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 |
|---|---|---|---|---|
| Pelvic band & belt thigh fla HCPCS L2192 | not published | not published | $237.82 – $844.22 | 13 |
| Pelvic control band & belt b HCPCS L2640 | not published | not published | $195.18 – $692.82 | 13 |
| Pelvic control band & belt u HCPCS L2630 | not published | not published | $143.82 – $510.52 | 13 |
| Pelvic control hip heavy dut HCPCS L2620 | not published | not published | $175.79 – $624.03 | 13 |
| Pelvic control pelvic sling HCPCS L2580 | not published | not published | $140.80 – $956.83 | 13 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $2,360.82 | $3,066.00 | $47.04 – $487.65 | 16 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,888.04 | $2,452.00 | $45.07 – $487.65 | 16 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,128.05 | $1,465.00 | $42.29 – $291.30 | 16 |
| Pelvic exenteration CPT 45126 | $1,750.76 | $7,612.00 | $265.44 – $4,348.01 | 4 |
| Pelvic & hip control thigh c HCPCS L1680 | not published | not published | $707.63 – $2,511.97 | 13 |
| Pelvic MRI (with and without contrast) CPT 72197 | $3,918.53 | $5,089.00 | $85.20 – $978.28 | 16 |
| Pelvic MRI (with contrast) CPT 72196 | $3,135.44 | $4,072.00 | $66.92 – $978.28 | 16 |
| Pelvic MRI (without contrast) CPT 72195 | $2,122.12 | $2,756.00 | $56.93 – $662.14 | 16 |
| Pelvic ring fracture uni/bil HCPCS G0413 | $690.92 | $3,004.00 | $86.54 – $19,568.78 | 16 |
| Pelvic ring fx treat int fix HCPCS G0414 | $652.51 | $2,837.00 | $81.66 – $1,053.04 | 6 |
| Pelvic Ultrasound (complete) CPT 76856 | $583.66 | $758.00 | $26.59 – $291.30 | 17 |
| Pelvic Ultrasound (limited) CPT 76857 | $583.66 | $758.00 | $13.65 – $291.30 | 17 |
| Pelvis X-ray (1 to 2 views) CPT 72170 | $428.12 | $556.00 | $6.90 – $291.30 | 17 |
| Pelvis X-ray (complete, 4 or more views) CPT 72190 | $534.38 | $694.00 | $9.97 – $291.30 | 17 |
| Pelv & thor control gluteal HCPCS L2650 | not published | not published | $83.10 – $295.00 | 13 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | not published | not published | $46.96 – $122.98 | 14 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | not published | not published | $3.14 – $7.84 | 14 |
| Pemivibart infusion HCPCS M0224 | not published | not published | $299.43 – $1,234.05 | 16 |
| Peng benzathine/procaine inj HCPCS J0558 | not published | not published | $13.93 – $36.47 | 15 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | not published | not published | $23.50 – $61.53 | 15 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $30.72 | $133.58 | $0.75 – $1.24 | 6 |
| Penicillin g procaine inj HCPCS J2510 | not published | not published | $8.82 – $99.10 | 13 |
| Penile injection CPT 54235 | $711.48 | $924.00 | $60.14 – $666.22 | 15 |
| Penile vascular study CPT 93980 | $38.18 | $166.00 | $46.93 – $291.30 | 16 |
| Penile vascular study CPT 93981 | $13.57 | $59.00 | $17.10 – $291.30 | 16 |
| Penile venous occlusion CPT 37790 | $314.18 | $1,366.00 | $31.70 – $9,447.74 | 16 |
| Penis plastic surgery CPT 54360 | $466.21 | $2,027.00 | $58.78 – $9,447.74 | 16 |
| Penis study CPT 54240 | $41.63 | $181.00 | $35.32 – $853.02 | 16 |
