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 |
|---|---|---|---|---|
| Truss single with standard pad HCPCS L8300 | not published | not published | $52.20 – $185.29 | 13 |
| Tte w or without contr, cont ecg HCPCS C8930 | $2,889.81 | $3,753.00 | $525.12 – $2,164.21 | 13 |
| Tte w or without fol w/con,stres HCPCS C8928 | not published | not published | $525.12 – $2,164.21 | 13 |
| Tte w or without fol w/cont, com HCPCS C8921 | not published | not published | $525.12 – $2,164.21 | 13 |
| Tte w or without fol w/cont, f/u HCPCS C8922 | not published | not published | $525.12 – $2,164.21 | 13 |
| Tubal Ligation (Laparoscopic) CPT 58670 | $240.12 | $1,044.00 | $30.44 – $15,982.03 | 16 |
| Tube drain vert dev st 5-40f HCPCS A5200 | not published | not published | $8.15 – $28.91 | 13 |
| Tube trach disp innr can 5 xlt HCPCS A7521 | $73.32 | $318.79 | $33.88 – $120.29 | 13 |
| Tube trach disp innr can 6 xlt HCPCS A4623 | not published | not published | $4.72 – $16.76 | 13 |
| Tube trach fen sz 6 uncuffed HCPCS A7520 | $41.71 | $181.35 | $34.20 – $121.38 | 13 |
| Tubing (oxygen) per foot HCPCS A4616 | not published | not published | $0.04 – $0.15 | 13 |
| Tubular dressing HCPCS A6457 | not published | not published | $0.82 – $2.91 | 13 |
| Tumor cell deplete of harvst CPT 38211 | $48.76 | $212.00 | $58.05 – $1,197.56 | 14 |
| Tvh >250 gms 58290 CPT 58290 | $742.90 | $3,230.00 | $112.59 – $20,256.56 | 16 |
| Tvh w/mmk 58267 CPT 58267 | $690.23 | $3,001.00 | $104.74 – $3,157.11 | 8 |
| Twelve volt battery utah/equ HCPCS L7364 | not published | not published | $307.87 – $1,092.88 | 13 |
| Tx atrial fib pulm vein isol CPT 93656 | $596.39 | $2,593.00 | $744.28 – $67,201.19 | 16 |
| Tx closed distal humerus fx CPT 24999 | not published | $0.01 | $159.44 – $657.10 | 13 |
| Tx closed hip disl traumatic without anes CPT 27250 | $702.24 | $912.00 | $44.07 – $657.10 | 16 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | $9,493.33 | $12,329.00 | $15.21 – $8,887.94 | 17 |
| Tx closed tib shaft fx without manip CPT 27750 | $702.24 | $936.00 | $6.09 – $867.00 | 18 |
| Tx contour defects >10.0 cc CPT 11954 | $72.22 | $314.00 | $90.00 – $1,676.80 | 15 |
| Tx contour defects 1.1-5.0cc 11951 CPT 11951 | $46.69 | $203.00 | $58.63 – $1,676.80 | 15 |
| Tx ectopic pregnancy abdl pregnancy 59130 CPT 59130 | $612.95 | $2,665.00 | $130.03 – $2,492.12 | 8 |
| Tx ectopic pregnancy ntrstl prtl rescj uter 59136 CPT 59136 | $581.67 | $2,529.00 | $99.44 – $2,466.91 | 8 |
| Tx l/r atrial fib addl CPT 93657 | $193.43 | $841.00 | $240.85 – $477.88 | 7 |
| Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 | $485.53 | $2,111.00 | $11.60 – $8,887.94 | 16 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | $331.20 | $1,440.00 | $23.72 – $8,887.94 | 16 |
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | $361.10 | $1,570.00 | $18.22 – $8,887.94 | 16 |
| Tx open nsl fx uncomp CPT 21325 | $283.36 | $1,232.00 | $2.00 – $8,883.72 | 16 |
| Tx open nsl sptl fx CPT 21336 | $406.87 | $1,769.00 | $52.00 – $8,887.94 | 16 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | $390.77 | $1,699.00 | $14.38 – $8,887.94 | 16 |
