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 |
|---|---|---|---|---|
| Adv prim care mgmt lvl 1 HCPCS G0556 | $8.05 | $35.00 | $10.17 – $81.60 | 15 |
| Adv prim care mgmt lvl 2 HCPCS G0557 | $24.15 | $105.00 | $19.80 – $81.60 | 15 |
| Adv prim care mgmt lvl 3 HCPCS G0558 | $53.36 | $232.00 | $61.48 – $253.38 | 15 |
| Aep hearing status deter i&r CPT 92651 | not published | not published | $67.73 – $853.02 | 16 |
| Aep neurodiagnostic i&r CPT 92653 | $51.75 | $225.00 | $67.51 – $853.02 | 16 |
| Aep thrshld est mlt freq i&r CPT 92652 | not published | not published | $91.89 – $853.02 | 16 |
| Afamelanotide implant, 1 mg HCPCS J7352 | not published | not published | $2,360.33 – $6,181.18 | 13 |
| Afamitresgene autoleucel HCPCS Q2057 | not published | not published | $617,960.18 – $1,618,302.00 | 14 |
| _afb id by dna probe rflx ast CPT 87149 | $131.67 | $171.00 | $13.23 – $35.47 | 17 |
| #afb mycobacteria suscep. #1 CPT 87190 | $5.06 | $22.00 | $4.83 – $11.20 | 17 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $759.22 | $986.00 | $76.14 – $211.49 | 17 |
| Aff2 gen aly detc abnl allel CPT 81171 | $94.76 | $412.00 | $90.42 – $149.33 | 14 |
| Aff2 gen alys charac alleles CPT 81172 | $189.52 | $824.00 | $181.39 – $299.56 | 14 |
| Aflibercept injection HCPCS J0178 | not published | not published | $633.53 – $1,659.08 | 14 |
| Afluria vacc, 3 yrs & >, im HCPCS Q2035 | not published | not published | $11.89 – $28.82 | 4 |
| Afo molded ankle gauntlet HCPCS L1904 | not published | not published | $325.58 – $1,155.75 | 13 |
| Afo molded plas rig ant tib HCPCS L1945 | not published | not published | $660.80 – $2,437.65 | 13 |
| Afo molded to patient plasti HCPCS L1940 | not published | not published | $287.22 – $1,019.58 | 13 |
| Afo rig ant tib tcf/= custom HCPCS L1932 | not published | not published | $540.98 – $1,920.40 | 13 |
| Afo sing bar clasp attach sh HCPCS L1910 | not published | not published | $158.62 – $563.05 | 13 |
| Afo sing solid stirrup calf HCPCS L1980 | not published | not published | $213.15 – $756.63 | 13 |
| Afo sing upright with adjust s HCPCS L1920 | not published | not published | $203.04 – $720.75 | 13 |
| Afo spiral molded to pt plas HCPCS L1950 | not published | not published | $455.31 – $1,616.27 | 13 |
| Afo sprng wir drsflx calf bd HCPCS L1900 | not published | not published | $152.00 – $556.19 | 13 |
| Afo supramalleolar custom HCPCS L1907 | not published | not published | $341.12 – $1,210.95 | 13 |
| Afo tib fx cast molded to pt HCPCS L2108 | not published | not published | $687.56 – $2,440.73 | 13 |
| Afo tib fx cast plaster mold HCPCS L2106 | not published | not published | $394.88 – $1,401.76 | 13 |
| Afo tib fx semi-rigid l2114 HCPCS L2114 | not published | not published | $396.66 – $1,408.06 | 13 |
| Afo tibial fracture rigid HCPCS L2116 | not published | not published | $456.39 – $1,620.10 | 13 |
| Afo tibial fracture soft HCPCS L2112 | not published | not published | $316.24 – $1,122.61 | 13 |
| Afo, walk boot type, cus fab HCPCS L4631 | $920.00 | $4,000.00 | $966.67 – $3,431.51 | 13 |
| Afo w/ankle joint, prefab HCPCS L1971 | not published | not published | $284.16 – $1,008.71 | 13 |
| After cataract laser surgery CPT 66821 | $195.73 | $851.00 | $25.29 – $1,502.78 | 17 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | not published | not published | $184.65 – $483.55 | 14 |
| Ag detect nos ia single CPT 87450 | not published | not published | $9.90 – $9.90 | 1 |
| Air conduction bilat CPT 92552 | not published | not published | $8.00 – $353.10 | 17 |
| Air injection into abdomen 49400 CPT 49400 | $1,877.26 | $2,438.00 | $48.00 – $141.86 | 14 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | $7.82 | $34.00 | $9.98 – $428.59 | 16 |
| Ak 4 bar ling w/hydraul swig HCPCS L5613 | not published | not published | $1,516.37 – $5,382.82 | 13 |
| Ak 4 bar link w/fric swing HCPCS L5611 | not published | not published | $996.91 – $3,538.85 | 13 |
| Ak/bk self-aligning unit ea HCPCS L5617 | not published | not published | $339.85 – $1,206.41 | 13 |
| Ak flex inner socket ext fra HCPCS L5651 | not published | not published | $743.06 – $2,637.74 | 13 |
| Ak/knee disartic acrylic soc HCPCS L5631 | not published | not published | $332.07 – $1,178.79 | 13 |
| Ak/knee disartic pelvic band HCPCS L5697 | not published | not published | $52.27 – $185.56 | 13 |
| Ak/knee disartic pelvic join HCPCS L5696 | not published | not published | $117.90 – $456.82 | 13 |
| Ak/knee disartic silesian ba HCPCS L5698 | not published | not published | $65.01 – $230.80 | 13 |
| Ak open end sach HCPCS L5321 | not published | not published | $2,033.64 – $7,219.06 | 13 |
| Ak pelvic control belt light HCPCS L5692 | not published | not published | $84.95 – $301.53 | 13 |
| Ak pelvic control belt pad/l HCPCS L5694 | not published | not published | $80.00 – $398.46 | 13 |
