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 |
|---|---|---|---|---|
| Prev med cnsl indiv apprx 15 CPT 99401 | $16.10 | $70.00 | $16.00 – $104.47 | 6 |
| Prev med cnsl indiv apprx 30 CPT 99402 | $32.43 | $141.00 | $39.17 – $208.97 | 6 |
| Prev med cnsl indiv apprx 45 CPT 99403 | $48.53 | $211.00 | $58.48 – $313.43 | 6 |
| Prev med cnsl indiv apprx 60 CPT 99404 | $64.63 | $281.00 | $78.07 – $417.90 | 6 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | $83.95 | $365.00 | $85.65 – $378.00 | 16 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $4,740.89 | $6,157.00 | $6.75 – $4,438.31 | 18 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $106.95 | $465.00 | $11.00 – $4,438.31 | 18 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $1,168.86 | $1,518.00 | $1.00 – $1,094.43 | 18 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | $879.98 | $3,826.00 | $98.43 – $2,326.05 | 8 |
| Prgrmg dev eval impltbl sys CPT 93260 | $26.45 | $115.00 | $24.79 – $102.15 | 14 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | $136.29 | $177.00 | $10.54 – $102.15 | 16 |
| Prgrmg dev eval scrms ip CPT 93285 | $16.10 | $70.00 | $9.70 – $102.15 | 16 |
| Prgrmg eval implantable dfb CPT 93282 | $26.22 | $114.00 | $12.64 – $102.15 | 16 |
| Prgrmg eval implantable dfb CPT 93283 | $35.42 | $154.00 | $14.53 – $102.15 | 16 |
| Prgrmg eval implantable dfb CPT 93284 | $38.64 | $168.00 | $16.63 – $102.15 | 16 |
| Prgr stim/pace a/iv drug CPT 93623 | $77.97 | $339.00 | $33.58 – $274.05 | 8 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | $111.78 | $486.00 | $138.00 – $462.00 | 11 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | $83.72 | $364.00 | $106.00 – $345.34 | 11 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | $53.13 | $231.00 | $65.00 – $250.00 | 11 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | $76.13 | $331.00 | $71.00 – $260.00 | 11 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | $51.06 | $222.00 | $51.00 – $179.00 | 11 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | $31.51 | $137.00 | $34.00 – $108.49 | 11 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $52,541.72 | $68,236.00 | $339.48 – $49,188.74 | 17 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $9,119.11 | $11,843.00 | $128.14 – $254.30 | 11 |
| Prin care mgmt staff 1st 30 CPT 99426 | $31.74 | $138.00 | $30.90 – $253.38 | 17 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $1,168.86 | $1,518.00 | $14.00 – $1,094.43 | 18 |
| Pr incision & drainage abscess simple/single CPT 10060 | $581.35 | $755.00 | $8.74 – $544.30 | 18 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $890.12 | $1,156.00 | $10.40 – $833.27 | 18 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $1,168.86 | $1,518.00 | $8.65 – $1,094.43 | 18 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | $121.90 | $530.00 | $85.65 – $589.83 | 16 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | $89.70 | $390.00 | $85.65 – $421.05 | 16 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $636.79 | $827.00 | $9.84 – $115.50 | 15 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | $394.68 | $1,716.00 | $54.53 – $5,349.21 | 16 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $1,267.01 | $5,508.75 | not published | 0 |
| Probe nasolacrimal duct CPT 68810 | $81.42 | $354.00 | $10.38 – $818.86 | 15 |
| Probe nasolacrimal duct CPT 68811 | $86.25 | $375.00 | $10.95 – $6,390.66 | 16 |
| Probe nasolacrimal duct CPT 68815 | $140.53 | $611.00 | $18.03 – $6,390.66 | 17 |
| Probe nl duct w/balloon CPT 68816 | $99.36 | $432.00 | $12.74 – $6,390.66 | 17 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | not published | not published | $30.99 – $408.06 | 14 |
| Procalcitonin CPT 84145 | $179.41 | $233.00 | $17.96 – $35.54 | 17 |
| Procarbazine 50 mg caps 100 each bottle HCPCS S0182 | not published | not published | $131.85 – $168.70 | 3 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $14.89 | $64.75 | $2.38 – $30.00 | 7 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | not published | not published | $0.13 – $0.46 | 4 |
| Proctectomy combined abd pull-thru px 45112 CPT 45112 | $1,163.34 | $5,058.00 | $131.91 – $5,081.09 | 8 |
| Proctectomy complete abd w/clst 45110 CPT 45110 | $1,162.88 | $5,056.00 | $131.67 – $4,830.67 | 8 |
| Proctosigmoidoscopy ablate CPT 45320 | $68.31 | $297.00 | $83.29 – $7,512.21 | 17 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | $71.30 | $310.00 | $78.28 – $3,229.85 | 17 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | $54.97 | $239.00 | $28.31 – $3,229.85 | 17 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | $31.28 | $136.00 | $24.37 – $2,497.44 | 18 |
