $170.24 – $693.09 | 5 |
| Autopsy (necropsy) gross CPT 88005 | not published | not published | $198.43 – $779.72 | 4 |
| Autopsy (necropsy) gross CPT 88007 | not published | not published | $207.83 – $866.36 | 4 |
| Autopsy (necropsy) gross CPT 88012 | not published | not published | $170.24 – $727.74 | 4 |
| Autopsy (necropsy) gross CPT 88014 | not published | not published | $156.01 – $727.74 | 4 |
| Autopsy (necropsy) gross CPT 88016 | not published | not published | $217.50 – $693.09 | 4 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | not published | not published | $80.43 – $210.63 | 14 |
| Av fistula revision CPT 36833 | $510.83 | $2,221.00 | $44.48 – $14,807.80 | 16 |
| Av fuse uppr arm basilic CPT 36819 | $461.38 | $2,006.00 | $40.24 – $14,807.80 | 16 |
| Av fuse uppr arm cephalic CPT 36818 | $436.08 | $1,896.00 | $38.02 – $14,807.80 | 16 |
| Av fusion direct any site CPT 36821 | $417.68 | $1,816.00 | $36.39 – $8,621.93 | 16 |
| Av fusion/forearm vein 36820 CPT 36820 | $461.84 | $2,008.00 | $40.04 – $14,807.80 | 16 |
| Avul nail plate addl CPT 11732 | $435.82 | $566.00 | $2.71 – $90.00 | 15 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $581.35 | $755.00 | $25.75 – $544.30 | 18 |
| Axatilimab-csfr 22 mg/0.44ml soln 0.44 ml vial HCPCS J9038 | not published | not published | $43.36 – $113.56 | 13 |
| Axicabtagene ciloleucel car+ HCPCS Q2041 | not published | not published | $427,474.03 – $1,119,460.60 | 14 |
| Axillary crutch extension HCPCS L0978 | not published | not published | $122.58 – $435.12 | 13 |
| Axillary lymphadenect/superficial 38740 CPT 38740 | $455.86 | $1,982.00 | $35.17 – $15,982.03 | 16 |
| Azacitidine injection HCPCS J9025 | not published | not published | $0.20 – $0.38 | 6 |
| Azathioprine 50 mg tablet HCPCS J7500 | not published | not published | $1.19 – $3.03 | 6 |
| Azathioprine parenteral HCPCS J7501 | not published | not published | $180.40 – $472.43 | 13 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $8.06 | $35.03 | $2.13 – $3.70 | 6 |
| Azithromycin dihydrate, oral HCPCS Q0144 | not published | not published | $12.00 – $27.71 | 3 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | not published | not published | $2.07 – $3.77 | 6 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | not published | not published | $140.99 – $369.22 | 14 |
| Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476 | not published | not published | $40.73 – $95.09 | 6 |
| Baclofen eval charges CPT 97750 | $146.30 | $190.00 | $25.62 – $34.83 | 13 |
| Bacterial meningitis antigen CPT 86403 | $76.23 | $99.00 | $7.61 – $35.00 | 18 |
| Bacterial vaginosis pcr CPT 87801 | $462.00 | $600.00 | $38.80 – $150.96 | 18 |
| Bactericidal level serum CPT 87197 | $10.58 | $46.00 | $9.91 – $24.34 | 17 |
| #bac vag cand-c. albicans naa CPT 87481 | $231.00 | $300.00 | $23.16 – $63.63 | 17 |
| Bag urine leg fbrc strap 32oz flipflo anti-reflux valve HCPCS A4358 | not published | not published | $4.77 – $16.96 | 13 |
| Balance and Coordination Retraining (each 15 minutes) CPT 97112 | $136.29 | $177.00 | $24.75 – $33.65 | 13 |
| Balloon dilate urtrl strix CPT 50706 | $114.54 | $498.00 | $144.00 – $282.36 | 14 |
| Banding pulmonary artery CPT 33690 | $768.43 | $3,341.00 | $66.92 – $5,325.50 | 8 |
| Bard marquee Ultrasound biopsy device HCPCS A4649 | $152.49 | $663.00 | not published | 0 |
| Barium Enema (Colon X-ray, barium and air) CPT 74280 | $716.10 | $930.00 | $27.30 – $487.65 | 16 |
| Barium Enema (Colon X-ray, barium only) CPT 74270 | $716.10 | $930.00 | $15.75 – $487.65 | 16 |
| Barium Swallow (Esophagus X-ray) CPT 74220 | $716.10 | $930.00 | $15.75 – $487.65 | 16 |
| Barrier film 1.0ml wipe HCPCS A5120 | not published | not published | $0.17 – $0.57 | 13 |
| Barrier film 28ml spray no stng cavilon HCPCS A4369 | not published | not published | $1.75 – $6.20 | 13 |
| Barrier skin flat ctf 2.75in HCPCS A4408 | not published | not published | $7.11 – $25.24 | 13 |
| Barrier skin flextend 2.25in floating flang new image HCPCS A4409 | not published | not published | $4.48 – $15.87 | 13 |
| Barrier skin flxtnd ctf 3.5in flt flang 4in w/tape cut to ft HCPCS A4414 | not published | not published | $3.55 – $12.57 | 13 |
| Barrier skn ft cx ff red 2.25 ctf new image w/tape HCPCS A4407 | not published | not published | $6.31 – $22.40 | 13 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | $117.76 | $512.00 | $14.86 – $8,709.67 | 16 |
| Bartonella dna pcr-sendout CPT 87471 | $231.00 | $300.00 | $23.16 – $63.63 | 17 |
| Bartonella dna quant CPT 87472 | $29.44 | $128.00 | $28.27 – $77.66 | 17 |
| Basic vestibular evaluation CPT 92540 | $48.99 | $213.00 | $12.82 – $428.59 | 16 |
| Basiliximab HCPCS J0480 | not published | not published | $3,746.85 – $9,812.18 | 14 |
| Battery chrgr 12 volt utah/e HCPCS L7366 | not published | not published | $414.77 – $1,472.38 | 13 |
| Battery chrgr six volt otto HCPCS L7362 | not published | not published | $166.56 – $591.25 | 13 |
| Battery elec/combo vad, rep HCPCS Q0496 | not published | not published | $910.66 – $3,232.68 | 13 |
| Battery pneum vad replacemnt HCPCS Q0503 | not published | not published | $789.88 – $2,803.93 | 13 |
| Bausch health Ultrasound surg HCPCS V2788 | not published | not published | $392.50 – $1,995.40 | 2 |
| B cells total count CPT 86355 | $248.71 | $323.00 | $24.90 – $67.46 | 17 |
| Bcg live 50 mg intravesical suspension HCPCS J9030 | not published | not published | $2.95 – $4.42 | 6 |
| Bcg vaccine intravesical CPT 90586 | not published | not published | $147.32 – $220.97 | 7 |
| Bcg vaccine percut CPT 90585 | not published | not published | $10.00 – $307.00 | 11 |
| Bckdhb gene CPT 81205 | not published | not published | $62.69 – $103.54 | 14 |
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.