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 |
|---|---|---|---|---|
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $1,461.46 | $1,898.00 | $92.00 – $1,094.43 | 17 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $726.88 | $944.00 | $47.50 – $544.30 | 18 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $726.88 | $944.00 | $48.50 – $544.30 | 18 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $726.88 | $944.00 | $61.50 – $544.30 | 18 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $726.88 | $944.00 | $18.40 – $544.30 | 17 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | $112.70 | $490.00 | $18.40 – $544.30 | 17 |
| Ghs sleep study unattended CPT 95800 | $572.11 | $743.00 | $32.19 – $428.59 | 16 |
| Ghs somatosensory testing lower extremit CPT 95926 | $16.79 | $73.00 | $22.14 – $853.02 | 16 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $1,940.40 | $2,520.00 | $35.79 – $1,453.47 | 16 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | not published | not published | $40.09 – $77.10 | 4 |
| Ghs sphenopalatine ganglion block CPT 64505 | $863.94 | $1,122.00 | $54.50 – $808.61 | 17 |
| Ghs spont nystagmus CPT 92541 | $13.34 | $58.00 | $3.43 – $353.10 | 16 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $426.58 | $554.00 | $77.86 – $105.83 | 13 |
| Ghs st - eval for alt comm CPT 92567 | $6.90 | $30.00 | $8.82 – $107.52 | 18 |
| Ghs strapping shoulder - 29240 CPT 29240 | $377.30 | $490.00 | $14.67 – $353.10 | 18 |
| Ghs st - re-eval for alt comm CPT 92597 | not published | not published | $55.28 – $75.14 | 13 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | not published | not published | $8.93 – $126.39 | 16 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | not published | not published | $85.27 – $577.14 | 16 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $1,791.79 | $2,327.00 | $15.33 – $1,676.80 | 18 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $1,168.86 | $1,518.00 | $11.49 – $1,094.43 | 18 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $204.93 | $891.00 | $205.21 – $4,057.66 | 16 |
| Ghs trypsin (fecal) CPT 84488 | $5.06 | $22.00 | $4.82 – $16.14 | 17 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $877.03 | $1,139.00 | $23.08 – $657.10 | 17 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | $156.86 | $682.00 | $19.57 – $657.10 | 17 |
| Ghs urine, hydroxproline total CPT 83505 | $16.56 | $72.00 | $16.04 – $40.00 | 17 |
| Ghs urine, porphyrins quant CPT 84120 | $96.25 | $125.00 | $7.50 – $16.03 | 17 |
| Ghs vaginal delivery only CPT 59409 | $8,140.44 | $10,572.00 | $641.43 – $8,709.67 | 17 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | not published | not published | $352.67 – $1,453.47 | 16 |
| Ghs windowing of cast CPT 29730 | $28.75 | $125.00 | $17.59 – $432.23 | 17 |
| Giardia ag if CPT 87269 | $9.20 | $40.00 | $8.99 – $19.70 | 17 |
| Giardia lamblia antibody CPT 86674 | $10.12 | $44.00 | $9.71 – $16.04 | 14 |
| Gi endoscopic ultrasound CPT 76975 | $25.99 | $113.00 | $33.21 – $662.14 | 16 |
| Gi inhouse confirmation CPT 87045 | $62.37 | $81.00 | $6.23 – $11.04 | 17 |
| Gingivoplasty each quadrant CPT 41872 | $197.34 | $858.00 | $22.37 – $8,883.72 | 15 |
| Gi protein loss CPT 78282 | $9.89 | $43.00 | $12.57 – $1,100.73 | 16 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $71.30 | $310.00 | $91.41 – $2,568.25 | 16 |
| Gi trc img intral colon i&r CPT 91113 | $77.05 | $335.00 | $98.58 – $2,497.44 | 14 |
| Gi trc img intral esophagus CPT 91111 | $28.75 | $125.00 | $36.83 – $2,568.25 | 14 |
| Gi wireless capsule measure CPT 91112 | $66.93 | $291.00 | $85.84 – $2,568.25 | 14 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $66.74 – $110.22 | 14 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $40.60 – $67.06 | 14 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $23.10 – $38.15 | 14 |
| Glassia injection HCPCS J0257 | not published | not published | $4.58 – $12.00 | 14 |
| Glaucoma scrn hgh risk direc HCPCS G0117 | not published | not published | $16.28 – $67.09 | 14 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | not published | not published | $26.09 – $107.52 | 14 |
| Glaucoma surgery CPT 66150 | $552.69 | $2,403.00 | $71.18 – $11,019.80 | 16 |
| Glaucoma surgery CPT 66155 | $552.23 | $2,401.00 | $71.15 – $11,019.80 | 16 |
| Glaucoma surgery CPT 66160 | $621.46 | $2,702.00 | $79.97 – $6,247.59 | 16 |
| Glaucoma surgery CPT 66170 | $690.23 | $3,001.00 | $88.70 – $6,247.59 | 16 |
| Glove finger flexion right lg xl HCPCS L3912 | not published | not published | $66.23 – $235.10 | 13 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $225.24 | $979.30 | $128.11 – $411.16 | 14 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | not published | not published | $111.91 – $304.25 | 14 |
