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 |
|---|---|---|---|---|
| Hopd covid-19 spec collect HCPCS C9803 | not published | not published | $24.37 – $25.29 | 2 |
| Hopd mntl hlt, 15-29 min HCPCS C7900 | not published | not published | $19.80 – $81.60 | 13 |
| Hopd mntl hlt, 30-60 min HCPCS C7901 | not published | not published | $61.48 – $253.38 | 13 |
| Hopd mntl hlt, grp HCPCS C7903 | not published | not published | $19.80 – $81.60 | 13 |
| Ho post-op hip abduction HCPCS L1686 | not published | not published | $666.83 – $2,367.14 | 13 |
| Hospice care supervision CPT 99377 | $36.57 | $159.00 | $44.12 – $175.00 | 5 |
| Hospice care supervision CPT 99378 | $57.04 | $248.00 | $69.01 – $262.00 | 6 |
| Hpa-15 genotyping CPT 81112 | $84.18 | $366.00 | $80.66 – $133.22 | 14 |
| Hpa-1 genotyping CPT 81105 | $84.18 | $366.00 | $80.66 – $193.14 | 17 |
| Hpa-2 genotyping CPT 81106 | $84.18 | $366.00 | $80.66 – $133.22 | 14 |
| Hpa-3 genotyping CPT 81107 | $84.18 | $366.00 | $80.66 – $133.22 | 14 |
| Hpa-4 genotyping CPT 81108 | $84.18 | $366.00 | $80.66 – $133.22 | 14 |
| Hpa-5 genotyping CPT 81109 | $84.18 | $366.00 | $80.66 – $133.22 | 14 |
| Hpa-6 genotyping CPT 81110 | $84.18 | $366.00 | $80.66 – $133.22 | 14 |
| Hpa-9 genotyping CPT 81111 | $84.18 | $366.00 | $80.66 – $133.22 | 14 |
| Hpv combo assay ca screen HCPCS G0476 | $231.00 | $300.00 | $23.16 – $61.14 | 17 |
| Hpv low-risk types CPT 87623 | $24.38 | $106.00 | $23.16 – $61.14 | 17 |
| Hpv types 16 & 18 only CPT 87625 | $267.19 | $347.00 | $26.76 – $61.14 | 17 |
| H pylori ag ia CPT 87339 | $11.04 | $48.00 | $10.56 – $19.49 | 17 |
| H pylori (c-13) blood CPT 83009 | $46.46 | $202.00 | $44.46 – $77.65 | 17 |
| H pylori (c-13) breath CPT 83013 | $443.52 | $576.00 | $44.46 – $229.00 | 18 |
| H pylori drug admin CPT 83014 | $5.52 | $24.00 | $5.19 – $27.00 | 15 |
| Hrdtry brst ca-rlatd do 5+ CPT 81432 | not published | not published | $577.19 – $1,421.31 | 14 |
| Hrdtry brst ca-rlatd dsordrs CPT 81433 | not published | not published | $428.40 – $428.40 | 1 |
| Hrdtry cardmypy gene panel CPT 81439 | $403.42 | $1,754.00 | $386.03 – $637.54 | 14 |
| Hrdtry perph neurphy panel CPT 81448 | $403.42 | $1,754.00 | $386.03 – $637.54 | 14 |
| Hrv skn cll ssp agrft 1st 25 CPT 15011 | $81.88 | $356.00 | $1,215.82 – $5,010.80 | 13 |
| Hsv dna dir probe CPT 87528 | $13.80 | $60.00 | $13.23 – $21.85 | 14 |
| Htt gene charac alleles CPT 81274 | $189.52 | $824.00 | $181.39 – $299.56 | 14 |
| Htt gene detc abnor alleles CPT 81271 | $94.76 | $412.00 | $90.42 – $149.33 | 14 |
| Human epididymis protein 4 (he4) CPT 86305 | $137.06 | $178.00 | $13.74 – $38.16 | 17 |
| Human ig IV CPT 90283 | not published | not published | $10.00 – $81.87 | 9 |
| Human ig sc CPT 90284 | not published | not published | $16.35 – $16.99 | 3 |
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | not published | not published | $1.01 – $2.65 | 13 |
| Hyaluronidase 150 unit/ml injection solution HCPCS J3470 | not published | not published | $23.83 – $56.92 | 6 |
