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 |
|---|---|---|---|---|
| Blood Transfusion CPT 36430 | $1,279.74 | $1,662.00 | $27.84 – $1,197.56 | 16 |
| Blood typing abo CPT 86900 | $848.54 | $1,102.00 | $1.97 – $6.59 | 17 |
| Blood typing ag donor ea ag CPT 86902 | $2,367.75 | $3,075.00 | $2.82 – $6.92 | 17 |
| Blood typing antigen system CPT 86911 | not published | not published | $17.18 – $28.07 | 5 |
| Blood typing paternity test CPT 86910 | not published | not published | $7.06 – $118.53 | 5 |
| Blood typing patient serum CPT 86904 | $11.50 | $50.00 | $10.78 – $21.01 | 17 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $2,367.75 | $3,075.00 | $2.53 – $5.25 | 17 |
| Blood typing rh (d) CPT 86901 | $257.95 | $335.00 | $1.97 – $6.67 | 17 |
| Blood typing rh phenotype complete reference CPT 86906 | $5.52 | $24.00 | $5.12 – $16.80 | 17 |
| Blood volume CPT 78122 | $13.34 | $58.00 | $16.64 – $1,474.48 | 16 |
| Bls-emergency HCPCS A0429 | not published | not published | $373.84 – $462.27 | 9 |
| Body jacket mold to patient HCPCS L1300 | not published | not published | $1,069.76 – $3,797.45 | 13 |
| Bone Age X-ray (hand and wrist) CPT 77072 | $428.12 | $556.00 | $7.11 – $291.30 | 17 |
| Bone biopsy open superficial CPT 20240 | $90.39 | $393.00 | $6.01 – $7,840.00 | 16 |
| Bone Density Scan (DEXA) CPT 77080 | $428.12 | $556.00 | $7.75 – $291.30 | 17 |
| Bone imaging (3d) CPT 78320 | not published | not published | $183.72 – $183.72 | 1 |
| Bone imaging multiple areas CPT 78305 | $1,028.72 | $1,336.00 | $31.56 – $1,100.73 | 16 |
| Bone/joint imaging ltd area CPT 78300 | $1,028.72 | $1,336.00 | $23.80 – $1,100.73 | 16 |
| Bone marrow;aspiration only 38220 CPT 38220 | $4,740.89 | $6,157.00 | $54.55 – $4,438.31 | 17 |
| Bone marrow aspir bone grfg CPT 20939 | $45.08 | $196.00 | $55.44 – $110.46 | 4 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $4,740.89 | $6,157.00 | $57.08 – $4,438.31 | 17 |
| Bone marrow harvest allogen CPT 38230 | $130.18 | $566.00 | $162.75 – $4,490.47 | 16 |
| Bone marrow harvest autolog CPT 38232 | $120.06 | $522.00 | $152.56 – $12,834.06 | 16 |
| Bone marrow imaging body CPT 78104 | $1,028.72 | $1,336.00 | $29.97 – $1,100.73 | 16 |
| Bone marrow imaging ltd CPT 78102 | $1,028.72 | $1,336.00 | $20.27 – $1,100.73 | 16 |
| Bone marrow imaging mult CPT 78103 | $1,028.72 | $1,336.00 | $24.65 – $1,100.73 | 16 |
| Bone marrow interpretation CPT 85097 | $5,377.68 | $6,984.00 | $19.20 – $2,237.73 | 18 |
| Bone mineral dual photon CPT 78351 | $10.12 | $44.00 | $3.83 – $39.56 | 5 |
| Bone mineral single photon CPT 78350 | $14.95 | $65.00 | $8.85 – $56.00 | 6 |
| Bone/skin graft great toe CPT 20973 | $1,933.84 | $8,408.00 | $210.00 – $19,568.78 | 16 |
| Bone/skin graft iliac crest CPT 20970 | $1,837.24 | $7,988.00 | $70.88 – $9,936.88 | 8 |
| Bone/skin graft metatarsal CPT 20972 | $1,831.72 | $7,964.00 | $210.00 – $19,568.78 | 16 |
| Bone/skin graft microvasc CPT 20969 | $1,744.32 | $7,584.00 | $210.00 – $10,143.77 | 8 |
| Bone survey-lead poisoning CPT 77074 | $428.12 | $556.00 | $17.16 – $291.30 | 17 |
| Bone tendon board add on HCPCS C9356 | not published | not published | $108.77 – $123.26 | 2 |
