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 |
|---|---|---|---|---|
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $277.20 | $360.00 | $11.16 – $45.92 | 17 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $80.08 | $104.00 | $8.00 – $26.80 | 17 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | $753.83 | $979.00 | $17.12 – $27.39 | 9 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | not published | not published | $20.39 – $33.89 | 9 |
| Mayo cyanide CPT 82600 | $127.82 | $166.00 | $12.80 – $27.20 | 17 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | $501.27 | $651.00 | $43.66 – $469.41 | 17 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $87.01 | $113.00 | $8.74 – $23.20 | 17 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $166.32 | $216.00 | $16.68 – $33.60 | 17 |
| Mayo dihydrotestosterone CPT 82642 | $193.27 | $251.00 | $19.33 – $31.92 | 14 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | $6.44 | $28.00 | $6.36 – $26.00 | 15 |
| Mayo efpo chloride stool CPT 82438 | $33.11 | $43.00 | $3.00 – $5.45 | 17 |
| Mayo estriol CPT 82677 | $159.39 | $207.00 | $15.96 – $28.00 | 17 |
| Mayo estrone CPT 82679 | $164.78 | $214.00 | $13.00 – $27.20 | 17 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $107.80 | $140.00 | $10.78 – $20.80 | 17 |
| Mayo everolimus therapeutic drug level CPT 80169 | $90.86 | $118.00 | $9.06 – $23.97 | 17 |
| Mayo factor ii CPT 85210 | $85.47 | $111.00 | $4.00 – $14.15 | 17 |
| Mayo factor v CPT 85220 | $116.27 | $151.00 | $5.00 – $19.24 | 17 |
| Mayo factor vii CPT 85230 | $117.81 | $153.00 | $5.00 – $19.51 | 17 |
| Mayo factor viii vw factor antigen CPT 85246 | $150.92 | $196.00 | $15.14 – $50.74 | 17 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $150.92 | $196.00 | $15.14 – $50.74 | 17 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $150.92 | $196.00 | $15.14 – $50.74 | 17 |
| Mayo factor x CPT 85260 | $117.81 | $153.00 | $11.81 – $19.51 | 17 |
| Mayo factor xi CPT 85270 | $117.81 | $153.00 | $11.81 – $19.51 | 17 |
| Mayo fat/lipids feces quantitative CPT 82710 | $110.11 | $143.00 | $4.02 – $18.31 | 17 |
| Mayo fbl culture fungi blood CPT 87103 | $134.75 | $175.00 | $12.46 – $22.30 | 17 |
| Mayo fdp/fsp paracoagulation CPT 85366 | $55.66 | $242.00 | $11.79 – $87.70 | 17 |
| Mayo ffspg allergen clam igg CPT 86001 | $51.59 | $67.00 | $5.16 – $9.25 | 17 |
| Mayo fibrinogen antigen CPT 85385 | $95.48 | $124.00 | $9.55 – $15.86 | 17 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $142.45 | $185.00 | $14.30 – $23.62 | 17 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $475.86 | $618.00 | $113.30 – $113.30 | 1 |
| Mayo hemosiderin qualitative urine CPT 83070 | $3.22 | $14.00 | $3.00 – $5.18 | 17 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $231.00 | $300.00 | $23.16 – $38.25 | 14 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $231.00 | $300.00 | $23.16 – $38.25 | 14 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $90.86 | $118.00 | $9.10 – $27.65 | 17 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $169.40 | $220.00 | $12.00 – $28.13 | 17 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $58.52 | $76.00 | $5.86 – $30.00 | 18 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $89.32 | $116.00 | $8.92 – $22.13 | 17 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $179.41 | $233.00 | $17.93 – $32.80 | 17 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $113.19 | $147.00 | $11.40 – $18.82 | 14 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $98.56 | $128.00 | $9.89 – $32.78 | 17 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $137.06 | $178.00 | $13.74 – $36.82 | 17 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $137.06 | $178.00 | $13.74 – $46.02 | 17 |
| Mayo inf agt nucleic acid amp prb helicobacter pylori clarithromycin resistance CPT 87513 | not published | not published | $23.16 – $38.25 | 14 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $106.26 | $138.00 | $10.60 – $39.00 | 15 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $79.31 | $103.00 | $7.91 – $19.70 | 17 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $24.38 | $106.00 | $23.16 – $62.77 | 17 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $231.00 | $300.00 | $23.16 – $44.91 | 17 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $231.00 | $300.00 | $23.16 – $38.25 | 14 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | $231.00 | $300.00 | $23.16 – $38.25 | 14 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $282.59 | $367.00 | $28.27 – $77.66 | 17 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | $211.75 | $275.00 | $47.64 – $92.40 | 17 |