| Proctosigmoidoscopy removal CPT 45308 | $54.74 | $238.00 | $46.54 – $7,512.21 | 18 |
| Proctosigmoidoscopy removal CPT 45309 | $58.19 | $253.00 | $72.04 – $3,229.85 | 18 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | $68.77 | $299.00 | $68.50 – $3,229.85 | 17 |
| Proctosigmoidoscopy volvul CPT 45321 | $67.16 | $292.00 | $63.57 – $7,512.21 | 16 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | $47.15 | $205.00 | $53.00 – $3,229.85 | 18 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | $65.09 | $283.00 | $52.31 – $7,512.21 | 18 |
| Proctosigmoidoscopy w/stent CPT 45327 | $75.90 | $330.00 | $78.22 – $16,306.50 | 16 |
| Progenamatrix, per sq cm HCPCS Q4222 | not published | not published | $116.96 – $180.48 | 6 |
| Progesterone CPT 84144 | $137.83 | $179.00 | $13.77 – $27.20 | 17 |
| Prolactin CPT 84146 | $127.05 | $165.00 | $12.79 – $66.00 | 18 |
| Prolng clin staff svc 1st hr CPT 99415 | not published | not published | $17.01 – $31.55 | 5 |
| Prolng clin staff svc ea add CPT 99416 | not published | not published | $7.33 – $14.76 | 5 |
| Prolng ip/obs e/m ea 15 min CPT 99418 | $26.45 | $115.00 | $32.28 – $62.78 | 4 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | $20.24 | $88.00 | $25.25 – $77.00 | 5 |
| Prolonged IV inf, req pump HCPCS C8957 | not published | not published | $220.46 – $908.60 | 13 |
| Prolong home eval add 15m HCPCS G0318 | $19.32 | $84.00 | $24.47 – $32.30 | 8 |
| Prolong service without contact CPT 99358 | $61.41 | $267.00 | $72.00 – $257.25 | 6 |
| Prolong serv without contact add CPT 99359 | $28.98 | $126.00 | $30.04 – $131.00 | 6 |
| Promethazine 25 mg tablet HCPCS Q0169 | not published | not published | $0.09 – $1.54 | 4 |
| Promethazine hcl injection HCPCS J2550 | not published | not published | $1.88 – $5.25 | 7 |
| Proph rta dtchmnt crtx dthrm CPT 67141 | $230.69 | $1,003.00 | $17.56 – $818.86 | 17 |
| Proph rta dtchmnt pc CPT 67145 | $235.75 | $1,025.00 | $17.56 – $1,502.78 | 17 |
| Proph tx w/wo mthylmthcrylt CPT 24498 | $562.58 | $2,446.00 | $70.82 – $35,246.01 | 16 |
| Prophylactic tx radius CPT 25490 | $470.12 | $2,044.00 | $53.42 – $19,568.78 | 16 |
| Prophylactic tx radius&ulna CPT 25492 | $590.87 | $2,569.00 | $74.09 – $8,887.94 | 16 |
| Prophylactic tx ulna CPT 25491 | $483.69 | $2,103.00 | $60.62 – $35,246.01 | 16 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $24.15 | $105.00 | $0.08 – $0.13 | 6 |
| _propoxygc/msur CPT 80367 | not published | not published | $13.88 – $23.41 | 4 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $6.44 | $28.00 | $9.94 – $15.76 | 4 |
| Pros sheath/sock w gel cushn HCPCS L8417 | not published | not published | $45.64 – $162.05 | 13 |
| Pros soc insert gasket/seal HCPCS L7700 | not published | not published | $89.16 – $316.52 | 13 |
| Pros sock multi ply upper lm HCPCS L8435 | not published | not published | $13.01 – $46.19 | 13 |
| Pros sock single ply ak HCPCS L8480 | not published | not published | $5.70 – $20.22 | 13 |
| Pros sock single ply upper l HCPCS L8485 | not published | not published | $7.15 – $25.40 | 13 |
| Prostate biopsy, any mthd HCPCS G0416 | $1,052.59 | $1,367.00 | $142.84 – $985.38 | 14 |
| Prostate ca screening; dre HCPCS G0102 | $5.52 | $24.00 | $7.18 – $52.50 | 8 |
| Prostatectomy (turp) CPT 52601 | $470.12 | $2,044.00 | $47.41 – $13,925.53 | 16 |
| Prostate laser enucleation CPT 52649 | $532.68 | $2,316.00 | $53.74 – $13,925.53 | 16 |
| Prostatic microwave thermotx CPT 53850 | $230.92 | $1,004.00 | $23.33 – $9,447.74 | 15 |
| Prostatic rf thermotx CPT 53852 | $247.25 | $1,075.00 | $24.99 – $9,447.74 | 15 |
| Prosthesis voc advantage 20f 14mm HCPCS L8509 | not published | not published | $66.33 – $235.47 | 13 |
| Prosthesis voc lopres 20f 22mm HCPCS L8507 | not published | not published | $25.44 – $90.31 | 13 |
| Prosthetic sock multi ply bk HCPCS L8420 | not published | not published | $12.68 – $45.00 | 13 |
| Prosthetic type socket molde HCPCS L2350 | not published | not published | $577.42 – $2,049.75 | 13 |
| Prost sock sgl ply blw knee ea HCPCS L8470 | not published | not published | $4.13 – $14.66 | 13 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $12.46 | $54.18 | $1.14 – $2.32 | 6 |
| Protect body sock ea pre ots HCPCS L0984 | not published | not published | $39.26 – $139.35 | 13 |
| Protector nerve neurawrap 4cm HCPCS C9353 | $1,227.52 | $5,337.05 | $1,096.25 – $1,242.20 | 2 |
| Protein analysis w/probe CPT 88372 | $11.50 | $50.00 | $14.44 – $28.58 | 17 |
| Protein c activity CPT 85303 | $91.63 | $119.00 | $9.13 – $30.58 | 17 |
| Protein c concentrate HCPCS J2724 | not published | not published | $1.21 – $3.16 | 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.