| Pentamidine non-comp unit HCPCS J2545 | not published | not published | $77.71 – $116.55 | 6 |
| Pentastarch 10% solution HCPCS J2513 | not published | not published | $12.72 – $37.15 | 4 |
| Pentazocine injection HCPCS J3070 | not published | not published | $11.27 – $160.12 | 3 |
| Pentobarbital sodium inj HCPCS J2515 | not published | not published | $1.76 – $68.94 | 4 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | not published | not published | $2,141.70 – $5,342.18 | 14 |
| Perc cryo ablate renal tum CPT 50593 | $291.64 | $1,268.00 | $36.67 – $28,519.39 | 15 |
| Perc d-e cor revasc chro sin HCPCS C9607 | not published | not published | $11,935.11 – $49,188.74 | 13 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | not published | not published | $7,537.62 – $31,065.16 | 13 |
| Perc d-e cor stent ather s HCPCS C9602 | not published | not published | $11,935.11 – $49,188.74 | 13 |
| Perc drug-el cor stent sing HCPCS C9600 | not published | not published | $7,537.62 – $31,065.16 | 13 |
| Perc rf ablate renal tumor CPT 50592 | $218.04 | $948.00 | $27.49 – $15,982.03 | 17 |
| Percut ablate liver rf CPT 47382 | $469.89 | $2,043.00 | $58.95 – $15,982.03 | 17 |
| Percutaneous islet celltrans HCPCS G0341 | $367.54 | $1,598.00 | $250.15 – $319.53 | 7 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $287.50 | $1,250.02 | $38.70 – $58.30 | 6 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | $133.17 | $579.00 | $168.13 – $330.11 | 7 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | $1,570.67 | $6,829.00 | $136.62 – $4,281.33 | 8 |
| Pericardiocentesis wwo imaging CPT 33016 | $4,545.31 | $5,903.00 | $184.86 – $4,255.33 | 16 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | $529.00 | $2,300.00 | $45.81 – $3,202.14 | 8 |
| Peri-implt capslc brst compl CPT 19371 | $462.30 | $2,010.00 | $57.84 – $10,489.52 | 16 |
| Perineoplasty rpr per nonob CPT 56810 | $175.26 | $762.00 | $22.36 – $8,709.67 | 16 |
| Peripheral vascular rehab CPT 93668 | $174.02 | $226.00 | $11.75 – $162.71 | 14 |
| Peri-proc device eval icd CPT 93287 | $13.80 | $60.00 | $17.50 – $33.86 | 4 |
| Peri-proc device eval pm CPT 93286 | $9.20 | $40.00 | $11.92 – $28.11 | 4 |
| Peritoneal cath sub q resv per CPT 49419 | $267.26 | $1,162.00 | $30.23 – $14,807.80 | 16 |
| Peritoneogram rs&i CPT 74190 | $2,206.05 | $2,865.00 | $15.02 – $1,501.96 | 16 |
| Perit-vens shunt pat tst CPT 78291 | $26.91 | $117.00 | $34.26 – $1,100.73 | 16 |
| Permanent tear duct plug HCPCS A4263 | not published | not published | $16.77 – $37.14 | 3 |
| Peroneal straps pair pre ots HCPCS L0980 | not published | not published | $13.38 – $47.49 | 13 |
| Perp bk ptb thermopls direct HCPCS L5520 | not published | not published | $889.79 – $3,158.60 | 13 |
| Perphenazine 4mg oral HCPCS Q0175 | not published | not published | $0.48 – $2.32 | 4 |
| Perphenazine injeciton HCPCS J3310 | not published | not published | $6.38 – $16.55 | 4 |
| Perq art m-thrombect &/nfs CPT 61645 | $545.79 | $2,373.00 | $671.77 – $1,340.56 | 4 |
| Perq clsr tcat l atr apndge CPT 33340 | $492.20 | $2,140.00 | $613.90 – $1,218.09 | 4 |
| Perq dev breast 1st mr guide CPT 19287 | $80.04 | $348.00 | $6.34 – $1,927.34 | 17 |
