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 |
|---|---|---|---|---|
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $2.70 | $11.74 | $0.94 – $1.41 | 6 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $2.17 | $9.44 | $0.13 – $0.19 | 3 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | not published | not published | $0.03 – $0.04 | 6 |
| Metyrapone panel CPT 80436 | $63.02 | $274.00 | $60.17 – $151.84 | 17 |
| Mgmt promoter methylation analysis CPT 81287 | $86.02 | $374.00 | $82.26 – $135.86 | 17 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $75.27 | $327.25 | $0.28 – $0.44 | 6 |
| Microalbumin urine screen CPT 82044 | $4.14 | $18.00 | $4.11 – $16.00 | 18 |
| Microbe susceptible mlc CPT 87187 | $27.60 | $120.00 | $14.33 – $43.79 | 17 |
| Microdissection laser CPT 88380 | $33.35 | $145.00 | $42.40 – $68.40 | 4 |
| Microdissection manual CPT 88381 | $897.05 | $1,165.00 | $18.96 – $34.20 | 4 |
| Microfluid analy tears CPT 83861 | $15.64 | $68.00 | $14.84 – $24.50 | 14 |
| Microprcsr cu combo vad, rep HCPCS Q0482 | not published | not published | $2,764.59 – $9,813.80 | 13 |
| Microsatellite instability CPT 81301 | $1,019.48 | $1,324.00 | $230.05 – $505.65 | 17 |
| Microsurg tehniq require use oper micro (add-on)69990 CPT 69990 | $140.07 | $609.00 | $171.47 – $345.52 | 4 |
| Microvolt t-wave assess CPT 93025 | $23.46 | $102.00 | $30.23 – $428.59 | 14 |
| Microwave bronch, 3d, ebus HCPCS C9751 | not published | not published | $2,492.81 – $10,273.72 | 13 |
| Mid and Lower Back (Thoracolumbar Spine) X-ray CPT 72080 | $354.20 | $460.00 | $8.30 – $241.19 | 17 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $27.85 | $121.10 | $0.13 – $0.22 | 6 |
| Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper) HCPCS J2251 | not published | not published | $0.16 – $0.24 | 6 |
| Middle cerebral artery echo CPT 76821 | $21.39 | $93.00 | $27.47 – $291.30 | 16 |
| Mifepristone 200 mg ta HCPCS S0190 | not published | not published | $36.55 – $56.12 | 3 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $70.54 | $306.69 | $1.31 – $1.99 | 6 |
| Milwaukee type superstructur HCPCS L1230 | not published | not published | $372.12 – $1,320.95 | 13 |
| Minocycline hydrochloride HCPCS J2265 | not published | not published | $2.14 – $5.60 | 13 |
| Minoxidil, 10 mg HCPCS S0139 | not published | not published | $0.47 – $0.60 | 3 |
| Miroderm HCPCS Q4175 | not published | not published | $63.88 – $95.82 | 6 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | not published | not published | $55.75 – $145.99 | 14 |
| Misoprostol, oral, 200 mcg HCPCS S0191 | not published | not published | $0.99 – $1.27 | 3 |
| Mitochondrial gene CPT 81440 | not published | not published | $2,193.84 – $3,623.16 | 14 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $508.74 | $2,211.93 | $23.80 – $256.00 | 15 |
| Mitomycin instillation HCPCS J9281 | not published | not published | $254.54 – $666.58 | 14 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | not published | not published | $24.92 – $62.16 | 14 |
| Mitral valve replacement w/bypass 33430 CPT 33430 | $1,779.05 | $7,735.00 | $154.72 – $8,405.53 | 8 |
| Mlh1 gene CPT 81288 | $562.87 | $731.00 | $126.93 – $209.63 | 14 |
| Mlh1 gene dup/delete variant CPT 81294 | $592.90 | $770.00 | $133.58 – $244.06 | 17 |
| Mlh1 gene full seq CPT 81292 | $1,976.59 | $2,567.00 | $445.76 – $827.18 | 17 |
| Mlh1 gene known variants CPT 81293 | not published | not published | $207.25 – $360.79 | 17 |
| Mlt fam grp bhv train 1st 60 CPT 96202 | $13.80 | $60.00 | $17.48 – $33.78 | 8 |
| Mlt fam grp bhv train ea add CPT 96203 | $3.91 | $17.00 | $4.74 – $9.13 | 4 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | $688.16 | $2,992.00 | $12.74 – $35,246.01 | 16 |
| Mnl appl strs jt radiography CPT 77071 | $354.20 | $460.00 | $44.47 – $241.19 | 14 |
| Mnl prep&insj dp rx dlvr dev CPT 20700 | $54.05 | $235.00 | $68.05 – $134.22 | 7 |
| Mnl prep&insj i-artic rx dev CPT 20704 | $96.60 | $420.00 | $120.32 – $237.33 | 7 |
| Mnl prep&insj imed rx dev CPT 20702 | $92.00 | $400.00 | $114.45 – $225.74 | 7 |
| Mnpj anes sho jt fixj aprats CPT 23700 | $128.11 | $557.00 | $2.00 – $4,383.99 | 16 |
| Mnpj elbow under anes CPT 24300 | $290.26 | $1,262.00 | $8.00 – $4,383.99 | 16 |
| Mnpj of tmj w/anesth CPT 21073 | $159.39 | $693.00 | $19.62 – $4,057.66 | 17 |
| Mnt subs tx for change dx HCPCS G0270 | $17.48 | $76.00 | $22.34 – $28.03 | 7 |
| Mobility cart pneum vad, rep HCPCS Q0502 | not published | not published | $394.93 – $1,401.91 | 13 |
| Mobilization of colon 44139 CPT 44139 | $77.05 | $335.00 | $18.08 – $431.25 | 8 |
