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 |
|---|---|---|---|---|
| Splint arm vnyl coated padded lft med HCPCS Q4051 | not published | not published | $15.86 – $15.86 | 1 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | not published | not published | $242.94 – $862.37 | 13 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | not published | not published | $28.56 – $101.38 | 13 |
| Splint finger 4 prong foam sm HCPCS A4570 | not published | not published | $7.34 – $54.00 | 3 |
| Splint finger fold over sm HCPCS L3924 | not published | not published | $53.25 – $189.04 | 13 |
| Splint finger frog med HCPCS L3927 | not published | not published | $19.29 – $68.48 | 13 |
| Splint fing stax assort 1-7in HCPCS Q4049 | not published | not published | $1.36 – $4.81 | 13 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | not published | not published | $33.26 – $253.00 | 14 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | $445.74 | $1,938.00 | $56.10 – $10,028.47 | 17 |
| Split blood or products CPT 86985 | $1,128.05 | $1,465.00 | $19.87 – $469.41 | 14 |
| Split flat caliper stirr & p HCPCS L2230 | not published | not published | $44.57 – $158.19 | 13 |
| Splt agrft f/s/n/h/f/g/m ea CPT 15121 | $83.95 | $365.00 | $105.69 – $703.17 | 12 |
| Spontaneous nystagmus study CPT 92531 | not published | not published | $12.43 – $34.01 | 5 |
| Sprchoroidal spc njx rx agt CPT 67516 | not published | not published | $78.53 – $908.60 | 15 |
| Spring-ass rot wrst with latch HCPCS L6623 | not published | not published | $456.33 – $1,619.90 | 13 |
| Sputum specimen collection CPT 89220 | $407.33 | $529.00 | $11.57 – $469.41 | 17 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | not published | not published | $1,302.91 – $8,707.30 | 13 |
| Srs cranial lesion complex CPT 61798 | $901.60 | $3,920.00 | $122.06 – $2,221.14 | 10 |
| Srs cranial lesion simple CPT 61796 | $667.46 | $2,902.00 | $90.34 – $1,640.42 | 10 |
| Srs cran les complex addl CPT 61799 | $195.04 | $848.00 | $155.34 – $483.18 | 10 |
| Srs cran les simple addl CPT 61797 | $141.45 | $615.00 | $112.49 – $349.66 | 10 |
| Srsf2 gene common variants CPT 81348 | not published | not published | $115.76 – $191.19 | 14 |
| Srs linear based CPT 77372 | not published | not published | $631.58 – $20,940.51 | 16 |
| Srs multisource CPT 77371 | not published | not published | $832.20 – $20,940.51 | 16 |
| Srs spinal lesion CPT 63620 | $737.15 | $3,205.00 | $99.76 – $1,813.45 | 10 |
| Srs spinal lesion addl CPT 63621 | $162.61 | $707.00 | $129.37 – $401.60 | 10 |
| Staggered spondaic word test CPT 92572 | not published | not published | $3.38 – $428.59 | 16 |
| Staging lapro hodgkins disease/lymphoma 49220 CPT 49220 | not published | not published | $3,307.68 – $3,307.68 | 1 |
| Stainless steel any wrist HCPCS L6630 | not published | not published | $133.35 – $473.38 | 13 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $344.19 | $447.00 | $78.72 – $112.79 | 15 |
| Stance phase only HCPCS L5858 | not published | not published | $11,289.08 – $40,074.25 | 13 |
| Standard control cable extra HCPCS L6655 | not published | not published | $46.48 – $164.99 | 13 |
| Staph a dna amp probe CPT 87640 | $24.38 | $106.00 | $23.16 – $62.77 | 17 |
| Static or dynami afo pre ots HCPCS L4397 | not published | not published | $101.72 – $361.08 | 13 |
| Stationary o2 contents, gas HCPCS E0441 | not published | not published | $33.27 – $110.33 | 13 |
| Stationary o2 contents, liq HCPCS E0442 | not published | not published | $33.27 – $110.33 | 13 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $462.00 | $600.00 | $77.28 – $105.04 | 13 |
| Stem cells total count CPT 86367 | $53.82 | $234.00 | $42.16 – $84.78 | 17 |
| Stenger test pure tone CPT 92565 | not published | not published | $11.51 – $162.71 | 16 |
| Stenger test speech CPT 92577 | not published | not published | $14.29 – $1,453.47 | 16 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | $52,541.72 | $68,236.00 | $105.43 – $49,188.74 | 17 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $3,733.76 | $16,233.75 | not published | 0 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $79.38 | $345.15 | not published | 0 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $971.75 | $4,225.00 | not published | 0 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $33,182.38 | $43,094.00 | $71.48 – $31,065.16 | 17 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | $24,887.17 | $32,321.00 | $30.32 – $330.41 | 14 |
| Stent placemt retro carotid CPT 37217 | $685.40 | $2,980.00 | $59.28 – $1,688.24 | 7 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | $52,541.72 | $68,236.00 | $98.49 – $49,188.74 | 17 |
