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 |
|---|---|---|---|---|
| Cyclosporine modified 25 mg capsule HCPCS J7515 | not published | not published | $0.73 – $1.09 | 6 |
| Cyclosporine oral 100 mg HCPCS J7502 | not published | not published | $1.95 – $2.93 | 6 |
| Cygnus matrix, per sq cm HCPCS Q4199 | not published | not published | $122.88 – $474.75 | 6 |
| Cygnus, per sq cm HCPCS Q4170 | not published | not published | $39.20 – $1,276.94 | 6 |
| Cymetra injectable HCPCS Q4112 | not published | not published | $872.08 – $1,256.38 | 3 |
| Cyp2c19 gene com variants CPT 81225 | $852.39 | $1,107.00 | $192.30 – $317.58 | 14 |
| Cyp2c9 gene com variants CPT 81227 | $511.28 | $664.00 | $115.38 – $190.54 | 14 |
| Cyp2d6 gene com variants CPT 81226 | not published | not published | $297.61 – $491.49 | 14 |
| Cyp3a4 gene common variants CPT 81230 | $120.52 | $524.00 | $115.38 – $190.54 | 14 |
| Cyp3a5 gene common variants CPT 81231 | $120.52 | $524.00 | $115.38 – $190.54 | 14 |
| Cystatin c CPT 82610 | $122.43 | $159.00 | $12.22 – $24.32 | 17 |
| Cystic fibrosis cftr CPT 81223 | $1,459.92 | $1,896.00 | $329.34 – $638.72 | 17 |
| Cystine urine quantitative CPT 82131 | $151.69 | $197.00 | $15.17 – $37.10 | 17 |
| Cysto cgen post urtl valves CPT 52400 | $307.74 | $1,338.00 | $31.04 – $9,447.74 | 16 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $1,436.82 | $1,866.00 | $12.42 – $978.28 | 16 |
| Cysto impl 4 or more HCPCS C9740 | $2,248.02 | $9,774.00 | $6,146.21 – $25,330.66 | 13 |
| Cysto insj dev ischmc rmdlg CPT 53865 | $105.80 | $460.00 | $133.92 – $25,330.66 | 15 |
| Cysto, litho, vacuum kidney HCPCS C9761 | not published | not published | $6,146.21 – $25,330.66 | 13 |
| Cystometrogram w/up 51727 CPT 51727 | $67.62 | $294.00 | $85.68 – $1,828.40 | 16 |
| Cystorrhaphy wound comp 51865 CPT 51865 | $576.84 | $2,508.00 | $58.22 – $2,955.34 | 8 |
| Cystorrhaphy wound simple 51860 CPT 51860 | $480.24 | $2,088.00 | $48.50 – $25,330.66 | 16 |
| Cysto rx balo cath urtl strx CPT 52284 | not published | not published | $132.64 – $13,925.53 | 15 |
| Cystoscopy and biopsy CPT 52007 | $106.72 | $464.00 | $116.00 – $9,447.74 | 17 |
| Cystoscopy and radiotracer CPT 52250 | $153.18 | $666.00 | $192.47 – $9,447.74 | 16 |
| Cystoscopy and treatment CPT 52214 | $112.24 | $488.00 | $140.76 – $9,447.74 | 17 |
| Cystoscopy and treatment CPT 52224 | $129.95 | $565.00 | $153.50 – $9,447.74 | 17 |
| Cystoscopy and treatment CPT 52234 | $157.32 | $684.00 | $197.90 – $9,447.74 | 16 |
| Cystoscopy and treatment CPT 52235 | $184.23 | $801.00 | $232.24 – $9,447.74 | 16 |
| Cystoscopy and treatment CPT 52240 | $250.24 | $1,088.00 | $315.31 – $13,925.53 | 16 |
| Cystoscopy and treatment CPT 52260 | $134.78 | $586.00 | $93.00 – $5,611.47 | 16 |
| Cystoscopy and treatment CPT 52265 | $104.19 | $453.00 | $54.50 – $5,611.47 | 17 |
| Cystoscopy and treatment CPT 52276 | $169.28 | $736.00 | $212.69 – $5,611.47 | 16 |
| Cystoscopy and treatment CPT 52277 | $206.54 | $898.00 | $156.00 – $9,447.74 | 16 |
