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 |
|---|---|---|---|---|
| MRA pelvis CPT 72198 | $5,363.82 | $6,966.00 | $69.17 – $469.20 | 10 |
| MRA pelvis w IV cont HCPCS C8918 | not published | not published | $237.37 – $978.28 | 13 |
| MRA pelvis wo IV cont HCPCS C8919 | not published | not published | $160.66 – $662.14 | 13 |
| MRA spinal canal CPT 72159 | $54.74 | $238.00 | $69.98 – $520.67 | 10 |
| MRA upper extremity post contrast-bil CPT 73225 | $5,835.83 | $7,579.00 | $67.19 – $469.20 | 10 |
| MRA w/cont, abd HCPCS C8900 | not published | not published | $237.37 – $978.28 | 13 |
| MRA w/cont, lwr ext HCPCS C8912 | not published | not published | $237.37 – $978.28 | 13 |
| Mra, w/dye, spinal canal HCPCS C8931 | not published | not published | $237.37 – $978.28 | 13 |
| Mra, w/dye, upper extremity HCPCS C8934 | not published | not published | $237.37 – $978.28 | 13 |
| MRA without cont, abd HCPCS C8901 | not published | not published | $160.66 – $662.14 | 13 |
| MRA without cont, lwr ext HCPCS C8913 | not published | not published | $160.66 – $662.14 | 13 |
| Mra, without dye, spinal canal HCPCS C8932 | not published | not published | $160.66 – $662.14 | 13 |
| Mra, without dye, upper extr HCPCS C8935 | not published | not published | $160.66 – $662.14 | 13 |
| MRA without fol w/cont, abd HCPCS C8902 | not published | not published | $237.37 – $978.28 | 13 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | not published | not published | $237.37 – $978.28 | 13 |
| MRA without fol w/cont, pelvis HCPCS C8920 | not published | not published | $237.37 – $978.28 | 13 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | not published | not published | $237.37 – $978.28 | 13 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | not published | not published | $237.37 – $978.28 | 13 |
| Mr elastography CPT 76391 | $33.58 | $146.00 | $42.84 – $662.14 | 14 |
| Mrgfus strtctc ablt trgt icr CPT 61715 | $779.93 | $3,391.00 | $960.32 – $34,159.85 | 14 |
| MRI brain w/dye CPT 70558 | $107.41 | $467.00 | $118.32 – $487.65 | 16 |
| MRI brain without dye CPT 70557 | $97.06 | $422.00 | $121.49 – $1,501.96 | 16 |
| MRI brain without & w/dye CPT 70559 | $101.89 | $443.00 | $118.32 – $487.65 | 16 |
| MRI breast c- unilateral CPT 77046 | $2,122.12 | $2,756.00 | $56.17 – $662.14 | 16 |
| MRI breast c-+ w/cad uni CPT 77048 | $64.40 | $280.00 | $81.57 – $304.35 | 10 |
| MRI breast without cont bi CPT 77047 | $48.76 | $212.00 | $61.96 – $662.14 | 16 |
| MRI breast w IV cont bi CPT 77049 | $70.61 | $307.00 | $89.31 – $302.85 | 10 |
| MRI cardiac morph & func wo IV cont CPT 75557 | $71.07 | $309.00 | $90.31 – $662.14 | 16 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $78.89 | $343.00 | $100.01 – $978.28 | 16 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | $90.16 | $392.00 | $114.55 – $2,164.21 | 16 |
| MRI chest without contrast CPT 71550 | $2,122.12 | $2,756.00 | $56.66 – $662.14 | 16 |
| MRI chest without & w/contrast CPT 71552 | $3,918.53 | $5,089.00 | $87.64 – $978.28 | 16 |
