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 |
|---|---|---|---|---|
| Dna probe chlamydia CPT 87490 | $15.64 | $68.00 | $15.02 – $36.35 | 17 |
| Dna probe gc CPT 87590 | $18.40 | $80.00 | $17.74 – $29.30 | 14 |
| Dna trichomonas CPT 87660 | $131.67 | $171.00 | $13.23 – $54.60 | 18 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $32.20 | $140.00 | $7.39 – $15.75 | 7 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | not published | not published | $0.36 – $0.95 | 6 |
| Docetaxel (docivyx), 1 mg HCPCS J9172 | not published | not published | $39.35 – $103.06 | 14 |
| Dolasetron mesylate HCPCS J1260 | not published | not published | $6.17 – $45.75 | 3 |
| Dolasetron mesylate oral HCPCS Q0180 | not published | not published | $61.52 – $232.61 | 4 |
| Domicil/r-home visit est pat CPT 99334 | not published | not published | $34.00 – $34.00 | 2 |
| Domicil/r-home visit est pat CPT 99335 | not published | not published | $51.00 – $51.00 | 2 |
| Domicil/r-home visit est pat CPT 99336 | not published | not published | $71.00 – $71.00 | 2 |
| Domicil/r-home visit est pat CPT 99337 | not published | not published | $91.00 – $91.00 | 2 |
| Domicil/r-home visit new pat CPT 99324 | not published | not published | $45.00 – $45.00 | 2 |
| Domicil/r-home visit new pat CPT 99325 | not published | not published | $70.00 – $70.00 | 2 |
| Domicil/r-home visit new pat CPT 99326 | not published | not published | $93.00 – $93.00 | 2 |
| Domicil/r-home visit new pat CPT 99327 | not published | not published | $129.00 – $129.00 | 2 |
| Domicil/r-home visit new pat CPT 99328 | not published | not published | $175.00 – $175.00 | 2 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $15.90 | $69.13 | $0.62 – $1.00 | 6 |
| Doppler echo complete CPT 93320 | $1,203.51 | $1,563.00 | $14.45 – $137.00 | 11 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $45.54 | $198.00 | $56.84 – $135.45 | 4 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $572.11 | $743.00 | $17.47 – $428.59 | 16 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $472.01 | $613.00 | $9.57 – $353.10 | 17 |
| Doripenem 50 mg/ml inj 10 ml HCPCS J1267 | not published | not published | $0.88 – $1.98 | 3 |
| Dornase alfa non-comp unit HCPCS J7639 | not published | not published | $52.03 – $78.05 | 6 |
| Dornhoffer fixed part w/window HCPCS L8614 | not published | not published | $12,065.52 – $42,830.47 | 13 |
| Dorsi & plantar flex ass/res HCPCS L2220 | not published | not published | $47.56 – $168.84 | 13 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | not published | not published | $195.52 – $512.03 | 14 |
| Double transfer toe-hand CPT 26554 | $2,448.81 | $10,647.00 | $210.00 – $12,655.11 | 8 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $19.78 | $86.02 | $2.57 – $4.33 | 6 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | not published | not published | $92.01 – $229.50 | 14 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $0.23 | $1.00 | $0.11 – $0.16 | 4 |
| Dpyd gene common variants CPT 81232 | $511.28 | $664.00 | $115.38 – $190.54 | 14 |
