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 |
|---|---|---|---|---|
| Injection for bladder x-ray CPT 51600 | $2,136.75 | $2,775.00 | $32.00 – $68.66 | 14 |
| Injection for hip x-ray CPT 27095 | $52.44 | $228.00 | $50.40 – $1,070.88 | 14 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $1,300.53 | $1,689.00 | $10.00 – $78.81 | 14 |
| Injection for spleen x-ray CPT 38200 | $83.03 | $361.00 | $73.50 – $204.95 | 10 |
| Injection for tear sac x-ray CPT 68850 | $32.89 | $143.00 | $41.81 – $81.06 | 14 |
| Injection for ureter x-ray CPT 50684 | $1,496.88 | $1,944.00 | $41.36 – $80.39 | 14 |
| Injection for ureter x-ray CPT 50690 | $1,850.31 | $2,403.00 | $43.00 – $109.98 | 14 |
| Injection, fosphenytoin sodi HCPCS S0078 | not published | not published | $37.65 – $48.17 | 3 |
| Injection, fulvestrant HCPCS J9395 | not published | not published | $5.87 – $14.65 | 14 |
| Injection glatiramer acetate HCPCS J1595 | not published | not published | $50.85 – $336.82 | 13 |
| Injection, glucarpidase HCPCS C9293 | not published | not published | $419.98 – $461.98 | 2 |
| Injection, inclisiran, 1 mg HCPCS J1306 | not published | not published | $9.90 – $25.94 | 14 |
| Injection into brain canal CPT 61026 | $73.14 | $318.00 | $88.49 – $1,897.02 | 16 |
| Injection into brain canal CPT 61055 | $863.94 | $1,122.00 | $94.59 – $808.61 | 16 |
| Injection into hemorrhoid(s) CPT 46500 | $117.99 | $513.00 | $14.97 – $2,497.44 | 17 |
| Injection into spinal artery CPT 62294 | $625.83 | $2,721.00 | $84.71 – $2,438.77 | 16 |
| Injection into vocal cord CPT 31513 | $84.41 | $367.00 | $106.65 – $1,063.70 | 16 |
| Injection intraop add-on CPT 48400 | $68.54 | $298.00 | $84.66 – $366.69 | 8 |
| Injection, isavuconazonium HCPCS J1833 | not published | not published | $0.81 – $2.12 | 13 |
| Injection jaw joint x-ray CPT 21116 | $473.55 | $615.00 | $23.97 – $70.41 | 14 |
| Injection jugular CPT 36299 | not published | $0.01 | not published | 0 |
| Injection, khapzory, 0.5 mg HCPCS J0642 | not published | not published | $1.06 – $1.76 | 6 |
| Injection, necitumumab, 1 mg HCPCS J9295 | not published | not published | $4.60 – $12.04 | 14 |
| Injection of HIV prep drug HCPCS G0012 | not published | not published | $11.73 – $194.96 | 14 |
| Injection of sinus tract CPT 20500 | $58.42 | $254.00 | $7.32 – $4,057.66 | 18 |
| Injection,onabotulinumtoxina HCPCS J0585 | $524.05 | $2,278.50 | $5.21 – $13.65 | 14 |
| Injection, pentamidine iseth HCPCS S0080 | $134.35 | $584.12 | $99.65 – $127.50 | 3 |
| Injection, peramivir HCPCS J2547 | not published | not published | $1.35 – $3.52 | 13 |
| Injection, piperacillin sodi HCPCS S0081 | not published | not published | $1.78 – $2.73 | 2 |
| Injection px peyronie ds CPT 54200 | $57.04 | $248.00 | $7.16 – $666.22 | 15 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $1,175.79 | $1,527.00 | $25.96 – $1,100.73 | 15 |
| Injection, renflexis HCPCS Q5104 | not published | not published | $20.09 – $52.61 | 14 |
| Injection, ruconest HCPCS J0596 | not published | not published | $29.46 – $77.15 | 14 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $78.66 | $342.00 | $294.03 – $1,897.02 | 13 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $2,026.64 | $2,632.00 | $51.47 – $1,897.02 | 17 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $2,026.64 | $2,632.00 | $21.00 – $1,897.02 | 18 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $2,604.91 | $3,383.00 | $90.78 – $2,438.77 | 17 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $1,953.49 | $2,537.00 | $48.20 – $94.20 | 14 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $2,604.91 | $3,383.00 | $85.56 – $2,438.77 | 17 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $1,953.49 | $2,537.00 | $41.37 – $80.84 | 14 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $2,604.91 | $3,383.00 | $72.01 – $2,438.77 | 17 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $2,533.30 | $3,290.00 | $87.57 – $1,897.02 | 17 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $2,533.30 | $3,290.00 | $80.97 – $1,897.02 | 17 |
| Injection, siltuximab HCPCS J2860 | not published | not published | $129.87 – $340.11 | 14 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $863.94 | $1,122.00 | $18.50 – $808.61 | 18 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $1,079.54 | $1,402.00 | $6.41 – $808.61 | 18 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $1,079.54 | $1,402.00 | $6.41 – $808.61 | 18 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $135.52 | $176.00 | $7.86 – $17.47 | 4 |
| Injection, ticarcillin disod HCPCS S0040 | not published | not published | $13.60 – $20.88 | 2 |
| Injection torsemide 10 mg/ml HCPCS J3265 | not published | not published | $2.19 – $5.34 | 3 |