| Cystoscopy and treatment CPT 52283 | $129.72 | $564.00 | $59.00 – $5,611.47 | 17 |
| Cystoscopy and treatment CPT 52285 | $126.27 | $549.00 | $158.05 – $1,828.40 | 17 |
| Cystoscopy and treatment CPT 52290 | $155.94 | $678.00 | $135.50 – $5,611.47 | 16 |
| Cystoscopy and treatment CPT 52300 | $178.94 | $778.00 | $195.00 – $9,447.74 | 16 |
| Cystoscopy and treatment CPT 52301 | $185.38 | $806.00 | $233.40 – $9,447.74 | 16 |
| Cystoscopy and treatment CPT 52305 | $177.56 | $772.00 | $195.00 – $13,925.53 | 16 |
| Cystoscopy and treatment CPT 52310 | $5,993.68 | $7,784.00 | $122.20 – $5,611.47 | 17 |
| Cystoscopy and treatment CPT 52315 | $175.49 | $763.00 | $195.00 – $5,611.47 | 17 |
| Cystoscopy and treatment CPT 52320 | $157.78 | $686.00 | $198.00 – $9,447.74 | 16 |
| Cystoscopy and treatment CPT 52330 | $168.36 | $732.00 | $211.88 – $9,447.74 | 17 |
| Cystoscopy (Bladder Scope) CPT 52000 | $1,953.49 | $2,537.00 | $64.95 – $1,828.40 | 17 |
| Cystoscopy chemodenervation CPT 52287 | $108.56 | $472.00 | $130.74 – $5,611.47 | 17 |
| Cystoscopy & duct catheter CPT 52010 | $106.26 | $462.00 | $78.00 – $1,828.40 | 17 |
| Cystoscopy implant stent CPT 52282 | $215.51 | $937.00 | $271.15 – $9,447.74 | 14 |
| Cystoscopy inject material CPT 52327 | $165.83 | $721.00 | $208.28 – $13,925.53 | 16 |
| Cystoscopy prostatic imp 1-3 HCPCS C9739 | not published | not published | $3,378.88 – $13,925.53 | 13 |
| Cystoscopy removal of clots CPT 52001 | $183.54 | $798.00 | $231.17 – $9,447.74 | 17 |
| Cystoscopy & revise urethra CPT 52270 | $116.61 | $507.00 | $146.32 – $5,611.47 | 17 |
| Cystoscopy & revise urethra CPT 52275 | $159.16 | $692.00 | $189.00 – $5,611.47 | 17 |
| Cystoscopy stone removal CPT 52325 | $204.47 | $889.00 | $257.27 – $13,925.53 | 16 |
| Cystoscopy & ureter catheter CPT 52005 | $5,993.68 | $7,784.00 | $107.70 – $5,611.47 | 17 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | $189.29 | $823.00 | $19.15 – $5,611.47 | 16 |
| Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 | $304.75 | $1,325.00 | $30.84 – $9,447.74 | 16 |
| Cystotomy excise/incise/repair 51535 CPT 51535 | $503.93 | $2,191.00 | $50.78 – $9,447.74 | 16 |
| Cystouretero & or pyeloscope CPT 52351 | $193.89 | $843.00 | $243.72 – $9,447.74 | 16 |
| Cysto/uretero stricture tx CPT 52344 | $236.21 | $1,027.00 | $297.24 – $9,447.74 | 16 |
| Cystouretero w/biopsy CPT 52354 | $266.80 | $1,160.00 | $335.26 – $13,925.53 | 16 |
| Cystouretero w/excise tumor CPT 52355 | $299.00 | $1,300.00 | $375.65 – $13,925.53 | 16 |
| Cysto/uretero w/lithotripsy CPT 52356 | $265.65 | $1,155.00 | $334.19 – $13,925.53 | 16 |
| Cystouretero w/lithotripsy CPT 52353 | $250.24 | $1,088.00 | $315.04 – $13,925.53 | 16 |
| Cystouretero w/renal strict CPT 52346 | $284.97 | $1,239.00 | $358.70 – $13,925.53 | 16 |
| Cystouretero w/stone remove CPT 52352 | $226.55 | $985.00 | $284.77 – $9,447.74 | 16 |
| Cysto/uretero w/up stricture CPT 52345 | $251.85 | $1,095.00 | $317.20 – $9,447.74 | 16 |
