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 |
|---|---|---|---|---|
| Cabg/vein only/3 cor venous gfts 33512 CPT 33512 | $1,535.71 | $6,677.00 | $133.63 – $8,272.74 | 8 |
| Cabg/vein only/4 cor venous gfts 33513 CPT 33513 | $1,569.52 | $6,824.00 | $136.47 – $8,948.69 | 8 |
| Cabg vein six or more CPT 33516 | $1,709.82 | $7,434.00 | $148.65 – $10,297.22 | 8 |
| Cabg venous & art 1 vein graft 33517 CPT 33517 | $118.22 | $514.00 | $28.98 – $674.97 | 8 |
| Cabg venous & art 2 vein graft 33518 CPT 33518 | $260.13 | $1,131.00 | $54.55 – $1,351.90 | 8 |
| Cabg venous & art 3 vein graft 33519 CPT 33519 | $343.39 | $1,493.00 | $79.98 – $2,025.65 | 8 |
| Cabg venous & art 4 vein graft 33521 CPT 33521 | $412.16 | $1,792.00 | $105.63 – $2,702.82 | 8 |
| Cabg venous & art 5 vein graft 33522 CPT 33522 | $462.99 | $2,013.00 | $131.49 – $3,378.73 | 8 |
| Cabg venous & art 6 vein graft 33523 CPT 33523 | $521.41 | $2,267.00 | $154.85 – $4,055.91 | 8 |
| Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er HCPCS J0741 | not published | not published | $18.95 – $49.62 | 14 |
| Cacna1a gen detc abnor allel CPT 81184 | $94.76 | $412.00 | $90.42 – $149.33 | 14 |
| Cacna1a gene full gene seq CPT 81185 | $583.74 | $2,538.00 | $558.54 – $922.43 | 14 |
| Cacna1a gen known famil vrnt CPT 81186 | $127.88 | $556.00 | $122.23 – $201.87 | 14 |
| Cadd pump refill CPT 96521 | $616.77 | $801.00 | $108.81 – $577.14 | 15 |
| Caffeine citrate 20 mg/ml inj for po HCPCS J0706 | $25.06 | $108.96 | $1.52 – $2.17 | 4 |
| Calaspargase pegol-mknl 750 unit/ml intravenous solution HCPCS J9118 | not published | not published | $76.53 – $115.90 | 6 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | $2,520.46 | $10,958.50 | $82.96 – $1,755.19 | 13 |
| Calcitonin stimul panel CPT 80410 | $55.66 | $242.00 | $53.04 – $100.46 | 17 |
| Calcium 24 hour urine CPT 82340 | $39.27 | $51.00 | $3.98 – $12.80 | 17 |
| Calcium acetate(phosphate binders) 667 mg tablet HCPCS J0615 | not published | not published | $0.02 – $0.03 | 3 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $15.90 | $69.13 | $0.04 – $0.06 | 6 |
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | not published | not published | $0.07 – $0.14 | 6 |
| Calcium glycer & lact/10 ml HCPCS J0620 | not published | not published | $6.06 – $20.10 | 3 |
| Calcium infusion test CPT 82331 | $9.20 | $40.00 | $8.80 – $14.54 | 14 |
| Calcium ionized CPT 82330 | $90.09 | $117.00 | $8.85 – $14.91 | 17 |
| Calcium total CPT 82310 | $33.88 | $44.00 | $3.41 – $14.70 | 18 |
| Calculi urinary-sendout CPT 82360 | $8.74 | $38.00 | $8.49 – $14.40 | 17 |
| Calculus analysis qual CPT 82355 | $7.82 | $34.00 | $7.64 – $19.20 | 17 |
| Caloric vestibular test CPT 92533 | not published | not published | $20.84 – $43.07 | 5 |
| Caloric vstblr test w/rec CPT 92538 | $10.12 | $44.00 | $3.47 – $428.59 | 16 |
| Calprotectin fecal CPT 83993 | $129.36 | $168.00 | $12.96 – $35.10 | 17 |
| Cam cervix uteri drg colp CPT 57465 | $27.60 | $120.00 | $34.41 – $67.86 | 8 |
| Camisole mastectomy wht/l post-surg gental touch HCPCS L8015 | not published | not published | $36.41 – $129.27 | 13 |
