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 |
|---|---|---|---|---|
| Pouch uros new (both sides) 2.75in clr HCPCS A4432 | not published | not published | $2.59 – $9.17 | 13 |
| Powder prem protct 1oz HCPCS A4371 | not published | not published | $2.62 – $9.33 | 13 |
| Ppp2r2b gen detc abnor allel CPT 81343 | $94.76 | $412.00 | $90.42 – $149.33 | 14 |
| Pq biliary strict dil s&i CPT 74363 | $25.53 | $111.00 | $33.72 – $129.35 | 10 |
| Pq dr cath chg w cont s&i CPT 75984 | $3,118.50 | $4,050.00 | $7.88 – $60.32 | 10 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $20,902.42 | $27,146.00 | $38.31 – $19,568.78 | 17 |
| Pq thr inj ext pse CPT 36002 | $1,808.73 | $2,349.00 | $83.09 – $1,693.60 | 17 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | $7,120.19 | $9,247.00 | $165.95 – $327.91 | 11 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $9,493.33 | $12,329.00 | $34.88 – $8,887.94 | 17 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $9,493.33 | $12,329.00 | $32.84 – $8,887.94 | 17 |
| Pralatrexate injection HCPCS J9307 | not published | not published | $327.35 – $816.53 | 14 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | not published | not published | $79.63 – $113.14 | 4 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $9,493.33 | $12,329.00 | $18.70 – $8,887.94 | 16 |
| Pr application of long arm splint CPT 29105 | $461.23 | $599.00 | $9.78 – $432.23 | 18 |
| Pr application splint static short arm CPT 29125 | $377.30 | $490.00 | $26.00 – $353.10 | 18 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | not published | not published | $3.70 – $107.52 | 19 |
| Pr biopsy skin punch single lesion CPT 11104 | $1,168.86 | $1,518.00 | $14.98 – $1,094.43 | 18 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | $389.85 | $1,695.00 | $49.49 – $35,246.01 | 17 |
| Pr correction hammertoe CPT 28285 | $253.46 | $1,102.00 | $31.95 – $8,887.94 | 17 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $76.23 | $99.00 | $9.62 – $81.60 | 16 |
| Prcrd drg 0-5yr or w/anomly CPT 33018 | $183.31 | $797.00 | $227.61 – $452.54 | 7 |
| Prcrd drg 6+yr without anomly CPT 33017 | $156.17 | $679.00 | $194.95 – $387.35 | 7 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | $99.82 | $434.00 | $125.44 – $9,447.74 | 17 |
| Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 | $52.21 | $227.00 | $27.20 – $196.50 | 11 |
| Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 | $73.60 | $320.00 | $80.00 – $250.98 | 11 |
| Prealbumin CPT 84134 | $95.48 | $124.00 | $9.63 – $32.26 | 17 |
| Pr ecg 12 lead report only CPT 93010 | $5.29 | $23.00 | $6.63 – $39.69 | 9 |
| Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 | $11.73 | $51.00 | $15.00 – $63.00 | 11 |
| Prednisolone acetate inj HCPCS J2650 | not published | not published | $0.11 – $1.66 | 4 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | not published | not published | $0.13 – $0.74 | 6 |
| Prednisone 1 mg tablet HCPCS J7512 | $0.23 | $1.00 | $0.01 – $0.01 | 4 |
| Prefab glove for term device HCPCS L6890 | not published | not published | $105.24 – $373.59 | 13 |
| Prefab stnlss steel crown pe HCPCS D2931 | not published | not published | $112.71 – $4,554.43 | 16 |
| Prefab stnlss steel crwn pri HCPCS D2930 | not published | not published | $75.04 – $4,554.43 | 16 |
| Pregabalin - sendout CPT 80366 | not published | not published | $13.88 – $23.41 | 4 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $127.65 | $555.00 | $160.72 – $5,196.41 | 16 |
| Pregnancy associated plasma protein-a CPT 84163 | $10.58 | $46.00 | $9.93 – $25.95 | 17 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $583.66 | $758.00 | $32.55 – $291.30 | 16 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $583.66 | $758.00 | $38.39 – $291.30 | 17 |
| Pregnancy Ultrasound (limited) CPT 76815 | $583.66 | $758.00 | $25.19 – $291.30 | 17 |
| Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 | $66.01 | $287.00 | $32.00 – $364.65 | 11 |
| Prenatal Care Only (4-6 visits) CPT 59425 | $279.91 | $1,217.00 | $238.40 – $1,092.00 | 15 |
| Prenatal Care Only (7+ visits) CPT 59426 | $514.05 | $2,235.00 | $128.00 – $1,942.50 | 15 |
| Pre-op service lvrs 10-15dos HCPCS G0303 | not published | not published | $206.98 – $853.02 | 13 |
| Pre-op service lvrs 1-9 dos HCPCS G0304 | not published | not published | $352.67 – $1,453.47 | 13 |
| Pre-op service lvrs complete HCPCS G0302 | not published | not published | $352.67 – $1,453.47 | 13 |
| Prep ak ischial direct form HCPCS L5570 | not published | not published | $1,250.26 – $4,438.23 | 13 |
| Prep ak ischial laminated HCPCS L5590 | not published | not published | $1,487.43 – $5,280.10 | 13 |
| Prep ak ischial plast molded HCPCS L5560 | not published | not published | $1,202.58 – $4,268.97 | 13 |
