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 |
|---|---|---|---|---|
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | $414.00 | $1,800.00 | $36.07 – $1,024.87 | 7 |
| Demonstrate use home inr mon HCPCS G0248 | not published | not published | $80.31 – $353.01 | 14 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $483.56 | $628.00 | $11.82 – $557.15 | 17 |
| Denervation of hip joint CPT 27035 | $729.56 | $3,172.00 | $92.93 – $8,887.94 | 16 |
| Dengue vacc quad 3 dose subq CPT 90587 | not published | not published | $10.00 – $95.83 | 10 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | not published | not published | $24.61 – $61.40 | 14 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $377.30 | $490.00 | $12.56 – $353.10 | 17 |
| Deodorant ostmy adapt lube 8ml HCPCS A4394 | not published | not published | $1.87 – $6.62 | 13 |
| Depo-estradiol cypionate inj HCPCS J1000 | not published | not published | $10.42 – $66.38 | 7 |
| Dermabrasion other than face CPT 15782 | $238.74 | $1,038.00 | $30.27 – $7,840.00 | 15 |
| Dermabrasion segmental face 15781 CPT 15781 | $269.79 | $1,173.00 | $34.76 – $1,927.34 | 15 |
| Dermabrasion suprfl any site CPT 15783 | $230.23 | $1,001.00 | $29.09 – $1,094.43 | 15 |
| Dermabrasion total face CPT 15780 | $427.34 | $1,858.00 | $54.21 – $7,840.00 | 15 |
| Derma-fat-fascia graft 15770 CPT 15770 | $435.39 | $1,893.00 | $2.00 – $10,028.47 | 16 |
| Derma-gide, 1 sq cm HCPCS Q4203 | not published | not published | $300.18 – $1,232.99 | 6 |
| Dermagraft HCPCS Q4106 | not published | not published | $44.94 – $146.20 | 3 |
| Dermal filler injection(s) HCPCS G0429 | $43.93 | $191.00 | $55.63 – $5,010.80 | 15 |
| Dermapure 1 square cm HCPCS Q4152 | not published | not published | $42.84 – $67.93 | 6 |
| Derm autograft face/nck/hf/g CPT 15135 | $488.52 | $2,124.00 | $61.66 – $10,028.47 | 17 |
| Derm autograft trnk/arm/leg CPT 15130 | $385.71 | $1,677.00 | $48.49 – $5,010.80 | 17 |
| Dermavest, plurivest sq cm HCPCS Q4153 | not published | not published | $102.45 – $303.69 | 6 |
| Derm-maxx, per sq cm HCPCS Q4238 | not published | not published | $1,557.99 – $2,440.93 | 6 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | $1,128.38 | $4,906.00 | $98.14 – $2,797.19 | 7 |
| Description not available HCPCS S0013 | $9.66 | $42.00 | $14.07 – $18.53 | 3 |
| Design custom breast implant CPT 19396 | $92.00 | $400.00 | $115.33 – $10,489.52 | 15 |
| Design mlc device for imrt CPT 77338 | $146.74 | $638.00 | $185.26 – $1,002.77 | 14 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $47.33 | $205.78 | $3.12 – $8.18 | 14 |
| Desoxycorticosterone CPT 82633 | $204.05 | $265.00 | $20.45 – $68.50 | 17 |
| Des thora aorta/ea add prox prosth 33884 CPT 33884 | $249.78 | $1,086.00 | $54.84 – $618.89 | 7 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | $969.22 | $4,214.00 | $84.29 – $2,402.22 | 7 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | $701.27 | $3,049.00 | $61.20 – $1,741.97 | 7 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | $56.58 | $246.00 | $7.10 – $544.30 | 18 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | $76.36 | $332.00 | $6.93 – $544.30 | 18 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | $88.09 | $383.00 | $6.93 – $544.30 | 18 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | $62.33 | $271.00 | $7.81 – $544.30 | 18 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | $68.08 | $296.00 | $8.58 – $544.30 | 18 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | $78.20 | $340.00 | $9.89 – $544.30 | 18 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | $45.54 | $198.00 | $5.00 – $544.30 | 18 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | $56.58 | $246.00 | $5.00 – $544.30 | 18 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | $71.30 | $310.00 | $5.00 – $544.30 | 18 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | $78.89 | $343.00 | $9.98 – $544.30 | 18 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $5,713.40 | $7,420.00 | $15.70 – $5,349.21 | 17 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $4,285.05 | $5,565.00 | $54.54 – $106.55 | 14 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | $98.90 | $430.00 | $11.15 – $3,229.85 | 17 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $35.19 | $153.00 | $4.51 – $544.30 | 18 |
| Destroy vulva lesion extensive 56515 CPT 56515 | $137.08 | $596.00 | $17.40 – $5,010.80 | 18 |
| Destroy vulva lesion simple 56501 CPT 56501 | $85.79 | $373.00 | $10.96 – $5,010.80 | 18 |
| Destruct ben lesion 15/> 17111 CPT 17111 | $54.05 | $235.00 | $6.82 – $544.30 | 18 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | $232.76 | $1,012.00 | $15.33 – $1,676.80 | 18 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | $178.48 | $776.00 | $22.58 – $1,094.43 | 18 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | $341.09 | $1,483.00 | $8.00 – $5,010.80 | 18 |
