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 |
|---|---|---|---|---|
| Infect ag eia influenza a or b ea CPT 87400 | $93.17 | $121.00 | $6.09 – $15.40 | 17 |
| Infect ag genotype na cytomegalovirus CPT 87910 | $1,694.77 | $2,201.00 | $169.92 – $452.96 | 17 |
| Infect ag genotype na dna hepatitis b CPT 87912 | not published | not published | $169.92 – $452.96 | 17 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $88.78 | $386.00 | $84.96 – $231.86 | 17 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $1,694.77 | $2,201.00 | $169.92 – $455.39 | 17 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | $215.60 | $280.00 | $21.63 – $77.00 | 18 |
| Infect ag ia optc obs chlamydia trach CPT 87810 | $24.38 | $106.00 | $23.29 – $38.47 | 14 |
| Infect ag ia optc obs influenza CPT 87804 | $109.34 | $142.00 | $10.92 – $31.50 | 18 |
| Infect ag if ea plyvlnt antsrm CPT 87300 | $8.28 | $36.00 | $6.09 – $13.06 | 17 |
| Infect ag if hep delta agent CPT 87380 | $12.88 | $56.00 | $12.12 – $36.30 | 17 |
| Infect ag if influenza a CPT 87276 | $106.26 | $138.00 | $10.60 – $17.52 | 14 |
| Infect ag if influenza b CPT 87275 | $80.85 | $105.00 | $8.09 – $19.49 | 17 |
| Infect ag if legionella pneumophila CPT 87278 | $102.41 | $133.00 | $10.30 – $17.00 | 14 |
| Infect ag if nos ea CPT 87299 | $11.04 | $48.00 | $10.63 – $17.55 | 14 |
| Infect ag if pneumocystis carinii CPT 87281 | $79.31 | $103.00 | $7.91 – $19.49 | 17 |
| Infect ag if varicella zoster CPT 87290 | $9.20 | $40.00 | $8.86 – $14.63 | 14 |
| Infect ag na chlamydia trachomatis qnt CPT 87492 | $36.80 | $160.00 | $35.29 – $63.38 | 17 |
| Infect ag na hep b amp CPT 87516 | $231.00 | $300.00 | $23.16 – $38.25 | 14 |
| Infect ag na herpes simplex quant CPT 87530 | $282.59 | $367.00 | $28.27 – $46.70 | 14 |
| Infect ag na hpv high-risk types CPT 87624 | $231.00 | $300.00 | $23.16 – $61.14 | 17 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $630.63 | $819.00 | $63.23 – $153.30 | 18 |
| Infect ag na influenza revr/amp ea type CPT 87501 | $35.42 | $154.00 | $33.87 – $92.45 | 17 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $338.03 | $439.00 | $33.87 – $63.63 | 17 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $2,743.51 | $3,563.00 | $275.08 – $733.33 | 17 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | $337.18 | $1,466.00 | $322.52 – $777.26 | 17 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | $17.94 | $78.00 | $17.20 – $45.25 | 17 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | $271.81 | $353.00 | $11.51 – $45.10 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $79.31 | $103.00 | $7.91 – $13.06 | 14 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | $9.20 | $40.00 | $8.86 – $19.49 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $90.86 | $118.00 | $9.12 – $15.06 | 14 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $79.31 | $103.00 | $7.91 – $19.70 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $94.71 | $123.00 | $9.49 – $15.67 | 14 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $67.76 | $88.00 | $6.82 – $22.67 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $67.76 | $88.00 | $6.82 – $18.27 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $158.62 | $206.00 | $15.90 – $59.00 | 18 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $79.31 | $103.00 | $7.91 – $13.06 | 14 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $79.31 | $103.00 | $7.91 – $13.06 | 14 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $79.31 | $103.00 | $7.91 – $19.49 | 17 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $231.00 | $300.00 | $23.16 – $111.00 | 18 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $231.00 | $300.00 | $23.16 – $38.25 | 18 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $244.86 | $318.00 | $24.60 – $64.35 | 17 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $2,743.51 | $3,563.00 | $275.08 – $454.29 | 14 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $231.00 | $300.00 | $23.16 – $38.25 | 14 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $24.38 | $106.00 | $23.16 – $62.77 | 17 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $274.12 | $356.00 | $27.51 – $45.43 | 14 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $231.00 | $300.00 | $23.16 – $38.25 | 18 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $338.03 | $439.00 | $33.87 – $102.00 | 18 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $939.40 | $1,220.00 | $94.14 – $180.58 | 17 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $939.40 | $1,220.00 | $94.14 – $180.58 | 17 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $231.00 | $300.00 | $23.16 – $71.40 | 15 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $231.00 | $300.00 | $23.16 – $61.28 | 17 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | $505.12 | $656.00 | $50.67 – $83.68 | 14 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $2,743.51 | $3,563.00 | $275.08 – $454.29 | 14 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | $88.32 | $384.00 | $84.67 – $139.84 | 14 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $1,885.73 | $2,449.00 | $173.57 – $286.66 | 14 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $282.59 | $367.00 | $28.27 – $46.70 | 14 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $282.59 | $367.00 | $28.27 – $63.44 | 17 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $282.59 | $367.00 | $28.27 – $63.44 | 17 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $560.56 | $728.00 | $56.17 – $185.74 | 17 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $939.40 | $1,220.00 | $94.14 – $225.71 | 17 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | not published | not published | $25.00 – $65.48 | 14 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | not published | not published | $16.75 – $43.86 | 14 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | not published | not published | $11.55 – $41.33 | 14 |
| Influenza dna amp prob addl CPT 87503 | $20.24 | $88.00 | $19.28 – $37.41 | 17 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | not published | not published | $10.00 – $97.10 | 11 |
| Influenza virus vaccine, live trivalent intranasal CPT 90660 | not published | not published | $10.00 – $33.56 | 10 |
| Inf lwr xtr fscl pln blk uni w/wo image CPT 64474 | $2,026.64 | $2,632.00 | $60.23 – $140.77 | 8 |
| Infratemporal approach/skull CPT 61591 | $1,982.14 | $8,618.00 | $210.00 – $8,959.08 | 8 |
| Infratemporal approach/skull CPT 61590 | $1,934.99 | $8,413.00 | $210.00 – $8,542.34 | 8 |
| Inf thrc fascial pln blk bi w/wo image CPT 64469 | $3,039.19 | $3,947.00 | $65.56 – $153.03 | 8 |
| Inf thrc fascial pln blk uni w/wo image CPT 64467 | $2,026.64 | $2,632.00 | $62.48 – $145.93 | 8 |
| Infuse radioactive materials CPT 77750 | $171.58 | $746.00 | $47.60 – $720.38 | 16 |
| Ingest challenge ea addl 60 min CPT 95079 | $43.70 | $190.00 | $51.76 – $107.81 | 14 |
| Ingest challenge ini 120 min CPT 95076 | $47.38 | $206.00 | $56.27 – $1,453.47 | 17 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $483.56 | $628.00 | $31.20 – $557.15 | 16 |
| Init ak ischal plstr direct HCPCS L5505 | not published | not published | $880.00 – $3,820.31 | 13 |
| Init bk ptb plaster direct HCPCS L5500 | not published | not published | $720.00 – $2,820.95 | 13 |
| Initial care training 30 m HCPCS G0539 | $29.90 | $130.00 | $38.31 – $88.37 | 7 |
| Initial custom socket insert HCPCS L5683 | not published | not published | $798.99 – $2,836.32 | 13 |
| Initial foot exam pt lops HCPCS G0245 | $25.30 | $110.00 | $32.71 – $353.01 | 16 |
| Initial hosp neonate 28 d/less than not critically ill 99477 CPT 99477 | $216.66 | $942.00 | $264.58 – $892.00 | 8 |
| Initial nursing facility care/day 35 minutes CPT 99305 | $85.56 | $372.00 | $70.00 – $324.00 | 10 |
| Initial nursing facility care/day 45 minutes CPT 99306 | $116.84 | $508.00 | $93.00 – $381.15 | 10 |
| Initial nursing facility care/day low severity 99304 CPT 99304 | $51.75 | $225.00 | $45.00 – $228.00 | 10 |
| Initial observation care CPT 99218 | not published | not published | $214.12 – $214.12 | 1 |
| Initial observation care CPT 99219 | not published | not published | $345.84 – $345.84 | 1 |
| Initial observation care CPT 99220 | not published | not published | $453.76 – $453.76 | 1 |
| Init nb em per day non-fac CPT 99461 | $38.87 | $169.00 | $49.87 – $229.00 | 9 |
| Init pm e/m new pat 65+ yrs CPT 99387 | $82.80 | $360.00 | $32.00 – $382.20 | 6 |
| Init/sub psych care m 1st 30 HCPCS G2214 | $24.61 | $107.00 | $30.34 – $253.38 | 17 |
| Inj, abilify asimtufii, 1 mg HCPCS J0402 | not published | not published | $4.84 – $12.67 | 14 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | not published | not published | $5.80 – $15.20 | 15 |
| Inj acetaminoph 10mg/ibu 3mg HCPCS J0138 | not published | not published | $0.17 – $0.46 | 14 |
| Inj, acetaminophen (b braun) HCPCS J0136 | not published | not published | $0.05 – $0.07 | 6 |
| Inj acetaminophen -fresenius HCPCS J0134 | not published | not published | $0.04 – $0.08 | 6 |
| Inj, acetaminophen (hikma) HCPCS J0137 | not published | not published | $0.03 – $0.07 | 6 |
| Inj. acthar gel to 40 units HCPCS J0801 | not published | not published | $3,827.83 – $5,925.21 | 6 |
| Inj, adalimumab, 1 mg HCPCS J0139 | not published | not published | $73.55 – $192.62 | 13 |
| Inj adalimumab-ryvk, 1 mg HCPCS Q5142 | not published | not published | $8.53 – $22.33 | 13 |
| Inj, adstiladrin, per tx dos HCPCS J9029 | not published | not published | $50,865.36 – $133,205.21 | 14 |
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.