| Hyaluronidase 200 units/ml inj HCPCS J3471 | not published | not published | $0.47 – $0.71 | 6 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $44.92 | $195.30 | $0.34 – $0.51 | 6 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $13.72 | $59.64 | $4.08 – $7.34 | 6 |
| Hydrocolld drg >16<=48 w/bdr HCPCS A6238 | not published | not published | $16.42 – $58.30 | 13 |
| Hydrocolld drg >16<=48 without b HCPCS A6235 | not published | not published | $12.11 – $43.01 | 13 |
| Hydrocolld drg <=16 in w/bdr HCPCS A6237 | not published | not published | $5.70 – $20.22 | 13 |
| Hydrocolld drg <=16 without bdr HCPCS A6234 | not published | not published | $4.71 – $16.74 | 13 |
| Hydrocolld drg filler paste HCPCS A6240 | not published | not published | $8.82 – $31.31 | 13 |
| Hydrocortisone acetate inj HCPCS J1700 | not published | not published | $0.47 – $2.54 | 4 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $19.38 | $84.25 | $7.50 – $30.00 | 6 |
| Hydrocortisone sodium ph inj HCPCS J1710 | not published | not published | $4.68 – $13.50 | 4 |
| Hydrogel drg <= 16 in w/bdr HCPCS A6245 | not published | not published | $5.24 – $18.59 | 13 |
| Hydrogel drg >48 in without bdr HCPCS A6244 | not published | not published | $28.30 – $100.45 | 13 |
| Hydrogel drg > 48 sq in w/b HCPCS A6247 | not published | not published | $17.13 – $60.81 | 13 |
| Hydrogel drsg gel filler HCPCS A6248 | not published | not published | $11.71 – $41.54 | 13 |
| Hydrogel dsg>16<=48 sq in HCPCS A6232 | not published | not published | $4.94 – $17.55 | 13 |
| Hydrogel dsg<=16 sq in HCPCS A6231 | not published | not published | $3.37 – $11.95 | 13 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | not published | not published | $0.08 – $0.17 | 6 |
| Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge HCPCS J7999 | $42.79 | $186.03 | not published | 0 |
| Hydromorphone 250 mg HCPCS S0092 | not published | not published | $85.09 – $108.84 | 3 |
| Hydromorphone injection HCPCS J1170 | $16.51 | $71.79 | $4.52 – $4.52 | 1 |
| Hydroxocobalamin im 10mcg HCPCS J3425 | not published | not published | $0.01 – $0.02 | 14 |
| Hydroxyurea 500 mg HCPCS S0176 | not published | not published | $0.45 – $0.57 | 3 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | not published | not published | $0.44 – $23.95 | 6 |
| Hydroxyzine pamoate 25 mg capsule HCPCS Q0177 | not published | not published | $0.10 – $0.16 | 4 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $12.42 | $54.00 | $7.00 – $19.51 | 17 |
| Hymenotomy CPT 56442 | $30.82 | $134.00 | $36.11 – $8,709.67 | 16 |
| Hymovis injection 1 mg HCPCS J7322 | not published | not published | $7.19 – $36.62 | 14 |
| Hyoid myotomy & suspension CPT 21685 | $633.65 | $2,755.00 | $80.31 – $16,204.73 | 16 |
| Hyoscyamine sulfate inj HCPCS J1980 | not published | not published | $12.91 – $72.58 | 4 |
| Hyperbaric oxygen therapy CPT 99183 | $68.31 | $297.00 | $85.76 – $168.22 | 10 |
| #hypersens-actinomyces ab CPT 86602 | $6.90 | $30.00 | $6.72 – $11.10 | 14 |
