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 |
|---|---|---|---|---|
| Sm-153 lexidron ther HCPCS A9604 | not published | not published | $3,460.13 – $9,061.31 | 13 |
| Small animal inoculation CPT 87003 | $11.50 | $50.00 | $11.11 – $18.36 | 14 |
| Small Bowel Barium X-ray (Follow-Through) CPT 74250 | $716.10 | $930.00 | $15.75 – $487.65 | 16 |
| Small bowel endoscopy CPT 44360 | $91.31 | $397.00 | $115.87 – $5,196.41 | 16 |
| Small bowel endoscopy CPT 44364 | $129.95 | $565.00 | $164.30 – $5,196.41 | 16 |
| Small bowel endoscopy CPT 44366 | $152.26 | $662.00 | $192.77 – $5,196.41 | 16 |
| Small bowel endoscopy CPT 44369 | $155.94 | $678.00 | $197.37 – $5,196.41 | 16 |
| Small bowel endoscopy CPT 44376 | $180.55 | $785.00 | $228.08 – $5,196.41 | 16 |
| Small bowel endoscopy CPT 44378 | $244.03 | $1,061.00 | $308.78 – $5,196.41 | 16 |
| Small bowel endoscopy CPT 44382 | $47.38 | $206.00 | $59.84 – $2,568.25 | 17 |
| Small bowel endoscopy CPT 44384 | $97.75 | $425.00 | $122.79 – $5,196.41 | 16 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | $121.67 | $529.00 | $154.15 – $5,196.41 | 16 |
| Small bowel endoscopy 44365 CPT 44365 | $115.92 | $504.00 | $27.28 – $5,196.41 | 16 |
| Small bowel endoscopy/biopsy CPT 44361 | $100.97 | $439.00 | $127.64 – $5,196.41 | 16 |
| Small bowel endoscopy/biopsy CPT 44377 | $189.52 | $824.00 | $44.66 – $5,196.41 | 16 |
| Small bowel endoscopy br/wa CPT 44380 | $37.03 | $161.00 | $46.50 – $2,568.25 | 17 |
| Small bowel endoscopy br/wa CPT 44381 | $53.82 | $234.00 | $61.51 – $5,196.41 | 17 |
| Small bowel endoscopy/stent 44370 CPT 44370 | $169.51 | $737.00 | $207.94 – $16,306.50 | 16 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | not published | not published | $0.01 – $283.50 | 16 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $36.19 | $47.00 | $3.00 – $18.00 | 18 |
| Smear gram stain CPT 87205 | $27.72 | $36.00 | $2.82 – $7.20 | 17 |
| Smear nasal eosinophil CPT 89190 | $37.73 | $49.00 | $3.82 – $16.00 | 18 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $39.27 | $51.00 | $3.95 – $7.20 | 17 |
| Smear wet mount CPT 87210 | $37.73 | $49.00 | $3.84 – $12.60 | 18 |
| Smn1 gene full gene sequence CPT 81336 | $207.92 | $904.00 | $198.89 – $385.73 | 17 |
| Smn1 gen nown famil seq vrnt CPT 81337 | $127.88 | $556.00 | $122.23 – $237.06 | 17 |
| Smpd1 gene common variants CPT 81330 | $32.66 | $142.00 | $31.02 – $193.97 | 17 |
| Snrpn/ube3a gene CPT 81331 | not published | not published | $33.70 – $108.38 | 17 |
| So airplane w/wo joint cf HCPCS L3674 | not published | not published | $652.17 – $2,315.08 | 13 |
| So cap design without jnts cf HCPCS L3671 | not published | not published | $497.16 – $1,764.83 | 13 |
| Socket insert above knee HCPCS L5658 | not published | not published | $238.35 – $846.10 | 13 |
| Socket insert below knee HCPCS L5655 | not published | not published | $173.74 – $616.75 | 13 |
| Socket insert knee articulat HCPCS L5656 | not published | not published | $244.75 – $868.81 | 13 |
| Socket insert symes HCPCS L5654 | not published | not published | $205.21 – $728.43 | 13 |
| Socket insert without lock mech HCPCS L5679 | not published | not published | $362.25 – $1,285.92 | 13 |
| Socket insert w lock mech HCPCS L5673 | not published | not published | $434.71 – $1,543.13 | 13 |
| Sock fracture or equal each HCPCS L3995 | not published | not published | $20.27 – $71.96 | 13 |
| Sock wool above knee HCPCS L8430 | not published | not published | $13.70 – $48.62 | 13 |
| Sodium 24 hour urine CPT 84300 | $33.88 | $44.00 | $3.34 – $10.75 | 17 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $7.38 | $32.10 | $2.15 – $5.00 | 7 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $3.22 | $14.00 | $1.25 – $1.95 | 6 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $41.06 | $178.50 | $0.63 – $1.01 | 6 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $6.16 | $26.78 | $0.15 – $0.20 | 3 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $102.40 | $445.20 | $1.99 – $3.08 | 6 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | not published | not published | $69.23 – $103.84 | 6 |
| Sodium serum/plasma/whole blood CPT 84295 | $31.57 | $41.00 | $3.18 – $13.65 | 18 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | not published | not published | $0.82 – $1.21 | 3 |
| Soft interface below knee se HCPCS L2820 | not published | not published | $50.44 – $179.03 | 13 |
| Software meas of cardiac vol HCPCS G0183 | not published | not published | $58.52 – $241.19 | 13 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | not published | not published | $887.91 – $1,466.39 | 14 |