| Prep ak ischial thermo mold HCPCS L5580 | not published | not published | $1,459.60 – $5,181.32 | 13 |
| Preparation for bladder xray CPT 51605 | $24.61 | $107.00 | $31.31 – $159.51 | 5 |
| Preparation palate mold CPT 42280 | $69.92 | $304.00 | $8.88 – $1,394.99 | 17 |
| Prepare donor heart CPT 33944 | not published | not published | $380.53 – $818.77 | 4 |
| Prepare donor heart/lung CPT 33933 | not published | not published | $462.22 – $945.86 | 4 |
| Prepare donor intestine CPT 44715 | not published | not published | $243.78 – $722.47 | 4 |
| Prepare donor lung double CPT 32856 | not published | not published | $393.98 – $861.20 | 4 |
| Prepare donor lung single CPT 32855 | not published | not published | $320.63 – $722.47 | 4 |
| Prepare embryo for transfer CPT 89255 | $82.80 | $360.00 | $35.51 – $146.36 | 13 |
| Prepare fecal microbiota CPT 44705 | $48.76 | $212.00 | $58.05 – $113.56 | 10 |
| Prepare heart-aorta conduit CPT 33404 | $1,109.52 | $4,824.00 | $96.52 – $7,577.89 | 8 |
| Prepare penis study CPT 54230 | $51.75 | $225.00 | $64.86 – $342.17 | 9 |
| Prepare sperm duct x-ray CPT 55300 | $119.83 | $521.00 | $115.00 – $294.39 | 10 |
| Prep bk ptb laminated socket HCPCS L5540 | not published | not published | $1,127.46 – $4,160.60 | 13 |
| Prep bk ptb open end socket HCPCS L5535 | not published | not published | $1,109.96 – $3,940.14 | 13 |
| Prep bk ptb plaster molded HCPCS L5510 | not published | not published | $900.82 – $3,197.74 | 13 |
| Prep bk ptb thermopls molded HCPCS L5530 | not published | not published | $976.00 – $3,998.15 | 13 |
| Prep cadaver renal allograft CPT 50323 | $252.77 | $1,099.00 | $145.62 – $970.95 | 4 |
| Prep corneal endo allograft CPT 65757 | not published | not published | $78.86 – $530.89 | 4 |
| Prep donor intestine/artery CPT 44721 | $245.64 | $1,068.00 | $303.87 – $605.46 | 4 |
| Prep donor intestine/venous CPT 44720 | $175.26 | $762.00 | $217.12 – $432.62 | 4 |
| Prep donor liver 3-segment CPT 47144 | not published | not published | $84.59 – $855.79 | 4 |
| Prep donor liver/arterial CPT 47147 | $245.41 | $1,067.00 | $303.79 – $604.95 | 4 |
| Prep donor liver lobe split CPT 47145 | not published | not published | $521.04 – $939.89 | 4 |
| Prep donor liver/venous CPT 47146 | $209.76 | $912.00 | $260.05 – $518.02 | 4 |
| Prep donor liver whole CPT 47143 | $335.11 | $1,457.00 | $393.42 – $751.91 | 4 |
| Prep donor pancreas CPT 48551 | $187.91 | $817.00 | $255.64 – $722.47 | 4 |
| Prep donor pancreas/venous CPT 48552 | $150.88 | $656.00 | $187.02 – $372.83 | 4 |
| Prep donor renal graft CPT 50325 | $126.04 | $548.00 | $145.62 – $484.17 | 4 |
| Prepj skn cll ssp agrft 1st CPT 15013 | $81.88 | $356.00 | $4,819.11 – $19,861.25 | 13 |
| Prepj tum cav iort prtl mast CPT 19294 | $105.80 | $460.00 | $131.03 – $260.79 | 4 |
| Pre-plan 3d model w/ccta HCPCS C9793 | not published | not published | $676.22 – $2,786.93 | 13 |
| Prep renal graft/arterial CPT 50328 | $121.67 | $529.00 | $151.00 – $300.44 | 4 |
| Prep renal graft/ureteral CPT 50329 | $115.69 | $503.00 | $143.09 – $284.54 | 4 |
| Prep renal graft/venous CPT 50327 | $138.46 | $602.00 | $172.20 – $342.64 | 4 |
| Prep skin cell susp, automtd HCPCS C8002 | not published | not published | $4,819.11 – $19,861.25 | 13 |
| Prep skin to 100cm2 other CPT 15004 | $167.90 | $730.00 | $203.50 – $1,676.80 | 17 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $141.45 | $615.00 | $164.27 – $5,010.80 | 17 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | $28.52 | $124.00 | $33.75 – $71.38 | 11 |
| Pressure max expiratory/inspiratory CPT 94799 | $371.91 | $483.00 | $16.27 – $428.59 | 13 |
| Pressure treatment esophagus CPT 43460 | $135.47 | $589.00 | $77.18 – $639.99 | 8 |
| Pressure velocity wire add ves CPT 93572 | $33.12 | $144.00 | $41.36 – $97.76 | 4 |
| Pre-tibial shell molded to p HCPCS L2340 | not published | not published | $334.33 – $1,186.83 | 13 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $1,128.05 | $1,465.00 | $27.12 – $469.41 | 14 |
| Pretreat rbc absorption reference CPT 86978 | $391.16 | $508.00 | $27.12 – $162.71 | 14 |
| Pretreat rbc density gradient separation reference CPT 86972 | $1,128.05 | $1,465.00 | $29.62 – $469.41 | 14 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $391.16 | $508.00 | $22.56 – $162.71 | 14 |
| Pretreat rbc w enzyme reference CPT 86971 | $1,128.05 | $1,465.00 | $17.99 – $469.41 | 14 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | $110.40 | $480.00 | $97.50 – $440.12 | 19 |
| Preventive counseling group CPT 99411 | $5.06 | $22.00 | $6.06 – $46.20 | 6 |
| Preventive counseling group CPT 99412 | $8.51 | $37.00 | $10.17 – $58.80 | 6 |
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.