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 |
|---|---|---|---|---|
| Punc of shunt for asp or inj CPT 61070 | $2,026.64 | $2,632.00 | $45.41 – $1,897.02 | 16 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $848.54 | $1,102.00 | $12.15 – $353.10 | 17 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $1,168.86 | $1,518.00 | $7.90 – $1,094.43 | 18 |
| Puncture/clear windpipe 31612 CPT 31612 | $31.28 | $136.00 | $37.00 – $8,883.72 | 17 |
| Puncture spinal lumbar diagnostic CPT 62270 | $2,026.64 | $2,632.00 | $42.00 – $1,897.02 | 18 |
| Puraply 1 sq cm HCPCS Q4195 | not published | not published | $101.81 – $152.70 | 6 |
| Puraply xt 1 sq cm HCPCS Q4197 | not published | not published | $67.02 – $100.52 | 6 |
| Pvb thoracic 2nd+ inj site CPT 64462 | $1,519.98 | $1,974.00 | $39.43 – $77.17 | 14 |
| Pvb thoracic cont infusion CPT 64463 | $2,026.64 | $2,632.00 | $66.47 – $1,897.02 | 17 |
| Pvb thoracic single inj site CPT 64461 | $2,026.64 | $2,632.00 | $63.57 – $1,897.02 | 17 |
| Pwr adpt pneum vad, rep veh HCPCS Q0504 | not published | not published | $416.81 – $1,479.57 | 13 |
| Pwr pck base combo vad, rep HCPCS Q0489 | not published | not published | $9,873.54 – $35,049.29 | 13 |
| Pyelotomy complicated CPT 50135 | $731.86 | $3,182.00 | $248.80 – $4,141.72 | 2 |
| Pyelotomy w/drg pyelostomy CPT 50125 | $633.42 | $2,754.00 | $63.87 – $3,126.18 | 8 |
| Pyelotomy w/exploration CPT 50120 | $612.49 | $2,663.00 | $61.73 – $3,065.86 | 8 |
| Pyelotomy w/removal calculus CPT 50130 | $665.62 | $2,894.00 | $67.06 – $3,406.33 | 8 |
| Pyloroplasty 43800 CPT 43800 | $601.91 | $2,617.00 | $67.40 – $2,068.32 | 8 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $17.49 | $76.06 | $12.07 – $20.59 | 6 |
| Pyruvate CPT 84210 | $95.48 | $124.00 | $8.00 – $15.78 | 17 |
| Pyruvate kinase CPT 84220 | $62.37 | $81.00 | $6.23 – $12.80 | 17 |
| Quadrilateral brim HCPCS L2188 | not published | not published | $209.60 – $744.06 | 13 |
| Quan puplmtry phy/qhp uni/bi CPT 95919 | $6.21 | $27.00 | $4.77 – $353.10 | 14 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $1,378.30 | $1,790.00 | $31.65 – $1,474.48 | 16 |
| Quant diff pulm perf w/imaging CPT 78597 | $1,028.72 | $1,336.00 | $27.48 – $1,100.73 | 16 |
| Quest t3 uptake CPT 84479 | $42.35 | $55.00 | $4.27 – $22.00 | 18 |
| Quick disconn hook adapter o HCPCS L6628 | not published | not published | $339.34 – $1,204.60 | 13 |
| Quinupristin/dalfopristin HCPCS J2770 | not published | not published | $3.42 – $8.95 | 13 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | not published | not published | $10.00 – $729.37 | 15 |
| Rabies ig ht&sol human im/sc CPT 90377 | not published | not published | $190.13 – $497.91 | 14 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $1,565.14 | $6,804.94 | $10.00 – $559.52 | 15 |
| Rabies vaccine id CPT 90676 | not published | not published | $212.08 – $555.39 | 14 |
| Racepinephrine hcl soln nebu 2.25% (base equivalent) HCPCS J7699 | not published | not published | $2.73 – $2.73 | 1 |
| Radial keratotomy CPT 65771 | not published | not published | $512.10 – $1,580.08 | 5 |
| Radiation handling CPT 77790 | $1,085.70 | $1,410.00 | $5.85 – $29.20 | 10 |
| Radiation physics consult CPT 77336 | not published | not published | $49.00 – $363.70 | 16 |
| Radiation therapy dose plan CPT 77300 | $21.39 | $93.00 | $15.75 – $363.70 | 16 |
| Radiation therapy management CPT 77431 | $70.38 | $306.00 | $76.13 – $320.63 | 8 |
