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 |
|---|---|---|---|---|
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | not published | not published | $4.16 – $10.89 | 14 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $424.27 | $551.00 | $42.52 – $113.31 | 17 |
| Alpha-fetoprotein amniotic CPT 82106 | $11.96 | $52.00 | $11.22 – $32.00 | 17 |
| Alpha-fetoprotein tumor marker CPT 82105 | $110.11 | $143.00 | $11.07 – $32.00 | 17 |
| Alprostadil for injection HCPCS J0270 | $136.32 | $592.71 | $9.51 – $13.40 | 4 |
| Alprostadil urethral suppos HCPCS J0275 | not published | not published | $25.72 – $93.23 | 4 |
| Als 1 HCPCS A0426 | not published | not published | $280.38 – $346.70 | 9 |
| Als1-emergency HCPCS A0427 | not published | not published | $443.93 – $548.95 | 9 |
| Als 2 HCPCS A0433 | not published | not published | $640.00 – $794.53 | 9 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $7,084.29 | $30,801.26 | $75.50 – $197.72 | 14 |
| Alt/sgpt CPT 84460 | $35.42 | $46.00 | $3.50 – $14.70 | 18 |
| Altuviiio per factor viii iu HCPCS J7214 | not published | not published | $3.75 – $9.81 | 14 |
| Aluminum - quest CPT 82108 | $167.86 | $218.00 | $16.82 – $56.35 | 17 |
| Alveoloplasty each quadrant CPT 41874 | $161.23 | $701.00 | $17.96 – $8,883.72 | 15 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | $25.53 | $111.00 | $32.62 – $251.44 | 17 |
| Amantadine (symmetrel)-sendout CPT 80375 | not published | not published | $13.88 – $28.37 | 11 |
| Ambl bp mntr w/software CPT 93784 | not published | not published | $37.42 – $301.94 | 6 |
| Ambl bp mntr w/sw a/r CPT 93788 | $377.30 | $490.00 | $4.50 – $353.10 | 14 |
| Ambl bp mntr w/sw i&r CPT 93790 | $11.50 | $50.00 | $14.72 – $113.23 | 5 |
| Amifostine HCPCS J0207 | not published | not published | $1,034.25 – $1,440.13 | 4 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $9.87 | $42.90 | $0.54 – $0.87 | 6 |
| Amines vaginal fluid qual CPT 82120 | $4.14 | $18.00 | $3.95 – $6.53 | 14 |
| Amino acid screen, urine CPT 82128 | $9.66 | $42.00 | $8.00 – $15.12 | 17 |
| Amino acid single qual CPT 82127 | $9.66 | $42.00 | $9.36 – $24.53 | 17 |
| Amino acids quant 2-5 CPT 82136 | $128.59 | $167.00 | $12.95 – $37.28 | 17 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | $0.92 | $4.00 | $1.41 – $2.12 | 4 |
| Aminolevulinic acid, 10% gel HCPCS J7345 | not published | not published | $1.45 – $3.80 | 14 |
| Aminolevulinic acid delta CPT 82135 | $108.57 | $141.00 | $10.86 – $19.20 | 17 |
| Aminolevulinic acid hcl top HCPCS J7308 | not published | not published | $315.85 – $827.14 | 14 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $16.09 | $69.97 | $5.17 – $12.85 | 6 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | not published | not published | $2.46 – $3.69 | 6 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $37.19 | $161.70 | $0.39 – $0.72 | 6 |
| Amitriptyline (elavil) -sendout CPT 80335 | $753.83 | $979.00 | $14.36 – $23.60 | 11 |
