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 selenium CPT 84255 | $168.63 | $219.00 | $16.85 – $27.83 | 14 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | $10.58 | $46.00 | $10.23 – $16.90 | 14 |
| Mayo serotonin CPT 84260 | $204.05 | $265.00 | $20.45 – $49.60 | 17 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $127.05 | $165.00 | $12.77 – $34.24 | 17 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $90.86 | $118.00 | $9.06 – $24.54 | 17 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $512.05 | $665.00 | not published | 0 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $27.72 | $36.00 | $2.82 – $15.00 | 18 |
| Mayo tau phosphorylated 217 each CPT 84393 | not published | not published | $20.90 – $20.90 | 1 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | $611.38 | $794.00 | $137.88 – $227.72 | 14 |
| Mayo tgrp testosterone free CPT 84402 | $167.86 | $218.00 | $16.81 – $87.00 | 18 |
| Mayo tgrp testosterone total CPT 84403 | $169.40 | $220.00 | $17.04 – $88.00 | 18 |
| Mayo thiopurine s-methyltransferase CPT 84433 | $146.30 | $190.00 | $14.63 – $28.38 | 17 |
| Mayo thyroglobulin CPT 84432 | $106.26 | $138.00 | $10.60 – $34.82 | 17 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $66.99 | $87.00 | $6.72 – $18.00 | 17 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $81.62 | $106.00 | $8.17 – $13.51 | 14 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | $753.83 | $979.00 | $19.33 – $23.41 | 4 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | $338.03 | $439.00 | $33.85 – $92.86 | 17 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $93.17 | $121.00 | $9.35 – $23.01 | 17 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $89.32 | $116.00 | $8.93 – $23.60 | 17 |
| Mayo vasoactive intestinal peptide CPT 84586 | $232.54 | $302.00 | $23.32 – $78.13 | 17 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $133.21 | $173.00 | $8.00 – $22.06 | 17 |
| Mayo vitamin b3 (niacin) CPT 84591 | $112.42 | $146.00 | $11.26 – $18.60 | 14 |
| Mayo vitamin k CPT 84597 | $90.09 | $117.00 | $9.05 – $14.95 | 14 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $87.01 | $113.00 | $8.74 – $23.15 | 17 |
| Maze/extensive/w/card/pulm bypass 33259 CPT 33259 | $540.50 | $2,350.00 | $108.77 – $1,331.61 | 7 |
| Mcoln1 gene CPT 81290 | $27.14 | $118.00 | $25.95 – $42.85 | 14 |
| Mcp joint arthroscopy dx CPT 29900 | $331.43 | $1,441.00 | $20.00 – $8,887.94 | 16 |
| Mcp joint arthroscopy surg CPT 29901 | $355.12 | $1,544.00 | $20.00 – $8,887.94 | 16 |
| Mcp joint arthroscopysurg 29902 CPT 29902 | $376.28 | $1,636.00 | $47.24 – $4,383.99 | 16 |
| Mcrscp xm hair pluck/clipped CPT 96902 | $13.57 | $59.00 | $16.31 – $31.67 | 4 |
| Mdfc flap w/prsrv vasc pedcl CPT 15730 | $586.27 | $2,549.00 | $74.54 – $10,028.47 | 17 |
| Md inr test revie inter mgmt HCPCS G0250 | not published | not published | $7.18 – $9.02 | 3 |
| Md service required for pmd HCPCS G0372 | $5.52 | $24.00 | $7.17 – $22.00 | 4 |
| Meas lung vol thru 2 yrs CPT 94013 | $11.96 | $52.00 | $15.18 – $1,453.47 | 14 |
| Measure kidney pressure CPT 50396 | $74.06 | $322.00 | $75.50 – $1,828.40 | 16 |
| Measurement post void urine by ultrasound CPT 51798 | $174.02 | $226.00 | $9.07 – $162.71 | 16 |
| Measure ureter pressure CPT 50686 | $57.04 | $248.00 | $71.90 – $428.59 | 17 |
| Mecasermin injection HCPCS J2170 | not published | not published | $149.99 – $412.48 | 3 |
| Mech hip extension assist HCPCS L5855 | not published | not published | $191.09 – $678.34 | 13 |
| Mechlorethamine hcl inj HCPCS J9230 | not published | not published | $119.79 – $404.17 | 3 |
| #mec-opiates CPT 80356 | not published | not published | $19.33 – $23.41 | 4 |
| Mecp2 gene dup/delet variant CPT 81304 | not published | not published | $99.00 – $322.53 | 17 |
| Mecp2 gene full seq CPT 81302 | not published | not published | $348.39 – $748.21 | 17 |
| Mecp2 gene known variant CPT 81303 | not published | not published | $79.20 – $316.27 | 17 |
| Med genetics&genetic counseling svcs each 30 min CPT 96041 | $31.97 | $139.00 | $37.17 – $78.88 | 9 |
| Medial canthopexy CPT 21280 | $376.74 | $1,638.00 | $48.10 – $8,883.72 | 16 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | $257.37 | $1,119.00 | $318.92 – $15,982.03 | 16 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | $197.34 | $858.00 | $244.55 – $15,982.03 | 16 |
| Medical services after hrs CPT 99050 | not published | not published | $14.62 – $198.00 | 11 |
| Medical testimony CPT 99075 | $80.96 | $352.00 | $315.00 – $475.87 | 2 |
| Med physic dos eval rad exps CPT 76145 | not published | not published | $352.67 – $1,453.47 | 14 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | not published | not published | $0.57 – $0.65 | 3 |
