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 |
|---|---|---|---|---|
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $59.29 | $77.00 | $13.38 – $25.60 | 17 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $114.73 | $149.00 | $4.00 – $107.52 | 17 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $114.73 | $149.00 | $6.50 – $107.52 | 17 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $375.76 | $488.00 | $6.71 – $7.87 | 4 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $501.27 | $651.00 | $17.39 – $469.41 | 14 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $156.31 | $203.00 | $35.51 – $146.36 | 14 |
| Cytopath smear other source CPT 88160 | $71.61 | $93.00 | $2.50 – $67.09 | 17 |
| Cytopath smear other source CPT 88162 | $24.61 | $107.00 | $4.75 – $146.36 | 17 |
| Cytopath smear oth prep screen & interp CPT 88161 | $71.61 | $93.00 | $7.56 – $67.09 | 17 |
| Cytopath tbs c/v auto redo CPT 88166 | $12.42 | $54.00 | $5.72 – $19.83 | 17 |
| Cytopath tbs c/v manual CPT 88164 | $53.13 | $69.00 | $7.15 – $19.83 | 17 |
| Cytopath tbs c/v redo CPT 88165 | $28.98 | $126.00 | $5.72 – $46.02 | 17 |
| Cytopath tbs c/v select CPT 88167 | $12.42 | $54.00 | $5.72 – $19.83 | 17 |
| Cytotoxic antibody screening CPT 86807 | $54.28 | $236.00 | $51.91 – $87.50 | 17 |
| Cytotoxic antibody screening CPT 86808 | $20.70 | $90.00 | $19.59 – $65.63 | 17 |
| Cytp urine 3-5 probes cmptr CPT 88121 | $30.59 | $133.00 | $38.78 – $469.41 | 17 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | not published | not published | $3.60 – $5.44 | 6 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | not published | not published | $36.02 – $636.14 | 14 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $4,296.60 | $18,680.87 | $12.47 – $32.66 | 14 |
| Dalteparin sodium HCPCS J1645 | not published | not published | $13.86 – $39.00 | 7 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $358.61 | $1,559.18 | $0.03 – $0.05 | 6 |
| Daptomycin (xellia) unrefrig HCPCS J0872 | not published | not published | $0.04 – $0.11 | 14 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | not published | not published | $43.84 – $114.80 | 14 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | not published | not published | $2.52 – $10.00 | 15 |
| Darbepoetin alfa, esrd use HCPCS J0882 | $1,246.14 | $5,418.00 | $2.52 – $6.29 | 14 |
| Dark field exam spec collj CPT 87164 | $12.19 | $53.00 | $7.08 – $12.80 | 17 |
| Dark field exam without collj CPT 87166 | $7.82 | $34.00 | $7.46 – $12.80 | 17 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | not published | not published | $204.56 – $535.69 | 14 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | not published | not published | $16.64 – $41.50 | 14 |
| Daunorubicin citrate inj HCPCS J9151 | not published | not published | $57.66 – $360.18 | 3 |
| Dbrdmt prmlg les w/pdt CPT 96574 | not published | not published | $132.07 – $544.30 | 16 |
| D&c after delivery 59160 CPT 59160 | $120.98 | $526.00 | $15.24 – $8,709.67 | 18 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | $150.65 | $655.00 | $19.11 – $8,709.67 | 18 |
| Dch glucoscan CPT 82948 | $3.68 | $16.00 | $2.00 – $9.00 | 18 |
| Dch pulmonary stress test CPT 94621 | $43.24 | $188.00 | $46.99 – $853.02 | 16 |
| Dch validity tests CPT 81002 | $22.33 | $29.00 | $2.30 – $7.35 | 18 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | $387.55 | $1,685.00 | $54.22 – $5,349.21 | 16 |
| Dcmprn orbit only transcrnl CPT 61330 | $1,171.16 | $5,092.00 | $158.51 – $8,883.72 | 16 |
| Dcmprn plantar digital nerve CPT 64726 | $176.41 | $767.00 | $24.42 – $5,349.21 | 16 |
| D&c of cervical stump CPT 57558 | $82.34 | $358.00 | $10.57 – $8,709.67 | 17 |
| Deamidated gliadin antibody iga CPT 86258 | $79.31 | $103.00 | $7.95 – $13.13 | 14 |
| Debr g/per/abd wall 11006 CPT 11006 | $450.11 | $1,957.00 | $559.02 – $1,108.67 | 7 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $17.48 | $76.00 | $15.44 – $1,676.80 | 18 |
| Debridement (>20 cm) charge pt CPT 97598 | $435.82 | $566.00 | $11.56 – $126.23 | 15 |
| Debridement bone <= 20 sq cm CPT 11044 | $4,740.89 | $6,157.00 | $20.18 – $4,438.31 | 17 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $1,342.88 | $1,744.00 | $31.95 – $87.06 | 11 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $4,740.89 | $6,157.00 | $55.65 – $153.74 | 11 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $1,168.86 | $1,518.00 | $10.99 – $1,094.43 | 18 |
| Debride nail1-5 11720 CPT 11720 | $174.02 | $226.00 | $11.56 – $162.71 | 18 |
| Debride nail6 or more 11721 CPT 11721 | $174.02 | $226.00 | $19.33 – $162.71 | 18 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | $192.28 | $836.00 | $239.61 – $1,927.34 | 18 |