| Modification of contact lens CPT 92325 | not published | not published | $32.97 – $353.10 | 14 |
| Modified maze/limited 33254 CPT 33254 | $865.72 | $3,764.00 | $75.52 – $2,140.69 | 7 |
| Modified maze/limited /w other op 33257 CPT 33257 | $372.14 | $1,618.00 | $73.27 – $916.20 | 7 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | $248.71 | $323.00 | $9.64 – $41.13 | 17 |
| Molded inner boot HCPCS L2280 | not published | not published | $264.38 – $938.50 | 13 |
| Molded socket shin sach foot HCPCS L5100 | not published | not published | $1,479.26 – $5,251.09 | 13 |
| Mold sckt ext knee shin sach HCPCS L5150 | not published | not published | $1,400.00 – $7,713.23 | 13 |
| Mold socket ank hgt with toe f HCPCS L5010 | not published | not published | $753.29 – $2,674.05 | 13 |
| Mold socket bent knee shin s HCPCS L5160 | not published | not published | $1,400.00 – $8,389.53 | 13 |
| Molecular pathology interpr HCPCS G0452 | $29.44 | $128.00 | $0.02 – $3.74 | 3 |
| Mometasone sinus sinuva HCPCS J7402 | not published | not published | $9.10 – $23.82 | 14 |
| Mon cable elec/pneum vad rep HCPCS Q0486 | not published | not published | $177.73 – $630.89 | 13 |
| Monitor cable elec vad, rep HCPCS Q0485 | not published | not published | $213.52 – $757.97 | 13 |
| Monitor elec vad, rep HCPCS Q0483 | not published | not published | $11,388.88 – $40,428.51 | 13 |
| Monovisc inj per dose HCPCS J7327 | not published | not published | $423.87 – $1,561.35 | 15 |
| Monthly tx for dmht 20mins HCPCS G0553 | $19.78 | $86.00 | $25.08 – $353.01 | 15 |
| Mopath procedure level 1 CPT 81400 | $44.16 | $192.00 | $42.22 – $69.72 | 14 |
| Mopath procedure level 3 CPT 81402 | $103.50 | $450.00 | $99.22 – $163.86 | 14 |
| Mopath procedure level 5 CPT 81404 | $803.88 | $1,044.00 | $181.39 – $299.56 | 14 |
| Mopath procedure level 6 CPT 81405 | $881.65 | $1,145.00 | $198.89 – $328.47 | 14 |
| Mopath procedure level 7 CPT 81406 | $827.75 | $1,075.00 | $186.70 – $308.34 | 14 |
| Mopath procedure level 8 CPT 81407 | $2,476.32 | $3,216.00 | $558.54 – $922.43 | 14 |
| Mopath procedure level 9 CPT 81408 | $5,852.00 | $7,600.00 | $1,320.00 – $2,180.00 | 14 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $10.26 | $44.59 | $1.60 – $6.43 | 6 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | not published | not published | $4.06 – $11.51 | 6 |
| Morphine 500 mg HCPCS S0093 | not published | not published | $8.18 – $10.45 | 3 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $23.31 | $101.36 | $10.18 – $15.27 | 6 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $501.27 | $651.00 | $34.04 – $469.41 | 17 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $27.14 | $118.00 | $35.14 – $985.38 | 17 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $501.27 | $651.00 | $33.39 – $469.41 | 17 |
| Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350 | not published | not published | $523.44 – $1,370.77 | 14 |
| Motion analysis video/3d CPT 96000 | $53.82 | $234.00 | $68.28 – $1,453.47 | 14 |
| Motion test w/ft press meas CPT 96001 | $68.54 | $298.00 | $89.66 – $2,786.93 | 14 |
| Motor &/ sens nrve cndj test CPT 95905 | $1.84 | $8.00 | $2.16 – $1,093.09 | 14 |
| Mouth piece HCPCS A4617 | not published | not published | $2.23 – $7.92 | 13 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | $183.31 | $797.00 | $20.83 – $8,883.72 | 17 |
| M/phmtrc alys ishquant/semiq CPT 88373 | $15.87 | $69.00 | $17.40 – $45.82 | 11 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $501.27 | $651.00 | $51.63 – $469.41 | 17 |
| M/phmtrc alysishquant/semiq CPT 88369 | $21.39 | $93.00 | $20.69 – $55.85 | 11 |
| M/phmtrc alys skeletal musc CPT 88355 | $52.21 | $227.00 | $33.32 – $469.41 | 17 |
| Mpl gene analysis common variants CPT 81338 | $439.67 | $571.00 | $99.22 – $163.86 | 14 |
| M.pneumon dna dir probe CPT 87580 | $13.80 | $60.00 | $13.23 – $21.85 | 14 |
| M.pneumon dna quant CPT 87582 | $208.84 | $908.00 | $199.73 – $329.86 | 14 |
| Mpsv4 vaccine subq CPT 90733 | not published | not published | $133.00 – $204.10 | 4 |
| MRA abdomen post contrast CPT 74185 | $4,640.79 | $6,027.00 | $69.17 – $469.20 | 10 |
| MRA aorta thoracic w/wo contrast CPT 71555 | $5,157.46 | $6,698.00 | $69.46 – $469.20 | 10 |
| MRA chest w IV cont HCPCS C8909 | not published | not published | $237.37 – $978.28 | 13 |
| MRA chest wo IV cont HCPCS C8910 | not published | not published | $160.66 – $662.14 | 13 |
| MRA chest wwo IV cont HCPCS C8911 | not published | not published | $237.37 – $978.28 | 13 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $5,363.82 | $6,966.00 | $69.68 – $469.20 | 10 |
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.