| MRI chest w IV cont CPT 71551 | $6,935.39 | $9,007.00 | $67.19 – $2,164.21 | 16 |
| MRI compatible system HCPCS L0859 | not published | not published | $799.66 – $2,838.68 | 13 |
| MRI fetal ea addl gestation CPT 74713 | $57.04 | $248.00 | $71.93 – $139.72 | 4 |
| MRI fetal sngl/1st gestation CPT 74712 | $92.23 | $401.00 | $116.72 – $662.14 | 14 |
| MRI guid ndl plc s&i CPT 77021 | $45.54 | $198.00 | $57.92 – $277.46 | 10 |
| MRI guid parenchymal tiss ablation CPT 77022 | $128.34 | $558.00 | $162.12 – $315.18 | 7 |
| MRI hyperpolarized xenon129 HCPCS C9791 | not published | not published | $831.16 – $3,425.49 | 13 |
| MRI loex nonjt w IV cont CPT 73719 | $3,135.44 | $4,072.00 | $62.80 – $978.28 | 16 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $2,122.12 | $2,756.00 | $52.27 – $662.14 | 16 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $3,918.53 | $5,089.00 | $73.50 – $978.28 | 16 |
| MRI orbit fac&nck w IV cont CPT 70542 | $3,135.44 | $4,072.00 | $62.80 – $978.28 | 16 |
| MRI tmj CPT 70336 | $2,122.12 | $2,756.00 | $57.23 – $662.14 | 16 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $2,122.12 | $2,756.00 | $52.80 – $662.14 | 16 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $3,918.53 | $5,089.00 | $73.50 – $978.28 | 16 |
| MRI upper extremity w/dye CPT 73219 | $3,135.44 | $4,072.00 | $63.07 – $978.28 | 16 |
| MRI w/cont, breast, bi HCPCS C8906 | not published | not published | $237.37 – $978.28 | 13 |
| MRI w/cont, breast, uni HCPCS C8903 | not published | not published | $118.32 – $487.65 | 13 |
| MRI without fol w/cont, breast HCPCS C8908 | not published | not published | $237.37 – $978.28 | 13 |
| MRI without fol w/cont, brst, un HCPCS C8905 | not published | not published | $237.37 – $978.28 | 13 |
| Mr safety determination physician/other qhp CPT 76016 | $773.08 | $1,004.00 | $23.24 – $241.19 | 14 |
| Mr safety implant elec prepj CPT 76018 | $805.42 | $1,046.00 | $29.09 – $251.44 | 14 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | $161.70 | $210.00 | $42.39 – $97.13 | 3 |
| Mr safety implt pos&/immoblj CPT 76019 | $521.29 | $677.00 | $22.85 – $162.71 | 14 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | $214.83 | $279.00 | $8.80 – $67.09 | 14 |
| Mr sfty med physics xm cstmz CPT 76017 | $2,122.12 | $2,756.00 | $29.58 – $662.14 | 14 |
| Mr spectroscopy CPT 76390 | not published | not published | $40.86 – $241.19 | 14 |
| Msh2 gene dup/delete variant CPT 81297 | $623.70 | $810.00 | $121.37 – $232.50 | 17 |
| Msh2 gene full seq CPT 81295 | $1,117.27 | $1,451.00 | $121.37 – $416.05 | 17 |
| Msh2 gene known variants CPT 81296 | not published | not published | $103.62 – $368.13 | 17 |
| Msh6 gene dup/delete variant CPT 81300 | $696.08 | $904.00 | $129.34 – $259.42 | 17 |
| Msh6 gene full seq CPT 81298 | $1,878.03 | $2,439.00 | $230.26 – $699.62 | 17 |
| Msh6 gene known variants CPT 81299 | not published | not published | $128.99 – $335.72 | 17 |
| Mt bone graft microvasc CPT 20957 | $1,773.07 | $7,709.00 | $210.00 – $8,218.17 | 8 |
| Mthfr gene analy common variants CPT 81291 | $190.96 | $248.00 | $43.12 – $71.22 | 14 |
