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 |
|---|---|---|---|---|
| Esophagoscp rig trnso rem fb CPT 43194 | $124.43 | $541.00 | $138.40 – $5,196.41 | 16 |
| Esophagotomy thrc rmvl fb CPT 43045 | $835.59 | $3,633.00 | $93.62 – $3,942.33 | 8 |
| Esophagus endoscopy/ligation CPT 43205 | $89.47 | $389.00 | $113.71 – $5,196.41 | 16 |
| Esophagus motility study CPT 91010 | $40.94 | $178.00 | $12.08 – $1,453.47 | 16 |
| Esoph balloon distension tst CPT 91040 | $31.05 | $135.00 | $39.90 – $1,453.47 | 16 |
| Esoph egd dilation <30 mm CPT 43249 | $97.75 | $425.00 | $123.67 – $5,196.41 | 17 |
| Esoph endoscopy dilation CPT 43226 | $83.95 | $365.00 | $104.94 – $5,196.41 | 17 |
| Esoph fundoplasty lap 43327 CPT 43327 | $539.81 | $2,347.00 | $59.11 – $1,299.95 | 7 |
| Esoph fundoplasty thor 43328 CPT 43328 | $716.45 | $3,115.00 | $80.18 – $1,770.33 | 7 |
| Esophgl motil w/stim/perfus CPT 91013 | $5.75 | $25.00 | $7.45 – $14.46 | 10 |
| Esoph imped function test CPT 91037 | $31.05 | $135.00 | $39.55 – $853.02 | 16 |
| Esoph imped funct test > 1hr CPT 91038 | $35.19 | $153.00 | $45.05 – $1,453.47 | 16 |
| Esoph optical endomicroscopy CPT 43206 | $85.10 | $370.00 | $106.97 – $5,196.41 | 15 |
| Esoph scope w/sclerosis inj CPT 43204 | $86.25 | $375.00 | $108.84 – $5,196.41 | 16 |
| Esoph scope w/submucous inj CPT 43201 | $66.24 | $288.00 | $83.71 – $5,196.41 | 17 |
| Esphg dstl 2/3 w/laps moblj 43287 CPT 43287 | $2,263.43 | $9,841.00 | $253.52 – $5,599.32 | 7 |
| Esphg thrsc moblj CPT 43288 | $2,389.47 | $10,389.00 | $267.43 – $5,905.05 | 7 |
| Esphg tot w/laps moblj CPT 43286 | $2,034.81 | $8,847.00 | $226.82 – $5,005.13 | 7 |
| Esphg tot w/thrcm CPT 43112 | $2,176.72 | $9,464.00 | $210.00 – $6,489.66 | 8 |
| Esrd home pt serv p mo 12-19 CPT 90965 | $321.08 | $1,396.00 | $408.00 – $792.89 | 4 |
| Esrd home pt serv p mo 20+ CPT 90966 | $189.52 | $824.00 | $240.02 – $465.85 | 4 |
| Esrd home pt serv p mo 2-11 CPT 90964 | $333.27 | $1,449.00 | $425.06 – $826.24 | 4 |
| Esrd home pt serv p mo <2yrs CPT 90963 | $389.16 | $1,692.00 | $496.04 – $964.39 | 4 |
| Esrd serv 1 visit p mo 20+ CPT 90962 | $130.64 | $568.00 | $165.45 – $320.64 | 4 |
| Esrd serv 1 visit p mo <2yrs CPT 90953 | not published | not published | $452.51 – $871.15 | 4 |
| Esrd serv 1 vst p mo 12-19 CPT 90959 | $209.76 | $912.00 | $266.40 – $517.38 | 4 |
| Esrd serv 2-3 vsts p mo <2yr CPT 90952 | not published | not published | $679.38 – $1,308.03 | 4 |
| Esrd serv 4 visits p mo <2yr CPT 90951 | $748.42 | $3,254.00 | $957.26 – $1,863.61 | 4 |
| Esrd serv 4 vsts p mo 2-11 CPT 90954 | $645.15 | $2,805.00 | $821.45 – $1,598.96 | 4 |
| Esrd srv 1 visit p mo 2-11 CPT 90956 | $224.71 | $977.00 | $284.50 – $552.26 | 4 |
| Esrd srv 2-3 vsts p mo 12-19 CPT 90958 | $321.77 | $1,399.00 | $408.91 – $794.70 | 4 |
| Esrd srv 2-3 vsts p mo 20+ CPT 90961 | $189.52 | $824.00 | $240.02 – $465.85 | 4 |
| Esrd srv 2-3 vsts p mo 2-11 CPT 90955 | $336.26 | $1,462.00 | $426.64 – $829.57 | 4 |
| Esrd srv 4 visits p mo 20+ CPT 90960 | $228.62 | $994.00 | $289.19 – $710.00 | 5 |
