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 |
|---|---|---|---|---|
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $10.09 | $43.89 | $0.79 – $1.18 | 6 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $24.03 | $104.48 | $1.16 – $1.74 | 6 |
| Cefotaxime sodium injection HCPCS J0698 | not published | not published | $10.00 – $30.55 | 4 |
| Cefotetan 1 gm vial HCPCS S0074 | not published | not published | $12.35 – $16.10 | 3 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | not published | not published | $4.45 – $7.26 | 6 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | not published | not published | $3.40 – $8.91 | 14 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | $3.62 | $15.75 | $1.55 – $2.32 | 6 |
| Ceftazidime and avibactam HCPCS J0714 | not published | not published | $84.16 – $220.40 | 14 |
| Ceftizoxime sodium / 500 mg HCPCS J0715 | not published | not published | $5.24 – $17.30 | 4 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $5.39 | $23.43 | $0.45 – $2.10 | 7 |
| Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr HCPCS J0697 | $1.81 | $7.88 | $1.89 – $3.24 | 6 |
| #celiac hla-dq2 CPT 81377 | $277.20 | $360.00 | $62.52 – $160.32 | 17 |
| #celiac hla-dq8 CPT 81383 | $319.55 | $415.00 | $72.03 – $190.56 | 17 |
| Cell count body fluid CPT 89050 | $30.80 | $40.00 | $3.11 – $7.20 | 17 |
| Cell count w differential body fluid CPT 89051 | $36.96 | $48.00 | $3.70 – $11.20 | 17 |
| Cell cryopreserve/storage CPT 88240 | $9.20 | $40.00 | $8.62 – $14.25 | 14 |
| Cell enumeration & id CPT 86152 | not published | not published | $165.52 – $273.35 | 14 |
| Cell enumeration phys interp CPT 86153 | not published | not published | $27.19 – $36.65 | 4 |
| Cellesta or duo per sq cm HCPCS Q4184 | not published | not published | $75.51 – $814.76 | 6 |
| Cell function assay w/stim CPT 86352 | $894.74 | $1,162.00 | $77.84 – $148.09 | 17 |
| Cell marker study CPT 88182 | $156.31 | $203.00 | $6.87 – $146.36 | 17 |
| Cemiplimab-rwlc 50 mg/ml intravenous solution HCPCS J9119 | not published | not published | $23.01 – $60.26 | 14 |
| Centralization wrist on ulna CPT 25335 | $615.25 | $2,675.00 | $77.06 – $8,887.94 | 16 |
| Centruroides immune f(ab) HCPCS J0716 | not published | not published | $3,896.44 – $10,203.91 | 13 |
| Cephalin floculation test HCPCS P2028 | not published | not published | $3.27 – $5.40 | 14 |
| Cerclage cervix pregnancy abdominal 59325 CPT 59325 | $155.25 | $675.00 | $192.38 – $889.09 | 8 |
| Cerclage of uterine cervix nonob 57700 CPT 57700 | $227.93 | $991.00 | $35.14 – $8,709.67 | 16 |
| Cerebrospinal fld flw imag CPT 78645 | $1,378.30 | $1,790.00 | $21.58 – $1,474.48 | 16 |
| Cerebrospinal fluid scan CPT 78647 | not published | not published | $160.33 – $160.33 | 1 |
| Cer post col occ/man sup adj HCPCS L0180 | not published | not published | $176.00 – $785.33 | 13 |
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | not published | not published | $3.60 – $9.42 | 14 |
| Cerv collar supp adj cerv ba HCPCS L0190 | not published | not published | $287.69 – $1,021.27 | 13 |