| Destruction 2-14 lesions 17003 CPT 17003 | $1.38 | $6.00 | $1.67 – $19.29 | 15 |
| Destruction anal lesion(s) CPT 46910 | $87.17 | $379.00 | $11.06 – $5,010.80 | 18 |
| Destruction anal lesion(s) CPT 46924 | $118.45 | $515.00 | $14.80 – $7,512.21 | 18 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | $89.47 | $389.00 | $11.26 – $1,094.43 | 18 |
| Destruction benign lesions < 14 lesions CPT 17110 | $581.35 | $755.00 | $5.62 – $544.30 | 18 |
| Destruction by injection tx of nerve 64630 CPT 64630 | $124.66 | $542.00 | $15.55 – $2,438.77 | 17 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $4,285.05 | $5,565.00 | $47.72 – $93.19 | 14 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $5,713.40 | $7,420.00 | $15.72 – $5,349.21 | 17 |
| Destruction ciliary body CPT 66700 | $247.71 | $1,077.00 | $31.78 – $6,247.59 | 17 |
| Destruction ciliary body CPT 66720 | $260.13 | $1,131.00 | $33.40 – $6,390.66 | 17 |
| Destruction ciliary body CPT 66740 | $247.71 | $1,077.00 | $31.78 – $6,390.66 | 17 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | $91.54 | $398.00 | $11.63 – $580.00 | 18 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | $83.72 | $364.00 | $10.56 – $7,512.21 | 17 |
| Destruction les conjunctiva CPT 68135 | $95.22 | $414.00 | $12.13 – $6,390.66 | 17 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | $88.55 | $385.00 | $7.00 – $1,094.43 | 18 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | $108.56 | $472.00 | $13.64 – $1,094.43 | 18 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | $84.64 | $368.00 | $10.66 – $1,094.43 | 18 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | $99.13 | $431.00 | $12.49 – $1,094.43 | 18 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | $69.46 | $302.00 | $8.77 – $1,094.43 | 18 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | $112.47 | $489.00 | $14.08 – $5,010.80 | 18 |
| Destruction premal lesions 15/> 17004 CPT 17004 | $63.48 | $276.00 | $8.03 – $1,094.43 | 18 |
| Destruction rectal tumor 45190 CPT 45190 | $450.11 | $1,957.00 | $51.16 – $7,512.21 | 16 |
| Destruction vag lesions complex 57065 CPT 57065 | $119.60 | $520.00 | $15.24 – $8,709.67 | 18 |
| Destruction vag lesions simple 57061 CPT 57061 | $74.06 | $322.00 | $9.45 – $8,709.67 | 18 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | $62.79 | $273.00 | $7.88 – $5,010.80 | 18 |
| Detect agent nos dna dir CPT 87797 | $20.70 | $90.00 | $19.82 – $36.75 | 17 |
| Detect agnt mult dna direc CPT 87800 | $287.21 | $373.00 | $22.17 – $124.00 | 18 |
| Determination venous press CPT 93770 | $5.29 | $23.00 | $0.55 – $8.10 | 10 |
| Determine refractive state CPT 92015 | $12.65 | $55.00 | $7.20 – $29.51 | 10 |
| Developmental screen/score/document 96110 CPT 96110 | not published | not published | $6.99 – $29.91 | 11 |
| Devel tst phys/qhp 1st hr CPT 96112 | $78.43 | $341.00 | $60.00 – $428.59 | 20 |
| Device intraute mirena HCPCS J7298 | $977.78 | $4,251.21 | $1,002.80 – $1,993.95 | 10 |
| Dev interrog remote 1/2/mlt CPT 93295 | $23.23 | $101.00 | $29.76 – $62.29 | 10 |
| Devise bowel pouch CPT 44316 | $914.94 | $3,978.00 | $102.31 – $2,895.21 | 8 |
| Devlopment test interpt&rep HCPCS G0451 | not published | not published | $9.34 – $253.38 | 14 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | $32.43 | $141.00 | $43.67 – $152.00 | 17 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $354.20 | $460.00 | $7.75 – $241.19 | 16 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | not published | not published | $67.45 – $278.00 | 14 |
| Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr HCPCS J1095 | not published | not published | $1.17 – $1.54 | 3 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $0.81 | $3.52 | $0.02 – $1.05 | 7 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $12.47 | $54.22 | $0.11 – $1.05 | 7 |
| Dexamethasone intra implant HCPCS J7312 | not published | not published | $164.61 – $431.08 | 14 |
| Dexamethasone panel CPT 80420 | $111.78 | $486.00 | $99.54 – $176.45 | 17 |
| Dexmedetomidine film, 1 mcg HCPCS J1105 | not published | not published | $0.51 – $1.34 | 13 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $321.20 | $1,396.50 | $27.01 – $67.38 | 14 |
| Dextran 40 infusion HCPCS J7100 | not published | not published | $39.82 – $265.39 | 4 |
| Dextran 75 infusion HCPCS J7110 | not published | not published | $13.99 – $196.06 | 4 |
| Dextroamphetamine HCPCS S0160 | not published | not published | $0.71 – $0.90 | 3 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $4.83 | $21.00 | $1.18 – $1.92 | 6 |
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.