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 |
|---|---|---|---|---|
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | $194.58 | $846.00 | $24.46 – $703.50 | 18 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | $702.24 | $912.00 | $3.00 – $708.75 | 18 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | $702.24 | $912.00 | $8.00 – $708.75 | 18 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | $350.75 | $1,525.00 | $6.00 – $657.10 | 16 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $702.24 | $912.00 | $25.80 – $800.00 | 18 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | $179.40 | $780.00 | $2.00 – $728.00 | 18 |
| Clsr 1 vsd w/wo patch w/vlvt CPT 33684 | $1,199.22 | $5,214.00 | $104.27 – $8,289.38 | 8 |
| Clsr 1vsd w/wo ptch rmvl bnd CPT 33688 | $1,193.70 | $5,190.00 | $103.81 – $8,412.06 | 8 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | $269.56 | $1,172.00 | $4.75 – $657.10 | 17 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | $4,683.14 | $6,082.00 | $9.91 – $4,383.99 | 17 |
| Cltx craniofacial separation CPT 21431 | $443.90 | $1,930.00 | $56.44 – $1,530.44 | 8 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | $232.76 | $1,012.00 | $5.05 – $4,383.99 | 17 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | $197.34 | $858.00 | $10.00 – $761.25 | 18 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | $337.18 | $1,466.00 | $23.21 – $4,383.99 | 17 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | $702.24 | $912.00 | $23.21 – $657.10 | 17 |
| Cltx lunate dislc w/mnpj CPT 25690 | $4,683.14 | $6,082.00 | $3.00 – $4,383.99 | 16 |
| Cltx mndblr fx ntrdntl fixj CPT 21453 | $579.60 | $2,520.00 | $2.00 – $16,204.73 | 17 |
| Cltx mndblr fx w/mnpj CPT 21451 | $406.64 | $1,768.00 | $8.00 – $4,057.66 | 17 |
| Cltx mndblr/max alv ridge fx CPT 21440 | $376.51 | $1,637.00 | $49.23 – $8,883.72 | 15 |
| Cltx palatal/max fx wire fix CPT 21421 | $350.98 | $1,526.00 | $3.27 – $8,883.72 | 17 |
| Cltx post ankle fx CPT 27767 | $194.81 | $847.00 | $24.41 – $657.10 | 17 |
| Cltx post ankle fx w/mnpj CPT 27768 | $296.93 | $1,291.00 | $22.72 – $4,383.99 | 16 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | $253.00 | $1,100.00 | $2.00 – $4,383.99 | 17 |
| Cltx strnclav dislc w/mnpj CPT 23525 | $242.65 | $1,055.00 | $3.00 – $657.10 | 17 |
| Cltx thigh fx CPT 27267 | $289.11 | $1,257.00 | $36.62 – $8,887.94 | 16 |
| Cltx thigh fx w/mnpj CPT 27268 | $357.65 | $1,555.00 | $44.85 – $876.20 | 7 |
| Cltx tmprmand dislc comp CPT 21485 | $485.30 | $2,110.00 | $17.50 – $4,057.66 | 17 |
| Cmbn ant pst colprhy CPT 57260 | $503.01 | $2,187.00 | $76.33 – $13,522.39 | 17 |
| C motor evoked lwr limbs CPT 95929 | $49.45 | $215.00 | $63.82 – $1,453.47 | 16 |
| C motor evoked uppr limbs CPT 95928 | $49.91 | $217.00 | $64.03 – $2,786.93 | 16 |
| C motor evoked upr&lwr limbs CPT 95939 | $3,721.41 | $4,833.00 | $94.23 – $2,786.93 | 16 |
| Cmp rpr tof wo plm atrs ptch CPT 33694 | $1,238.55 | $5,385.00 | $107.70 – $9,085.90 | 8 |
| Cmptr ophth dx img ant segmt CPT 92132 | $9.89 | $43.00 | $12.29 – $162.71 | 16 |
| Cmptr ophth img optic nerve CPT 92133 | $10.58 | $46.00 | $11.76 – $162.71 | 16 |
