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 |
|---|---|---|---|---|
| Intracranial vessel surgery CPT 61684 | $1,849.20 | $8,040.00 | $210.00 – $8,205.57 | 8 |
| Intracranial vessel surgery CPT 61686 | $2,912.72 | $12,664.00 | $210.00 – $11,818.55 | 8 |
| Intracranial vessel surgery CPT 61690 | $1,423.01 | $6,187.00 | $192.36 – $6,755.90 | 8 |
| Intracranial vessel surgery CPT 61692 | $2,368.54 | $10,298.00 | $210.00 – $9,464.59 | 8 |
| Intranasal biopsy 30100 CPT 30100 | $4,334.33 | $5,629.00 | $28.07 – $4,057.66 | 17 |
| Intranasal reconstruction CPT 30620 | $424.12 | $1,844.00 | $55.17 – $16,204.73 | 16 |
| Intraop colon lavage add-on CPT 44701 | $109.02 | $474.00 | $25.01 – $268.31 | 7 |
| Intraop epicard/endocard/pace/map/ 93631 CPT 93631 | $247.48 | $1,076.00 | $139.41 – $938.38 | 8 |
| Intraop hipec px 1st 60 min CPT 96547 | $329.59 | $1,433.00 | $1,235.31 – $1,235.31 | 1 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | $69.00 | $300.00 | $8.53 – $1,394.99 | 17 |
| Intraoral periapical first HCPCS D0220 | not published | not published | $3.59 – $241.19 | 14 |
| Intrapul surf admin endo tube CPT 94610 | $35.65 | $155.00 | $46.02 – $557.15 | 16 |
| Intrauterine transfusion ftl CPT 36460 | $220.57 | $959.00 | $53.67 – $1,197.56 | 16 |
| Intraventricular pacing CPT 93612 | $100.28 | $436.00 | $64.92 – $20,786.04 | 16 |
| Intrinsic factor antibody CPT 86340 | $99.33 | $129.00 | $9.96 – $33.33 | 17 |
| Intrm oph exam est patient CPT 92012 | $31.97 | $139.00 | $40.88 – $353.01 | 17 |
| Intro cath dialysis circuit CPT 36901 | $4,545.31 | $5,903.00 | $119.24 – $4,255.33 | 17 |
| Intro cath dialysis circuit w/pta CPT 36902 | $16,682.82 | $21,666.00 | $177.66 – $15,618.14 | 17 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | $33,182.38 | $43,094.00 | $243.21 – $31,065.16 | 17 |
| Intro catheter aorta CPT 36200 | $6,210.82 | $8,066.00 | $109.54 – $218.16 | 14 |
| Intro cath svc/ivc CPT 36010 | $9,184.56 | $11,928.00 | $85.81 – $170.01 | 14 |
| Intro long gi tube CPT 44500 | $2,743.51 | $3,563.00 | $15.35 – $2,568.25 | 16 |
| Intro long gi tube w/mult fluo CPT 74340 | $940.94 | $1,222.00 | $10.50 – $97.12 | 8 |
| Intro windpipe wire/tube CPT 31730 | $95.91 | $417.00 | $118.43 – $4,723.83 | 17 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $5,169.01 | $6,713.00 | $69.99 – $138.98 | 8 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | $4,922.61 | $6,393.00 | $55.73 – $110.58 | 8 |
| Intubation endotracheal emergency procedure CPT 31500 | $679.91 | $883.00 | $72.00 – $636.12 | 17 |
| Io anal gast n-stim init CPT 95980 | $28.75 | $125.00 | $35.97 – $71.38 | 4 |
| Io anal gast n-stim subsq CPT 95981 | $11.27 | $49.00 | $14.30 – $162.71 | 15 |
| Iodine i-123 sod iodide mil HCPCS A9509 | not published | not published | $152.34 – $2,832.11 | 2 |
| Iodine i-125 sodium iodide HCPCS A9527 | not published | not published | $29.41 – $571.36 | 13 |
| Iodine i-131 iobenguane 1mci HCPCS A9590 | not published | not published | $326.80 – $476.65 | 3 |
| Io ga n-stim subsq w/reprog CPT 95982 | $23.69 | $103.00 | $24.79 – $102.15 | 15 |
| Ionm in operatng room 15 min CPT 95940 | $854.70 | $1,110.00 | $26.13 – $50.75 | 4 |