| Amitriptyline injection HCPCS J1320 | not published | not published | $2.24 – $2.92 | 4 |
| Amivantamab-vmjw 50 mg/ml intravenous solution HCPCS J9061 | not published | not published | $17.81 – $46.63 | 14 |
| Ammonia CPT 82140 | $95.48 | $124.00 | $5.00 – $15.88 | 17 |
| Amnioarmor 1 sq cm HCPCS Q4188 | not published | not published | $346.64 – $689.93 | 6 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $51.75 | $225.00 | $50.00 – $2,385.21 | 17 |
| Amniocentesis therapeutic CPT 59001 | $114.54 | $498.00 | $129.46 – $833.27 | 16 |
| Amniocore per sq cm HCPCS Q4227 | not published | not published | $1,099.42 – $1,649.02 | 6 |
| Amnio-maxx or lite per sq cm HCPCS Q4239 | not published | not published | $1,923.12 – $3,024.34 | 6 |
| Amniotic fluid scan CPT 82143 | $6.44 | $28.00 | $5.00 – $10.19 | 17 |
| Amniowrap2 per sq cm HCPCS Q4221 | not published | not published | $1,632.00 – $2,774.82 | 6 |
| Amobarbital 125 mg inj HCPCS J0300 | not published | not published | $24.84 – $239.15 | 4 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | $438.61 | $1,907.00 | $56.03 – $8,887.94 | 16 |
| Amphetamine confirm urine -sendout CPT 80324 | $753.83 | $979.00 | $15.21 – $25.28 | 11 |
| Amphetamines 5 or more CPT 80326 | $753.83 | $979.00 | $15.21 – $25.28 | 9 |
| Ampho b cholesteryl sulfate HCPCS J0288 | not published | not published | $14.00 – $51.03 | 3 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | $23.26 | $101.15 | $32.19 – $65.34 | 6 |
| Amphotericin b lipid complex HCPCS J0287 | not published | not published | $8.26 – $21.63 | 14 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $256.24 | $1,114.09 | $18.14 – $47.49 | 14 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $10.79 | $46.91 | $0.46 – $0.93 | 6 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $44.68 | $194.25 | $1.41 – $2.14 | 6 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | $1,731.73 | $2,249.00 | $149.76 – $286.66 | 15 |
| Amp metatarsal w/toe single 28810 CPT 28810 | $273.47 | $1,189.00 | $34.56 – $8,887.94 | 17 |
| Amp thigh through femur re-amp 27596 CPT 27596 | $458.16 | $1,992.00 | $57.28 – $2,110.52 | 8 |
| Amputate hand at wrist CPT 25922 | $419.52 | $1,824.00 | $18.82 – $4,383.99 | 16 |
| Amputate hand at wrist CPT 25920 | $474.49 | $2,063.00 | $59.80 – $1,864.34 | 8 |
| Amputate leg at thigh CPT 27591 | $627.44 | $2,728.00 | $78.50 – $2,841.04 | 8 |
| Amputate leg at thigh CPT 27592 | $435.16 | $1,892.00 | $53.87 – $2,104.74 | 8 |
| Amputate lower leg at knee CPT 27598 | $449.19 | $1,953.00 | $55.82 – $2,433.69 | 8 |
| Amputate metacarpal bone 26910 CPT 26910 | $489.44 | $2,128.00 | $13.83 – $8,887.94 | 16 |
| Amputate thigh through femur 27590 CPT 27590 | $503.24 | $2,188.00 | $62.88 – $2,412.87 | 8 |
| Amputate upper arm & implant CPT 24931 | $606.05 | $2,635.00 | $75.85 – $2,824.15 | 8 |
| Amputation follow-up surgery CPT 24925 | $373.75 | $1,625.00 | $23.63 – $8,887.94 | 16 |
| Amputation follow-up surgery CPT 25907 | $402.96 | $1,752.00 | $18.82 – $8,887.94 | 16 |
