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 |
|---|---|---|---|---|
| Revision of sciatic nerve CPT 64712 | $386.86 | $1,682.00 | $53.47 – $5,349.21 | 16 |
| Revision of scrotum CPT 55175 | $237.36 | $1,032.00 | $29.93 – $9,447.74 | 16 |
| Revision of scrotum CPT 55180 | $445.74 | $1,938.00 | $56.20 – $13,925.53 | 16 |
| Revision of spinal shunt CPT 63744 | $467.13 | $2,031.00 | $61.04 – $17,542.63 | 16 |
| Revision of testis CPT 54660 | $233.45 | $1,015.00 | $29.42 – $13,925.53 | 14 |
| Revision of thigh muscles CPT 27430 | $484.15 | $2,105.00 | $7.50 – $19,568.78 | 16 |
| Revision of toe CPT 28312 | $231.38 | $1,006.00 | $2.50 – $8,887.94 | 17 |
| Revision of tricuspid valve CPT 33468 | $1,555.03 | $6,761.00 | $135.21 – $8,252.61 | 8 |
| Revision of tricuspid valve w/bypass 33460 CPT 33460 | $1,517.77 | $6,599.00 | $131.95 – $6,251.24 | 8 |
| Revision of ulna CPT 25360 | $429.87 | $1,869.00 | $2.00 – $19,568.78 | 16 |
| Revision of unstable kneecap CPT 27420 | $487.60 | $2,120.00 | $5.20 – $19,568.78 | 16 |
| Revision of unstable kneecap CPT 27422 | $485.76 | $2,112.00 | $8.00 – $19,568.78 | 16 |
| Revision of upper arm CPT 24940 | not published | not published | $148.52 – $2,393.72 | 8 |
| Revision of ureter CPT 50700 | $597.54 | $2,598.00 | $60.23 – $3,146.47 | 8 |
| Revision of urethra CPT 53450 | $265.88 | $1,156.00 | $26.80 – $9,447.74 | 16 |
| Revision of urethra CPT 53460 | $296.70 | $1,290.00 | $29.99 – $9,447.74 | 16 |
| Revision of urethra CPT 57220 | $223.33 | $971.00 | $34.07 – $13,522.39 | 16 |
| Revision of urinary tract CPT 51820 | $699.66 | $3,042.00 | $70.50 – $2,883.09 | 8 |
| Revision open av fistula without thromb CPT 36832 | $478.63 | $2,081.00 | $41.71 – $14,807.80 | 16 |
| Revision orbitofacial bones CPT 21275 | $544.64 | $2,368.00 | $68.49 – $16,204.73 | 16 |
| Revision/removal of kneecap CPT 27424 | $489.67 | $2,129.00 | $8.00 – $19,568.78 | 16 |
| Revision tips CPT 37183 | $236.44 | $1,028.00 | $297.59 – $15,618.14 | 17 |
| Revis reconst shoulder joint CPT 23473 | $1,039.83 | $4,521.00 | $130.25 – $35,246.01 | 16 |
| Revis reconst shoulder joint CPT 23474 | $1,122.40 | $4,880.00 | $140.57 – $2,760.85 | 7 |
| Revitalon 1 square cm HCPCS Q4157 | not published | not published | $178.13 – $264.78 | 3 |
| Revita, per sq cm HCPCS Q4180 | not published | not published | $1,028.37 – $2,242.04 | 6 |
| Revj fem anast autog vn grf CPT 35884 | $785.68 | $3,416.00 | $68.06 – $14,807.80 | 16 |
| Revj fem anast nonautog grf CPT 35883 | $755.09 | $3,283.00 | $65.66 – $14,807.80 | 16 |
| Revj mstdc rsltg compl mstdc CPT 69601 | $649.75 | $2,825.00 | $58.22 – $16,204.73 | 16 |
| Revj mstdc rsltg tympanplsty CPT 69604 | $708.40 | $3,080.00 | $63.61 – $16,204.73 | 16 |
| Revj open gstr rstcv px CPT 43848 | $1,249.82 | $5,434.00 | $139.97 – $4,696.59 | 8 |
| Revj prior hypspad repair CPT 54352 | $909.42 | $3,954.00 | $114.61 – $13,925.53 | 16 |
| Revj/rmvl nea pn w/int nstim CPT 64598 | $10,062.36 | $13,068.00 | $19.12 – $9,420.46 | 14 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | $692.99 | $3,013.00 | $62.27 – $16,204.73 | 16 |
| Rev-rem impl neurostim gen-rec CPT 63688 | $194.12 | $844.00 | $24.42 – $9,420.46 | 16 |