| Cervical collar molded to pt HCPCS L0170 | not published | not published | $374.55 – $1,329.59 | 13 |
| Cervical laminoplsty 2/> seg CPT 63050 | $966.23 | $4,201.00 | $130.36 – $2,346.03 | 7 |
| Cervical lymphadenectomy 38720 CPT 38720 | $869.17 | $3,779.00 | $120.24 – $17,864.20 | 16 |
| Cervical or vaginal cancer screening g0101 HCPCS G0101 | $17.48 | $76.00 | $22.24 – $253.38 | 16 |
| Cerv sr wire occ/man pre ots HCPCS L0160 | not published | not published | $90.96 – $322.90 | 13 |
| Cesarean section delivery only 59514 CPT 59514 | $584.66 | $2,542.00 | $252.00 – $3,158.90 | 9 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | not published | not published | $66.06 – $164.78 | 14 |
| #cf-97variants CPT 81220 | $1,628.55 | $2,115.00 | $367.36 – $712.45 | 17 |
| Cftr gene dup/delet variants CPT 81222 | $300.38 | $1,306.00 | $287.14 – $556.90 | 17 |
| Cftr gene intron poly t CPT 81224 | not published | not published | $111.38 – $183.94 | 14 |
| Cftr gene known fam variants CPT 81221 | not published | not published | $64.16 – $124.45 | 17 |
| Change cystostomy tube; complex 51710 CPT 51710 | $51.52 | $224.00 | $28.00 – $1,828.40 | 17 |
| Change cystostomy tube simple CPT 51705 | $711.48 | $924.00 | $28.00 – $666.22 | 17 |
| Change gastric port open CPT 43888 | $302.45 | $1,315.00 | $34.00 – $10,028.47 | 14 |
| Change g-tube to g-j perc CPT 49446 | $5,550.93 | $7,209.00 | $116.78 – $5,196.41 | 17 |
| Change nephroureteral cath CPT 50387 | $5,993.68 | $7,784.00 | $66.40 – $5,611.47 | 17 |
| Change of ureter tube/stent CPT 50688 | $5,993.68 | $7,784.00 | $6.30 – $5,611.47 | 14 |
| Change of windpipe airway 31502 CPT 31502 | $679.91 | $883.00 | $28.31 – $636.12 | 14 |
| Change stent via transureth CPT 50385 | $138.00 | $600.00 | $172.53 – $5,611.47 | 17 |
| Change ureter stent percut CPT 50382 | $5,993.68 | $7,784.00 | $200.69 – $5,611.47 | 17 |
| Charger coch impl/aoi battry HCPCS L8625 | not published | not published | $114.71 – $407.21 | 13 |
| Chct for mal hyperthermia CPT 89049 | $39.79 | $173.00 | $49.85 – $469.41 | 18 |
| Chemical exfoliation acne 17360 CPT 17360 | $60.26 | $262.00 | $7.60 – $544.30 | 15 |
| Chemical peel face epiderm 15788 CPT 15788 | $139.15 | $605.00 | $17.72 – $1,094.43 | 15 |
| Chemical peel nonfacial 15793 CPT 15793 | $230.92 | $1,004.00 | $29.18 – $1,094.43 | 15 |
| Chemical peel nonfacial; epidermal CPT 15792 | $135.01 | $587.00 | $17.20 – $1,676.80 | 15 |
| Chemo adm cns w/lmbr punct CPT 96450 | $1,091.86 | $1,418.00 | $66.66 – $908.60 | 16 |
| Chemodener muscle larynx emg CPT 64617 | $69.92 | $304.00 | $8.81 – $1,897.02 | 17 |
| Chemodenerv 1 extrem 1-4 ea 64643 CPT 64643 | $44.62 | $194.00 | $56.41 – $111.22 | 14 |
| Chemodenerv 1 extrem 5/> ea 64645 CPT 64645 | $52.44 | $228.00 | $65.23 – $129.20 | 14 |
| Chemodenerv 1 extrem 5/> mus 64644 CPT 64644 | $74.98 | $326.00 | $93.54 – $1,897.02 | 17 |
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | $69.00 | $300.00 | $85.70 – $1,897.02 | 17 |
| Chemodenervation anal musc CPT 46505 | $160.31 | $697.00 | $20.40 – $3,229.85 | 17 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | $863.94 | $1,122.00 | $9.69 – $808.61 | 17 |