| Drainable plastic pch w fcpl HCPCS A4375 | not published | not published | $12.37 – $43.90 | 13 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $2,058.21 | $2,673.00 | $9.71 – $1,927.34 | 18 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $2,058.21 | $2,673.00 | $11.79 – $1,927.34 | 17 |
| Drainage external ear complex 69005 CPT 69005 | $104.42 | $454.00 | $13.24 – $4,438.31 | 17 |
| Drainage external ear simple 69000 CPT 69000 | $2,058.21 | $2,673.00 | $10.28 – $1,927.34 | 18 |
| Drainage lymph node lesion 38300 CPT 38300 | $135.93 | $591.00 | $17.05 – $7,840.00 | 17 |
| Drainage lymph node lesion 38305 CPT 38305 | $321.77 | $1,399.00 | $44.20 – $7,840.00 | 16 |
| Drainage mouth roof lesion CPT 42000 | $679.91 | $883.00 | $8.96 – $636.12 | 17 |
| Drainage of abdomen CPT 48000 | $1,214.63 | $5,281.00 | $85.51 – $2,994.80 | 8 |
| Drainage of arm bursa 23931 CPT 23931 | $104.65 | $455.00 | $5.94 – $4,438.31 | 18 |
| Drainage of bladder abscess CPT 51080 | $265.88 | $1,156.00 | $26.82 – $7,840.00 | 16 |
| Drainage of bone lesion CPT 26992 | $650.21 | $2,827.00 | $82.38 – $2,392.05 | 8 |
| Drainage of bone lesion CPT 27303 | $419.52 | $1,824.00 | $52.60 – $1,666.99 | 8 |
| Drainage of eye CPT 65800 | $56.81 | $247.00 | $72.09 – $6,247.59 | 17 |
| Drainage of eye CPT 65810 | $293.48 | $1,276.00 | $37.67 – $6,247.59 | 16 |
| Drainage of eye CPT 65815 | $301.99 | $1,313.00 | $38.66 – $6,247.59 | 17 |
| Drainage of forearm bursa CPT 25031 | $243.11 | $1,057.00 | $12.00 – $4,383.99 | 16 |
| Drainage of kidney lesion CPT 50390 | $2,058.21 | $2,673.00 | $75.71 – $1,927.34 | 16 |
| Drainage of mouth lesion CPT 41005 | $75.90 | $330.00 | $9.50 – $636.12 | 17 |
| Drainage of mouth lesion CPT 41006 | $151.57 | $659.00 | $17.04 – $4,057.66 | 17 |
| Drainage of mouth lesion CPT 41007 | $145.13 | $631.00 | $16.34 – $4,057.66 | 17 |
| Drainage of mouth lesion CPT 41008 | $169.97 | $739.00 | $18.99 – $8,883.72 | 17 |
| Drainage of mouth lesion CPT 41009 | $185.61 | $807.00 | $21.02 – $1,394.99 | 17 |
| Drainage of mouth lesion CPT 41015 | $194.81 | $847.00 | $22.01 – $1,394.99 | 17 |
| Drainage of mouth lesion CPT 41016 | $17,309.60 | $22,480.00 | $23.50 – $16,204.73 | 17 |
| Drainage of mouth lesion CPT 41017 | $9,488.71 | $12,323.00 | $23.50 – $8,883.72 | 17 |
| Drainage of mouth lesion CPT 41018 | $258.75 | $1,125.00 | $23.50 – $4,057.66 | 17 |
| Drainage of nose lesion int 30000 CPT 30000 | $78.66 | $342.00 | $9.93 – $636.12 | 17 |
| Drainage of nose lesion sept 30020 CPT 30020 | $78.89 | $343.00 | $10.07 – $1,394.99 | 17 |
| Drainage of pelvis bursa CPT 26991 | $341.55 | $1,485.00 | $41.48 – $4,383.99 | 17 |
| Drainage of pelvis lesion 26990 CPT 26990 | $9,493.33 | $12,329.00 | $18.70 – $8,887.94 | 16 |
| Drainage of prostate abscess CPT 52700 | $287.04 | $1,248.00 | $28.96 – $9,447.74 | 16 |
| Drainage of prostate abscess CPT 55720 | $292.79 | $1,273.00 | $37.00 – $9,447.74 | 16 |
| Drainage of prostate abscess CPT 55725 | $386.40 | $1,680.00 | $48.73 – $9,447.74 | 16 |