| #cms hgb-carboxyhemoglobin CPT 82376 | $9.66 | $42.00 | $4.64 – $15.34 | 17 |
| #cms hgb-sulfhemoglobin CPT 83060 | $5.98 | $26.00 | $3.00 – $9.59 | 17 |
| #cmvcul-virus inoculation shell CPT 87254 | $128.59 | $167.00 | $5.41 – $21.32 | 17 |
| Cmv ig IV CPT 90291 | not published | not published | $10.00 – $2,550.94 | 10 |
| Cmv pcr-sendout CPT 87496 | $231.00 | $300.00 | $23.16 – $63.63 | 17 |
| Cnbp gene detc abnor allele CPT 81187 | $94.76 | $412.00 | $90.42 – $149.33 | 14 |
| Cntct lens hydrophil photoch HCPCS V2524 | not published | not published | $99.14 – $334.18 | 13 |
| Co2 monitor per day CPT 94681 | $5.98 | $26.00 | $7.75 – $853.02 | 16 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | not published | not published | $1.74 – $5.56 | 14 |
| Coagulation time activated teg CPT 85347 | $28.49 | $37.00 | $2.83 – $8.43 | 17 |
| Coagulation time lee & white CPT 85345 | $3.22 | $14.00 | $3.09 – $6.40 | 17 |
| Coagulation time otr method CPT 85348 | $3.22 | $14.00 | $2.96 – $8.22 | 17 |
| Cocaine 4 % nasal solution HCPCS C9046 | not published | not published | $1.56 – $1.89 | 2 |
| Cocaine hcl nasal (numbrino) HCPCS C9143 | not published | not published | $2.29 – $2.52 | 2 |
| Coccidioidomycosis skin test CPT 86490 | not published | not published | $9.52 – $20.16 | 2 |
| Coch imp ext proc/contr rplc HCPCS L8619 | not published | not published | $5,179.64 – $18,386.83 | 13 |
| Coch implant headset replace HCPCS L8615 | not published | not published | $273.96 – $972.50 | 13 |
| Coch implant microphone repl HCPCS L8616 | not published | not published | $63.81 – $226.52 | 13 |
| Coch implant tran cable repl HCPCS L8618 | not published | not published | $15.93 – $56.51 | 13 |
| Coch implant trans coil repl HCPCS L8617 | not published | not published | $55.73 – $197.84 | 13 |
| Cochlear implt f/up exam <7 CPT 92601 | $78.43 | $341.00 | $100.15 – $428.59 | 17 |
| Cochlear implt f/up exam 7/> CPT 92603 | $76.36 | $332.00 | $79.41 – $428.59 | 17 |
| Cocm by rhc/fqhc 60 min mo HCPCS G0512 | not published | not published | $58.43 – $139.71 | 3 |
| Codeine 15 mg/ml inj 2 ml HCPCS J0745 | not published | not published | $1.98 – $2.23 | 2 |
| Cogenex amnio memb per sq cm HCPCS Q4229 | not published | not published | $311.61 – $679.94 | 6 |
| Cold agglutinin screen (arc) CPT 86156 | $5.52 | $24.00 | $5.00 – $8.80 | 17 |
| Cold agglutinin titer CPT 86157 | $53.13 | $69.00 | $5.32 – $17.82 | 17 |
| Colectomy/end colost/close dis seg 44143 CPT 44143 | $1,061.68 | $4,616.00 | $119.23 – $3,764.29 | 8 |
| Colectomy/ ileostomy without prctect 44150 CPT 44150 | $1,189.79 | $5,173.00 | $133.79 – $4,314.74 | 8 |
| Colectomy/ ileostomy w/prctect 44155 CPT 44155 | $1,324.80 | $5,760.00 | $149.39 – $4,924.93 | 8 |
| Colectomy partial w/anastomosis 44140 CPT 44140 | $865.95 | $3,765.00 | $97.08 – $3,594.86 | 8 |
| Colectomy prtl abdominal + transanal appr 44147 CPT 44147 | $1,245.68 | $5,416.00 | $132.30 – $4,039.67 | 8 |
| Colectomy prtl w/coloproctostomy 44145 CPT 44145 | $1,060.76 | $4,612.00 | $119.27 – $4,373.08 | 8 |
| Colectomy prtl w/coloproctostomy + colostomy 44146 CPT 44146 | $1,346.88 | $5,856.00 | $151.51 – $4,717.32 | 8 |