| Boot cast sandal rocker med HCPCS L3265 | not published | not published | $8.39 – $60.50 | 2 |
| Boot heel care softcare one sz HCPCS E0191 | not published | not published | $0.74 – $2.64 | 13 |
| Boot j walker l HCPCS L4386 | not published | not published | $96.11 – $341.17 | 13 |
| Boot mlti podous univ xlg HCPCS L4396 | not published | not published | $101.72 – $361.08 | 13 |
| Boot softgait shrt m HCPCS L4387 | not published | not published | $96.11 – $341.17 | 13 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | not published | not published | $178.71 – $634.39 | 13 |
| Boot walker genesis mid-calf full shell s HCPCS L4361 | not published | not published | $178.71 – $634.39 | 13 |
| Borrelia antibody CPT 86619 | $9.20 | $40.00 | $8.83 – $14.58 | 14 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $111.65 | $145.00 | $11.24 – $38.85 | 18 |
| Borrelia miyamotoi amp prb CPT 87478 | $231.00 | $300.00 | $23.16 – $44.91 | 17 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $1,290.42 | $5,610.50 | $1.50 – $2.90 | 6 |
| (both sides) donor search management CPT 38204 | $67.85 | $295.00 | $81.88 – $160.15 | 4 |
| (both sides) smear without diff wbc count CPT 85008 | $22.33 | $29.00 | $2.27 – $9.45 | 18 |
| Botulism ig IV CPT 90288 | not published | not published | $10.00 – $69,333.00 | 9 |
| Bowel imaging CPT 78290 | $1,028.72 | $1,336.00 | $25.77 – $1,100.73 | 16 |
| Bpg axillary-pop/-tibial CPT 35623 | $834.21 | $3,627.00 | $72.23 – $3,077.14 | 8 |
| Bpg carotid-vertebral CPT 35642 | $628.59 | $2,733.00 | $54.44 – $3,536.86 | 8 |
| Bpg ilio-celiac CPT 35632 | $1,144.94 | $4,978.00 | $99.17 – $2,834.88 | 7 |
| Bpg ilio-mesenteric CPT 35633 | $1,250.97 | $5,439.00 | $108.78 – $3,107.30 | 7 |
| Bpg iliorenal CPT 35634 | $1,120.56 | $4,872.00 | $97.05 – $2,774.19 | 7 |
| Bpg pop-tibl/-prnl artery CPT 35671 | $711.62 | $3,094.00 | $62.29 – $3,916.74 | 8 |
| Bpg splenorenal CPT 35636 | $1,011.31 | $4,397.00 | $87.58 – $4,497.05 | 8 |
| Bpg subclavian-axillary CPT 35616 | $699.43 | $3,041.00 | $60.54 – $4,121.63 | 8 |
| Bpg subclavian-vertebral CPT 35645 | $601.45 | $2,615.00 | $52.15 – $3,555.08 | 8 |
| Brace adj motion lerman type HCPCS L2186 | not published | not published | $109.45 – $388.53 | 13 |
| Brace afo dbl upright cust HCPCS L1990 | not published | not published | $258.88 – $918.99 | 13 |
| Brace afo lg left 6607 HCPCS L1930 | not published | not published | $137.39 – $487.71 | 13 |
| Brace afopos solid ankle cust HCPCS L1960 | not published | not published | $343.41 – $1,219.04 | 13 |
| Brace afo spiral prefab HCPCS L1951 | not published | not published | $509.14 – $1,807.34 | 13 |
| Brace ank aftr bioskn med lg HCPCS L1906 | not published | not published | $69.84 – $247.95 | 13 |
| Brace ank air stirrup univ HCPCS L4350 | not published | not published | $58.13 – $206.35 | 13 |
| Brace ankle joint dflxn assist HCPCS L2210 | not published | not published | $39.97 – $141.90 | 13 |
| Brace ankle stablizing lg HCPCS L1902 | not published | not published | $54.14 – $192.19 | 13 |
| Brace back epic lo 627 HCPCS L0642 | not published | not published | $218.77 – $499.24 | 13 |