| Ak sleeve susp neoprene/equa HCPCS L5695 | not published | not published | $117.75 – $417.99 | 13 |
| Ak univ multiplex sys frict HCPCS L5616 | not published | not published | $840.36 – $2,983.12 | 13 |
| Albumin body fluid quantitative each specimen CPT 82042 | $51.59 | $67.00 | $5.14 – $8.48 | 14 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $93.14 | $404.95 | $45.90 – $75.10 | 6 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | not published | not published | $17.03 – $44.59 | 14 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | not published | not published | $42.56 – $111.46 | 14 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | not published | not published | $10.01 – $33.45 | 6 |
| Albumin ischemia modified CPT 82045 | $23.46 | $102.00 | $22.40 – $60.70 | 17 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $37.73 | $49.00 | $3.82 – $14.70 | 18 |
| Albumin serum plasma or whole blood CPT 82040 | $33.11 | $43.00 | $3.27 – $8.40 | 18 |
| Albuterol comp con HCPCS J7610 | not published | not published | $0.21 – $1.23 | 3 |
| Albuterol comp unit HCPCS J7609 | not published | not published | $0.09 – $0.98 | 3 |
| Albuterol ipratrop non-comp HCPCS J7620 | $0.52 | $2.28 | $0.19 – $1.05 | 7 |
| Albuterol non-comp con HCPCS J7611 | not published | not published | $0.15 – $0.23 | 6 |
| Albuterol non-comp unit HCPCS J7613 | $0.37 | $1.61 | $0.07 – $1.05 | 7 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $113.19 | $147.00 | $11.40 – $18.82 | 14 |
| Alcohols biomarkers 3/more CPT 80322 | not published | not published | $11.76 – $18.82 | 9 |
| Alcohol/sub misuse assess HCPCS G2011 | not published | not published | $13.72 – $67.09 | 14 |
| Alcohol/subs interv 15-30mn HCPCS G0396 | not published | not published | $19.80 – $81.60 | 15 |
| Alcohol/subs interv >30 min HCPCS G0397 | not published | not published | $52.43 – $440.12 | 15 |
| Aldesleukin injection HCPCS J9015 | not published | not published | $1,721.51 – $11,132.65 | 13 |
| Aldosterone suppression eval CPT 80408 | $86.48 | $376.00 | $82.83 – $277.50 | 17 |
| Alefacept HCPCS J0215 | not published | not published | $41.64 – $61.52 | 2 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | not published | not published | $1,957.20 – $5,125.47 | 14 |
| Alginate dressing <=16 sq in HCPCS A6196 | not published | not published | $5.30 – $18.81 | 13 |
| Alginate drsg >16 <=48 sq in HCPCS A6197 | not published | not published | $11.84 – $42.05 | 13 |
| Alginate drsg wound filler HCPCS A6199 | not published | not published | $3.81 – $13.49 | 13 |
| Alglucerase injection HCPCS J0205 | not published | not published | $42.03 – $98.75 | 3 |
| Alglucosidase alfa injection HCPCS J0220 | not published | not published | $206.70 – $463.06 | 3 |
| Alkaline phosphatase CPT 84075 | $34.65 | $45.00 | $3.42 – $14.70 | 18 |
| Allergen alpha lactalbumin ige CPT 86008 | $117.81 | $153.00 | $11.84 – $28.34 | 17 |
| Allergen egg white ige CPT 86003 | $34.65 | $45.00 | $3.44 – $11.54 | 17 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $5.52 | $24.00 | $5.26 – $8.69 | 14 |
| Allergy injections; 2 or more 95117 CPT 95117 | not published | not published | $9.87 – $126.39 | 15 |
| Allergy injection; single 95115 CPT 95115 | not published | not published | $5.60 – $126.39 | 15 |
| Allergy Skin Testing CPT 95004 | not published | not published | $1.50 – $2,786.93 | 16 |
| Allg patch or app # of tests 95044 CPT 95044 | not published | not published | $3.97 – $2,786.93 | 16 |
| Allgrft implnt knee w/scope CPT 29867 | $830.76 | $3,612.00 | $104.03 – $35,246.01 | 16 |
| Allograft 160mg placental salera mini membrane HCPCS Q4168 | not published | not published | $17.05 – $22.25 | 2 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | not published | not published | $80.05 – $120.07 | 6 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | not published | not published | $95.01 – $152.27 | 6 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | not published | $0.01 | not published | 0 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | not published | not published | $28.45 – $43.44 | 6 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $1,715.56 | $2,228.00 | $141.82 – $212.72 | 6 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | not published | not published | $85.96 – $333.72 | 4 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | not published | not published | $118.93 – $178.38 | 6 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | not published | not published | $228.18 – $342.24 | 6 |
| Alloskin HCPCS Q4115 | not published | not published | $13.66 – $20.48 | 6 |
| Alloskin ac, 1 cm HCPCS Q4141 | not published | not published | $37.98 – $91.62 | 6 |
| All tstg perq&iq drugs/biol CPT 95018 | $4.60 | $20.00 | $5.61 – $107.52 | 17 |
| All tstg perq&iq w/venoms CPT 95017 | $2.30 | $10.00 | $2.96 – $67.09 | 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.