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 |
|---|---|---|---|---|
| Shorten radius & ulna CPT 25392 | $659.64 | $2,868.00 | $82.59 – $19,568.78 | 16 |
| Shot (Injection into Muscle or Under the Skin) CPT 96372 | $208.67 | $271.00 | $11.73 – $194.96 | 19 |
| Shoulder abduction joint pai HCPCS L6640 | not published | not published | $174.97 – $621.10 | 13 |
| Shoulder AC Joint X-ray (both sides) CPT 73050 | $354.20 | $460.00 | $7.45 – $241.19 | 17 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | $692.99 | $3,013.00 | $86.99 – $19,568.78 | 16 |
| Shoulder Blade (Scapula) X-ray (both sides) CPT 73010 | $428.12 | $556.00 | $7.17 – $291.30 | 17 |
| Shoulder flexion-abduction j HCPCS L6645 | not published | not published | $201.07 – $713.74 | 13 |
| Shoulder harness HCPCS L5699 | not published | not published | $115.37 – $409.54 | 13 |
| Shoulder lock actuator HCPCS L6647 | not published | not published | $315.39 – $1,119.59 | 13 |
| Shoulder MRI (with and without contrast) CPT 73223 | $3,918.53 | $5,089.00 | $83.79 – $978.28 | 16 |
| Shoulder MRI (with contrast) CPT 73222 | $6,935.39 | $9,007.00 | $63.34 – $2,164.21 | 16 |
| Shoulder MRI (without contrast) CPT 73221 | $2,122.12 | $2,756.00 | $52.80 – $662.14 | 16 |
| Shoulder prosthesis removal CPT 23334 | $690.46 | $3,002.00 | $86.25 – $7,840.00 | 16 |
| Shoulder prosthesis removal CPT 23335 | $820.64 | $3,568.00 | $102.92 – $2,018.21 | 7 |
| Shoulder universal joint HCPCS L6650 | not published | not published | $209.44 – $743.46 | 13 |
| Shoulder X-ray CPT 73030 | $442.75 | $575.00 | $7.45 – $241.19 | 17 |
| Shoulder X-ray (single view, both shoulders) CPT 73020 | $354.20 | $460.00 | $6.06 – $241.19 | 17 |
| Shrinker prosth above knee HCPCS L8460 | not published | not published | $41.24 – $146.38 | 13 |
| Shrinker prosth below knee HCPCS L8440 | not published | not published | $25.88 – $91.85 | 13 |
| Shrinker upper limb HCPCS L8465 | not published | not published | $36.51 – $129.58 | 13 |
| Shunt as-aort to pulm art CPT 33755 | $842.26 | $3,662.00 | $73.32 – $5,602.39 | 8 |
| Shunt central w/prostc graft CPT 33764 | $842.26 | $3,662.00 | $73.32 – $5,602.39 | 8 |
| Shunt desc aorta to pulm art CPT 33762 | $816.96 | $3,552.00 | $71.10 – $5,602.39 | 8 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $14.72 | $64.00 | $18.48 – $291.30 | 16 |
| Shunt subclavian to pulm art CPT 33750 | $804.08 | $3,496.00 | $69.99 – $5,558.11 | 8 |
| Shunt supr v/c p-art 1 lung CPT 33766 | $848.24 | $3,688.00 | $73.84 – $5,725.04 | 8 |
| Shunt supr v/c p-art bth lng CPT 33767 | $905.05 | $3,935.00 | $78.79 – $6,450.91 | 8 |
| Sialidase enzyme assay CPT 87905 | $8.28 | $36.00 | $8.06 – $22.40 | 17 |
| Sialography s&i CPT 70390 | $11.73 | $51.00 | $14.66 – $662.14 | 16 |
| Sialolithotomy 42330 CPT 42330 | $106.95 | $465.00 | $13.58 – $8,883.72 | 17 |
| Sickling rbc CPT 85660 | $36.96 | $48.00 | $3.00 – $6.01 | 17 |
| Sigmoidoscopy and biopsy CPT 45331 | $46.46 | $202.00 | $58.45 – $2,497.44 | 18 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | $72.91 | $317.00 | $92.13 – $2,497.44 | 16 |