| Campylobacter antibody CPT 86625 | $9.20 | $40.00 | $8.66 – $29.01 | 17 |
| Canakinumab injection HCPCS J0638 | not published | not published | $113.06 – $296.09 | 14 |
| Candida dna CPT 87480 | $131.67 | $171.00 | $13.23 – $54.60 | 18 |
| Candida dna quant CPT 87482 | $38.64 | $168.00 | $36.78 – $60.76 | 14 |
| Candida skin test CPT 86485 | not published | not published | $2.50 – $67.09 | 18 |
| Cannabinoids synthetic 1-3 CPT 80350 | not published | not published | $13.88 – $23.41 | 4 |
| Cannabinoids synthetic 4-6 CPT 80351 | not published | not published | $13.88 – $13.88 | 1 |
| Cannabinoid synthetic 7/more CPT 80352 | not published | not published | $13.88 – $13.88 | 1 |
| Cannula declotting 36861 CPT 36861 | $88.32 | $384.00 | $109.53 – $14,807.80 | 16 |
| Cannula ercp contour 5-4-3 tip HCPCS C1889 | $1,103.31 | $4,797.00 | not published | 0 |
| Cannula nasal HCPCS A4615 | not published | not published | $0.53 – $1.87 | 13 |
| Cantharidin top, applicator HCPCS J7354 | not published | not published | $536.95 – $1,406.15 | 14 |
| Canthotomy 67715 CPT 67715 | $68.77 | $299.00 | $8.70 – $6,390.66 | 17 |
| Capecitabine, oral, 50 mg HCPCS J8522 | $2.49 | $10.82 | $0.04 – $0.11 | 14 |
| Cap nerve 2x15mm HCPCS C1763 | $1,864.98 | $8,108.62 | not published | 0 |
| Capsaicin 8% patch HCPCS J7336 | not published | not published | $2.71 – $7.10 | 14 |
| Capsular contracture release CPT 23020 | $451.72 | $1,964.00 | $6.50 – $8,887.94 | 16 |
| Capsulectomy/capsulotomy hip CPT 27036 | $662.17 | $2,879.00 | $83.03 – $2,891.94 | 8 |
| Capsulotomy; interphalangeal joint, each joint (separate proc) CPT 28272 | $163.76 | $712.00 | $20.80 – $4,383.99 | 17 |
| Capsulotomy mpj ea joint (sep proc) CPT 28270 | $218.50 | $950.00 | $4.00 – $8,887.94 | 17 |
| Cap trach decann 15mm HCPCS C1750 | $1,794.00 | $7,800.00 | not published | 0 |
| Carbamazepine free CPT 80157 | $87.01 | $113.00 | $8.74 – $17.58 | 17 |
| Carbamazepine free -sendout CPT 80161 | $123.20 | $160.00 | $12.30 – $20.32 | 14 |
| Carbamazepine total therapeutic drug level CPT 80156 | $95.48 | $124.00 | $9.61 – $50.00 | 18 |
| Carbidopa levodopa ent 100ml HCPCS J7340 | not published | not published | $194.98 – $510.61 | 14 |
| Carbohydrate deficient transf - sendout CPT 82373 | $119.35 | $155.00 | $7.96 – $19.69 | 17 |
| Carbohydrate urine - sendout CPT 84377 | $3.68 | $16.00 | $3.63 – $9.74 | 17 |
| Carbon dioxide CPT 82374 | $32.34 | $42.00 | $3.22 – $13.65 | 18 |
| Carbon graphite lamination HCPCS L2755 | not published | not published | $79.20 – $281.14 | 13 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | not published | not published | $1.99 – $4.74 | 6 |
| Carboxyhemoglobin quantitative CPT 82375 | $80.85 | $105.00 | $5.60 – $13.43 | 17 |
| Car-car bp grft/endovas taa CPT 33891 | $609.27 | $2,649.00 | $164.40 – $1,508.60 | 7 |
| Carcinoembryonic ag (cea) CPT 82378 | $124.74 | $162.00 | $12.52 – $65.00 | 18 |
| Cardiac drug stress test CPT 93024 | $35.19 | $153.00 | $44.67 – $1,093.09 | 14 |
