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 |
|---|---|---|---|---|
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | not published | not published | $8.14 – $10.41 | 3 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $13.68 | $59.50 | $1.80 – $2.87 | 6 |
| Dextrose 5 % IV bolus HCPCS J7070 | $4.83 | $21.00 | $2.87 – $4.70 | 6 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $146.30 | $190.00 | $14.67 – $33.60 | 17 |
| Diabetes (HbA1c) Test CPT 83036 | $63.91 | $83.00 | $6.41 – $27.30 | 18 |
| Diabetes training group per 30 min g0109 HCPCS G0136 | not published | not published | $6.90 – $81.60 | 17 |
| Diabetic custom molded shoe HCPCS A5501 | not published | not published | $137.37 – $487.64 | 13 |
| Diabetic shoe with wedge HCPCS A5504 | not published | not published | $22.03 – $82.83 | 13 |
| Diabetic shoe w/off set heel HCPCS A5506 | not published | not published | $22.03 – $82.83 | 13 |
| Diabetic shoe w/roller/rockr HCPCS A5503 | not published | not published | $22.03 – $82.83 | 13 |
| Diab manage trn ind/group HCPCS G0109 | $40.04 | $52.00 | $12.07 – $36.00 | 10 |
| Diab shoe for density insert HCPCS A5500 | not published | not published | $45.80 – $162.60 | 13 |
| Diab shoe w/metatarsal bar HCPCS A5505 | not published | not published | $22.03 – $82.83 | 13 |
| Diag bronchoscope/catheter CPT 31643 | $107.87 | $469.00 | $136.56 – $4,723.83 | 16 |
| Diag laparo separate proc 49320 CPT 49320 | $214.36 | $932.00 | $26.68 – $15,982.03 | 16 |
| Diagnostic anoscopy CPT 46601 | $60.26 | $262.00 | $76.14 – $1,093.09 | 15 |
| Diagnostic anoscopy & biopsy CPT 46607 | $79.81 | $347.00 | $101.10 – $3,229.85 | 15 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $26.68 | $116.00 | $20.00 – $353.16 | 18 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $665.28 | $864.00 | $22.51 – $238.50 | 11 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $332.64 | $432.00 | $22.51 – $336.12 | 11 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $568.26 | $738.00 | $40.40 – $531.81 | 15 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $568.26 | $738.00 | $55.81 – $531.81 | 17 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $446.60 | $580.00 | $38.73 – $312.90 | 17 |
| Diagnostic Mammogram (one breast) CPT 77065 | $358.82 | $466.00 | $31.53 – $244.65 | 17 |
| Diagnostic radio unlisted proc CPT 76499 | $354.20 | $460.00 | $58.52 – $241.19 | 13 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $12,512.50 | $16,250.00 | $145.66 – $314.15 | 14 |
| Dialysis one evaluation CPT 90945 | $55.20 | $240.00 | $56.00 – $446.52 | 13 |
| Dialysis repeated eval CPT 90947 | $78.43 | $341.00 | $56.00 – $628.00 | 5 |
| Dialysis training complete CPT 90989 | not published | not published | $339.31 – $653.23 | 5 |
| Dialysis training incompl CPT 90993 | not published | not published | $73.92 – $142.33 | 5 |
| Diathermy eg microwave CPT 97024 | not published | not published | $5.40 – $7.35 | 13 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | not published | not published | $0.07 – $0.10 | 6 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $27.10 | $117.82 | $5.82 – $11.16 | 6 |
| Dicyclomine injection HCPCS J0500 | $31.39 | $136.50 | $8.54 – $19.44 | 6 |
| Difelikefalin, esrd on dialy HCPCS J0879 | not published | not published | $0.06 – $0.16 | 13 |
| Diffusing capacity CPT 94729 | $278.74 | $362.00 | $6.74 – $45.71 | 10 |
| Digital analysis of eeg CPT 95957 | $408.10 | $530.00 | $53.68 – $160.09 | 10 |
| Digit nerve surgery add-on CPT 64778 | $115.46 | $502.00 | $144.21 – $284.66 | 10 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $554.36 | $2,410.28 | $3.77 – $11.51 | 6 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $20,020.35 | $87,045.00 | $1,736.45 – $10,434.02 | 14 |
| Digoxin total therapeutic drug level CPT 80162 | $87.78 | $114.00 | $8.77 – $45.00 | 18 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $105.74 | $459.73 | $2.92 – $137.36 | 6 |
| Dilate biliary duct/ampulla CPT 47542 | $85.79 | $373.00 | $107.80 – $211.39 | 14 |
| Dilate esophagus CPT 43453 | $55.43 | $241.00 | $59.00 – $5,196.41 | 17 |
| Dilate esophagus 1/mult pass CPT 43450 | $51.06 | $222.00 | $59.00 – $2,568.25 | 17 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | $166.06 | $722.00 | $269.47 – $535.34 | 4 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | $83.03 | $361.00 | $134.73 – $267.67 | 4 |
| Dilate ic vasospasm init CPT 61640 | $236.44 | $1,028.00 | $383.59 – $762.16 | 4 |
| Dilate tear duct opening CPT 68801 | $50.14 | $218.00 | $6.48 – $1,093.09 | 15 |