| M.tuberculo dna dir probe CPT 87555 | $18.40 | $80.00 | $17.74 – $29.30 | 14 |
| M.tuberculo dna quant CPT 87557 | $29.44 | $128.00 | $28.27 – $46.70 | 14 |
| Mucin synovial fluid CPT 83872 | $4.14 | $18.00 | $3.87 – $8.00 | 17 |
| Mucopolysaccharides CPT 83864 | $19.78 | $86.00 | $18.00 – $31.07 | 17 |
| Mucormycosis antibody CPT 86732 | $10.58 | $46.00 | $9.90 – $16.35 | 14 |
| Mult fam adapt bhv tx gdn CPT 97157 | not published | not published | $6.88 – $81.60 | 14 |
| Multi-axial knee/shin system HCPCS L5840 | not published | not published | $2,266.32 – $8,045.05 | 13 |
| Multi-axial rotation unit HCPCS L5986 | not published | not published | $394.17 – $1,399.24 | 13 |
| Multi den insert custom mold HCPCS A5513 | not published | not published | $27.88 – $98.97 | 13 |
| Multi den insert direct form HCPCS A5512 | not published | not published | $18.68 – $66.32 | 13 |
| Multi-durometer below knee HCPCS L5665 | not published | not published | $316.81 – $1,124.63 | 13 |
| Multi-durometer symes HCPCS L5661 | not published | not published | $414.20 – $1,470.33 | 13 |
| Multi family grp psychotherapy CPT 90849 | $19.78 | $86.00 | $24.40 – $440.12 | 17 |
| Multifocal erg w/i&r CPT 92274 | $21.16 | $92.00 | $26.86 – $428.59 | 16 |
| Multiple sleep latency test CPT 95805 | $1,940.40 | $2,520.00 | $37.31 – $1,453.47 | 16 |
| Multipo locking shoulder jnt HCPCS L6646 | not published | not published | $1,915.81 – $6,800.79 | 13 |
| Mumps antibody igg CPT 86735 | $85.47 | $111.00 | $8.61 – $35.70 | 15 |
| Muscle-skin graft arm CPT 15736 | $784.07 | $3,409.00 | $98.60 – $5,010.80 | 16 |
| Muscle-skin graft leg CPT 15738 | $814.43 | $3,541.00 | $102.50 – $10,028.47 | 16 |
| Muscle-skin graft trunk CPT 15734 | $968.99 | $4,213.00 | $121.12 – $10,028.47 | 16 |
| Muscle test cran nerv unilat CPT 95867 | $1,138.83 | $1,479.00 | $10.50 – $853.02 | 16 |
| Muscle test hemidiaphragm CPT 95866 | $41.63 | $181.00 | $5.73 – $428.59 | 16 |
| Muscle test larynx CPT 95865 | $472.01 | $613.00 | $17.86 – $353.10 | 16 |
| Muscle test one fiber CPT 95872 | $93.84 | $408.00 | $14.70 – $428.59 | 16 |
| Muscle transfers CPT 23397 | $738.30 | $3,210.00 | $92.79 – $19,568.78 | 16 |
| Muscle transfer shoulder/arm CPT 23395 | $833.75 | $3,625.00 | $22.00 – $19,568.78 | 16 |
| Musc myoq/fscq flp h&n pedcl CPT 15733 | $663.32 | $2,884.00 | $83.53 – $10,028.47 | 16 |
| Musc/tdn transfer upr a/e 1 CPT 24301 | $490.13 | $2,131.00 | $48.00 – $19,568.78 | 16 |
| Mycobacteria dna amp probe CPT 87551 | $317.24 | $412.00 | $31.83 – $52.58 | 14 |
| Mycobacteria dna dir probe CPT 87550 | $13.80 | $60.00 | $13.23 – $21.85 | 14 |
| Mycobacteria dna quant CPT 87552 | $29.44 | $128.00 | $28.27 – $46.70 | 14 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | not published | not published | $0.15 – $0.22 | 6 |
| Mycophenolic acid HCPCS J7518 | not published | not published | $0.35 – $0.63 | 6 |
| Mycoplasma antibody igm CPT 86738 | $87.01 | $113.00 | $8.73 – $29.15 | 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.