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 |
|---|---|---|---|---|
| X-ray exam of mastoids CPT 70120 | $5.52 | $24.00 | $7.18 – $291.30 | 16 |
| X-ray exam of middle ear CPT 70134 | $11.04 | $48.00 | $14.12 – $1,501.96 | 16 |
| X-ray exam of penis CPT 74445 | $34.50 | $150.00 | $15.75 – $291.30 | 16 |
| X-ray exam of perineum CPT 74775 | $19.09 | $83.00 | $24.07 – $662.14 | 16 |
| X-ray exam of salivary gland CPT 70380 | $354.20 | $460.00 | $6.63 – $241.19 | 16 |
| X-ray exam of tear duct CPT 70170 | $972.51 | $1,263.00 | $11.86 – $662.14 | 16 |
| X-ray exam of teeth CPT 70300 | $3.22 | $14.00 | $1.05 – $241.19 | 16 |
| X-ray exam of teeth CPT 70310 | $5.29 | $23.00 | $1.05 – $662.14 | 16 |
| X-ray exam si joints CPT 72200 | $428.12 | $556.00 | $6.63 – $291.30 | 17 |
| X-ray exam thorac spine4/>vw CPT 72074 | $534.38 | $694.00 | $9.70 – $291.30 | 16 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $354.20 | $460.00 | $6.91 – $241.19 | 17 |
| X-ray fallopian tube CPT 74742 | $18.63 | $81.00 | $23.79 – $105.32 | 5 |
| X-ray head for orthodontia CPT 70350 | $5.52 | $24.00 | $6.65 – $241.19 | 16 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $428.12 | $556.00 | $10.80 – $291.30 | 17 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $534.38 | $694.00 | $12.41 – $291.30 | 17 |
| X-ray joint survey 1 view CPT 77077 | $428.12 | $556.00 | $13.51 – $291.30 | 16 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $354.20 | $460.00 | $6.35 – $241.19 | 17 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $428.12 | $556.00 | $8.85 – $291.30 | 17 |
| X-ray male genital tract CPT 74440 | $11.50 | $50.00 | $14.45 – $662.14 | 14 |
| X-ray mandible ltd <4 views CPT 70100 | $354.20 | $460.00 | $7.18 – $241.19 | 17 |
| X-ray measurement of pelvis CPT 74710 | $11.04 | $48.00 | $30.40 – $60.82 | 2 |
| X-ray nose to rectum for foreign body child CPT 76010 | $354.20 | $460.00 | $6.09 – $241.19 | 16 |
| X-ray of mammary ducts CPT 77054 | $13.57 | $59.00 | $17.44 – $662.14 | 16 |
| X-ray optic foramina CPT 70190 | $6.90 | $30.00 | $8.83 – $241.19 | 16 |
| Xray place dist ext thor ao CPT 75959 | $105.57 | $459.00 | $0.02 – $262.80 | 7 |
| Xray place prox ext thor ao CPT 75958 | $120.75 | $525.00 | $0.01 – $296.35 | 7 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $1,436.82 | $1,866.00 | $15.75 – $978.28 | 16 |
| X-ray ribs 2 views left CPT 71100 | $354.20 | $460.00 | $8.58 – $241.19 | 17 |
| X-ray sella turcica CPT 70240 | $354.20 | $460.00 | $7.46 – $241.19 | 16 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $2,206.05 | $2,865.00 | $11.55 – $1,501.96 | 16 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $17.71 | $77.00 | $19.95 – $291.30 | 16 |
| X-ray small intestine follow-through study CPT 74248 | $1,002.54 | $1,302.00 | $27.08 – $52.67 | 10 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $442.75 | $575.00 | $7.88 – $241.19 | 17 |
| X-ray surgical specimen CPT 76098 | $2,206.05 | $2,865.00 | $8.49 – $1,501.96 | 16 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $354.20 | $460.00 | $10.25 – $241.19 | 17 |
| X-ray upper gi delay w/kub CPT 74241 | not published | not published | $124.03 – $124.03 | 1 |
| X-ray upper gi&small intest CPT 74245 | not published | not published | $161.52 – $161.52 | 1 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | $716.10 | $930.00 | $15.75 – $487.65 | 16 |
| Xtrnl ecg rec>48hr<7d CPT 93241 | not published | not published | $138.01 – $396.40 | 10 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | $44.16 | $192.00 | $58.38 – $230.00 | 11 |
| Xwrap 1 sq cm HCPCS Q4204 | not published | not published | $2,907.00 – $5,341.31 | 6 |
| Xylose absorption test blood &/or urine CPT 84620 | $8.74 | $38.00 | $3.00 – $14.07 | 17 |
| Xyntha inj HCPCS J7185 | not published | not published | $1.23 – $3.23 | 14 |
| Yersinia antibody CPT 86793 | $9.20 | $40.00 | $8.70 – $18.16 | 17 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | not published | not published | $45,567.61 – $119,331.55 | 13 |
| Zenith amniotic membrane psc HCPCS Q4253 | not published | not published | $78.47 – $155.86 | 6 |
| Ziconotide injection HCPCS J2278 | not published | not published | $8.12 – $21.27 | 14 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | not published | not published | $1.43 – $2.14 | 6 |
| Zidovudine, oral, 100 mg HCPCS S0104 | not published | not published | $1.55 – $1.97 | 3 |
| Zika virus dna/rna amp probe CPT 87662 | $35.42 | $154.00 | $33.87 – $81.09 | 17 |
| Zika virus igm antibody CPT 86794 | $11.50 | $50.00 | $11.12 – $26.62 | 17 |
| Zinc paste band w >=3"<5"/yd HCPCS A6456 | not published | not published | $0.91 – $3.20 | 13 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $51.87 | $225.51 | $2.96 – $9.38 | 6 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | not published | not published | $6.72 – $16.76 | 14 |
| Zolbetuximab-clzb 100 mg intravenous solution HCPCS J1326 | not published | not published | $26.91 – $70.47 | 14 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $88.55 | $385.00 | $4.91 – $11.08 | 6 |
| Zoster vaccine-live inj CPT 90736 | not published | not published | $10.00 – $437.85 | 10 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $127.55 – $210.64 | 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.