| Dilate urethra stricture CPT 53600 | $41.17 | $179.00 | $20.00 – $666.22 | 17 |
| Dilate urethra stricture CPT 53601 | $34.50 | $150.00 | $20.00 – $353.10 | 17 |
| Dilate urethra stricture CPT 53605 | $40.94 | $178.00 | $20.00 – $9,447.74 | 16 |
| Dilate urethra stricture CPT 53621 | $46.00 | $200.00 | $20.00 – $666.22 | 17 |
| Dilation/female urethra/initial 53660 CPT 53660 | $26.68 | $116.00 | $20.00 – $428.59 | 17 |
| Dilation of anal sphincter CPT 45905 | $110.40 | $480.00 | $13.88 – $3,229.85 | 16 |
| Dilation of cervical canal 57800 CPT 57800 | $31.05 | $135.00 | $39.25 – $8,709.67 | 18 |
| Dilation of rectal stricture 45910 CPT 45910 | $125.35 | $545.00 | $15.74 – $3,229.85 | 16 |
| Dilation of salivary duct CPT 42660 | $51.06 | $222.00 | $35.00 – $1,394.99 | 17 |
| Dilation of urethra CPT 53661 | $25.76 | $112.00 | $20.00 – $353.10 | 17 |
| Dilation of urethra CPT 53665 | $23.92 | $104.00 | $20.00 – $5,611.47 | 16 |
| Dilation of vagina CPT 57400 | $84.18 | $366.00 | $38.85 – $8,709.67 | 16 |
| Dilation salivary duct 42650 CPT 42650 | $38.41 | $167.00 | $35.00 – $4,057.66 | 17 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | $55.89 | $243.00 | $20.00 – $1,828.40 | 17 |
| Dilator fascial 10fx20cm HCPCS C2627 | $105.64 | $459.32 | not published | 0 |
| Dilat xst trc ndurlgc px CPT 50436 | $96.60 | $420.00 | $119.84 – $9,447.74 | 16 |
| Dilat xst trc new access rcs CPT 50437 | $161.00 | $700.00 | $198.79 – $9,447.74 | 16 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $7.33 | $31.85 | $0.03 – $0.05 | 3 |
| Dimecaprol injection HCPCS J0470 | not published | not published | $24.62 – $75.83 | 4 |
| Dimenhydrinate injection HCPCS J1240 | not published | not published | $7.30 – $11.31 | 6 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | not published | not published | $130.69 – $1,560.08 | 14 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | not published | not published | $0.02 – $0.06 | 4 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $2.42 | $10.54 | $0.73 – $2.10 | 7 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | not published | not published | $5.43 – $95.60 | 11 |
| Dipyridamole injection HCPCS J1245 | not published | not published | $3.60 – $5.47 | 6 |
| Direct advanced life support CPT 99288 | not published | not published | $88.00 – $467.23 | 2 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $22.86 – $107.52 | 14 |
| Disability dlco CPT 94727 | $371.91 | $483.00 | $9.71 – $428.59 | 16 |
| Disaccharidases CPT 82657 | $146.30 | $190.00 | $14.63 – $24.17 | 14 |
| Disarticulation sho sec clsr CPT 23921 | $309.35 | $1,345.00 | $38.94 – $5,010.80 | 16 |
| Disarticulation shoulder CPT 23920 | $730.02 | $3,174.00 | $91.41 – $3,414.31 | 8 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | $946.45 | $4,115.00 | $130.15 – $4,761.34 | 8 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | $133.40 | $580.00 | $30.82 – $723.86 | 8 |
| Discography cerv/thor spine CPT 72285 | $7,856.31 | $10,203.00 | $25.20 – $5,349.21 | 16 |
| Disconnect insert locking wr HCPCS L6616 | not published | not published | $53.51 – $189.95 | 13 |
| Disconnect locking wrist uni HCPCS L6615 | not published | not published | $104.00 – $450.93 | 13 |
| Dise eval slp do brth flx dx CPT 42975 | $62.56 | $272.00 | $79.01 – $4,723.83 | 14 |
| Dissect brain w/scope CPT 62161 | $995.67 | $4,329.00 | $135.01 – $2,455.08 | 7 |
| Dis site tele svcs rhc/fqhc HCPCS G2025 | $66.24 | $288.00 | $79.60 – $93.58 | 3 |
| Dissolve clot heart vessel CPT 92975 | $237.13 | $1,031.00 | $295.03 – $1,561.24 | 8 |
| Dist revas ligation hemo CPT 36838 | $722.43 | $3,141.00 | $62.65 – $14,807.80 | 16 |
| Div aberrant vsl w/reanast CPT 33803 | $733.24 | $3,188.00 | $63.82 – $5,354.58 | 8 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | $512.44 | $2,228.00 | $58.15 – $16,204.73 | 16 |
| Division of fallopian tube 58605 CPT 58605 | $217.58 | $946.00 | $33.15 – $948.41 | 8 |
| #d/lmeth-l-methamphetamine CPT 80374 | not published | not published | $13.88 – $23.41 | 4 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | $186.30 | $810.00 | $41.69 – $460.52 | 7 |
| Dmd dup/delet analysis CPT 81161 | not published | not published | $184.14 – $840.00 | 17 |
| Dmpk gene charac alleles CPT 81239 | $189.52 | $824.00 | $181.39 – $299.56 | 14 |
| Dmpk gene detc abnor allele CPT 81234 | $94.76 | $412.00 | $90.42 – $149.33 | 14 |
| Dna antibody native/double stranded CPT 86225 | $90.86 | $118.00 | $9.06 – $23.20 | 17 |
| Dna gardnerella CPT 87510 | $131.67 | $171.00 | $13.23 – $54.60 | 18 |
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.