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 |
|---|---|---|---|---|
| Lymph vessel x-ray arm/leg CPT 75801 | $27.60 | $120.00 | $34.20 – $1,693.60 | 16 |
| Lymph vessel x-ray arms/legs CPT 75803 | $35.65 | $155.00 | $39.38 – $4,255.33 | 16 |
| Lymph vessel x-ray trunk CPT 75805 | $24.84 | $108.00 | $31.53 – $8,621.93 | 16 |
| Lymph vessel x-ray trunk CPT 75807 | $33.58 | $146.00 | $39.38 – $8,621.93 | 16 |
| Lysis intranasal synechia 30560 CPT 30560 | $95.68 | $416.00 | $12.36 – $1,394.99 | 17 |
| Lysis of labial adhesions CPT 56441 | $99.59 | $433.00 | $12.74 – $8,709.67 | 18 |
| Lysis penil circumic lesion CPT 54162 | $129.95 | $565.00 | $16.40 – $5,611.47 | 18 |
| Lyumjev for insulin pump use HCPCS J1813 | not published | not published | $14.41 – $21.61 | 6 |
| Macro exam dissect molec study ea CPT 88387 | $17.02 | $74.00 | $5.85 – $9.84 | 11 |
| Macroscopic exam arthropod CPT 87168 | $27.72 | $36.00 | $2.82 – $4.65 | 14 |
| Macroscopic exam parasite CPT 87169 | $28.49 | $37.00 | $2.85 – $4.70 | 14 |
| Magnesium CPT 83735 | $43.89 | $57.00 | $4.42 – $18.90 | 18 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $18.76 | $81.55 | $0.47 – $0.71 | 6 |
| Magnetic image bone marrow CPT 77084 | $48.99 | $213.00 | $62.23 – $662.14 | 16 |
| Makena, 10 mg HCPCS J1726 | not published | not published | $22.34 – $26.41 | 2 |
| Malaria antibody CPT 86750 | $9.20 | $40.00 | $8.70 – $14.38 | 14 |
| Male sling procedure CPT 53440 | $486.45 | $2,115.00 | $49.07 – $35,590.06 | 16 |
| Mammosite ced HCPCS C1728 | $1,794.00 | $7,800.00 | not published | 0 |
| Management of liver hemorrhage 47361 CPT 47361 | $1,937.98 | $8,426.00 | $210.00 – $5,410.63 | 8 |
| Manipulate finger w/anesth CPT 26340 | $236.21 | $1,027.00 | $18.00 – $4,383.99 | 16 |
| Manipulate wrist w/anesthes CPT 25259 | $276.00 | $1,200.00 | $6.00 – $4,383.99 | 16 |
| Manipulation of hip joint CPT 27275 | $120.75 | $525.00 | $15.13 – $4,383.99 | 16 |
| Manipulation of spine CPT 22505 | $97.29 | $423.00 | $10.55 – $4,383.99 | 16 |
| Manipulat palm cord post inj CPT 26341 | $50.60 | $220.00 | $6.42 – $657.10 | 17 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $4.91 | $21.35 | $2.11 – $3.31 | 6 |
| Mannitol for inhaler HCPCS J7665 | not published | not published | $6.71 – $8.85 | 3 |
| Man's shoe oxford brace HCPCS L3225 | not published | not published | $31.20 – $140.82 | 13 |
| Manual diff wbc count b-coat CPT 85009 | $3.68 | $16.00 | $3.34 – $7.20 | 17 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | $109.94 | $478.00 | $39.39 – $166.92 | 10 |
| Mapping io sentinel lymph node CPT 38900 | $88.32 | $384.00 | $109.81 – $218.10 | 7 |
| Map tachycard site(s) CPT 93609 | $171.12 | $744.00 | $105.41 – $339.30 | 10 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | not published | not published | $40.46 – $105.95 | 14 |
| Marker biop eviva buckle ss HCPCS A4648 | $3,841.92 | $16,704.02 | not published | 0 |
| Marker lymphatic sentimag magtrace 10 vial HCPCS A9697 | $465.52 | $2,024.00 | $9,125.55 – $23,897.81 | 13 |
| Marsupialization liver lesion 47300 CPT 47300 | $733.01 | $3,187.00 | $82.37 – $2,092.12 | 8 |
| Mask full face lg af531 HCPCS A7030 | not published | not published | $70.67 – $199.36 | 13 |
| Mastectomy form HCPCS L8020 | not published | not published | $154.80 – $549.53 | 13 |
| Mastectomy partial CPT 19301 | $427.57 | $1,859.00 | $53.40 – $10,489.52 | 16 |
| Mast mod rad CPT 19307 | $763.14 | $3,318.00 | $95.26 – $17,864.20 | 17 |
| Mastoidectomy CPT 69501 | $454.25 | $1,975.00 | $40.69 – $16,204.73 | 16 |
| Mastoidectomy complete 69502 CPT 69502 | $602.83 | $2,621.00 | $54.03 – $16,204.73 | 16 |
| Mastoids complete CPT 70130 | $428.12 | $556.00 | $13.26 – $291.30 | 16 |
| Mastoid surgery revision CPT 69603 | $817.19 | $3,553.00 | $73.21 – $16,204.73 | 16 |
| Mastopexy CPT 19316 | $512.90 | $2,230.00 | $64.33 – $17,864.20 | 14 |
| Mast radical CPT 19305 | $741.29 | $3,223.00 | $92.80 – $1,831.82 | 7 |
| Mast rad urban type CPT 19306 | $790.05 | $3,435.00 | $98.57 – $1,944.90 | 7 |
| Mast simple complete CPT 19303 | $621.69 | $2,703.00 | $77.40 – $17,864.20 | 17 |
| Matrion 1 sq cm HCPCS Q4201 | not published | not published | $74.74 – $112.11 | 6 |
| Matrix bone cryomatrix 2.0ml HCPCS Q4162 | not published | not published | $1,870.00 – $2,957.13 | 3 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | not published | not published | $19.67 – $29.50 | 6 |
| M.avium-intra dna amp prob CPT 87561 | $24.38 | $106.00 | $23.16 – $38.25 | 14 |