| Amputation follow-up surgery CPT 25909 | $448.73 | $1,951.00 | $5.00 – $19,568.78 | 16 |
| Amputation follow-up surgery CPT 25929 | $392.84 | $1,708.00 | $32.76 – $5,010.80 | 16 |
| Amputation follow-up surgery CPT 25931 | $510.60 | $2,220.00 | $65.26 – $8,887.94 | 16 |
| Amputation follow-up surgery CPT 27594 | $327.06 | $1,422.00 | $5.82 – $8,887.94 | 16 |
| Amputation follow-up surgery CPT 27884 | $373.75 | $1,625.00 | $46.71 – $8,887.94 | 16 |
| Amputation follow-up surgery CPT 24930 | $505.08 | $2,196.00 | $62.92 – $2,149.17 | 8 |
| Amputation follow-up surgery CPT 25924 | $462.99 | $2,013.00 | $56.45 – $1,895.74 | 8 |
| Amputation leg thr tib/fib 27880 CPT 27880 | $577.30 | $2,510.00 | $72.04 – $2,364.99 | 9 |
| Amputation leg; tib/fib f/u 27886 CPT 27886 | $418.14 | $1,818.00 | $52.29 – $1,927.14 | 8 |
| Amputation of foot at ankle CPT 27889 | $413.08 | $1,796.00 | $51.64 – $19,568.78 | 16 |
| Amputation of foot at ankle CPT 27888 | $369.61 | $1,607.00 | $45.88 – $2,257.06 | 8 |
| Amputation of forearm CPT 25900 | $470.81 | $2,047.00 | $58.84 – $1,890.34 | 8 |
| Amputation of forearm CPT 25905 | $458.85 | $1,995.00 | $57.57 – $1,909.47 | 8 |
| Amputation of forearm CPT 25915 | $757.62 | $3,294.00 | $74.55 – $4,002.53 | 8 |
| Amputation of hand CPT 25927 | $553.15 | $2,405.00 | $70.46 – $1,808.11 | 8 |
| Amputation of leg at hip CPT 27290 | $1,050.87 | $4,569.00 | $131.52 – $5,873.40 | 8 |
| Amputation of leg at hip CPT 27295 | $812.59 | $3,533.00 | $102.18 – $4,199.59 | 8 |
| Amputation of lower leg CPT 27882 | $380.42 | $1,654.00 | $47.46 – $1,889.50 | 8 |
| Amputation of lower leg CPT 27881 | $533.37 | $2,319.00 | $67.73 – $2,689.03 | 8 |
| Amputation of midtarsal 28800 CPT 28800 | $342.70 | $1,490.00 | $43.30 – $1,737.64 | 8 |
| Amputation of upper arm CPT 24900 | $498.64 | $2,168.00 | $60.49 – $2,038.05 | 8 |
| Amputation of upper arm CPT 24920 | $479.32 | $2,084.00 | $60.03 – $1,910.88 | 8 |
| Amputation thru metatarsal CPT 28805 | $457.47 | $1,989.00 | $57.70 – $8,887.94 | 16 |
| Amputation toe interphalangeal joint CPT 28825 | $178.71 | $777.00 | $141.29 – $8,887.94 | 17 |
| Amputation toe metatarsophalangeal joint CPT 28820 | $190.90 | $830.00 | $144.86 – $8,887.94 | 17 |
| Amylase CPT 82150 | $42.35 | $55.00 | $4.28 – $17.85 | 18 |
| Anabolic steroid 1 or 2 CPT 80327 | $753.83 | $979.00 | $14.36 – $37.42 | 11 |
| Anabolic steroid 3 or more CPT 80328 | not published | not published | $14.36 – $37.42 | 9 |
| Anacaulase-bcdb 8.8% gel 1 g HCPCS J7353 | not published | not published | $46.77 – $122.48 | 13 |
| Ana ds-dna CPT 86226 | $8.28 | $36.00 | $8.00 – $26.77 | 17 |
| Analgesics non-opioid 3-5 CPT 80330 | not published | not published | $7.44 – $12.37 | 9 |
| Analgesics non-opioid 6/more CPT 80331 | not published | not published | $7.44 – $12.37 | 9 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | $753.83 | $979.00 | $7.44 – $23.29 | 11 |
| Anal pressure record CPT 91122 | $55.89 | $243.00 | $28.88 – $853.02 | 16 |
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.