| Mayo infliximab therapeutic drug level CPT 80230 | $254.10 | $330.00 | $25.45 – $42.04 | 14 |
| Mayo inhab inhibin a CPT 86336 | $102.41 | $133.00 | $10.29 – $16.99 | 14 |
| Mayo insft insulin free CPT 83527 | $85.47 | $111.00 | $8.55 – $28.64 | 17 |
| Mayo insulin antibodies CPT 86337 | $140.91 | $183.00 | $11.00 – $23.34 | 17 |
| Mayo iodine CPT 83789 | $158.62 | $206.00 | $15.92 – $26.28 | 14 |
| Mayo itraconazole therapeutic drug level CPT 80189 | $178.64 | $232.00 | $17.90 – $34.70 | 17 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $178.64 | $232.00 | $17.90 – $29.55 | 14 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $87.01 | $113.00 | $8.74 – $23.15 | 17 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $83.93 | $109.00 | $8.44 – $17.60 | 17 |
| Mayo legionella antibody CPT 86713 | $100.87 | $131.00 | $10.10 – $33.36 | 17 |
| Mayo leptospira antibody igm CPT 86720 | $11.04 | $48.00 | $10.69 – $29.15 | 17 |
| Mayo lipoprotein electrophoresis CPT 83700 | $73.92 | $96.00 | $7.44 – $20.13 | 17 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $101.64 | $132.00 | $10.22 – $42.09 | 18 |
| Mayo manganese CPT 83785 | $175.56 | $228.00 | $17.59 – $29.05 | 14 |
| Mayo metanephrines plasma CPT 83835 | $110.88 | $144.00 | $11.18 – $20.80 | 17 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | $753.83 | $979.00 | $17.06 – $28.37 | 11 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $79.31 | $103.00 | $7.95 – $23.55 | 17 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $121.66 | $158.00 | $12.14 – $23.55 | 17 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $95.48 | $124.00 | $7.91 – $15.86 | 17 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $123.20 | $160.00 | $12.30 – $24.48 | 17 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $401.17 | $521.00 | $90.42 – $149.33 | 14 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | $542.08 | $704.00 | $122.23 – $201.87 | 14 |
| Mayo muramidase CPT 85549 | $123.97 | $161.00 | $12.38 – $26.30 | 17 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $121.66 | $158.00 | $12.14 – $20.06 | 14 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $118.58 | $154.00 | $11.91 – $31.52 | 17 |
| Mayo myoglobin CPT 83874 | $84.70 | $110.00 | $8.53 – $24.00 | 17 |
| Mayo nickel CPT 83885 | $161.70 | $210.00 | $11.00 – $26.72 | 17 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | $753.83 | $979.00 | $13.88 – $33.89 | 11 |
| Mayo opatu opioid/analogs definitive assay 1 or 2 CPT 80362 | $753.83 | $979.00 | $19.33 – $33.89 | 11 |
| Mayo opatu oxycodone definitive assay CPT 80365 | $753.83 | $979.00 | $19.33 – $53.52 | 11 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $139.37 | $181.00 | $14.00 – $29.12 | 17 |
| Mayo organic acids qualitative each specimen CPT 83919 | $108.57 | $141.00 | $10.86 – $29.12 | 17 |
| Mayo oxalate 24 hour urine CPT 83945 | $95.48 | $124.00 | $9.54 – $20.80 | 17 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | $76.23 | $99.00 | $7.61 – $19.70 | 17 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $98.56 | $128.00 | $9.92 – $33.23 | 17 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $79.31 | $103.00 | $7.95 – $22.05 | 17 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $231.00 | $300.00 | $23.16 – $63.63 | 17 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $118.58 | $154.00 | $11.87 – $32.38 | 17 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $90.86 | $118.00 | $9.09 – $20.80 | 17 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $55.44 | $72.00 | $2.00 – $9.20 | 17 |
| Mayo pregnenolone CPT 84140 | $136.29 | $177.00 | $13.64 – $45.73 | 17 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $109.34 | $142.00 | $10.95 – $27.20 | 17 |
| Mayo proinsulin CPT 84206 | $175.56 | $228.00 | $8.00 – $29.09 | 17 |
| Mayo psaft prostate specific antigen free CPT 84154 | $121.66 | $158.00 | $12.13 – $32.54 | 17 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $121.66 | $158.00 | $12.14 – $20.06 | 14 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | $9.20 | $40.00 | $8.82 – $19.20 | 17 |
| Mayo receptor assay transferrin soluble CPT 84238 | $241.01 | $313.00 | $22.00 – $39.86 | 17 |
| Mayo renin CPT 84244 | $144.76 | $188.00 | $12.00 – $23.97 | 17 |
| Mayo repu protein electrophoresis urine CPT 84166 | $117.04 | $152.00 | $11.77 – $22.05 | 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.