| M.avium-intra dna dir prob CPT 87560 | $180.18 | $234.00 | $18.01 – $29.75 | 14 |
| M.avium-intra dna quant CPT 87562 | $29.44 | $128.00 | $28.27 – $46.70 | 14 |
| Maxillofacial fixation CPT 21100 | $233.91 | $1,017.00 | $22.55 – $16,204.73 | 17 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $95.48 | $124.00 | $9.55 – $27.20 | 17 |
| Mayo aathr protein s free CPT 85306 | $100.87 | $131.00 | $10.11 – $33.89 | 17 |
| Mayo activated protein c resistance assay CPT 85307 | $100.87 | $131.00 | $10.11 – $27.10 | 17 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $254.10 | $330.00 | $25.45 – $42.04 | 14 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $753.83 | $979.00 | $11.76 – $18.82 | 9 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $753.83 | $979.00 | $11.32 – $23.29 | 11 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $97.02 | $126.00 | $9.76 – $16.11 | 14 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $753.83 | $979.00 | $19.33 – $24.82 | 4 |
| Mayo alpha 1 antitrypsin CPT 82103 | $88.55 | $115.00 | $8.87 – $27.20 | 17 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $99.33 | $129.00 | $9.96 – $17.60 | 17 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | not published | not published | $15.21 – $25.28 | 9 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $753.83 | $979.00 | $13.88 – $23.41 | 4 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $356.51 | $463.00 | $80.28 – $132.58 | 14 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $268.73 | $349.00 | $60.50 – $160.08 | 17 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $401.17 | $521.00 | $90.42 – $175.36 | 17 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $3,394.16 | $4,408.00 | $765.60 – $1,264.40 | 14 |
| Mayo androstenedione CPT 82157 | $193.27 | $251.00 | $19.33 – $40.00 | 17 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $95.48 | $124.00 | $9.64 – $32.27 | 17 |
| Mayo antithrombin iii antigen CPT 85301 | $70.84 | $92.00 | $7.14 – $23.92 | 17 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $98.56 | $128.00 | $9.93 – $33.28 | 17 |
| Mayo avwpr vw factor activity CPT 85397 | $203.28 | $264.00 | $20.37 – $42.08 | 17 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $231.00 | $300.00 | $23.16 – $44.91 | 17 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $753.83 | $979.00 | $12.00 – $23.29 | 11 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $66.99 | $87.00 | $6.72 – $18.00 | 17 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $423.50 | $550.00 | $95.59 – $157.88 | 14 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | not published | not published | $141.65 – $233.94 | 14 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $84.70 | $110.00 | $8.51 – $28.53 | 17 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | not published | not published | $13.88 – $23.41 | 4 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $87.01 | $113.00 | $8.70 – $45.00 | 18 |
| Mayo brcmg brucella antibody igm CPT 86622 | $58.52 | $76.00 | $5.90 – $17.14 | 17 |
| Mayo c1 esterase inhibitor CPT 83883 | $89.32 | $116.00 | $8.98 – $14.82 | 14 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $753.83 | $979.00 | $12.84 – $23.29 | 11 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $110.88 | $144.00 | $11.13 – $18.39 | 14 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $176.33 | $229.00 | $17.68 – $47.89 | 17 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $358.05 | $465.00 | $80.66 – $213.42 | 17 |
| Mayo ceruloplasmin CPT 82390 | $70.84 | $92.00 | $7.08 – $16.00 | 17 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $93.17 | $121.00 | $9.32 – $15.39 | 14 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $84.70 | $110.00 | $8.50 – $14.04 | 14 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $77.77 | $101.00 | $7.80 – $40.00 | 18 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $83.16 | $108.00 | $8.37 – $28.08 | 17 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $341.11 | $443.00 | $76.88 – $257.60 | 17 |
| Mayo chromium CPT 82495 | $133.98 | $174.00 | $6.00 – $22.11 | 17 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $753.83 | $979.00 | $14.62 – $24.30 | 11 |
| Mayo coccidioides antibody CPT 86635 | $75.46 | $98.00 | $7.57 – $25.36 | 17 |
| Mayo cocou cortisone urine CPT 82542 | $158.62 | $206.00 | $15.90 – $30.83 | 17 |
| Mayo cortisol free CPT 82530 | $110.11 | $143.00 | $11.03 – $57.00 | 18 |
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.