| Perq dev breast 1st strtctc CPT 19283 | $63.25 | $275.00 | $22.00 – $1,927.34 | 17 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | $724.04 | $3,148.00 | $72.99 – $25,330.66 | 16 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | $449.88 | $1,956.00 | $45.35 – $25,330.66 | 16 |
| Perq p-art revsc 1 abnor bi CPT 33903 | $33,182.38 | $43,094.00 | $685.91 – $31,065.16 | 14 |
| Perq p-art revsc 1 abnor uni CPT 33902 | $52,541.72 | $68,236.00 | $582.02 – $49,188.74 | 14 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | $33,182.38 | $43,094.00 | $602.80 – $31,065.16 | 14 |
| Perq p-art revsc 1 nm nt uni CPT 33900 | $33,182.38 | $43,094.00 | $458.67 – $31,065.16 | 14 |
| Perq p-art revsc each addl CPT 33904 | $24,887.17 | $32,321.00 | $230.31 – $455.63 | 4 |
| Perq plmt bile duct stent CPT 47538 | $17,070.90 | $22,170.00 | $186.44 – $15,982.03 | 17 |
| Perq plmt bile duct stent CPT 47539 | $17,070.90 | $22,170.00 | $338.47 – $15,982.03 | 17 |
| Perq plmt bile duct stent CPT 47540 | $17,070.90 | $22,170.00 | $348.69 – $15,982.03 | 17 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $778.47 | $1,011.00 | $68.20 – $666.22 | 17 |
| Perq skel fix rad/uln dislc CPT 25671 | $352.59 | $1,533.00 | $44.31 – $8,887.94 | 16 |
| Perq skel fix ulnar styld fx CPT 25651 | $322.92 | $1,404.00 | $24.84 – $8,887.94 | 16 |
| Perq transcath closure each CPT 93592 | $244.72 | $1,064.00 | $310.58 – $605.02 | 4 |
| Perq transcath closure pda CPT 93582 | $417.22 | $1,814.00 | $92.80 – $49,188.74 | 16 |
| Perq transcath cls aortic CPT 93591 | $561.89 | $2,443.00 | $707.78 – $49,188.74 | 14 |
| Perq transcath cls mitral CPT 93590 | $677.81 | $2,947.00 | $859.88 – $49,188.74 | 14 |
| Perq transcath septal reduxn CPT 93583 | $467.82 | $2,034.00 | $103.30 – $1,158.06 | 7 |
| Perq trluml angp nt/recr coa CPT 33897 | $366.39 | $1,593.00 | $456.25 – $907.16 | 4 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | $180.09 | $783.00 | $22.69 – $8,887.94 | 17 |
| Perq tx malar fracture CPT 21355 | $212.75 | $925.00 | $24.46 – $8,883.72 | 17 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | $283.36 | $1,232.00 | $8.00 – $16,204.73 | 17 |
| Perq tx nasoethmoid fx CPT 21340 | $488.06 | $2,122.00 | $11.70 – $8,883.72 | 16 |
| Pertussis ag if CPT 87265 | $8.28 | $36.00 | $7.91 – $39.00 | 15 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | not published | not published | $14.22 – $35.47 | 14 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | not published | not published | $50.83 – $133.11 | 14 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | $18.40 | $80.00 | $35.78 – $127.04 | 13 |
| Pessary reusable rub anytype HCPCS A4561 | not published | not published | $14.37 – $51.00 | 13 |
| Pet CT skull-mid thgh initial CPT 78815 | $9,336.25 | $12,125.00 | $92.26 – $3,995.51 | 16 |
| Pet CT whole body initial CPT 78816 | $9,336.25 | $12,125.00 | $93.21 – $3,995.51 | 16 |
| Pet fdg brain metoblic eval sb CPT 78608 | $7,469.00 | $9,700.00 | $56.30 – $3,995.51 | 16 |
| Pet image full body CPT 78813 | $5,868.17 | $7,621.00 | $74.83 – $3,995.51 | 16 |
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.