| Hyperthermia ext gen deep CPT 77605 | $64.17 | $279.00 | $80.85 – $1,900.55 | 14 |
| Hyperthermia ext gen supfc CPT 77600 | $46.00 | $200.00 | $58.45 – $720.38 | 16 |
| Hyperthermia gen intrcv prb CPT 77620 | $53.59 | $233.00 | $66.49 – $1,584.60 | 14 |
| Hyperthermia ntrstl prb 5/< CPT 77610 | $44.85 | $195.00 | $56.84 – $1,584.60 | 16 |
| Hyperthermia ntrstl prb>5 CPT 77615 | $63.02 | $274.00 | $79.76 – $1,584.60 | 16 |
| Hypnotherapy CPT 90880 | $55.43 | $241.00 | $61.48 – $253.38 | 15 |
| Hypothermia ill neonate CPT 99184 | $137.31 | $597.00 | $174.83 – $340.64 | 4 |
| Hyqvia 100mg immuneglobulin HCPCS J1575 | not published | not published | $14.74 – $38.61 | 14 |
| Hysterectomy/bladder repair CPT 51925 | $692.30 | $3,010.00 | $70.22 – $2,963.12 | 8 |
| Hysterectomy/revise vagina 58275 CPT 58275 | $640.78 | $2,786.00 | $97.11 – $3,094.06 | 8 |
| Hysterectomy/revise vagina 58280 CPT 58280 | $683.79 | $2,973.00 | $103.80 – $3,077.39 | 8 |
| Hysteroplasty 58540 CPT 58540 | $592.02 | $2,574.00 | $89.85 – $2,467.79 | 8 |
| Hysterorrhaphy of ruptured uterus 59350 CPT 59350 | $179.17 | $779.00 | $44.25 – $1,128.48 | 8 |
| Hysterosalpingography s&i CPT 74740 | $972.51 | $1,263.00 | $14.93 – $662.14 | 16 |
| Hysteroscopy ablation CPT 58563 | $158.24 | $688.00 | $199.20 – $13,522.39 | 17 |
| Hysteroscopy biopsy CPT 58558 | $149.27 | $649.00 | $187.47 – $8,709.67 | 17 |
| Hysteroscopy dx sep proc CPT 58555 | $98.21 | $427.00 | $122.76 – $8,709.67 | 17 |
| Hysteroscopy lysis CPT 58559 | $182.62 | $794.00 | $230.07 – $13,522.39 | 16 |
| Hysteroscopy remove fb CPT 58562 | $142.60 | $620.00 | $179.62 – $8,709.67 | 17 |
| Hysteroscopy remove myoma CPT 58561 | $230.23 | $1,001.00 | $289.90 – $13,522.39 | 16 |
| Hysteroscopy resect septum CPT 58560 | $201.25 | $875.00 | $70.94 – $13,522.39 | 16 |
| Hysterotomy abdominal 59100 CPT 59100 | $553.38 | $2,406.00 | $86.10 – $13,522.39 | 16 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | $72.68 | $316.00 | $10.00 – $366.46 | 11 |
| I-123 iobenguane diag HCPCS A9582 | not published | not published | $1,663.79 – $4,357.10 | 13 |
| I-123 ioflupane diag HCPCS A9584 | not published | not published | $1,113.05 – $2,914.84 | 13 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | not published | not published | $86.02 – $142.57 | 3 |
| I125 iothalamate, dx HCPCS A9554 | not published | not published | $33.66 – $55.79 | 3 |
| I125 serum albumin, dx HCPCS A9532 | not published | not published | $132.92 – $174.33 | 2 |
| I-131 iobenguane sulf diag mibg HCPCS A9508 | not published | not published | $830.42 – $1,603.03 | 3 |
| I131 iodide cap, rx HCPCS A9517 | not published | not published | $18.55 – $48.57 | 13 |
| I131 iodide sol, rx HCPCS A9530 | not published | not published | $7.13 – $43.85 | 13 |
| I131 max 100uci HCPCS A9531 | not published | not published | $2.73 – $3.57 | 2 |
| I131 serum albumin, dx HCPCS A9524 | not published | not published | $71.06 – $117.78 | 3 |
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.