| Chemodenervation nerve of eye muscle 67345 CPT 67345 | $139.15 | $605.00 | $17.46 – $818.86 | 17 |
| Chemodenerv eccrine glands CPT 64653 | $33.12 | $144.00 | $41.72 – $808.61 | 15 |
| Chemodenerv eccrine glands 64650 CPT 64650 | $26.22 | $114.00 | $33.03 – $808.61 | 15 |
| Chemodenerv musc migraine 64615 CPT 64615 | $79.35 | $345.00 | $9.82 – $808.61 | 17 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | $71.07 | $309.00 | $8.79 – $808.61 | 17 |
| Chemodenerv saliv glands bilat 64611 CPT 64611 | $72.45 | $315.00 | $9.11 – $808.61 | 17 |
| Chemodenerv trunk musc 1-5 64646 CPT 64646 | $75.21 | $327.00 | $92.70 – $1,897.02 | 17 |
| Chemodenerv trunk musc 6/] 64647 CPT 64647 | $85.33 | $371.00 | $107.06 – $1,897.02 | 17 |
| Chemo extend IV infus w/pump HCPCS G0498 | $1,091.86 | $1,418.00 | $216.50 – $908.60 | 14 |
| Chemo ia infuse each addl hr CPT 96423 | $152.46 | $198.00 | $30.67 – $126.39 | 15 |
| Chemo ia infusion up to 1 hr CPT 96422 | $1,091.86 | $1,418.00 | $143.57 – $908.60 | 15 |
| Chemo ia push tecnique CPT 96420 | $1,091.86 | $1,418.00 | $86.76 – $908.60 | 15 |
| Chemo intralesional over 7 CPT 96406 | $693.77 | $901.00 | $38.12 – $577.14 | 16 |
| Chemo intralesional up to 7 96405 CPT 96405 | $234.08 | $304.00 | $24.41 – $194.96 | 16 |
| Chemotaxis assay CPT 86155 | $11.04 | $48.00 | $10.55 – $17.43 | 14 |
| Chemotherapy injection 96542 CPT 96542 | $1,091.86 | $1,418.00 | $35.67 – $908.60 | 16 |
| Chemotx admn pertl cav impl CPT 96446 | $1,091.86 | $1,418.00 | $17.10 – $908.60 | 16 |
| Chest 2 vws w oblique CPT 71048 | $428.12 | $556.00 | $11.93 – $291.30 | 17 |
| Chest apical lordotic proj CPT 71047 | $442.75 | $575.00 | $10.80 – $241.19 | 17 |
| Chest CT scan (with and without contrast) CPT 71270 | $2,360.82 | $3,066.00 | $48.43 – $487.65 | 16 |
| Chest CT scan (with contrast) CPT 71260 | $1,888.04 | $2,452.00 | $45.34 – $487.65 | 16 |
| Chest CT scan (without contrast) CPT 71250 | $1,128.05 | $1,465.00 | $42.00 – $291.30 | 16 |
| Chest Physiotherapy (first session) CPT 94667 | $306.46 | $398.00 | $20.02 – $353.10 | 14 |
| Chest Physiotherapy (follow-up session) CPT 94668 | $229.46 | $298.00 | $31.50 – $353.10 | 14 |
| Chest Ultrasound CPT 76604 | $583.66 | $758.00 | $22.15 – $291.30 | 17 |
| Chest X-ray CPT 71046 | $442.75 | $575.00 | $8.58 – $241.19 | 17 |
| Chest X-ray (single view) CPT 71045 | $354.20 | $460.00 | $6.91 – $241.19 | 17 |
| Chg pr pul rehab for copd patients CPT 94626 | $16.79 | $73.00 | $22.25 – $162.71 | 15 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $716.10 | $930.00 | $27.08 – $487.65 | 16 |
| Chikungunya vaccine live im CPT 90589 | not published | not published | $10.00 – $399.30 | 10 |
| Chimerism anal no cell selec CPT 81267 | $143.06 | $622.00 | $136.93 – $226.13 | 14 |
| Chimerism anal w/cell select CPT 81268 | $763.07 | $991.00 | $172.12 – $284.26 | 14 |
| Chiropractic manj 5 regions CPT 98942 | $29.44 | $128.00 | $16.82 – $69.30 | 15 |
| Chiropract manj 1-2 regions CPT 98940 | $14.26 | $62.00 | $16.82 – $69.30 | 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.