| Med serv 10pm-8am 24 hr fac CPT 99053 | not published | not published | $19.32 – $31.82 | 3 |
| Med serv eve/wkend/holiday CPT 99051 | not published | not published | $19.32 – $31.82 | 4 |
| Megestrol 20 mg tabs 100 each bottle HCPCS S0179 | not published | not published | $0.28 – $0.37 | 3 |
| Meg evoked each addl CPT 95967 | $110.17 | $479.00 | $89.23 – $339.27 | 4 |
| Meg evoked single CPT 95966 | $127.42 | $554.00 | $85.95 – $2,786.93 | 14 |
| Meg spontaneous CPT 95965 | $260.82 | $1,134.00 | $103.41 – $2,786.93 | 14 |
| Melphalan oral 2 mg HCPCS J8600 | not published | not published | $5.09 – $11.95 | 4 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | not published | not published | $221.86 – $343.67 | 6 |
| Membrane amnioband 2x2cm -cost per sq cm HCPCS Q4151 | not published | not published | $129.43 – $194.13 | 6 |
| Membrane amnio clarix 4x3cm 1k -cost per sq cm HCPCS Q4155 | not published | not published | $25.76 – $38.64 | 6 |
| Membrane amniotic barrier 4x4cm-q4163-cost per sq cm HCPCS Q4163 | not published | not published | $171.87 – $257.79 | 6 |
| Membrane collgn porcine maci w/autologous cult chondrocytes HCPCS J7330 | not published | not published | $61,878.30 – $91,452.37 | 4 |
| Membrane placenta tiss biodfence g3 2x2cm-4sqcm-q4116-cost per sq cm HCPCS Q4140 | not published | not published | $155.50 – $233.24 | 6 |
| Membrane placenta tiss enverse sheet 2x3cm-cost per sq cm HCPCS Q4258 | not published | not published | $73.42 – $116.61 | 6 |
| Memoderm/derma/tranz/integup HCPCS Q4126 | not published | not published | $56.43 – $84.63 | 6 |
| Menacwy-tt menb-fhbp vacc im CPT 90623 | not published | not published | $10.00 – $334.87 | 10 |
| Meniscal trnspl knee w/scpe CPT 29868 | $1,080.54 | $4,698.00 | $135.23 – $19,568.78 | 14 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $2.04 | $8.88 | $1.63 – $22.21 | 7 |
| Meperidine/promethazine inj HCPCS J2180 | not published | not published | $2.00 – $12.25 | 5 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | not published | not published | $25.12 – $65.78 | 14 |
| Mercaptopurine 50 mg HCPCS S0108 | not published | not published | $2.91 – $3.72 | 3 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $4.83 | $21.00 | $0.39 – $0.62 | 6 |
| Mesh ez derm 7x18 xenograft porcine -cost per sq cm HCPCS Q4136 | not published | not published | $101.94 – $101.94 | 1 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | $161.23 | $701.00 | $45.84 – $399.12 | 7 |
| Mesh tiss ovitex lpr 15x15x25cm 6mm oval HCPCS C9364 | not published | not published | $18.39 – $20.23 | 2 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | not published | not published | $1.26 – $2.06 | 6 |
| Metabolic Blood Panel (Basic) CPT 80048 | $55.44 | $72.00 | $5.59 – $23.10 | 18 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $69.30 | $90.00 | $6.97 – $29.40 | 18 |
| Metabolic panel ionized ca CPT 80047 | $9.66 | $42.00 | $9.06 – $19.06 | 17 |
| Metal frame recipro hip & ca HCPCS L2628 | not published | not published | $1,032.28 – $3,664.39 | 13 |
| Metatarsal joint implant HCPCS L8641 | not published | not published | $216.59 – $768.87 | 13 |
| Metered dose inhaler drug HCPCS J3535 | not published | not published | $18.71 – $18.71 | 1 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | not published | not published | $1.61 – $2.45 | 6 |
| Methadone injection HCPCS J1230 | not published | not published | $2.01 – $32.42 | 6 |
| Methadone oral 5mg HCPCS S0109 | not published | not published | $0.31 – $0.40 | 3 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | $13.68 | $59.50 | $4.52 – $8.57 | 6 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | not published | not published | $0.18 – $3.00 | 7 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $3.41 | $14.81 | $2.13 – $6.00 | 7 |
| Methotrexate therapeutic drug level CPT 80204 | $254.10 | $330.00 | $25.45 – $42.04 | 14 |
| Methyl aminolevulinate, top HCPCS J7309 | not published | not published | $83.69 – $123.64 | 2 |
| Methyldopate hcl injection HCPCS J0210 | not published | not published | $16.64 – $65.25 | 3 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $977.42 | $4,249.67 | $4.21 – $16.50 | 13 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $25.18 | $109.48 | $9.04 – $31.21 | 6 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | not published | not published | $1.36 – $1.80 | 3 |
| Methylphenidate CPT 80360 | $753.83 | $979.00 | $13.88 – $23.41 | 4 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | not published | not published | $0.22 – $0.33 | 6 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | not published | not published | $0.10 – $0.37 | 15 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | not published | not published | $0.21 – $0.54 | 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.