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 |
|---|---|---|---|---|
| Subtalar arthro w/exc CPT 29905 | $335.80 | $1,460.00 | $42.55 – $19,568.78 | 16 |
| Subtalar arthro w/fb rmvl CPT 29904 | $419.29 | $1,823.00 | $52.44 – $8,887.94 | 16 |
| Subtalar arthro w/fusion CPT 29907 | $571.55 | $2,485.00 | $71.67 – $35,246.01 | 16 |
| Subtemporal cranial dcmprn CPT 61340 | $941.62 | $4,094.00 | $125.69 – $3,951.78 | 8 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $25.15 | $109.34 | $0.82 – $1.04 | 4 |
| Suction lipectomy head&neck CPT 15876 | $874.00 | $3,800.00 | $1,267.71 – $10,028.47 | 13 |
| Suction lipectomy lwr extrem CPT 15879 | $920.00 | $4,000.00 | $1,296.97 – $10,028.47 | 13 |
| Suction lipectomy trunk CPT 15877 | $1,515.70 | $6,590.00 | $1,407.20 – $10,028.47 | 13 |
| Suction lipectomy upr extrem CPT 15878 | $1,190.94 | $5,178.00 | $892.58 – $5,010.80 | 13 |
| Suction socket HCPCS L6686 | not published | not published | $401.08 – $1,423.74 | 13 |
| Suction susp ak/knee disart HCPCS L5652 | not published | not published | $269.76 – $957.60 | 13 |
| Sugars multiple quant CPT 84379 | $7.82 | $34.00 | $7.61 – $20.38 | 17 |
| Sugars single quant CPT 84378 | $7.82 | $34.00 | $7.61 – $20.38 | 17 |
| Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution HCPCS C9399 | $2,053.72 | $8,929.20 | not published | 0 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $0.23 | $1.00 | $0.05 – $0.07 | 4 |
| Sulfonylurea screen qn-sendout CPT 80377 | $753.83 | $979.00 | $13.88 – $23.41 | 4 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $39.45 | $171.50 | $41.51 – $136.50 | 5 |
| Sup/ext non-ins inf pump syr HCPCS K0552 | not published | not published | $1.76 – $6.19 | 13 |
| Sup of prep of antigen # of vials 95144 CPT 95144 | $2.07 | $9.00 | $2.71 – $126.39 | 15 |
| Supply of digital device HCPCS G0552 | not published | not published | $85.65 – $353.01 | 13 |
| Supp non-insulin inf cath/wk HCPCS A4221 | not published | not published | $13.66 – $46.10 | 13 |
| Support clav 29.6-40.5in med HCPCS L3650 | not published | not published | $38.62 – $137.09 | 13 |
| Supprelin la implant HCPCS J9226 | not published | not published | $38,357.29 – $95,676.82 | 14 |
| Suprv interfacilty transport CPT 99485 | $49.68 | $216.00 | $59.88 – $116.43 | 4 |
| Suprv interfac trnsport addl CPT 99486 | $42.78 | $186.00 | $51.87 – $100.87 | 4 |
| Surg dx exam anorectal CPT 45990 | $68.54 | $298.00 | $70.36 – $7,512.21 | 16 |
| Surg ect salp-oophorectomy 59120 CPT 59120 | $527.62 | $2,294.00 | $92.40 – $2,435.73 | 8 |
| Surg ect without salp-oophorectomy 59121 CPT 59121 | $528.08 | $2,296.00 | $107.10 – $2,139.85 | 8 |
| Surgery for urethra pouch CPT 53240 | $275.77 | $1,199.00 | $27.84 – $9,447.74 | 16 |
| Surgery of pancreatic cyst CPT 48500 | $742.90 | $3,230.00 | $83.30 – $2,599.54 | 8 |
| Surgery to stop leg growth CPT 27475 | $434.01 | $1,887.00 | $54.46 – $19,568.78 | 16 |
| Surgery to stop leg growth CPT 27477 | $479.55 | $2,085.00 | $60.09 – $19,568.78 | 16 |
| Surgery to stop leg growth CPT 27479 | $598.00 | $2,600.00 | $8.00 – $19,568.78 | 16 |
