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 |
|---|---|---|---|---|
| Tacrolimus therapeutic drug level CPT 80197 | $90.86 | $118.00 | $9.06 – $24.90 | 17 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | not published | not published | $11.29 – $29.56 | 14 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | $1,400.93 | $6,091.00 | $210.00 – $3,467.67 | 7 |
| Tah rad dissect for debulk 58953 CPT 58953 | $1,294.21 | $5,627.00 | $195.88 – $3,203.80 | 7 |
| Tah w/mmk 58152 CPT 58152 | $799.02 | $3,474.00 | $121.05 – $3,238.75 | 8 |
| Tailbone (Sacrum and Coccyx) X-ray CPT 72220 | $354.20 | $460.00 | $6.90 – $241.19 | 17 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | not published | not published | $58.98 – $154.45 | 14 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | not published | not published | $58.05 – $152.03 | 14 |
| Talymed HCPCS Q4127 | not published | not published | $64.61 – $96.91 | 6 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | not published | not published | $0.20 – $0.25 | 3 |
| Tap block bilat cont infusion 64489 CPT 64489 | $717.64 | $932.00 | $62.90 – $123.23 | 11 |
| Tap block uni by cont infusion 64487 CPT 64487 | $38.64 | $168.00 | $51.61 – $101.08 | 11 |
| Tape plstc 1inx5yd hosp tb pk HCPCS A4452 | not published | not published | $0.28 – $0.90 | 13 |
| Target gsa panel hmtlmph neop CPT 81450 | $2,222.22 | $2,886.00 | $501.29 – $972.19 | 17 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $8,542.38 | $11,094.00 | $1,926.94 – $3,737.09 | 17 |
| Target gsa panel organ neop CPT 81445 | $1,749.44 | $2,272.00 | $394.63 – $765.33 | 17 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | not published | not published | $1,256.97 – $3,291.74 | 14 |
| Tas congenital car anomal CPT 33741 | $474.49 | $2,063.00 | $100.58 – $1,174.83 | 7 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | $84.18 | $366.00 | $105.62 – $1,676.80 | 15 |
| Tavr perq femoral CPT 33361 | $764.98 | $3,326.00 | $951.33 – $1,892.01 | 7 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | not published | not published | $0.24 – $0.62 | 14 |
| Tbp gene detc abnor alleles CPT 81344 | $94.76 | $412.00 | $90.42 – $149.33 | 14 |
| Tbs dxa cal w/i&r fx risk CPT 77089 | not published | not published | $32.59 – $62.38 | 4 |
| Tbs i&r fx rsk qhp CPT 77092 | $6.21 | $27.00 | $8.01 – $15.56 | 4 |
| Tbs techl calculation only CPT 77091 | not published | not published | $22.49 – $241.19 | 14 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $2.09 – $241.19 | 14 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $69.00 | $300.00 | $66.00 – $111.65 | 17 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $408.10 | $530.00 | $40.91 – $113.63 | 17 |
| Tc-99m apcitide diag HCPCS A9504 | not published | not published | $145.95 – $652.50 | 4 |
| Tc-99m arcitumomab HCPCS A9568 | not published | not published | $649.15 – $1,699.97 | 13 |
| Tc-99m bicisate HCPCS A9557 | not published | not published | $548.34 – $1,435.98 | 13 |
| Tc-99m depreotide HCPCS A9536 | not published | not published | $445.61 – $1,827.00 | 3 |
| Tc-99m diag per dose HCPCS A4641 | not published | not published | $186.58 – $186.58 | 1 |
| Tc-99m disofenin HCPCS A9510 | not published | not published | $31.42 – $276.54 | 4 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | not published | not published | $834.23 – $2,184.67 | 13 |
| Tc-99m exametazime diag HCPCS A9521 | not published | not published | $643.40 – $1,684.91 | 13 |
| Tc-99m fanolesomab diag HCPCS A9566 | not published | not published | $1,077.12 – $1,077.12 | 1 |
| Tc-99m graphite crucible HCPCS A9506 | not published | not published | $263.50 – $690.06 | 13 |
| Tc-99m labeled rbc HCPCS A9560 | not published | not published | $83.84 – $138.96 | 3 |
| Tc-99m maa HCPCS A9540 | not published | not published | $26.93 – $44.63 | 3 |
| Tc-99m mebrofenin HCPCS A9537 | not published | not published | $49.65 – $82.29 | 3 |
| Tc-99m medronate HCPCS A9503 | not published | not published | $11.67 – $117.91 | 4 |
| Tc-99m mertiatide HCPCS A9562 | not published | not published | $1,152.63 – $1,152.63 | 1 |
| Tc-99m non-heu per study dose HCPCS Q9969 | $0.78 | $1.01 | $8.02 – $21.00 | 13 |
| Tc-99m oxidronate HCPCS A9561 | not published | not published | $44.88 – $65.46 | 2 |
| Tc-99m pentetate dtpa HCPCS A9539 | not published | not published | $31.96 – $49.07 | 2 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | not published | not published | $17.32 – $26.60 | 3 |
| Tc-99m pertechnetate per mci HCPCS A9512 | not published | not published | $1.52 – $2.48 | 3 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | not published | not published | $57.49 – $95.29 | 3 |