| Brace back epic lso 637 HCPCS L0650 | not published | not published | $632.16 – $1,442.64 | 13 |
| Brace back epic tslo 456 HCPCS L0457 | not published | not published | $529.20 – $1,207.67 | 13 |
| Brace back pinnacle lo 627 lumbar HCPCS L0627 | not published | not published | $249.21 – $884.64 | 13 |
| Brace back pinnacle tlso 464 HCPCS L0464 | not published | not published | $901.13 – $3,198.86 | 13 |
| Brace back t-lso custom HCPCS L0486 | not published | not published | $1,095.03 – $3,887.14 | 13 |
| Brace back vista 464 tlso HCPCS L0648 | not published | not published | $546.35 – $1,246.82 | 13 |
| Brace cust back lso HCPCS L0631 | not published | not published | $622.35 – $2,209.25 | 13 |
| Brace fx hum ovr shldr lg HCPCS L3981 | not published | not published | $555.36 – $1,971.42 | 13 |
| Brace fx hum ovr shldr sm HCPCS L3980 | not published | not published | $136.00 – $646.01 | 13 |
| Brace halo bremer l2830 HCPCS L2830 | not published | not published | $54.56 – $193.69 | 13 |
| Brace kafo dbl upright cust HCPCS L2036 | not published | not published | $1,116.63 – $3,963.85 | 13 |
| Brace knee 32in univ t-scope short lt/rt HCPCS L1852 | not published | not published | $495.40 – $1,130.54 | 13 |
| Brace knee extender plus 22-30in HCPCS L1832 | not published | not published | $360.00 – $1,458.05 | 13 |
| Brace knee hing pat open med HCPCS L1820 | not published | not published | $80.00 – $314.54 | 13 |
| Brace knee playmaker ii x-rom hook and loop xl HCPCS L1833 | not published | not published | $393.43 – $897.83 | 13 |
| Brace knee postop tscope xl HCPCS L1845 | not published | not published | $564.48 – $2,003.81 | 13 |
| Brace knee support neoprene padded open patella med HCPCS L1810 | not published | not published | $57.20 – $203.04 | 13 |
| Brace m arm board HCPCS L3809 | not published | not published | $137.96 – $489.74 | 13 |
| Brace or Splint Fitting and Training (each 15 minutes) CPT 97760 | $181.72 | $236.00 | $35.09 – $47.70 | 13 |
| Brace ortho exos 28-50in sm HCPCS L0637 | not published | not published | $651.27 – $2,311.89 | 13 |
| Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr HCPCS L0456 | not published | not published | $602.95 – $2,140.37 | 13 |
| Brace oths wrist hnd fngr without HCPCS L3807 | not published | not published | $137.96 – $489.74 | 13 |
| Brace tlso flex cust HCPCS L0450 | not published | not published | $99.41 – $226.87 | 13 |
| Brace wrist classic lft sm HCPCS L3908 | not published | not published | $38.23 – $135.71 | 13 |
| Brachioplasty 15836 CPT 15836 | $515.89 | $2,243.00 | $64.77 – $7,840.00 | 14 |
| Brach/thor cath 1st CPT 36215 | $5,790.40 | $7,520.00 | $169.08 – $332.67 | 14 |
| Brach/thor cath 2nd CPT 36216 | $10,692.22 | $13,886.00 | $114.50 – $426.60 | 14 |
| Brach/thor cath 3rd CPT 36217 | $15,236.76 | $19,788.00 | $262.72 – $522.75 | 14 |
| Brach/thor cath addl CPT 36218 | $6,907.67 | $8,971.00 | $41.52 – $82.40 | 14 |
| Brachy linear, non-str,p-103 HCPCS C2636 | not published | not published | $35.17 – $144.94 | 13 |
| Brachy source i-125 injection HCPCS C2638 | not published | not published | $24.62 – $101.46 | 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.