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 |
|---|---|---|---|---|
| Lith ion batt cid, ear level HCPCS L8624 | not published | not published | $97.96 – $347.74 | 13 |
| Lith ion batt cid,non-earlvl HCPCS L8623 | not published | not published | $39.29 – $139.50 | 13 |
| Lithium ion battery charger HCPCS L7368 | not published | not published | $306.56 – $1,088.25 | 13 |
| Lithium therapeutic drug level CPT 80178 | $43.12 | $56.00 | $4.37 – $23.00 | 18 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $12,512.50 | $16,250.00 | $117.67 – $273.80 | 4 |
| Litt icr 1 traj 1 smpl les CPT 61736 | $793.50 | $3,450.00 | $852.18 – $1,931.54 | 4 |
| Litt icr mlt trj mlt/cplx ls CPT 61737 | $941.85 | $4,095.00 | $1,017.71 – $2,325.93 | 4 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | $784.30 | $3,410.00 | $87.85 – $1,945.17 | 8 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | $515.90 | $670.00 | $116.28 – $225.52 | 17 |
| Liver elastography 91200 CPT 91200 | $572.11 | $743.00 | $8.57 – $428.59 | 16 |
| Liver Function Test CPT 80076 | $53.90 | $70.00 | $5.39 – $23.10 | 18 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | $916.09 | $3,983.00 | $104.80 – $2,306.89 | 8 |
| Liver imaging CPT 78201 | $13.11 | $57.00 | $16.35 – $1,474.48 | 16 |
| Liver imaging (3d) CPT 78205 | not published | not published | $127.55 – $127.55 | 1 |
| Liver imag w/vasclr flow CPT 78202 | $15.41 | $67.00 | $19.14 – $1,474.48 | 16 |
| Liver/spleen imag static only CPT 78215 | $1,028.72 | $1,336.00 | $18.57 – $1,100.73 | 16 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $17.48 | $76.00 | $21.11 – $1,100.73 | 16 |
| Lmtd oph exam general anes CPT 92019 | $46.69 | $203.00 | $59.25 – $6,390.66 | 16 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | $304.06 | $1,322.00 | $12.18 – $8,887.94 | 17 |
| Lockingelbow forearm cntrbal HCPCS L6693 | not published | not published | $1,724.48 – $6,121.59 | 13 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $36.02 | $156.59 | $0.51 – $2.55 | 6 |
| Lomustine 10 mg HCPCS S0178 | not published | not published | $114.74 – $146.80 | 3 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | not published | not published | $173.81 – $455.16 | 14 |
| Long tongue stirrup HCPCS L2265 | not published | not published | $54.40 – $242.80 | 13 |
| Loop ostmy bridg ster HCPCS A4421 | not published | not published | $1.92 – $1.92 | 1 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $20.83 | $90.58 | $1.24 – $1.86 | 6 |
| Lo rig pos pnl l1-l5 pre ots HCPCS L0641 | not published | not published | $41.48 – $94.67 | 13 |
| Lo sag rig pnl stays pre cst HCPCS L0626 | not published | not published | $47.25 – $167.72 | 13 |
| Loudness balance test CPT 92562 | not published | not published | $15.24 – $853.02 | 16 |
| Low back disk surgery CPT 63030 | $596.62 | $2,594.00 | $81.53 – $19,568.78 | 16 |
| Low cost skin substitute app HCPCS C5271 | $1,791.79 | $2,327.00 | $406.86 – $1,676.80 | 13 |
| Low cost skin substitute app HCPCS C5273 | $5,352.27 | $6,951.00 | $1,215.82 – $5,010.80 | 13 |
| Low cost skin substitute app HCPCS C5275 | $1,791.79 | $2,327.00 | $406.86 – $1,676.80 | 13 |