| Cardiac MRI seg dys strain HCPCS C9762 | not published | not published | $364.43 – $1,501.96 | 13 |
| Cardiac MRI seg dys stress HCPCS C9763 | not published | not published | $364.43 – $1,501.96 | 13 |
| Cardiac MRI w/stress img CPT 75559 | $87.86 | $382.00 | $112.45 – $1,501.96 | 16 |
| Cardiac perf planar mult/ef/wm CPT 78454 | $3,342.57 | $4,341.00 | $51.72 – $3,576.09 | 16 |
| Cardiac perf planar sgl/ef/wm CPT 78453 | $29.67 | $129.00 | $37.24 – $3,576.09 | 16 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $3,342.57 | $4,341.00 | $52.43 – $3,576.09 | 16 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | $368.83 | $479.00 | $11.02 – $344.90 | 15 |
| Cardiac rehabilitation op phase 2 without continous ecg monitoring CPT 93797 | $368.83 | $479.00 | $7.18 – $344.90 | 15 |
| Cardiac shunt imaging CPT 78428 | $1,617.00 | $2,100.00 | $29.40 – $1,100.73 | 16 |
| Cardiac Stress Test CPT 93015 | $46.23 | $201.00 | $58.84 – $236.25 | 11 |
| Cardioassist external CPT 92971 | $63.25 | $275.00 | $78.77 – $345.40 | 5 |
| Cardioassist internal CPT 92970 | $119.14 | $518.00 | $148.10 – $863.47 | 5 |
| Cardiokymography HCPCS Q0035 | $5.29 | $23.00 | $6.63 – $107.52 | 16 |
| Cardiolipin antibody iga CPT 86147 | $167.86 | $218.00 | $16.80 – $56.26 | 17 |
| Cardiology hrt trnspl mrna CPT 81595 | not published | not published | $2,138.40 – $3,531.60 | 14 |
| Cardioversion/elective/internal 92961 CPT 92961 | $154.10 | $670.00 | $192.62 – $1,792.54 | 14 |
| Cardioversion (Scheduled Heart Rhythm Shock) CPT 92960 | $1,914.99 | $2,487.00 | $87.00 – $1,792.54 | 18 |
| Card MRI veloc flow mapping CPT 75565 | $7.59 | $33.00 | $9.70 – $22.40 | 4 |
| Caregiver health risk assmt CPT 96161 | $1.84 | $8.00 | $2.42 – $81.60 | 17 |
| Caregiver training strategies&tq 1st 30 minutes CPT 97550 | $129.36 | $168.00 | $37.78 – $101.21 | 8 |
| Caregiver training strategies&tq ea addl 15 min CPT 97551 | $60.06 | $78.00 | $20.32 – $46.79 | 8 |
| Care manage beh svs 20mins HCPCS G0323 | $27.60 | $120.00 | $19.80 – $81.60 | 15 |
| Care mgmt svc bhvl hlth cond CPT 99484 | $27.83 | $121.00 | $19.80 – $81.60 | 17 |
| Carfilzomib 10 mg intravenous solution HCPCS J9047 | not published | not published | $46.38 – $115.69 | 14 |
| Carinal reconstruction CPT 31766 | $1,130.91 | $4,917.00 | $67.20 – $5,484.23 | 8 |
| Car ion chnnlpath inc 10 gns CPT 81413 | $403.42 | $1,754.00 | $386.03 – $1,026.98 | 17 |
| Car ion chnnlpath inc 2 gns CPT 81414 | $403.42 | $1,754.00 | $386.03 – $1,026.98 | 17 |
| Carmustine 100 mg intravenous powder for solution HCPCS J9050 | not published | not published | $146.19 – $364.65 | 14 |
| Carotene CPT 82380 | $60.83 | $79.00 | $6.08 – $17.60 | 17 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $884.73 | $1,149.00 | $29.95 – $662.14 | 17 |
| Car outp meas drg cath chd CPT 93598 | $41.86 | $182.00 | $0.02 – $105.00 | 7 |
| Carpal Tunnel Release Surgery CPT 64721 | $285.89 | $1,243.00 | $39.60 – $5,349.21 | 18 |
| Car seat/bed test 60 minutes CPT 94780 | $14.72 | $64.00 | $19.04 – $107.52 | 15 |
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.