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 |
|---|---|---|---|---|
| Rpr ing hern premie blocked CPT 49492 | $622.61 | $2,707.00 | $69.72 – $9,667.13 | 16 |
| Rpr intst excl anrect fist HCPCS C9796 | not published | not published | $1,822.76 – $7,512.21 | 13 |
| Rpr nsl vlv collapse w/implt CPT 30468 | $109.02 | $474.00 | $137.45 – $16,204.73 | 17 |
| Rpr nsl vlv collapse w/rmdlg CPT 30469 | $96.60 | $420.00 | $122.41 – $16,204.73 | 17 |
| Rpr parastomal hernia rdc 49621 CPT 49621 | $486.91 | $2,117.00 | $97.78 – $1,183.82 | 7 |
| Rpr parastomal hrna ncr/strn 49622 CPT 49622 | $605.59 | $2,633.00 | $120.69 – $1,460.32 | 7 |
| Rpr pul art unifocal without cpb CPT 33925 | $1,090.20 | $4,740.00 | $94.77 – $2,695.05 | 7 |
| Rpr&refitg spect xcp aphakia CPT 92370 | $10.58 | $46.00 | $12.69 – $80.54 | 5 |
| Rpr&refit spct prsth aphakia CPT 92371 | not published | not published | $9.61 – $162.71 | 14 |
| Rpr rem hernia init reduce CPT 49550 | $376.74 | $1,638.00 | $42.14 – $9,667.13 | 16 |
| Rpr tga aortic pulm art rcns CPT 33778 | $1,493.16 | $6,492.00 | $129.90 – $9,946.83 | 8 |
| Rpr tga atr bfl clsr vsd CPT 33776 | $1,248.90 | $5,430.00 | $108.66 – $8,782.49 | 8 |
| Rpr tga atr bfl rmvl plm bnd CPT 33775 | $1,180.82 | $5,134.00 | $102.70 – $8,054.85 | 8 |
| Rpr tga atrial baffle px CPT 33774 | $1,147.47 | $4,989.00 | $99.83 – $7,900.62 | 8 |
| Rpr tga bfl rpr sbpulm obstr CPT 33777 | $1,202.21 | $5,227.00 | $104.59 – $8,210.35 | 8 |
| Rpr tga rcnstj clsr vsd CPT 33780 | $1,501.44 | $6,528.00 | $130.49 – $10,069.45 | 8 |
| Rpr tga rcnstj rmvl plm bnd CPT 33779 | $1,472.69 | $6,403.00 | $128.03 – $9,977.16 | 8 |
| Rpr tga rcnstj rpr sbpl obst CPT 33781 | $1,463.95 | $6,365.00 | $127.26 – $10,007.49 | 8 |
| Rpr tga without surg enlgmnt vsd CPT 33770 | $1,342.05 | $5,835.00 | $116.68 – $9,300.87 | 8 |
| Rpr tga w/surg enlgmnt vsd CPT 33771 | $1,379.54 | $5,998.00 | $119.90 – $9,456.36 | 8 |
| Rpr umbil hern block < 5 yr CPT 49582 | not published | not published | $1,240.24 – $1,240.24 | 1 |
| Rpr xtnsr tndn leg prim without grft ea tndn CPT 27664 | $233.22 | $1,014.00 | $29.87 – $19,568.78 | 16 |
| Rp therapy unlisted px CPT 79999 | not published | $0.01 | $148.97 – $613.96 | 13 |
| Rrp hypspad comp moblj&urtp CPT 54344 | $609.50 | $2,650.00 | $76.80 – $25,330.66 | 16 |
| Rsect hip tum incl femur CPT 27078 | $1,326.18 | $5,766.00 | $157.50 – $3,259.12 | 10 |
| Rsv assay w/optic CPT 87807 | $9.20 | $40.00 | $8.65 – $31.50 | 18 |
| Rsv vacc mrna lipid nano im CPT 90683 | not published | not published | $10.00 – $347.39 | 10 |
| Rtm 1st set-up&pt educaj eqp CPT 98975 | not published | not published | $15.99 – $353.01 | 14 |
| Rtm dev sply cbt 16-30 d CPT 98978 | not published | not published | $24.79 – $102.15 | 14 |
| Rtm dev sply mscskl 16-30 d CPT 98977 | not published | not published | $24.79 – $102.15 | 14 |
| Rtm dev sply resp sys 16-30d CPT 98976 | not published | not published | $24.79 – $102.15 | 14 |
| Rtm tx mgmt 1st 20 min CPT 98980 | $19.78 | $86.00 | $25.08 – $48.79 | 8 |
| Rtm tx mgmt ea addl 20 min CPT 98981 | $19.32 | $84.00 | $24.80 – $48.24 | 8 |