| Low cost skin substitute app HCPCS C5277 | not published | not published | $406.86 – $1,676.80 | 13 |
| Low cost skin substitute app HCPCS C5272 | $418.11 | $543.00 | not published | 0 |
| Low cost skin substitute app HCPCS C5274 | $3,006.85 | $3,905.00 | not published | 0 |
| Low cost skin substitute app HCPCS C5276 | $418.11 | $543.00 | not published | 0 |
| Low-Dose Lung Cancer Screening CT Scan CPT 71271 | $1,128.05 | $1,465.00 | $42.00 – $291.30 | 16 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $2,360.82 | $3,066.00 | $49.20 – $487.65 | 16 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $3,787.63 | $4,919.00 | $47.31 – $978.28 | 16 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $1,128.05 | $1,465.00 | $38.73 – $291.30 | 16 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $3,918.53 | $5,089.00 | $73.50 – $978.28 | 16 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $3,135.44 | $4,072.00 | $69.35 – $978.28 | 16 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $2,122.12 | $2,756.00 | $57.76 – $662.14 | 16 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $428.12 | $556.00 | $8.85 – $291.30 | 17 |
| Lower Back (Lumbar Spine) X-ray (4 or more views) CPT 72110 | $534.38 | $694.00 | $10.25 – $291.30 | 17 |
| Lower Back (Lumbar Spine) X-ray (with bending views) CPT 72114 | $534.38 | $694.00 | $11.86 – $291.30 | 17 |
| Lower jaw bone graft CPT 21215 | $514.97 | $2,239.00 | $64.47 – $16,204.73 | 17 |
| Lower Leg (Shin) X-ray (both sides) CPT 73590 | $354.20 | $460.00 | $6.35 – $241.19 | 17 |
| Low frequency non-thermal Ultrasound CPT 97610 | $581.35 | $755.00 | $14.75 – $544.30 | 15 |
| Loxapine for inhalation 1 mg HCPCS J2062 | not published | not published | $15.30 – $20.16 | 3 |
| Lsh uterus 250 g or less CPT 58541 | $472.42 | $2,054.00 | $71.70 – $28,519.39 | 16 |
| Lsh uterus above 250 g CPT 58543 | $543.95 | $2,365.00 | $82.58 – $28,519.39 | 16 |
| Lsh w/t/o ut 250 g or less CPT 58542 | $535.90 | $2,330.00 | $81.37 – $28,519.39 | 16 |
| Lsh w/t/o uterus above 250 g CPT 58544 | $585.35 | $2,545.00 | $88.72 – $28,519.39 | 16 |
| Lso corset front HCPCS L0972 | not published | not published | $70.14 – $249.01 | 13 |
| Lso flex no ri stays pre ots HCPCS L0628 | not published | not published | $44.64 – $101.88 | 13 |
| Lso full corset HCPCS L0976 | not published | not published | $92.87 – $329.66 | 13 |
| Lso r post pnl sj-t9 pre cst HCPCS L0630 | not published | not published | $98.18 – $348.52 | 13 |
| Lso sag-coronal panel custom HCPCS L0638 | not published | not published | $799.57 – $2,838.33 | 13 |
| Lso sag-co shell pnl pre ots HCPCS L0651 | not published | not published | $632.16 – $1,442.64 | 13 |
| Lso sag ctr rigi pos pre ots HCPCS L0643 | not published | not published | $86.19 – $196.69 | 13 |
| Lso sagit rigid panel prefab HCPCS L0635 | not published | not published | $555.92 – $1,973.42 | 13 |
| Lso sagittal rigid panel cus HCPCS L0636 | not published | not published | $822.96 – $2,921.38 | 13 |
| Lso sc r pos/lat pnl pre cst HCPCS L0633 | not published | not published | $173.85 – $617.13 | 13 |
| Lso sc r pos/lat pnl pre ots HCPCS L0649 | not published | not published | $152.62 – $348.29 | 13 |