| Glucagon plasma - sendout CPT 82943 | $94.71 | $123.00 | $9.43 – $31.60 | 17 |
| Glucagon tolerance panel CPT 80422 | $31.74 | $138.00 | $30.40 – $101.90 | 17 |
| Glucagon tolerance panel CPT 80424 | $34.96 | $152.00 | $33.33 – $111.68 | 17 |
| Glucagon tolerance test CPT 82946 | $12.42 | $54.00 | $11.73 – $33.33 | 17 |
| Glucose 1 hr post dose CPT 82950 | $31.57 | $41.00 | $3.14 – $16.00 | 18 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | $4.14 | $18.00 | $3.99 – $12.80 | 17 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $22.33 | $29.00 | $2.00 – $7.35 | 18 |
| Glucose blood quantitative CPT 82947 | $25.41 | $33.00 | $2.60 – $11.55 | 18 |
| Glucose body fluid CPT 82945 | $25.41 | $33.00 | $2.60 – $6.94 | 17 |
| Glucose monitoring continual min 72hr pt CPT 95249 | not published | not published | $39.48 – $162.71 | 16 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $84.70 | $110.00 | $8.49 – $35.70 | 18 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $25.41 | $33.00 | $2.59 – $8.40 | 18 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | not published | not published | $0.35 – $0.91 | 14 |
| Gold sodium thiomaleate inj HCPCS J1600 | not published | not published | $22.84 – $177.13 | 3 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | not published | not published | $8.84 – $23.16 | 14 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $122.43 | $159.00 | $12.27 – $63.00 | 18 |
| Gonadotropin hormone panel CPT 80426 | $102.58 | $446.00 | $97.96 – $505.00 | 18 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $122.43 | $159.00 | $12.22 – $63.00 | 18 |
| Gonioscopy CPT 92020 | $12.88 | $56.00 | $16.58 – $353.10 | 17 |
| Goniotomy CPT 65820 | $514.97 | $2,239.00 | $66.75 – $11,019.80 | 16 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | not published | not published | $618.08 – $1,541.72 | 15 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | not published | not published | $28.59 – $42.88 | 6 |
| Graft bone flex 2.5cm x 5cm grafton-cost per sq cm HCPCS Q4205 | not published | not published | $1,123.06 – $1,684.47 | 6 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $434.28 | $564.00 | $62.56 – $98.48 | 6 |
| Graft hand or finger tendon CPT 26416 | $589.03 | $2,561.00 | $75.21 – $8,887.94 | 16 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | not published | not published | $31.11 – $118.00 | 3 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | not published | not published | $762.88 – $2,606.74 | 4 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $3,690.78 | $16,046.88 | not published | 0 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $2,227.55 | $9,685.00 | not published | 0 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | not published | not published | $61.70 – $92.55 | 6 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $703.78 | $914.00 | $92.96 – $139.44 | 6 |
| Graft repair of spine defect 63710 CPT 63710 | $707.48 | $3,076.00 | $96.57 – $2,785.71 | 8 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $1,114.96 | $1,448.00 | $128.47 – $192.69 | 6 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $214.06 | $278.00 | $46.09 – $69.12 | 6 |
| Graft tis hmatrix dermis 10x5 -cost per sq cm HCPCS Q4134 | not published | not published | $162.08 – $211.51 | 2 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $1,114.96 | $1,448.00 | $43.59 – $178.59 | 6 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $6,435.97 | $27,982.50 | not published | 0 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $88.50 | $384.80 | not published | 0 |
| Granisetron 1 mg tab HCPCS Q0166 | not published | not published | $3.06 – $140.36 | 4 |
| Granisetron hcl injection HCPCS J1626 | not published | not published | $0.21 – $0.32 | 6 |
| Granulocyte pheresis ea unit HCPCS P9050 | $3,059.21 | $3,973.00 | $660.00 – $660.00 | 1 |
| Great toe-hand transfer CPT 26551 | $2,116.69 | $9,203.00 | $210.00 – $10,680.77 | 8 |
| Great toe with reduction 28495 CPT 28495 | $877.03 | $1,139.00 | $12.53 – $657.10 | 17 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | $325.22 | $1,414.00 | $40.84 – $5,010.80 | 17 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | $332.12 | $1,444.00 | $41.66 – $10,028.47 | 17 |
| Grfg autol fat lipo ea addl CPT 15772 | $95.91 | $417.00 | $119.20 – $234.39 | 11 |
| Grfg autol soft tiss dir exc CPT 15769 | $310.96 | $1,352.00 | $39.07 – $10,028.47 | 16 |
| Ground mileage HCPCS A0425 | not published | not published | $0.10 – $9.79 | 13 |
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.