| Stereoscopic x-ray guidance HCPCS G6002 | $13.34 | $58.00 | $16.77 – $56.12 | 9 |
| Stereotactic bx aspir/exc burr intracranial les 61750 CPT 61750 | $921.15 | $4,005.00 | $124.51 – $3,889.36 | 8 |
| Stereotactic radiation trmt CPT 77432 | $277.15 | $1,205.00 | $347.77 – $1,552.86 | 8 |
| Sterile gauze <= 16 sq in HCPCS A6402 | not published | not published | $0.08 – $0.27 | 13 |
| Sterile needle HCPCS A4215 | not published | not published | $0.29 – $0.33 | 2 |
| Sterile water/saline, 10 ml HCPCS A4216 | not published | not published | $0.32 – $1.13 | 13 |
| Sterile water/saline, 500 ml HCPCS A4217 | not published | not published | $2.26 – $8.02 | 13 |
| Sternal debridement CPT 21627 | $354.66 | $1,542.00 | $44.43 – $1,372.68 | 8 |
| Sternal pad HCPCS L1050 | not published | not published | $58.29 – $206.90 | 13 |
| St evaluate speech sound production CPT 92522 | $358.82 | $466.00 | $75.46 – $114.76 | 15 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $341.88 | $444.00 | $42.32 – $145.82 | 10 |
| Stimulants synthetic CPT 80371 | not published | not published | $13.88 – $23.41 | 4 |
| Stimulation of spinal cord CPT 63610 | $376.28 | $1,636.00 | $460.79 – $5,349.21 | 14 |
| Stocking sup grips 4 pre ots HCPCS L0982 | not published | not published | $9.46 – $33.58 | 13 |
| Stoma absorptive cover HCPCS A5083 | not published | not published | $0.47 – $1.65 | 13 |
| Stomach Emptying Scan (Nuclear Medicine) CPT 78264 | $1,028.72 | $1,336.00 | $30.16 – $1,100.73 | 16 |
| Storage/year embryo(s) CPT 89342 | not published | not published | $113.90 – $469.41 | 13 |
| Storage/year oocyte(s) CPT 89346 | not published | not published | $113.90 – $469.41 | 13 |
| Storage/year reprod tissue CPT 89344 | not published | not published | $113.90 – $469.41 | 13 |
| Storage/year sperm/semen CPT 89343 | not published | not published | $113.90 – $469.41 | 13 |
| Stot/tot hysterectomy after cesaren delivery 59525 CPT 59525 | $309.58 | $1,346.00 | $64.58 – $1,623.35 | 8 |
| Straight knee joint heavy du HCPCS L2385 | not published | not published | $77.79 – $276.15 | 13 |
| Strap chin dlx f/cpap HCPCS A7036 | not published | not published | $7.61 – $23.08 | 13 |
| Strap montgmry ns 8 hl sht 7.25 x 11.25in HCPCS A4461 | not published | not published | $2.37 – $8.44 | 13 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $461.23 | $599.00 | $14.07 – $432.23 | 18 |
| Strapping of chest CPT 29200 | $11.50 | $50.00 | $14.94 – $432.23 | 18 |
| Strapping of elbow or wrist 29260 CPT 29260 | $174.02 | $226.00 | $15.42 – $162.71 | 18 |
| Strapping of hand or finger CPT 29280 | $174.02 | $226.00 | $16.37 – $162.71 | 16 |
| Strapping of hip CPT 29520 | $11.96 | $52.00 | $13.56 – $353.10 | 18 |
| Strapping of knee CPT 29530 | $377.30 | $490.00 | $14.67 – $353.10 | 18 |
| Strapping of toes 29550 CPT 29550 | $174.02 | $226.00 | $9.10 – $162.71 | 18 |
| Strep a ag ia CPT 87430 | $11.50 | $50.00 | $6.30 – $39.00 | 18 |
| Strep a dna dir probe CPT 87650 | $13.80 | $60.00 | $13.23 – $21.85 | 14 |
| Strep a dna quant CPT 87652 | $28.98 | $126.00 | $27.57 – $45.52 | 14 |
| Strep b assay w/optic CPT 87802 | $8.74 | $38.00 | $8.40 – $16.40 | 17 |
| Strep b dna amp probe CPT 87653 | $24.38 | $106.00 | $23.16 – $62.77 | 17 |
| Streptokinase 1.5 m-units inj HCPCS J2995 | not published | not published | $79.50 – $324.90 | 4 |
| Streptokinase antibody CPT 86590 | $8.74 | $38.00 | $8.36 – $17.60 | 17 |
| Streptomycin injection HCPCS J3000 | not published | not published | $27.82 – $44.36 | 6 |
| Streptozocin injection HCPCS J9320 | not published | not published | $283.35 – $469.42 | 4 |
| Stress test pulmonary CPT 94618 | $306.46 | $398.00 | $8.66 – $353.10 | 16 |
| Stress tte complete CPT 93351 | $1,603.91 | $2,083.00 | $67.14 – $1,501.96 | 17 |
| Str markers spec anal addl CPT 81266 | not published | not published | $201.18 – $332.24 | 14 |
| Str markers specimen anal CPT 81265 | $681.45 | $885.00 | $153.82 – $254.05 | 14 |
| Subdural tap fontanelle/sutur infant init 61000 CPT 61000 | $73.83 | $321.00 | $90.86 – $1,897.02 | 16 |
| Subq i/p critical care pr day age 28 days/less than 99469 CPT 99469 | $247.02 | $1,074.00 | $251.57 – $614.65 | 7 |
| Subq njx filling matrl 1cc/< CPT 11950 | $33.58 | $146.00 | $41.85 – $544.30 | 15 |
| Subq njx fil matrl 5.1-10cc CPT 11952 | $65.55 | $285.00 | $82.43 – $1,676.80 | 15 |
| Subsequent intensive care infant 1500-2500 grams 99479 CPT 99479 | $77.05 | $335.00 | $79.98 – $192.70 | 7 |
| Subsequent intensive care infant 2501-5000 grams 99480 CPT 99480 | $74.29 | $323.00 | $76.69 – $185.17 | 7 |
| Subsequent repair of nerve CPT 64872 | $74.06 | $322.00 | $18.38 – $424.69 | 8 |
| Subtalar arthro w/deb CPT 29906 | $434.01 | $1,887.00 | $53.61 – $8,887.94 | 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.