| Sigmoidoscopy for bleeding CPT 45334 | $74.98 | $326.00 | $94.86 – $3,229.85 | 18 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | $43.24 | $188.00 | $54.08 – $2,497.44 | 17 |
| Sigmoidoscopy w/ablation CPT 45346 | $102.12 | $444.00 | $129.18 – $3,229.85 | 17 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | $67.16 | $292.00 | $50.00 – $3,229.85 | 17 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | $97.98 | $426.00 | $124.07 – $16,306.50 | 16 |
| Sigmoidoscopy w/resection CPT 45349 | $126.04 | $548.00 | $55.81 – $7,512.21 | 16 |
| Sigmoidoscopy w/tumr remove CPT 45338 | $76.82 | $334.00 | $96.95 – $3,229.85 | 18 |
| Sigmoidoscopy w/ultrasound CPT 45341 | $79.12 | $344.00 | $100.07 – $2,497.44 | 16 |
| Sigmoidoscopy w/us guide bx CPT 45342 | $108.33 | $471.00 | $137.18 – $3,229.85 | 16 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | $60.26 | $262.00 | $75.95 – $2,497.44 | 18 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | $8.05 | $35.00 | $10.23 – $162.71 | 16 |
| Sig w/tndsc balloon dilation CPT 45340 | $49.68 | $216.00 | $63.26 – $3,229.85 | 17 |
| Sildenafil citrate, 25 mg HCPCS S0090 | not published | not published | $0.27 – $0.35 | 3 |
| Silicon gel insert w/wo lock HCPCS L6692 | not published | not published | $346.02 – $1,228.31 | 13 |
| Sim ang w/prs cath rad emb HCPCS C8004 | not published | not published | $7,537.62 – $31,065.16 | 13 |
| Simple cystometrogram 51725 CPT 51725 | $48.30 | $210.00 | $42.50 – $666.22 | 16 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $109.99 | $478.21 | $114.39 – $192.40 | 6 |
| Single energy x-ray study HCPCS G0130 | $7.13 | $31.00 | $8.85 – $291.30 | 14 |
| Single pivot hinge pair HCPCS L6605 | not published | not published | $114.76 – $407.39 | 13 |
| Single transfer toe-hand CPT 26553 | $2,102.66 | $9,142.00 | $210.00 – $10,606.51 | 8 |
| Sinus CT scan (with and without contrast) CPT 70488 | $2,360.82 | $3,066.00 | $49.20 – $487.65 | 16 |
| Sinus CT scan (with contrast) CPT 70487 | $1,888.04 | $2,452.00 | $43.69 – $487.65 | 16 |
| Sinus CT scan (without contrast) CPT 70486 | $1,128.05 | $1,465.00 | $33.20 – $291.30 | 16 |
| Sinus/juglr venogram s&i CPT 75860 | $34.73 | $151.00 | $10.50 – $8,621.93 | 16 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | $218.96 | $952.00 | $27.91 – $8,883.72 | 17 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | $380.42 | $1,654.00 | $48.63 – $16,204.73 | 16 |
| Sinusotomy sphenoid w/wo bx 31050 CPT 31050 | $329.13 | $1,431.00 | $42.29 – $16,204.73 | 16 |
| Sinus X-ray (complete) CPT 70220 | $442.75 | $575.00 | $8.58 – $241.19 | 17 |
| Sinus X-ray (limited) CPT 70210 | $354.20 | $460.00 | $6.90 – $241.19 | 17 |
| Sio flex pelvisacral custom HCPCS L0622 | not published | not published | $175.40 – $622.66 | 13 |
| Sio rig pnl pelv/sac pre ots HCPCS L0623 | not published | not published | $93.94 – $214.38 | 13 |
| Sipuleucel-t - su HCPCS Q2043 | not published | not published | $44,863.07 – $117,486.54 | 14 |
| Sirolimus, oral HCPCS J7520 | not published | not published | $0.90 – $1.38 | 6 |
| Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331 | not published | not published | $67.78 – $177.51 | 14 |
| Six volt bat otto bock/eq ea HCPCS L7360 | not published | not published | $184.88 – $656.31 | 13 |
| Skeletal muscle relaxant 1/2 CPT 80369 | not published | not published | $18.47 – $30.69 | 11 |
| Skel musc relaxant 3 or more CPT 80370 | not published | not published | $18.47 – $30.69 | 9 |
| Skin and muscle repair face CPT 15845 | $686.55 | $2,985.00 | $86.20 – $10,028.47 | 16 |
| Skin barrier with flange HCPCS A4373 | not published | not published | $4.51 – $16.03 | 13 |
| Skin Biopsy CPT 11102 | $581.35 | $755.00 | $14.75 – $544.30 | 18 |
| Skin full graft 20sq cm less 15200 CPT 15200 | $434.01 | $1,887.00 | $54.68 – $5,010.80 | 17 |
| Skin full graft add-on 15241 CPT 15241 | $68.54 | $298.00 | $86.17 – $548.93 | 12 |
| Skin pedicle flap arms/legs CPT 15572 | $475.87 | $2,069.00 | $59.84 – $10,028.47 | 17 |
| Skin pedicle flap trunk CPT 15570 | $470.12 | $2,044.00 | $59.06 – $5,010.80 | 17 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | $70.84 | $308.00 | $88.76 – $419.63 | 12 |
| Skin test unlisted antigen ea CPT 86486 | not published | not published | $5.04 – $67.09 | 14 |
| Skull base/brainstem surgery CPT 61575 | $1,630.70 | $7,090.00 | $168.00 – $8,000.69 | 8 |
| Skull base/brainstem surgery CPT 61576 | $2,708.02 | $11,774.00 | $210.00 – $9,491.59 | 8 |
| Skull X-ray (1 to 3 views) CPT 70250 | $428.12 | $556.00 | $7.18 – $291.30 | 17 |
| Skull X-ray (complete) CPT 70260 | $534.38 | $694.00 | $11.08 – $291.30 | 17 |
| Skyla, 13.5 mg HCPCS J7301 | not published | not published | $834.99 – $1,710.45 | 10 |
| Slco1b1 gene com variants CPT 81328 | $120.52 | $524.00 | $115.38 – $190.54 | 14 |
| Sleep study attended CPT 95807 | $1,940.40 | $2,520.00 | $48.26 – $1,453.47 | 16 |
| Sleep Study (Polysomnography) CPT 95810 | $3,721.41 | $4,833.00 | $80.05 – $2,786.93 | 16 |
| Sleep study unattended CPT 95806 | $572.11 | $743.00 | $35.80 – $428.59 | 14 |
| Sleeve fing rolyan med HCPCS L3933 | not published | not published | $86.94 – $417.83 | 13 |
| Sleeve pneumonectomy CPT 32442 | $1,938.67 | $8,429.00 | $210.00 – $5,156.01 | 8 |
| Sling arm deluxe w/pad xs HCPCS A4565 | not published | not published | $5.54 – $19.69 | 14 |
| Sling pelv split sam med HCPCS L0621 | not published | not published | $52.41 – $119.61 | 13 |
| Sling suprapubic suburetheral HCPCS C1771 | $5,101.69 | $22,181.25 | not published | 0 |
| Slitting of prepuce CPT 54000 | $72.22 | $314.00 | $9.11 – $9,447.74 | 17 |
| Slitting of prepuce CPT 54001 | $91.31 | $397.00 | $11.52 – $5,611.47 | 18 |
| Slp eval for nonspeech dev ea addl 30 mins CPT 92618 | $21.39 | $93.00 | $25.93 – $50.44 | 4 |
| Slp eval non-spch gen comm dev CPT 92605 | $57.96 | $252.00 | $70.05 – $136.26 | 4 |
| Slp pure tone screening CPT 92551 | not published | not published | $8.00 – $32.80 | 11 |
| Slp stdy unatnd w/anal CPT 95801 | $25.99 | $113.00 | $33.26 – $162.71 | 14 |
| Slp ther svc non-spch gen CPT 92606 | $165.55 | $215.00 | $55.77 – $108.40 | 4 |
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.