| Injection treatment of eye CPT 66020 | $83.26 | $362.00 | $10.66 – $6,247.59 | 17 |
| Injection treatment of eye CPT 66030 | $70.38 | $306.00 | $9.04 – $6,247.59 | 17 |
| Injection treatment of nerve CPT 64605 | $276.46 | $1,202.00 | $34.07 – $5,349.21 | 17 |
| Injection treatment of nerve CPT 64610 | $311.65 | $1,355.00 | $38.62 – $5,349.21 | 17 |
| Injection treatment of nerve CPT 64681 | $142.60 | $620.00 | $17.84 – $2,438.77 | 17 |
| Injection treatment of nose CPT 30200 | $38.87 | $169.00 | $48.78 – $1,394.99 | 15 |
| Inject sacroiliac joint CPT 27096 | $2,687.30 | $3,490.00 | $11.16 – $131.61 | 14 |
| Inject/treat eye socket CPT 67500 | $41.63 | $181.00 | $41.38 – $818.86 | 17 |
| Inject/treat eye socket CPT 67505 | $45.77 | $199.00 | $43.20 – $818.86 | 17 |
| Inject/treat eye socket CPT 67515 | $29.67 | $129.00 | $37.02 – $818.86 | 17 |
| Inj, eculizumab-aagh, 2 mg HCPCS Q5151 | not published | not published | $25.14 – $65.84 | 13 |
| Inj, eculizumab-aeeb, 2 mg HCPCS Q5152 | not published | not published | $33.27 – $87.12 | 13 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | not published | not published | $27.05 – $70.85 | 14 |
| Inj eflapegrastim-xnst 0.1mg HCPCS J1449 | not published | not published | $16.93 – $44.35 | 14 |
| Inj., emapalumab-lzsg, 1 mg HCPCS J9210 | not published | not published | $306.04 – $801.44 | 14 |
| Inj., emicizumab-kxwh 0.5 mg HCPCS J7170 | not published | not published | $46.06 – $120.61 | 14 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $2,026.64 | $2,632.00 | $81.08 – $1,897.02 | 17 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $2,604.91 | $3,383.00 | $64.56 – $2,438.77 | 17 |
| Inj, epinephrine (belcher) HCPCS J0173 | not published | not published | $2.38 – $3.11 | 3 |
| Inj., eravacycline, 1 mg HCPCS J0122 | not published | not published | $1.22 – $1.83 | 6 |
| Inj, erzofri, 1 mg HCPCS J2428 | not published | not published | $13.75 – $36.01 | 13 |
| Inj, etelcalcetide, 0.1 mg HCPCS J0606 | not published | not published | $4.01 – $5.29 | 3 |
| Inj, eteplirsen, 10 mg HCPCS J1428 | not published | not published | $163.20 – $215.06 | 3 |
| Inj, evinacumab-dgnb, 5mg HCPCS J1305 | not published | not published | $152.16 – $398.48 | 14 |
| Inj., evomela, 1 mg HCPCS J9246 | not published | not published | $13.93 – $36.48 | 14 |
| Inj, exagamglogene autotem HCPCS J3392 | not published | not published | $1,870,030.80 – $4,897,200.00 | 13 |
| Inj, factor x, (human), 1iu HCPCS J7175 | not published | not published | $7.95 – $20.81 | 14 |
| Inj, faricimab-svoa, 0.1mg HCPCS J2777 | not published | not published | $27.65 – $72.40 | 14 |
| Inj fe-based mr contrast,1ml HCPCS Q9953 | not published | not published | $21.89 – $113.04 | 4 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | not published | not published | $15.20 – $39.80 | 14 |
| Inj fensolvi 0.25 mg HCPCS J1951 | not published | not published | $112.61 – $294.89 | 14 |
| Inj ferric pyrophosphate cit HCPCS J1443 | not published | not published | $0.03 – $0.04 | 3 |
| Inj., fibryga, 1 mg HCPCS J7177 | not published | not published | $0.95 – $2.54 | 14 |
| Inj fluphenazine hcl 1.25 mg HCPCS J2679 | not published | not published | $5.96 – $15.60 | 14 |
| Inj, focinvez, 1mg HCPCS J1434 | not published | not published | $2.30 – $6.02 | 14 |
| Inj follitropin alfa 75 iu HCPCS S0126 | not published | not published | $246.34 – $315.17 | 3 |
| Inj follitropin beta 75 iu HCPCS S0128 | not published | not published | $221.85 – $283.84 | 3 |
| Inj for ext venography CPT 36005 | $874.72 | $1,136.00 | $37.71 – $74.53 | 14 |
| Inj for mammo ductogram CPT 19030 | $774.62 | $1,006.00 | $7.11 – $417.00 | 15 |
| Inj, fosaprepitant (teva) HCPCS J1456 | not published | not published | $0.44 – $2.37 | 14 |
| Inj fosnetupitant, palonoset HCPCS J1454 | not published | not published | $486.24 – $1,273.34 | 14 |
| Inj., fremanezumab-vfrm 1 mg HCPCS J3031 | not published | not published | $3.32 – $4.38 | 3 |
| Inj, fulvestrant (fresenius) HCPCS J9394 | not published | not published | $2.66 – $6.98 | 14 |
| Inj, fulvestrant (teva) HCPCS J9393 | not published | not published | $20.40 – $97.04 | 13 |
| Inj, gadopiclenol, 1 ml HCPCS A9573 | not published | not published | $3.21 – $4.82 | 6 |
| Inj, ganciclovir (exela) HCPCS J1574 | not published | not published | $51.00 – $67.21 | 3 |
| Inj ganirelix acetat 250 mcg HCPCS S0132 | not published | not published | $191.61 – $240.12 | 3 |
| Inj gemcitabine hcl (accord) HCPCS J9196 | not published | not published | $4.99 – $12.19 | 6 |
| Inj givosiran 0.5 mg HCPCS J0223 | not published | not published | $93.97 – $246.10 | 14 |
| Inj glofitamab gxbm, 2.5 mg HCPCS J9286 | not published | not published | $2,221.72 – $5,818.19 | 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.