| Debride skin bone at fx site CPT 11012 | $267.26 | $1,162.00 | $334.64 – $7,840.00 | 18 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | $364.55 | $1,585.00 | $454.99 – $900.04 | 7 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | $495.42 | $2,154.00 | $615.79 – $1,224.62 | 7 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $877.03 | $1,139.00 | $15.17 – $40.16 | 11 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | $33.35 | $145.00 | $41.81 – $544.30 | 17 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $178.02 | $774.00 | $22.33 – $1,927.34 | 18 |
| Debr inf skin add-on 11001 CPT 11001 | $9.43 | $41.00 | $12.06 – $54.00 | 15 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $1,791.79 | $2,327.00 | $17.09 – $1,676.80 | 18 |
| Decalcification CPT 88311 | $422.73 | $549.00 | $6.19 – $16.72 | 11 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | not published | not published | $1.50 – $3.04 | 6 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $970.97 | $1,261.00 | $25.06 – $908.60 | 16 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | $307.05 | $1,335.00 | $5.82 – $8,887.94 | 16 |
| Decomp forearm 1 space 25020 CPT 25020 | $467.82 | $2,034.00 | $3.00 – $4,383.99 | 16 |
| Decomp forearm 2 spaces w/debrid 25025 CPT 25025 | $796.72 | $3,464.00 | $99.77 – $4,383.99 | 16 |
| Decompress fasciotomyhand 26037 CPT 26037 | $368.92 | $1,604.00 | $14.72 – $8,887.94 | 16 |
| Decompress fingers/hand CPT 26035 | $562.12 | $2,444.00 | $14.72 – $8,887.94 | 16 |
| Decompress forearm 1 space CPT 25023 | $836.05 | $3,635.00 | $3.00 – $8,887.94 | 16 |
| Decompress forearm 2 spaces CPT 25024 | $507.15 | $2,205.00 | $63.84 – $8,887.94 | 16 |
| Decompression fasct forearm CPT 24495 | $584.43 | $2,541.00 | $75.05 – $19,568.78 | 16 |
| Decompression of leg CPT 27892 | $352.36 | $1,532.00 | $43.69 – $8,887.94 | 16 |
| Decompression of leg CPT 27893 | $402.04 | $1,748.00 | $50.49 – $19,568.78 | 16 |
| Decompression of leg CPT 27894 | $531.99 | $2,313.00 | $28.07 – $8,887.94 | 16 |
| Decompression of lower leg CPT 27600 | $260.36 | $1,132.00 | $32.49 – $8,887.94 | 16 |
| Decompression of lower leg CPT 27601 | $284.97 | $1,239.00 | $36.14 – $8,887.94 | 16 |
| Decompression of thigh/knee CPT 27496 | $360.64 | $1,568.00 | $45.28 – $8,887.94 | 16 |
| Decompression of thigh/knee CPT 27497 | $380.42 | $1,654.00 | $47.72 – $8,887.94 | 16 |
| Decompression of thigh/knee CPT 27498 | $430.79 | $1,873.00 | $53.99 – $4,383.99 | 16 |
| Decompression of thigh/knee CPT 27499 | $459.08 | $1,996.00 | $57.60 – $19,568.78 | 16 |
| Decompression of tibia nerve CPT 28035 | $236.44 | $1,028.00 | $29.55 – $5,349.21 | 17 |
| Decompression unspecified nerve 64722 CPT 64722 | $242.42 | $1,054.00 | $33.43 – $5,349.21 | 16 |
| Decompressive craniotomy CPT 61322 | $1,550.89 | $6,743.00 | $210.00 – $3,826.80 | 7 |
| Decompress optic nerve CPT 67570 | $794.65 | $3,455.00 | $95.78 – $10,329.88 | 16 |
| Decompres spinal cord;thoracic 63055 CPT 63055 | $1,057.77 | $4,599.00 | $143.72 – $19,568.78 | 16 |
| Decompress small bowel CPT 44021 | $630.43 | $2,741.00 | $70.30 – $2,260.23 | 8 |
| Decompress spinal cord lmbr CPT 63056 | $967.38 | $4,206.00 | $132.01 – $19,568.78 | 16 |
| Decompress spinal cord thrc CPT 63064 | $1,147.24 | $4,988.00 | $157.06 – $19,568.78 | 16 |
| Decompress spine cord add-on CPT 63066 | $132.71 | $577.00 | $30.87 – $706.94 | 8 |
| Decomp spinal cord/transped/ad seg 63057 CPT 63057 | $207.46 | $902.00 | $50.39 – $1,133.67 | 8 |
| Deep muscle biopsy 20205 CPT 20205 | $100.05 | $435.00 | $3.00 – $7,840.00 | 18 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $11.88 | $51.66 | $8.51 – $12.76 | 6 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | not published | not published | $3.67 – $9.15 | 14 |
| Delayed breast prosthesis 19342 CPT 19342 | $493.12 | $2,144.00 | $61.89 – $26,212.44 | 16 |
| Delay flap arms/legs CPT 15610 | $158.47 | $689.00 | $19.96 – $5,010.80 | 17 |
| Delay flap eye/nos/ear/lip CPT 15630 | $222.18 | $966.00 | $28.12 – $5,010.80 | 17 |
| Delay flap fccnaxghf 15620 CPT 15620 | $211.37 | $919.00 | $3.00 – $5,010.80 | 17 |
| Delay flap trunk 15600 CPT 15600 | $135.93 | $591.00 | $17.33 – $10,028.47 | 17 |
| Delivery of placenta 59414 CPT 59414 | $58.65 | $255.00 | $72.35 – $8,709.67 | 17 |
| Delivery only failed vbac 59620 CPT 59620 | $604.90 | $2,630.00 | $315.00 – $3,779.18 | 9 |
| Delivery only/pp care/failed vbac 59622 CPT 59622 | $894.24 | $3,888.00 | $1,113.36 – $4,073.08 | 8 |
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.