| Ionm remote/>1 pt or per hr CPT 95941 | $169.28 | $736.00 | $26.13 – $129.69 | 2 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $31.56 | $137.20 | $0.37 – $0.63 | 6 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $81.22 | $353.15 | $0.14 – $0.21 | 6 |
| Io radiation tx management CPT 77469 | $209.07 | $909.00 | $261.43 – $507.98 | 4 |
| Io rad tx deliver by elctrns CPT 77425 | not published | not published | $285.08 – $20,940.51 | 13 |
| Io rad tx delivery by x-ray CPT 77424 | not published | not published | $285.08 – $20,940.51 | 13 |
| Ioxaglate 39.3%-19.6% inj 200 ml HCPCS Q9964 | not published | not published | $0.29 – $1.07 | 3 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | not published | not published | $154.42 – $385.17 | 14 |
| Ip/obs cnsltj new/est low 45 CPT 99253 | $67.62 | $294.00 | $48.00 – $304.39 | 10 |
| Ip/obs cnsltj new/est mod 60 CPT 99254 | $94.07 | $409.00 | $78.40 – $421.98 | 10 |
| Ip/obs consltj new/est hi 80 CPT 99255 | $125.81 | $547.00 | $78.40 – $572.64 | 10 |
| Ip/obs consltj new/est sf 35 CPT 99252 | $48.30 | $210.00 | $48.00 – $227.96 | 10 |
| Ipratropium bromide comp HCPCS J7645 | not published | not published | $0.03 – $3.29 | 3 |
| Ipratropium bromide non-comp HCPCS J7644 | not published | not published | $0.37 – $0.56 | 6 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | not published | not published | $1.32 – $2.57 | 6 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | not published | not published | $52.33 – $137.04 | 14 |
| Iron CPT 83540 | $42.35 | $55.00 | $4.27 – $17.85 | 18 |
| Iron binding capacity CPT 83550 | $57.75 | $75.00 | $5.00 – $24.15 | 18 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $300.14 | $1,304.94 | $14.46 – $37.85 | 15 |
| Iron stain peripheral blood CPT 85536 | $4.60 | $20.00 | $4.54 – $11.46 | 17 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $253.82 | $1,103.55 | $0.21 – $0.77 | 6 |
| Irradiation of blood product each unit reference CPT 86945 | $257.95 | $335.00 | $22.56 – $107.52 | 14 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $174.02 | $226.00 | $19.48 – $162.71 | 15 |
| Irrigation sphenoid sinus CPT 31002 | $118.68 | $516.00 | $15.49 – $4,057.66 | 16 |
| Irrigation syringe HCPCS A4322 | not published | not published | $2.13 – $7.56 | 13 |
| Irrigation tray HCPCS A4320 | not published | not published | $3.62 – $12.85 | 13 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | $16.33 | $71.00 | $20.91 – $162.71 | 17 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | not published | not published | $66.45 – $174.01 | 14 |
| Island pedicle flap graft CPT 15740 | $543.95 | $2,365.00 | $68.52 – $5,010.80 | 17 |
| IV cipaglucosidase alfa-atga HCPCS G0138 | not published | not published | $142.91 – $1,781.91 | 14 |
| Ivc venogram s&i CPT 75825 | $12,662.65 | $16,445.00 | $15.75 – $8,621.93 | 16 |
| IV Fluids (each additional hour) CPT 96361 | $135.52 | $176.00 | $9.00 – $126.39 | 17 |
| IV Fluids (first hour) CPT 96360 | $616.77 | $801.00 | $26.23 – $577.14 | 17 |