| Rev/rmvl gstr nstim eltrd CPT 43882 | not published | not published | $699.53 – $1,270.63 | 4 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | $92.92 | $404.00 | $11.75 – $9,420.46 | 17 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | $148.81 | $647.00 | $18.70 – $9,420.46 | 17 |
| Rev rplcm arthrp 1ntrspc crv CPT 22861 | $1,509.95 | $6,565.00 | $185.55 – $3,719.42 | 4 |
| Rev rplcm rthrp 1ntrspc lmbr CPT 22862 | $1,509.72 | $6,564.00 | $185.77 – $3,719.07 | 4 |
| Rev/rplcmt sk-mnt crnl nstm CPT 61891 | not published | not published | $54.00 – $58,742.49 | 16 |
| Rev rplc/rmv thrc vrt tethrg CPT 22838 | not published | not published | $156.84 – $3,651.97 | 4 |
| Rev/rplct hpglsl nstm ary pg CPT 64583 | $558.67 | $2,429.00 | $77.49 – $34,159.85 | 14 |
| Revsc opn/prq tib/pero stent CPT 37234 | $39,406.29 | $51,177.00 | $39.22 – $438.19 | 14 |
| Rezafungin 200 mg intravenous solution HCPCS J0349 | not published | not published | $8.51 – $22.30 | 14 |
| Rf abltj nrv nrvtg si jt CPT 64625 | $126.73 | $551.00 | $15.97 – $5,349.21 | 15 |
| Rheumatoid factor qualitative CPT 86430 | $40.04 | $52.00 | $4.05 – $19.00 | 18 |
| Rheumatoid factor quantitative CPT 86431 | $36.96 | $48.00 | $3.74 – $15.75 | 18 |
| Rh ig IV CPT 90386 | not published | not published | $10.00 – $14.97 | 9 |
| Rh ig minidose im CPT 90385 | not published | not published | $10.00 – $43.33 | 9 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | $776.48 | $3,376.00 | $99.79 – $16,204.73 | 14 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | not published | not published | $4.69 – $12.00 | 7 |
| Rho d immune globulin 50 mcg HCPCS J2788 | not published | not published | $24.56 – $39.42 | 6 |
| Rho(d) immune globulin h, sd HCPCS J2792 | not published | not published | $24.68 – $64.62 | 14 |
| Rho d immune globulin inj HCPCS J2790 | $170.94 | $430.50 | $77.76 – $150.15 | 7 |
| Rho(d) immune globulin (rhig) human full dose im CPT 90384 | not published | not published | $10.00 – $120.27 | 10 |
| R hrt cath chd abnl nt cnj CPT 93594 | $184.46 | $802.00 | $0.02 – $8,810.69 | 16 |
| R hrt cath chd nml nt cnj CPT 93593 | $120.06 | $522.00 | $0.01 – $8,810.69 | 16 |
| Rhythm ecg with report CPT 93040 | $8.51 | $37.00 | $10.57 – $32.00 | 11 |
| Rib and Chest X-ray (3 views, left side) CPT 71101 | $428.12 | $556.00 | $10.50 – $291.30 | 17 |
| Rib and Chest X-ray (4 or more views, both sides) CPT 71111 | $856.24 | $1,112.00 | $11.55 – $291.30 | 17 |
| Rib cartilage graft CPT 21230 | $482.31 | $2,097.00 | $60.89 – $16,204.73 | 16 |
| Rib gusset (elastic) each HCPCS L1280 | not published | not published | $60.02 – $213.05 | 13 |
| Riboflavin 5'phos opth<=3ml HCPCS J2787 | not published | not published | $2,325.60 – $2,789.11 | 3 |
| Rib X-ray (3 views, both sides) CPT 71110 | $856.24 | $1,112.00 | $11.37 – $291.30 | 17 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | $0.23 | $1.00 | $0.15 – $0.22 | 4 |
| Right heart cath congenital CPT 93530 | not published | not published | $283.79 – $283.79 | 1 |
| Right ventric recording CPT 93603 | $71.99 | $313.00 | $63.66 – $3,325.48 | 16 |