| Rubella antibody igg CPT 86762 | $95.48 | $124.00 | $9.49 – $39.90 | 18 |
| Rubeola ag if CPT 87283 | $41.86 | $182.00 | $12.18 – $66.27 | 17 |
| Rubeola antibody igg CPT 86765 | $84.70 | $110.00 | $8.50 – $35.70 | 18 |
| Runx1 gene targeted seq alys CPT 81334 | $227.24 | $988.00 | $217.48 – $359.17 | 14 |
| Russell viper venom diluted CPT 85613 | $63.14 | $82.00 | $6.33 – $18.69 | 17 |
| Rx metab gen seq alys pnl 6 CPT 81418 | $2,683.45 | $3,485.00 | $605.28 – $999.62 | 14 |
| Sach foot, replacement HCPCS L5971 | not published | not published | $135.83 – $482.19 | 13 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | not published | not published | $29.08 – $76.14 | 14 |
| Sacroiliac Joint X-ray (3 or more views) CPT 72202 | $534.38 | $694.00 | $8.86 – $291.30 | 17 |
| Safety plan interven HCPCS G0560 | $27.83 | $121.00 | $35.49 – $82.04 | 7 |
| Salivary gland function exam CPT 78232 | $12.19 | $53.00 | $15.39 – $1,100.73 | 16 |
| Salivary gland imaging CPT 78230 | $13.57 | $59.00 | $17.44 – $1,100.73 | 16 |
| Salivary glnd img serial img CPT 78231 | $13.57 | $59.00 | $17.07 – $1,100.73 | 16 |
| Salmonella antibody CPT 86768 | $87.01 | $113.00 | $8.70 – $14.38 | 14 |
| Salpingostomy 58770 CPT 58770 | $556.14 | $2,418.00 | $84.44 – $8,709.67 | 14 |
| Same day nb discharge 99463 CPT 99463 | $69.23 | $301.00 | $50.38 – $353.01 | 17 |
| Saquinavir, 200 mg HCPCS S0140 | not published | not published | $1.24 – $6.83 | 3 |
| Sargramostim injection HCPCS J2820 | not published | not published | $47.22 – $117.79 | 14 |
| Sars-cov-2 antb quantitative CPT 86413 | not published | not published | $33.95 – $56.06 | 14 |
| Sarscov2 vac 5mcg/0.5ml im CPT 91304 | not published | not published | $40.00 – $187.75 | 10 |
| Sarscov coronavirus ag ia CPT 87426 | $24.38 | $106.00 | $23.32 – $55.90 | 17 |
| Sarscov & inf vir a&b ag ia CPT 87428 | $48.30 | $210.00 | $30.94 – $76.62 | 17 |
| S bowel endoscope w/stent CPT 44379 | $259.44 | $1,128.00 | $329.05 – $16,306.50 | 16 |
| Sbrt management CPT 77435 | $418.83 | $1,821.00 | $497.42 – $1,022.52 | 10 |
| Sbrt w/positron emission del HCPCS G0563 | not published | not published | $2,492.81 – $10,273.72 | 13 |
| Sbsq ic vlbw inf<1,500 gm CPT 99478 | $84.87 | $369.00 | $90.12 – $212.02 | 7 |
| Sbsq nurs facil care/day unstabl/new prob 35 min 99310 CPT 99310 | $98.67 | $429.00 | $91.00 – $338.00 | 10 |
| Sbsq nursing facil care/day minor complj 15 min CPT 99308 | $47.61 | $207.00 | $51.00 – $157.50 | 10 |
| Sbsq nursing facil care/day new problem 25 min CPT 99309 | $69.23 | $301.00 | $71.00 – $227.00 | 10 |
| Sbsq nursing facility care/day e/m stable 10 min CPT 99307 | $25.53 | $111.00 | $32.37 – $111.00 | 10 |
| Sbsq psyc collab care mgmt CPT 99493 | $66.01 | $287.00 | $61.48 – $253.38 | 17 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $884.73 | $1,149.00 | $30.61 – $662.14 | 16 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $388.85 | $505.00 | $19.15 – $291.30 | 16 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $388.85 | $505.00 | $19.15 – $291.30 | 16 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $388.85 | $505.00 | $17.11 – $291.30 | 17 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $388.85 | $505.00 | $18.67 – $291.30 | 16 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $388.85 | $505.00 | $15.58 – $291.30 | 16 |