| Tx septic abortion surgical 59830 CPT 59830 | $299.23 | $1,301.00 | $63.92 – $1,346.37 | 8 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | $702.24 | $912.00 | $16.08 – $657.10 | 18 |
| Tympanic membrane repair CPT 69610 | $185.38 | $806.00 | $23.52 – $4,057.66 | 17 |
| Tympanolysis transcanal 69450 CPT 69450 | $347.07 | $1,509.00 | $31.39 – $8,883.72 | 16 |
| Tympanometry & reflex thresh CPT 92550 | not published | not published | $16.25 – $428.59 | 16 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | $85.56 | $372.00 | $10.88 – $1,394.99 | 17 |
| Tympp antrt/mastoidotomy prosthesis torp 69637 CPT 69637 | $891.94 | $3,878.00 | $79.93 – $16,204.73 | 16 |
| Tympp antrt/mastoid without ossic chain recnst 69635 CPT 69635 | $813.97 | $3,539.00 | $72.81 – $16,204.73 | 16 |
| Tyms gene com variants CPT 81346 | $120.52 | $524.00 | $115.38 – $190.54 | 14 |
| Typhoid vaccine oral CPT 90690 | not published | not published | $28.00 – $154.88 | 4 |
| U2af1 gene common variants CPT 81357 | not published | not published | $127.55 – $210.64 | 14 |
| Ua w/micro/comp poc CPT 81000 | $2.76 | $12.00 | $2.65 – $11.00 | 18 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | not published | not published | $57.66 – $151.00 | 14 |
| Ue triple control harness HCPCS L6677 | not published | not published | $148.00 – $639.64 | 13 |
| Ugt1a1 gene analy common variants CPT 81350 | $684.53 | $889.00 | $154.44 – $255.06 | 14 |
| Ultrasound bone density measure CPT 76977 | $1.84 | $8.00 | $2.16 – $291.30 | 17 |
| Ultrasound breast complete CPT 76641 | $583.66 | $758.00 | $28.46 – $291.30 | 17 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $482.79 | $627.00 | $26.51 – $241.19 | 17 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $15.18 | $66.00 | $17.12 – $291.30 | 16 |
| Ultrasound dx ophth b-scan CPT 76512 | $583.66 | $758.00 | $14.44 – $291.30 | 16 |
| Ultrasound elastography ea l target les CPT 76983 | $14.95 | $65.00 | $20.41 – $39.66 | 4 |
| Ultrasound elastography parenchyma CPT 76981 | $583.66 | $758.00 | $23.22 – $291.30 | 14 |
| Ultrasound encephalogram CPT 76506 | $583.66 | $758.00 | $25.24 – $291.30 | 16 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $583.66 | $758.00 | $29.02 – $291.30 | 16 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $583.66 | $758.00 | $29.99 – $291.30 | 17 |
| Ultrasound Guidance for a Needle Procedure CPT 76942 | $1,186.57 | $1,541.00 | $22.76 – $409.50 | 11 |
| Ultrasound guidance for vascular access CPT 76937 | $236.39 | $307.00 | $11.26 – $22.06 | 10 |
| Ultrasound guide intraoperative CPT 76998 | $41.40 | $180.00 | $37.39 – $75.14 | 7 |
| Ultrasound guide tissue ablation CPT 76940 | $64.86 | $282.00 | $57.16 – $117.23 | 7 |
| Ultrasound hips infant dynamic CPT 76885 | $482.79 | $627.00 | $28.75 – $241.19 | 16 |
| Ultrasound infant hips ltd without stress CPT 76886 | $482.79 | $627.00 | $24.07 – $241.19 | 14 |
| Ultrasound joint complete left CPT 76881 | $583.66 | $758.00 | $8.80 – $291.30 | 17 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | $37.26 | $162.00 | $11.12 – $291.30 | 16 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $437.36 | $568.00 | $33.08 – $63.10 | 10 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $437.36 | $568.00 | $16.92 – $35.17 | 10 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $1,325.94 | $1,722.00 | $70.97 – $662.14 | 16 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $583.66 | $758.00 | $33.33 – $291.30 | 17 |