| Rilonacept injection HCPCS J2793 | not published | not published | $27.64 – $34.53 | 3 |
| Ring barrier skin cx 1 9/16 adapt HCPCS A4411 | not published | not published | $3.67 – $13.03 | 13 |
| Ring flange plas/leather mol HCPCS L1110 | not published | not published | $60.80 – $526.55 | 13 |
| Ring flange plastic/leather HCPCS L1100 | not published | not published | $60.80 – $389.55 | 13 |
| Ring fx reform 11-13x17mm HCPCS L8610 | $500.83 | $2,177.50 | $364.03 – $1,292.22 | 13 |
| Ring ostmy barr adapt 48mm HCPCS A4385 | not published | not published | $3.67 – $13.03 | 13 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | not published | not published | $11.90 – $31.16 | 14 |
| Risk ascvd tst once pr 12 mo HCPCS G0537 | $5.75 | $25.00 | $7.45 – $81.60 | 16 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | not published | not published | $8.77 – $22.98 | 14 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | not published | not published | $63.93 – $159.46 | 14 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | not published | not published | $29.64 – $77.62 | 14 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | not published | not published | $25.00 – $65.48 | 14 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | not published | not published | $23.99 – $62.83 | 14 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | not published | not published | $21.25 – $55.66 | 14 |
| R & l heart cath congenital CPT 93531 | not published | not published | $589.23 – $589.23 | 1 |
| R & l heart cath congenital CPT 93532 | not published | not published | $735.44 – $735.44 | 1 |
| R & l heart cath congenital CPT 93533 | not published | not published | $492.54 – $492.54 | 1 |
| R&l hrt cath chd abnl nt cnj CPT 93597 | $266.11 | $1,157.00 | $0.02 – $8,810.69 | 16 |
| R&l hrt cath chd nml nt cnj CPT 93596 | $204.93 | $891.00 | $0.02 – $8,810.69 | 16 |
| Rmv anterior spine instrumentation 22855 CPT 22855 | $720.59 | $3,133.00 | $89.52 – $2,643.82 | 8 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | $59.57 | $259.00 | $30.50 – $1,927.34 | 18 |
| Rmvl esophgl sphnctr dev CPT 43285 | $435.16 | $1,892.00 | $48.76 – $15,982.03 | 14 |
| Rmvl ext fixj sys under anes CPT 20694 | $224.02 | $974.00 | $28.12 – $4,383.99 | 17 |
| Rmvl fb upr arm/elbow deep CPT 24201 | $262.89 | $1,143.00 | $11.89 – $7,840.00 | 17 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | $148.58 | $646.00 | $18.59 – $3,229.85 | 18 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | $4,740.89 | $6,157.00 | $11.60 – $4,438.31 | 18 |
| Rmvl hpglsl nstim ary pg CPT 64584 | $471.04 | $2,048.00 | $65.38 – $17,542.63 | 14 |
| Rmvl i-artic rx delivery dev 20705 CPT 20705 | $79.81 | $347.00 | $99.54 – $196.35 | 7 |
| Rmvl icd by tv extr CPT 33244 | $545.79 | $2,373.00 | $47.85 – $9,969.11 | 16 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $245.41 | $1,067.00 | $21.48 – $61,486.72 | 16 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $255.53 | $1,111.00 | $22.40 – $87,826.10 | 16 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $235.75 | $1,025.00 | $20.68 – $61,486.72 | 16 |
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.