| Ivig non-lyophilized, nos HCPCS J1599 | not published | not published | $151.98 – $216.35 | 2 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $135.52 | $176.00 | $11.43 – $52.00 | 11 |
| IV inj ra drug dx study CPT 78808 | not published | not published | $32.09 – $1,100.73 | 14 |
| IV Medicine Infusion (additional drug) CPT 96367 | $208.67 | $271.00 | $19.24 – $194.96 | 17 |
| IV Medicine Infusion (each additional hour) CPT 96366 | $135.52 | $176.00 | $12.29 – $126.39 | 17 |
| IV Medicine Infusion (first hour) CPT 96365 | $616.77 | $801.00 | $39.30 – $577.14 | 17 |
| IV njx tst vasc flo flap/grf CPT 15860 | $68.54 | $298.00 | $85.39 – $1,093.09 | 14 |
| IV Push Injection (each additional drug) CPT 96375 | $135.52 | $176.00 | $12.43 – $126.39 | 16 |
| IV Push Injection (first drug) CPT 96374 | $616.77 | $801.00 | $29.67 – $577.14 | 17 |
| Ivp w/nephrotomography CPT 74415 | $716.10 | $930.00 | $18.84 – $487.65 | 16 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $716.10 | $930.00 | $19.05 – $487.65 | 16 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | not published | not published | $116.75 – $291.21 | 14 |
| Jak2 targeted sequence analysis CPT 81279 | $542.08 | $704.00 | $122.23 – $237.06 | 17 |
| Jaw arthroscopy/surgery CPT 29800 | $347.53 | $1,511.00 | $43.64 – $8,887.94 | 16 |
| Jaw arthroscopy/surgery CPT 29804 | $385.25 | $1,675.00 | $48.70 – $8,887.94 | 16 |
| Jaw Joint (TMJ) X-ray (both sides, open and closed) CPT 70330 | $354.20 | $460.00 | $9.41 – $241.19 | 17 |
| Jaw (Mandible) X-ray (complete) CPT 70110 | $428.12 | $556.00 | $9.70 – $291.30 | 17 |
| Jejunstmy tube plcmt CPT 44372 | $152.72 | $664.00 | $192.34 – $5,196.41 | 16 |
| John cunningham antibody CPT 86711 | $110.88 | $144.00 | $11.14 – $25.33 | 17 |
| J-tube placement CPT 44015 | $90.39 | $393.00 | $112.36 – $729.58 | 8 |
| Kafo dbl solid stirrup band/ HCPCS L2020 | not published | not published | $720.42 – $2,557.33 | 13 |
| Kafo dbl solid stirrup without j HCPCS L2030 | not published | not published | $653.98 – $2,321.48 | 13 |
| Kafo fem fx cast molded to p HCPCS L2128 | not published | not published | $1,081.10 – $3,837.73 | 13 |
| Kafo fem fx cast semi-rigid HCPCS L2134 | not published | not published | $625.45 – $2,220.25 | 13 |
| Kafo fem fx cast thermoplas HCPCS L2126 | not published | not published | $763.46 – $2,710.14 | 13 |
| Kafo femoral fx cast rigid HCPCS L2136 | not published | not published | $746.52 – $2,650.02 | 13 |
| Kafo femoral fx cast soft HCPCS L2132 | not published | not published | $586.14 – $2,080.69 | 13 |
| Kafo pla sin up w/wo k/a cus HCPCS L2034 | not published | not published | $1,235.22 – $4,384.81 | 13 |
| Kafo plas sing free knee mol HCPCS L2037 | not published | not published | $1,041.76 – $3,698.05 | 13 |
| Kafo plastic pediatric size HCPCS L2035 | not published | not published | $106.08 – $376.56 | 13 |
| Kafo sing fre stirr thi/calf HCPCS L2000 | not published | not published | $613.34 – $2,177.21 | 13 |
| Kafo sng/dbl mechanical act HCPCS L2005 | not published | not published | $2,484.20 – $8,818.46 | 13 |
| Kafo sng solid stirrup without j HCPCS L2010 | not published | not published | $572.15 – $2,031.04 | 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.