| Surgery to stop leg growth CPT 27485 | $439.99 | $1,913.00 | $55.11 – $19,568.78 | 16 |
| Surgical exposure prostate 55860 CPT 55860 | $564.42 | $2,454.00 | $71.11 – $13,925.53 | 16 |
| Surgical opening esophagus CPT 43351 | $845.71 | $3,677.00 | $94.75 – $2,784.08 | 8 |
| Surgical opening esophagus CPT 43352 | $684.94 | $2,978.00 | $76.69 – $2,482.86 | 8 |
| Surgical opening of stomach CPT 43510 | $616.63 | $2,681.00 | $68.98 – $2,568.25 | 16 |
| Surgical opening of stomach 43500 CPT 43500 | $510.83 | $2,221.00 | $57.12 – $1,739.91 | 8 |
| Surgical opening of throat CPT 42955 | $481.62 | $2,094.00 | $55.54 – $4,057.66 | 16 |
| Surgical pathology level 1 gross examination only CPT 88300 | $71.61 | $93.00 | $1.50 – $67.09 | 17 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $114.73 | $149.00 | $5.00 – $107.52 | 17 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $156.31 | $203.00 | $6.50 – $146.36 | 17 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $156.31 | $203.00 | $9.00 – $146.36 | 17 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $1,052.59 | $1,367.00 | $11.50 – $985.38 | 17 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $2,390.85 | $3,105.00 | $17.50 – $2,237.73 | 17 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | $870.32 | $3,784.00 | $97.86 – $2,842.27 | 8 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | $986.47 | $4,289.00 | $110.29 – $3,083.45 | 8 |
| Surgical revision intestine CPT 44680 | $696.90 | $3,030.00 | $77.87 – $2,823.27 | 8 |
| Surgical trays HCPCS A4550 | not published | not published | $12.37 – $78.50 | 4 |
| Surgigraft, 1 sq cm HCPCS Q4183 | not published | not published | $85.00 – $210.00 | 3 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | $276.00 | $1,200.00 | $31.17 – $7,512.21 | 17 |
| Susceptibility agar dilution per agent CPT 87181 | $31.57 | $41.00 | $3.14 – $9.60 | 17 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $31.57 | $41.00 | $3.14 – $8.40 | 17 |
| Susceptibility mic per plate CPT 87186 | $56.98 | $74.00 | $5.71 – $12.80 | 17 |
| Suscept studies macrobroth dilution ea CPT 87188 | $4.60 | $20.00 | $4.38 – $9.60 | 17 |
| Suspend bowel w/prosthesis CPT 44700 | $642.85 | $2,795.00 | $72.86 – $2,961.27 | 5 |
| Suspension of testis CPT 54620 | $192.97 | $839.00 | $24.34 – $9,447.74 | 16 |
| Suspension of uterus CPT 58410 | $526.47 | $2,289.00 | $79.94 – $2,116.64 | 8 |
| Suspension of uterus 58400 CPT 58400 | $297.62 | $1,294.00 | $39.06 – $1,402.61 | 8 |
| Suspension sleeve lower ext HCPCS L2397 | not published | not published | $70.79 – $251.30 | 13 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | $679.88 | $2,956.00 | $76.23 – $2,635.18 | 8 |
| Suture bile duct injury 47900 CPT 47900 | $891.02 | $3,874.00 | $99.77 – $3,644.91 | 8 |
| Svc venogram s&i CPT 75827 | $6,250.09 | $8,117.00 | $15.75 – $4,255.33 | 16 |
| Swallowing Evaluation (Bedside) CPT 92610 | $285.67 | $371.00 | $40.85 – $112.07 | 11 |
| Swallowing Therapy Session CPT 92526 | $334.95 | $435.00 | $64.09 – $87.11 | 13 |
| Sweat collection by iontophoresis CPT 89230 | $351.89 | $457.00 | $2.36 – $146.36 | 17 |