| Ultrasound prostate/transrectal CPT 76872 | $20.70 | $90.00 | $26.65 – $291.30 | 16 |
| Ultrasound spinal canal and contents CPT 76800 | $583.66 | $758.00 | $49.87 – $291.30 | 16 |
| Ultrasound transabd ea addl gest CPT 76812 | $994.84 | $1,292.00 | $45.22 – $134.86 | 10 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | $49.45 | $215.00 | $63.07 – $487.65 | 14 |
| Ultrasound trgt dyn mbubb ea addl CPT 76979 | $25.99 | $113.00 | $32.93 – $78.05 | 4 |
| Ultraviolet therapy CPT 97028 | not published | not published | $6.16 – $8.37 | 13 |
| Umbilical artery cath newborn 36660 CPT 36660 | $43.47 | $189.00 | $51.98 – $226.99 | 8 |
| Umbilical cord occlud w/us CPT 59072 | $335.34 | $1,458.00 | $202.18 – $833.27 | 16 |
| Umbilicoplasty 15847 CPT 15847 | $304.98 | $1,326.00 | $43.68 – $778.19 | 7 |
| Unit mobile power mpu HCPCS Q0479 | not published | not published | $7,293.95 – $25,892.25 | 13 |
| Unlistd noninvas vasc dx std CPT 93998 | $23.00 | $100.00 | $16.28 – $67.09 | 13 |
| Unlisted all/immlg svc/px CPT 95199 | not published | not published | $16.28 – $67.09 | 13 |
| Unlisted chemotherapy px CPT 96549 | $20.47 | $89.00 | $0.51 – $126.39 | 13 |
| Unlisted cranfcl&maxlfcl px CPT 21299 | not published | $0.01 | $154.35 – $636.12 | 13 |
| Unlisted CT procedure CPT 76497 | not published | not published | $22.18 – $241.19 | 13 |
| Unlisted cv px dx nuc med CPT 78499 | not published | $0.01 | $267.08 – $1,100.73 | 13 |
| Unlisted cytogenetic study CPT 88299 | not published | not published | $13.60 – $146.36 | 13 |
| Unlisted cytopathology px CPT 88199 | not published | not published | $3.10 – $146.36 | 13 |
| Unlisted dialysis procedure CPT 90999 | not published | not published | $185.81 – $185.81 | 1 |
| Unlisted dx gi procedure CPT 91299 | not published | not published | $103.99 – $428.59 | 13 |
| Unlisted endocrine px dx nuc CPT 78099 | $1,028.72 | $1,336.00 | $267.08 – $1,100.73 | 13 |
| Unlisted fetal invas px w/us CPT 59897 | not published | $0.01 | $133.71 – $551.06 | 13 |
| Unlisted fluoroscopic px CPT 76496 | $25.30 | $110.00 | $23.82 – $241.19 | 13 |
| Unlisted gi px dx nuc med CPT 78299 | not published | $0.01 | $267.08 – $1,100.73 | 13 |
| Unlisted gu px dx nuc med CPT 78799 | not published | $0.01 | $267.08 – $1,100.73 | 13 |
| Unlisted hematology&coagj px CPT 85999 | $95.48 | $124.00 | $13.60 – $13.60 | 1 |
| Unlisted hystsc px uterus CPT 58579 | not published | $0.01 | $133.71 – $551.06 | 13 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | not published | $0.01 | $3,877.86 – $15,982.03 | 13 |
| Unlisted laparoscopic procedure 49659 CPT 49659 | $274.62 | $1,194.00 | $3,877.86 – $15,982.03 | 13 |
| Unlisted laparoscopic reduction intestine 44238 CPT 44238 | not published | $0.01 | $3,877.86 – $15,982.03 | 13 |
| Unlisted laparoscopy procedure biliary tract 47579 CPT 47579 | not published | $0.01 | $3,877.86 – $15,982.03 | 13 |
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.