| Colectomy prtl w/remove terminal ileum+ileocolos 44160 CPT 44160 | $801.32 | $3,484.00 | $89.86 – $3,389.98 | 8 |
| Colectomy prtl w/skin level cecost/colostomy 44141 CPT 44141 | $1,163.34 | $5,058.00 | $130.88 – $3,712.20 | 8 |
| Colectomy/w colostomy or ileostomy 44144 CPT 44144 | $1,134.36 | $4,932.00 | $127.31 – $3,685.48 | 8 |
| Colectomy w/ileoanal anast CPT 44157 | $1,405.30 | $6,110.00 | $157.47 – $3,467.73 | 7 |
| Colectomy w/neo-rectum pouch CPT 44158 | $1,440.03 | $6,261.00 | $161.39 – $3,554.66 | 7 |
| Colistimethate sodium inj HCPCS J0770 | $45.06 | $195.93 | $10.74 – $16.12 | 6 |
| Collagenase, clost hist inj HCPCS J0775 | not published | not published | $58.67 – $153.64 | 14 |
| Collagen based wound filler HCPCS A6010 | not published | not published | $20.16 – $79.18 | 13 |
| Collagen dressing <=16 sq in HCPCS A6021 | $5.29 | $23.00 | $15.14 – $53.77 | 13 |
| Collagen drsg>16<=48 sq in HCPCS A6022 | not published | not published | $15.14 – $53.77 | 13 |
| Collagen dsg wound filler HCPCS A6024 | not published | not published | $4.46 – $15.81 | 13 |
| Collagen gel/paste wound fil HCPCS A6011 | not published | not published | $2.56 – $5.84 | 13 |
| Collagen imp urinary 2.5 ml HCPCS L8603 | not published | not published | $270.95 – $961.81 | 13 |
| Collarbone (Clavicle) X-ray (both sides) CPT 73000 | $354.20 | $460.00 | $6.61 – $241.19 | 17 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | not published | not published | $16.24 – $57.65 | 13 |
| Collar cerv adlt perfit ace extric HCPCS L0140 | not published | not published | $37.96 – $134.76 | 13 |
| Collar cerv ascend 172 reg HCPCS L0172 | not published | not published | $81.21 – $288.28 | 13 |
| Collar cerv patriot adlt HCPCS L0150 | not published | not published | $69.64 – $247.20 | 13 |
| Collar extrication adult univ HCPCS L0200 | not published | not published | $299.92 – $1,064.66 | 13 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $848.54 | $1,102.00 | $22.23 – $353.10 | 14 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $848.54 | $1,102.00 | $24.10 – $353.10 | 14 |
| Coll-e-derm 1 sq cm HCPCS Q4193 | not published | not published | $1,616.21 – $2,621.09 | 6 |
| Collj & interpj data ea 30 d CPT 99091 | $34.50 | $150.00 | $44.33 – $86.33 | 4 |
| Colon motility 6 hr study CPT 91117 | $86.71 | $377.00 | $110.43 – $853.02 | 16 |
| Colonoscopy (diagnostic) CPT 45378 | $117.76 | $512.00 | $74.37 – $2,497.44 | 17 |
| Colonoscopy flex with decompression 45393 CPT 45393 | $159.85 | $695.00 | $189.53 – $3,229.85 | 16 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | $145.59 | $633.00 | $183.04 – $3,229.85 | 17 |
| Colonoscopy for bleeding 44391 CPT 44391 | $146.28 | $636.00 | $185.40 – $3,229.85 | 17 |
| Colonoscopy for foreign body CPT 44390 | $134.09 | $583.00 | $169.17 – $2,497.44 | 17 |
| Colonoscopy & polypectomy 44392 CPT 44392 | $127.65 | $555.00 | $160.10 – $3,229.85 | 17 |
| Colonoscopy stoma w/endo mucosal rescj 44403 CPT 44403 | $192.74 | $838.00 | $152.81 – $3,229.85 | 16 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | $143.52 | $624.00 | $181.06 – $3,229.85 | 17 |
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.