| Symes ankle without (sach) foot HCPCS L5703 | not published | not published | $1,294.34 – $4,594.67 | 13 |
| Symes met fr leath socket ar HCPCS L5060 | not published | not published | $1,708.99 – $6,066.60 | 13 |
| Symes type medial opening so HCPCS L5636 | not published | not published | $157.65 – $559.65 | 13 |
| Symes type poster opening so HCPCS L5634 | not published | not published | $188.21 – $668.13 | 13 |
| Symes type ptb brim design s HCPCS L5632 | not published | not published | $122.21 – $487.70 | 13 |
| Syme typ expandabl wall sckt HCPCS L5630 | not published | not published | $277.69 – $985.75 | 13 |
| Sympathectomy cervical CPT 64802 | $555.22 | $2,414.00 | $75.50 – $5,349.21 | 16 |
| Sympathectomy digital artery CPT 64820 | $498.18 | $2,166.00 | $68.97 – $5,349.21 | 16 |
| Sympathectomy lumbar CPT 64818 | $506.00 | $2,200.00 | $69.70 – $2,236.87 | 8 |
| Sympathectomy supfc palmar CPT 64823 | $516.35 | $2,245.00 | $71.16 – $8,887.94 | 16 |
| Sympathectomy thoracolumbar CPT 64809 | $713.69 | $3,103.00 | $96.74 – $2,889.59 | 8 |
| Synch audio-only est high 40 CPT 98015 | $82.34 | $358.00 | $104.27 – $271.74 | 4 |
| Synch audio-only est low 20 CPT 98013 | $37.72 | $164.00 | $47.82 – $127.81 | 4 |
| Synch audio-only est mod 30 CPT 98014 | $55.89 | $243.00 | $70.53 – $186.98 | 4 |
| Synch audio-only est sf 10 CPT 98012 | $20.70 | $90.00 | $26.20 – $73.32 | 4 |
| Synch audio-only new high 60 CPT 98011 | $101.20 | $440.00 | $128.10 – $329.58 | 4 |
| Synch audio-only new low 30 CPT 98009 | $48.76 | $212.00 | $61.89 – $162.78 | 4 |
| Synch audio-only new mod 45 CPT 98010 | $77.05 | $335.00 | $97.30 – $253.59 | 4 |
| Synch audio-only new sf 15 CPT 98008 | $28.06 | $122.00 | $35.69 – $98.21 | 4 |
| Synojoynt, inj., 1 mg HCPCS J7331 | not published | not published | $5.30 – $11.61 | 6 |
| Synthetic sentence id test CPT 92576 | not published | not published | $6.50 – $107.52 | 16 |
| Synvisc or synvisc-one HCPCS J7325 | not published | not published | $7.29 – $23.10 | 15 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $29.26 | $38.00 | $2.90 – $15.00 | 18 |
| System pacing micra av HCPCS C1786 | $1,196.00 | $5,200.00 | not published | 0 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $1,569.75 | $6,825.00 | not published | 0 |
| T3 (triiodothyronine) free CPT 84481 | $110.88 | $144.00 | $11.18 – $37.46 | 17 |
| T3 (triiodothyronine) total CPT 84480 | $93.94 | $122.00 | $8.00 – $15.46 | 17 |
| T4 (thyroxine) free CPT 84439 | $59.29 | $77.00 | $5.95 – $25.20 | 18 |
| T4 (thyroxine) total CPT 84436 | $45.43 | $59.00 | $4.53 – $23.00 | 18 |
| Tacrol astagraf ex rel oral HCPCS J7508 | not published | not published | $0.55 – $0.83 | 6 |
| Tacrol envarsus ex rel oral HCPCS J7503 | not published | not published | $1.73 – $2.59 | 6 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | not published | not published | $0.15 – $0.23 | 6 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | not published | not published | $210.28 – $550.68 | 14 |
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.