| Scan proc cranial extra CPT 61782 | $111.32 | $484.00 | $139.45 – $273.76 | 4 |
| Scan proc cranial intra 61781 CPT 61781 | $152.26 | $662.00 | $186.06 – $375.16 | 4 |
| Scan proc spinal CPT 61783 | $149.27 | $649.00 | $183.20 – $367.55 | 4 |
| Scap thorac prosth tiss shap HCPCS L6570 | not published | not published | $2,862.81 – $10,162.45 | 13 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $76.36 | $332.00 | $95.44 – $4,438.31 | 15 |
| Scope plantar fasciotomy CPT 29893 | $286.81 | $1,247.00 | $7.56 – $8,887.94 | 17 |
| Scr c/v cyto, automated sys HCPCS G0147 | $12.42 | $54.00 | $12.00 – $19.83 | 14 |
| Scr c/v cyto,autosys and md HCPCS G0141 | $15.87 | $69.00 | $19.65 – $26.93 | 3 |
| Scr c/v cyto, autosys, rescr HCPCS G0148 | $22.08 | $96.00 | $21.08 – $34.81 | 14 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0144 | $30.36 | $132.00 | $29.02 – $47.93 | 14 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | $77.77 | $101.00 | $17.48 – $28.87 | 14 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0143 | $18.86 | $82.00 | $17.85 – $29.48 | 14 |
| Screen cerv/vag thin layer HCPCS G0123 | $59.29 | $77.00 | $13.38 – $22.08 | 14 |
| Screen c/v thin layer by md HCPCS G0124 | $15.87 | $69.00 | $19.65 – $26.93 | 3 |
| Screening Colonoscopy (average risk) HCPCS G0121 | $117.99 | $513.00 | $74.57 – $2,497.44 | 16 |
| Screening Colonoscopy (high risk) HCPCS G0105 | $117.76 | $512.00 | $74.37 – $2,497.44 | 16 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | $118.58 | $154.00 | $11.91 – $38.85 | 18 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | not published | not published | $18.66 – $30.81 | 17 |
| Screening hepatitis c antibody high risk HCPCS G0472 | $32.20 | $140.00 | $19.00 – $102.78 | 18 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | $158.62 | $206.00 | $15.90 – $59.00 | 15 |
| Screening Mammogram CPT 77067 | $366.52 | $476.00 | $29.58 – $257.25 | 17 |
| Screening pap smear by phys HCPCS P3001 | $15.87 | $69.00 | $19.65 – $37.87 | 4 |
| Screening prostate cancer PSA HCPCS G0103 | $127.05 | $165.00 | $12.75 – $50.40 | 15 |
| Screen pap by tech w md supv HCPCS P3000 | $12.42 | $54.00 | $12.00 – $19.83 | 14 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | not published | not published | $2.62 – $9.90 | 11 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $4,225.62 | $18,372.25 | not published | 0 |
| Scrotal (Testicle) Ultrasound CPT 76870 | $583.66 | $758.00 | $24.64 – $291.30 | 17 |
| Sc ther infusion reset pump CPT 96371 | not published | not published | $43.94 – $194.96 | 16 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | $535.21 | $2,327.00 | $42.53 – $1,637.13 | 8 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $12,081.30 | $15,690.00 | $191.54 – $380.93 | 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.