| Lso s/c shell/panel custom HCPCS L0640 | not published | not published | $634.38 – $2,251.96 | 13 |
| Lso s/c shell/panel prefab HCPCS L0639 | not published | not published | $651.27 – $2,311.89 | 13 |
| L/s ratio fetal lung CPT 83661 | $15.18 | $66.00 | $14.51 – $35.20 | 17 |
| Lubricant per ounce HCPCS A4402 | not published | not published | $1.00 – $3.57 | 13 |
| Lumbar bolster pad HCPCS L1030 | not published | not published | $36.95 – $131.16 | 13 |
| Lumbar derotation pad HCPCS L1240 | not published | not published | $50.31 – $178.57 | 13 |
| Lumbar diskogram s&i CPT 72295 | $25.53 | $111.00 | $25.20 – $5,349.21 | 16 |
| Lumbar or lumbar rib pad HCPCS L1040 | not published | not published | $48.35 – $171.65 | 13 |
| Lumbar sling HCPCS L1090 | not published | not published | $68.72 – $243.92 | 13 |
| Lumbar Spinal Fusion (single level) CPT 22612 | $1,025.57 | $4,459.00 | $127.58 – $50,375.76 | 16 |
| Lumizyme injection HCPCS J0221 | not published | not published | $165.68 – $433.89 | 14 |
| Lung Function Test Before and After an Inhaler CPT 94060 | $739.97 | $961.00 | $7.98 – $853.02 | 17 |
| Lung function test (mbc/mvv) CPT 94200 | $2.07 | $9.00 | $2.16 – $162.71 | 17 |
| Lung Function Test (Spirometry) CPT 94010 | $371.91 | $483.00 | $6.30 – $428.59 | 17 |
| Lung perfusion imaging CPT 78580 | $1,028.72 | $1,336.00 | $28.21 – $1,100.73 | 16 |
| Lung transplant double CPT 32853 | $2,915.71 | $12,677.00 | $210.00 – $9,179.26 | 8 |
| Lung transplant single CPT 32851 | $2,083.11 | $9,057.00 | $210.00 – $7,342.54 | 8 |
| Lung transplant with bypass CPT 32852 | $2,244.34 | $9,758.00 | $210.00 – $7,963.04 | 8 |
| Lung transplant with bypass CPT 32854 | $3,082.69 | $13,403.00 | $210.00 – $9,800.60 | 8 |
| Lung volume reduction 32491 CPT 32491 | $940.47 | $4,089.00 | $116.97 – $3,929.24 | 5 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | not published | not published | $165.29 – $432.86 | 14 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | not published | not published | $33.65 – $88.12 | 14 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | not published | not published | $250.74 – $656.64 | 13 |
| Lutetium lu 177 vipivotide HCPCS A9607 | not published | not published | $203.02 – $531.68 | 13 |
| Lvad shower bag heartmate HCPCS Q0501 | not published | not published | $310.20 – $1,101.15 | 13 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | $20.01 | $87.00 | $13.42 – $67.09 | 17 |
| Lwr ext dynamic prosth pylon HCPCS L5985 | not published | not published | $171.54 – $608.91 | 13 |
| Lyme dis dna dir probe CPT 87475 | $13.80 | $60.00 | $13.23 – $36.35 | 17 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | $458.85 | $1,995.00 | $63.27 – $2,144.56 | 8 |
| Lymphatics/lymph node imaging CPT 78195 | $1,378.30 | $1,790.00 | $45.40 – $1,474.48 | 16 |
| Lymphocyte culture mixed CPT 86821 | $25.30 | $110.00 | $24.13 – $124.85 | 17 |
| Lymphocyte transformation mitogen CPT 86353 | $34.04 | $148.00 | $32.36 – $108.40 | 17 |
| Lymphocytotoxicity assay CPT 86805 | $130.64 | $568.00 | $44.07 – $206.57 | 17 |
| Lymphocytotoxicity assay CPT 86806 | $313.39 | $407.00 | $31.41 – $70.51 | 17 |
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.