| Esrd srv 4 vsts p mo 12-19 CPT 90957 | $494.27 | $2,149.00 | $628.44 – $1,222.14 | 4 |
| Esrd svc pr day pt 12-19 CPT 90969 | $10.81 | $47.00 | $13.78 – $26.77 | 4 |
| Esrd svc pr day pt <2 CPT 90967 | $11.27 | $49.00 | $14.34 – $27.86 | 4 |
| Esrd svc pr day pt 20+ CPT 90970 | $6.21 | $27.00 | $7.72 – $14.97 | 4 |
| Esrd svc pr day pt 2-11 CPT 90968 | $11.04 | $48.00 | $14.06 – $27.31 | 4 |
| Essure 58565 CPT 58565 | $294.63 | $1,281.00 | $44.94 – $13,522.39 | 17 |
| Establish access to aorta CPT 36160 | $78.20 | $340.00 | $97.88 – $192.76 | 14 |
| Establish access to artery CPT 36100 | $96.83 | $421.00 | $47.00 – $238.48 | 14 |
| Establish brain cavity shunt CPT 62223 | $672.52 | $2,924.00 | $91.92 – $3,530.58 | 8 |
| Establish brain cavity shunt CPT 62180 | $1,045.35 | $4,545.00 | $141.46 – $4,184.87 | 8 |
| Establish brain cavity shunt CPT 62190 | $610.65 | $2,655.00 | $82.81 – $2,945.51 | 8 |
| Establish brain cavity shunt CPT 62192 | $649.52 | $2,824.00 | $88.39 – $3,213.54 | 8 |
| Establish brain cavity shunt CPT 62200 | $900.22 | $3,914.00 | $121.85 – $4,240.73 | 8 |
| Establish brain cavity shunt CPT 62220 | $636.18 | $2,766.00 | $86.51 – $3,443.14 | 8 |
| Established Patient Office Visit (level 1) CPT 99211 | $329.56 | $428.00 | $7.39 – $55.20 | 18 |
| Established Patient Office Visit (level 2) CPT 99212 | $412.72 | $536.00 | $20.80 – $119.72 | 18 |
| Established Patient Office Visit (level 3) CPT 99213 | $495.11 | $643.00 | $20.80 – $192.21 | 18 |
| Established Patient Office Visit (level 4) CPT 99214 | $577.50 | $750.00 | $20.80 – $271.52 | 18 |
| Established Patient Office Visit (level 5) CPT 99215 | $659.89 | $857.00 | $20.80 – $382.02 | 18 |
| Estim aid bone healg invasiv CPT 20975 | $115.23 | $501.00 | $29.51 – $1,070.88 | 10 |
| Estradiol total CPT 82670 | $183.26 | $238.00 | $18.44 – $34.40 | 17 |
| Estradiol valerate 10 mg inj HCPCS J1380 | not published | not published | $2.42 – $17.85 | 7 |
| Estrogens total-sendout CPT 82672 | $142.45 | $185.00 | $13.92 – $23.65 | 17 |
| Etanercept injection HCPCS J1438 | not published | not published | $699.69 – $2,269.85 | 14 |
| Ethanolamine oleate 100 mg HCPCS J1430 | not published | not published | $416.60 – $1,090.98 | 14 |
| Eth estr and eton monthly HCPCS J7295 | not published | not published | $125.17 – $164.95 | 3 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | $596.39 | $2,593.00 | $77.00 – $8,883.72 | 16 |
| Ethylene glycol -sendout CPT 82693 | $10.12 | $44.00 | $9.83 – $16.24 | 14 |
| Etonogestrel implant system HCPCS J7307 | not published | not published | $1,002.80 – $2,017.05 | 10 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $8.29 | $36.05 | $0.98 – $1.84 | 6 |
| Etoposide 50 mg cap HCPCS J8560 | not published | not published | $71.47 – $107.20 | 6 |
| Euflexxa inj per dose HCPCS J7323 | not published | not published | $91.80 – $289.80 | 15 |
| Euglobulin lysis CPT 85360 | $55.44 | $72.00 | $5.00 – $9.17 | 17 |