| Drainage of rectal abscess CPT 45005 | $108.56 | $472.00 | $13.40 – $3,229.85 | 17 |
| Drainage of rectal abscess 45020 CPT 45020 | $372.14 | $1,618.00 | $41.61 – $7,512.21 | 16 |
| Drainage of salivary gland CPT 42305 | $280.83 | $1,221.00 | $32.04 – $8,883.72 | 16 |
| Drainage of salivary gland CPT 42320 | $115.92 | $504.00 | $14.71 – $1,394.99 | 17 |
| Drainage of spinal cyst CPT 63172 | $925.29 | $4,023.00 | $125.12 – $4,629.24 | 8 |
| Drainage of spinal cyst CPT 63173 | $1,127.69 | $4,903.00 | $152.69 – $4,329.06 | 8 |
| Drainage of throat abscess CPT 42725 | $517.50 | $2,250.00 | $36.00 – $16,204.73 | 16 |
| Drainage of urethra abscess CPT 53040 | $254.84 | $1,108.00 | $25.69 – $9,447.74 | 16 |
| Drainage of urethra abscess 53060 CPT 53060 | $107.87 | $469.00 | $13.54 – $5,611.47 | 17 |
| Drainage of urinary leakage CPT 53080 | $273.01 | $1,187.00 | $27.58 – $1,828.40 | 16 |
| Drainage of urinary leakage CPT 53085 | $419.75 | $1,825.00 | $21.00 – $5,611.47 | 16 |
| Drain bladder by trocar/cath CPT 51101 | $32.89 | $143.00 | $39.75 – $2,786.93 | 17 |
| Drain blood from under nail 11740 CPT 11740 | $377.30 | $490.00 | $24.00 – $353.10 | 18 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $131.33 | $571.00 | $164.56 – $4,438.31 | 17 |
| Drain cath image guided visceral pq CPT 49405 | $4,740.89 | $6,157.00 | $155.56 – $4,438.31 | 17 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $2,026.64 | $2,632.00 | $37.00 – $1,897.02 | 18 |
| Drain chest lesion CPT 21502 | $329.13 | $1,431.00 | $41.06 – $8,887.94 | 16 |
| Drain chst dry seal exp thorastat HCPCS A7041 | not published | not published | $53.44 – $189.70 | 13 |
| Drain finger abscess;simple 26010 CPT 26010 | $581.35 | $755.00 | $5.00 – $666.00 | 18 |
| Drain lower leg bursa CPT 27604 | $216.43 | $941.00 | $26.54 – $8,887.94 | 18 |
| Drain lower leg lesion 27603 CPT 27603 | $252.08 | $1,096.00 | $3.90 – $7,840.00 | 18 |
| Drain neck/chest lesion 21501 CPT 21501 | $219.65 | $955.00 | $17.50 – $7,840.00 | 17 |
| Drain open lung lesion 32200 CPT 32200 | $730.02 | $3,174.00 | $90.87 – $2,368.31 | 8 |
| Drain ostomy pouch w/flange HCPCS A5063 | not published | not published | $1.95 – $6.92 | 13 |
| Drain ovarn cyst abd CPT 58805 | $275.54 | $1,198.00 | $42.12 – $8,709.67 | 16 |
| Drain ovary abscess open CPT 58820 | $218.50 | $950.00 | $27.97 – $8,709.67 | 16 |
| Drain pancreatic pseudocyst 48510 CPT 48510 | $709.09 | $3,083.00 | $62.06 – $2,366.02 | 8 |
| Drain penis lesion CPT 54015 | $196.88 | $856.00 | $24.86 – $4,438.31 | 16 |
| Drain shoulder bone lesion CPT 23035 | $444.36 | $1,932.00 | $19.97 – $4,383.99 | 16 |
| Drain shoulder bursa 23031 CPT 23031 | $145.59 | $633.00 | $18.23 – $7,840.00 | 17 |
| Drain shoulder lesion CPT 23030 | $166.06 | $722.00 | $11.00 – $7,840.00 | 18 |
| Drain thigh/knee lesion 27301 CPT 27301 | $332.35 | $1,445.00 | $41.68 – $7,840.00 | 17 |
| Drain thyroid/tongue cyst CPT 60000 | $102.58 | $446.00 | $12.99 – $4,057.66 | 17 |
| Drain to peritoneal cavity CPT 49062 | $499.10 | $2,170.00 | $55.86 – $2,153.79 | 5 |
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.