| Cystourethro cut ejacul duct CPT 52402 | $169.51 | $737.00 | $213.38 – $9,447.74 | 16 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $97.75 | $425.00 | $107.50 – $5,611.47 | 17 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | $90.62 | $394.00 | $114.28 – $5,611.47 | 17 |
| Cystourethro w/addl implant 52442 CPT 52442 | $32.66 | $142.00 | $39.50 – $79.86 | 14 |
| Cystourethro w/implant CPT 52441 | $134.55 | $585.00 | $164.15 – $330.48 | 14 |
| Cysto w/renal stricture tx CPT 52343 | $220.11 | $957.00 | $276.61 – $9,447.74 | 16 |
| Cysto w/up stricture tx CPT 52342 | $197.57 | $859.00 | $248.91 – $9,447.74 | 16 |
| Cysto w/ureter stricture tx CPT 52341 | $181.47 | $789.00 | $228.68 – $9,447.74 | 16 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | not published | not published | $0.76 – $1.14 | 6 |
| Cytarabine liposome inj HCPCS J9098 | not published | not published | $628.37 – $1,783.17 | 3 |
| Cytog alys chrml abnr lw-ps CPT 81349 | not published | not published | $790.64 – $1,305.75 | 14 |
| Cytogenetics 25-99 CPT 88274 | $124.74 | $162.00 | $27.97 – $46.19 | 14 |
| Cytogenetics 3-5 CPT 88272 | $119.35 | $155.00 | $26.86 – $44.36 | 14 |
| Cytogenomic neo microra alys CPT 81277 | $800.40 | $3,480.00 | $765.60 – $1,264.40 | 14 |
| Cytogenom microarray copy nmbr var CPT 81228 | not published | not published | $594.00 – $981.00 | 14 |
| Cytog genom-wid alys hem mal CPT 81195 | not published | not published | $833.93 – $1,377.25 | 14 |
| Cytomegalovirus ag ia CPT 87332 | $8.28 | $36.00 | $7.91 – $13.06 | 14 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $95.48 | $124.00 | $9.49 – $31.73 | 17 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $110.88 | $144.00 | $11.12 – $37.25 | 17 |
| Cytomegalovirus dfa CPT 87271 | $9.20 | $40.00 | $8.86 – $19.70 | 17 |
| Cytomegalovirus imm IV /vial HCPCS J0850 | not published | not published | $854.30 – $3,799.83 | 14 |
| Cytomeg dna dir probe CPT 87495 | $20.70 | $90.00 | $19.82 – $36.35 | 17 |
| Cyto/molecular report CPT 88291 | $46.20 | $95.00 | $9.41 – $37.40 | 5 |
| Cytopath c/v auto in fluid CPT 88174 | $17.48 | $76.00 | $16.74 – $38.21 | 17 |
| Cytopath c/v automated CPT 88147 | $34.96 | $152.00 | $33.37 – $55.11 | 14 |
| Cytopath c/v auto redo CPT 88152 | $18.86 | $82.00 | $18.24 – $30.13 | 14 |
| Cytopath c/v auto rescreen CPT 88148 | $12.42 | $54.00 | $12.00 – $19.83 | 14 |
| Cytopath c/v index add-on CPT 88155 | $10.12 | $44.00 | $6.50 – $15.97 | 17 |
| Cytopath c/v manual CPT 88150 | $12.42 | $54.00 | $6.20 – $19.83 | 17 |
| Cytopath c/v redo CPT 88153 | $16.56 | $72.00 | $5.72 – $26.19 | 17 |
| Cytopath c/v thin layer redo CPT 88143 | $16.10 | $70.00 | $15.20 – $25.11 | 14 |
| Cytopath fl nongyn filter CPT 88106 | $11.96 | $52.00 | $2.50 – $67.09 | 17 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $156.31 | $203.00 | $22.23 – $146.36 | 17 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $77.77 | $101.00 | $17.57 – $47.28 | 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.