| Evacuate mole of uterus CPT 59870 | $343.85 | $1,495.00 | $35.49 – $8,709.67 | 16 |
| Eval aud funcj ea addl 15 CPT 92627 | $11.27 | $49.00 | $13.10 – $27.78 | 14 |
| Eval aud rehab status/first hr 92626 CPT 92626 | $47.84 | $208.00 | $28.41 – $428.59 | 17 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $509.74 | $662.00 | $93.43 – $127.00 | 13 |
| Evaluation cervical mucus CPT 89330 | $7.36 | $32.00 | $6.85 – $11.31 | 14 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $67.62 | $294.00 | $64.76 – $106.94 | 14 |
| Evaluation heart device CPT 93640 | $110.86 | $482.00 | $138.71 – $1,070.88 | 10 |
| Evaluation of speech fluency 92521 CPT 92521 | $445.06 | $578.00 | $101.38 – $137.81 | 13 |
| Evaluation psychiatric diagnostic CPT 90791 | $96.60 | $420.00 | $42.00 – $440.12 | 18 |
| Evasc prlng admn rx agnt 1st CPT 61650 | $377.89 | $1,643.00 | $445.57 – $926.23 | 7 |
| Evasc prlng admn rx agnt add CPT 61651 | $161.23 | $701.00 | $189.23 – $395.50 | 7 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | $781.08 | $3,396.00 | $67.91 – $1,936.74 | 7 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | $782.00 | $3,400.00 | $67.81 – $1,932.04 | 7 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | $1,135.97 | $4,939.00 | $101.20 – $2,887.81 | 7 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | $1,439.80 | $6,260.00 | $124.77 – $3,561.81 | 7 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | $278.99 | $1,213.00 | $61.79 – $692.82 | 7 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | $866.87 | $3,769.00 | $75.31 – $2,146.78 | 7 |
| Evasc rpr a-unilac ndgft rpt CPT 34704 | $1,441.64 | $6,268.00 | $125.53 – $3,581.66 | 7 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | $734.85 | $3,195.00 | $63.68 – $1,814.89 | 7 |
| Evasc rpr ilio-iliac rpt CPT 34708 | $1,151.15 | $5,005.00 | $99.71 – $2,851.11 | 7 |
| Evasc st rpr thrc/aa acrs br CPT 33894 | $619.39 | $2,693.00 | $771.36 – $1,533.81 | 4 |
| Evasc st rpr thrc/aa x crsg CPT 33895 | $492.66 | $2,142.00 | $613.91 – $1,220.74 | 4 |
| Event monitor CPT 93270 | $109.34 | $142.00 | $6.65 – $102.15 | 17 |
| Evoked auditory tst complete CPT 92588 | $18.40 | $80.00 | $3.97 – $853.02 | 16 |
| Evoked oa emissions ltd CPT 92587 | $11.73 | $51.00 | $2.89 – $853.02 | 16 |
| Evoked potentials auditory screening automated analysis CPT 92650 | not published | not published | $21.99 – $42.22 | 10 |
| Evoked potentials upper limbs CPT 95925 | $17.48 | $76.00 | $11.55 – $853.02 | 17 |
| Evoked potential visual not glaucoma CPT 95930 | $11.73 | $51.00 | $14.41 – $853.02 | 16 |
| Evok oa screening qual CPT 92558 | $5.75 | $25.00 | $6.90 – $22.00 | 5 |
| Ewhfo w/joint(s) cf HCPCS L3766 | not published | not published | $749.14 – $2,659.32 | 13 |
| Ewho w/joint(s) cf HCPCS L3764 | not published | not published | $505.50 – $1,794.42 | 13 |
| Exam of vagina w/scope 57420 CPT 57420 | $58.19 | $253.00 | $72.94 – $833.27 | 18 |
| Exam pelvic add-on CPT 99459 | not published | not published | $18.26 – $41.50 | 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.