| So gsap cll fr dna/dna&rna CPT 81462 | not published | not published | $789.25 – $1,303.45 | 14 |
| So gsap cll fr mcrstl ins CPT 81464 | not published | not published | $2,170.42 – $3,584.48 | 14 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | not published | not published | $502.35 – $1,140.52 | 17 |
| Solid skin barrier HCPCS A4362 | not published | not published | $0.90 – $8.88 | 13 |
| Solid skin barrier 6x6 HCPCS A5121 | not published | not published | $4.71 – $16.74 | 13 |
| Somatosensory testing CPT 95927 | $17.25 | $75.00 | $22.14 – $853.02 | 16 |
| Somatropin injection HCPCS J2941 | not published | not published | $39.23 – $102.73 | 13 |
| So neo gsap dna/dna&rna CPT 81459 | $8,747.20 | $11,360.00 | $1,973.10 – $3,827.01 | 17 |
| So neo gsap dna mcrstl ins CPT 81457 | not published | not published | $502.35 – $977.59 | 17 |
| Sotalol hydrochloride IV HCPCS C9482 | not published | not published | $20.09 – $52.60 | 13 |
| So vest canvas/web pre ots HCPCS L3675 | not published | not published | $96.83 – $343.71 | 13 |
| Spacer bag/reservoir HCPCS A4627 | not published | not published | $7.13 – $57.00 | 3 |
| Sp bone agrft morsel add-on CPT 20937 | $107.64 | $468.00 | $132.83 – $672.87 | 5 |
| Sp bone agrft struct add-on CPT 20938 | $117.76 | $512.00 | $145.75 – $727.85 | 5 |
| Sp bone algrft morsel add-on CPT 20930 | $56.12 | $244.00 | $94.15 – $215.99 | 4 |
| Special casting material HCPCS A4590 | not published | not published | $16.36 – $51.45 | 3 |
| Special physics consult CPT 77370 | $582.89 | $757.00 | $88.25 – $363.70 | 16 |
| Special pump services CPT 99190 | not published | not published | $350.66 – $1,120.67 | 5 |
| Special pump services CPT 99191 | not published | not published | $245.59 – $833.98 | 5 |
| Special pump services CPT 99192 | not published | not published | $175.50 – $553.83 | 5 |
| Special radiation dosimetry CPT 77331 | $29.90 | $130.00 | $15.51 – $363.70 | 16 |
| Special radiation treatment CPT 77470 | $2,538.69 | $3,297.00 | $15.75 – $1,584.60 | 16 |
| Special supplies phys/qhp CPT 99070 | $4.14 | $18.00 | $39.09 – $59.00 | 2 |
| Special teletx port plan CPT 77321 | $32.43 | $141.00 | $21.32 – $1,002.77 | 16 |
| Specific gravity body fluid CPT 84315 | $22.33 | $29.00 | $2.17 – $3.58 | 14 |
| Specimen fat stain CPT 89125 | $4.14 | $18.00 | $3.88 – $9.54 | 17 |
| Speech and Language Evaluation (comprehensive) CPT 92523 | $770.77 | $1,001.00 | $156.51 – $235.72 | 15 |
| Speech audiometry complete CPT 92556 | not published | not published | $15.00 – $162.71 | 16 |
| Speech evaluation complex CPT 70371 | $26.91 | $117.00 | $33.99 – $662.14 | 16 |
| Speech recep thresh CPT 92555 | not published | not published | $6.50 – $162.71 | 16 |
| Speech Therapy Session (one-on-one) CPT 92507 | $307.23 | $399.00 | $21.70 – $79.17 | 15 |
| Sperm antibody test CPT 89325 | $70.07 | $91.00 | $7.04 – $11.63 | 14 |
| Sperm evaluation test CPT 89329 | $13.34 | $58.00 | $12.93 – $21.35 | 14 |
| Sperm identification CPT 89257 | $83.95 | $365.00 | $35.51 – $146.36 | 13 |
| Sperm isolation complex CPT 89261 | $39.56 | $172.00 | $35.51 – $146.36 | 13 |
| Sperm isolation simple CPT 89260 | $25.30 | $110.00 | $35.51 – $146.36 | 13 |
| Sperm washing 58323 CPT 58323 | $7.82 | $34.00 | $9.75 – $551.06 | 15 |
| Sphenoid sinus surgery CPT 31051 | $439.76 | $1,912.00 | $56.72 – $16,204.73 | 16 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | $483.00 | $2,100.00 | $54.82 – $7,512.21 | 16 |
| Spinal bone allograftstructural 20931 CPT 20931 | $71.30 | $310.00 | $87.60 – $436.52 | 5 |
| Spinal bone autograftlocal 20936 CPT 20936 | $59.80 | $260.00 | $100.57 – $229.87 | 4 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $2,026.64 | $2,632.00 | $69.12 – $1,897.02 | 17 |
| Spine device implant surgery HCPCS C9757 | not published | not published | $8,552.06 – $35,246.01 | 13 |
| Spine X-ray (single view, one level) CPT 72020 | $354.20 | $460.00 | $6.35 – $241.19 | 17 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | $88.32 | $384.00 | $112.98 – $853.02 | 14 |
| Spirometry up to 2 yrs old CPT 94011 | $54.28 | $236.00 | $69.19 – $428.59 | 14 |
| Spleen imaging CPT 78185 | $10.58 | $46.00 | $13.14 – $1,100.73 | 16 |
| Splenectomy total open 38100 CPT 38100 | $743.13 | $3,231.00 | $101.68 – $2,694.72 | 8 |
| Splice spleen/kidney veins CPT 37181 | $1,494.31 | $6,497.00 | $129.86 – $5,449.12 | 8 |
| Splicing of ureters CPT 50770 | $742.44 | $3,228.00 | $74.81 – $3,933.51 | 8 |
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.