| Tc-99m sestamibi p study dose HCPCS A9500 | not published | not published | $93.77 – $588.01 | 3 |
| Tc-99m succimer (dmsa) HCPCS A9551 | not published | not published | $538.04 – $891.76 | 3 |
| Tc-99m sulfur colloid HCPCS A9541 | not published | not published | $239.99 – $397.76 | 3 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | not published | not published | $76.54 – $420.32 | 4 |
| Tc-99m tilmanocept diag HCPCS A9520 | not published | not published | $593.84 – $984.23 | 3 |
| Tca peel dermal 15789 CPT 15789 | $265.42 | $1,154.00 | $33.55 – $1,676.80 | 15 |
| Tcd emboli detect w/inj CPT 93893 | $37.72 | $164.00 | $48.43 – $291.30 | 16 |
| Tcd emboli detect without inj CPT 93892 | $37.26 | $162.00 | $48.01 – $291.30 | 16 |
| Tcd vasoreactivity study CPT 93890 | $105.80 | $460.00 | $140.61 – $140.61 | 1 |
| T-cell depletion of harvest CPT 38210 | $53.59 | $233.00 | $64.12 – $1,197.56 | 14 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $309.54 | $402.00 | $31.01 – $102.78 | 17 |
| T cells absolute cd 4 count CPT 86361 | $176.33 | $229.00 | $17.68 – $47.89 | 17 |
| T cells total count CPT 86359 | $248.71 | $323.00 | $24.90 – $80.00 | 17 |
| Tcranial magn stim tx deli CPT 90868 | not published | not published | $104.87 – $853.02 | 16 |
| Tcranial magn stim tx plan CPT 90867 | not published | not published | $101.58 – $853.02 | 16 |
| Tcran magn stim redetemine CPT 90869 | not published | not published | $168.89 – $853.02 | 16 |
| Tdh sdrl/ventr pnxr CPT 61105 | $305.67 | $1,329.00 | $41.55 – $1,816.27 | 8 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | $650.67 | $2,829.00 | $56.49 – $4,010.63 | 8 |
| Team conf without pat by hc pro CPT 99368 | $23.69 | $103.00 | $28.72 – $55.81 | 4 |
| Team conf without pat by phys CPT 99367 | $36.57 | $159.00 | $44.12 – $85.82 | 4 |
| Team conf w/pat by hc prof CPT 99366 | $26.91 | $117.00 | $32.83 – $107.00 | 5 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | not published | not published | $174.08 – $455.88 | 14 |
| Tee w or without fol w/cont,cong HCPCS C8926 | not published | not published | $525.12 – $2,164.21 | 13 |
| Tee w or without fol w/cont, mon HCPCS C8927 | not published | not published | $525.12 – $2,164.21 | 13 |
| Teflon or equal cable lining HCPCS L6665 | not published | not published | $32.47 – $115.27 | 13 |
| Telavancin injection HCPCS J3095 | not published | not published | $5.99 – $15.68 | 14 |
| Telehealth original site facility fee HCPCS Q3014 | $43.12 | $56.00 | $25.15 – $29.96 | 3 |
| Telethx isodose plan cplx CPT 77307 | $99.59 | $433.00 | $99.96 – $1,002.77 | 16 |
| Telethx isodose plan simple CPT 77306 | $47.84 | $208.00 | $54.49 – $1,002.77 | 16 |
| Temozolomide HCPCS J8700 | not published | not published | $0.27 – $0.51 | 6 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | not published | not published | $8.75 – $21.83 | 14 |
| Temperature gradient studies CPT 93740 | $5.29 | $23.00 | $1.12 – $428.59 | 14 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | not published | not published | $27.18 – $67.80 | 14 |
| Tendon lengthening CPT 26476 | $410.55 | $1,785.00 | $52.79 – $8,887.94 | 16 |
| Tendon lngth upr a/e ea tdn CPT 24305 | $380.65 | $1,655.00 | $47.79 – $8,887.94 | 16 |
| Tendon shortening CPT 26477 | $401.35 | $1,745.00 | $42.16 – $8,887.94 | 16 |
| Tendon transfer with graft CPT 26492 | $595.24 | $2,588.00 | $9.64 – $8,887.94 | 16 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $6,679.29 | $29,040.41 | $137.88 – $361.07 | 14 |
| Teniposide, 50 mg HCPCS Q2017 | not published | not published | $1,185.41 – $3,257.21 | 4 |
| Tenodesis biceps tdn at elbw CPT 24340 | $396.98 | $1,726.00 | $8.00 – $19,568.78 | 16 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | $383.87 | $1,669.00 | $30.00 – $8,887.94 | 16 |
| Tenolysis triceps CPT 24332 | $404.34 | $1,758.00 | $12.00 – $8,887.94 | 16 |
| Tenoplasty elbow to sho 1 CPT 24320 | $509.68 | $2,216.00 | $63.86 – $19,568.78 | 16 |
| Tenosynovectomy radic 26145 CPT 26145 | $339.71 | $1,477.00 | $5.00 – $4,383.99 | 16 |
| Tenotomy hip flexor open CPT 27005 | $471.73 | $2,051.00 | $58.98 – $1,507.70 | 8 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | $192.05 | $835.00 | $16.00 – $8,887.94 | 17 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | $157.09 | $683.00 | $12.50 – $4,383.99 | 17 |
| Tension based scoliosis orth HCPCS L1005 | not published | not published | $1,940.36 – $6,887.97 | 13 |
| Tens suppl 2 lead per month HCPCS A4595 | not published | not published | $9.94 – $22.95 | 13 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $158.58 | $689.50 | $1.65 – $3.88 | 6 |
| Teriparatide injection HCPCS J3110 | not published | not published | $51.34 – $65.68 | 3 |
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.