| Radiation treatment aid(s) CPT 77332 | $582.89 | $757.00 | $12.56 – $363.70 | 16 |
| Radiation treatment aid(s) CPT 77333 | $25.76 | $112.00 | $16.97 – $363.70 | 16 |
| Radiation treatment aid(s) CPT 77334 | $39.33 | $171.00 | $38.33 – $1,002.77 | 16 |
| Radiation treatment delivery CPT 77401 | not published | not published | $21.50 – $299.95 | 16 |
| Radiation treatment delivery CPT 77402 | not published | not published | $21.50 – $299.95 | 16 |
| Radiation treatment delivery CPT 77412 | not published | not published | $44.00 – $720.38 | 16 |
| Radiation tx management x5 CPT 77427 | $124.89 | $543.00 | $89.49 – $303.55 | 10 |
| Radical abdominal hysterectomy 58210 CPT 58210 | $1,177.37 | $5,119.00 | $178.16 – $5,588.63 | 8 |
| Radical rescj tumor clavicle CPT 23200 | $974.74 | $4,238.00 | $121.91 – $2,468.76 | 8 |
| Radical rescj tumor prox hum CPT 23220 | $1,251.66 | $5,442.00 | $156.39 – $3,132.09 | 8 |
| Radical rescj tumor scapula CPT 23210 | $1,142.87 | $4,969.00 | $142.87 – $2,807.14 | 8 |
| Radical resection of elbow CPT 24149 | $768.20 | $3,340.00 | $96.46 – $19,568.78 | 16 |
| Radical resection sternum 21630 CPT 21630 | $848.93 | $3,691.00 | $106.46 – $3,554.89 | 8 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | $676.20 | $2,940.00 | $76.30 – $7,840.00 | 16 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | $933.11 | $4,057.00 | $116.07 – $7,840.00 | 16 |
| Radiesse injection HCPCS Q2026 | not published | not published | $267.37 – $700.18 | 13 |
| Radiofq trsmtr for implt neu HCPCS L8683 | not published | not published | $3,200.78 – $11,362.21 | 13 |
| Radiof trsmtr implt scrl neu HCPCS L8684 | not published | not published | $491.34 – $1,744.19 | 13 |
| Radiology port images(s) CPT 77417 | not published | not published | $11.31 – $22.90 | 10 |
| Radiotherapy dose plan imrt CPT 77301 | $273.93 | $1,191.00 | $344.82 – $3,748.07 | 16 |
| Radium ra223 dichl ther/uci HCPCS A9606 | not published | not published | $137.75 – $360.74 | 13 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $3,342.57 | $4,341.00 | $30.18 – $3,576.09 | 16 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $3,342.57 | $4,341.00 | $38.21 – $3,576.09 | 16 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | $3,342.57 | $4,341.00 | $69.20 – $3,576.09 | 16 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $3,342.57 | $4,341.00 | $41.01 – $3,576.09 | 16 |
| Radphm lcl tumor plr sgl day CPT 78800 | $1,028.72 | $1,336.00 | $24.99 – $1,100.73 | 16 |
| Radphm quant measure sgl area add-on CPT 78835 | $13.57 | $59.00 | $17.20 – $86.25 | 10 |
| Rad rescj tum dstl/shft hum CPT 24150 | $999.81 | $4,347.00 | $125.08 – $19,568.78 | 16 |
| Rad rescj tum shoulder<5 cm CPT 23077 | $733.24 | $3,188.00 | $57.23 – $7,840.00 | 16 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | $859.74 | $3,738.00 | $107.22 – $7,840.00 | 16 |
| Rad rescj tum tiss a/e <5cm CPT 24077 | $665.16 | $2,892.00 | $57.23 – $7,840.00 | 16 |
| Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 | $460.69 | $2,003.00 | $57.48 – $7,840.00 | 16 |
| Rad resect abd tumor 5 cm/> CPT 22905 | $863.19 | $3,753.00 | $96.57 – $7,840.00 | 16 |
| Rad resect hand tumor < 3 cm CPT 26117 | $487.83 | $2,121.00 | $60.99 – $7,840.00 | 16 |
| Rad resect hand tumor 3 cm/> CPT 26118 | $685.86 | $2,982.00 | $85.47 – $7,840.00 | 16 |
| Rad resection tum radial h/n CPT 24152 | $871.01 | $3,787.00 | $107.25 – $19,568.78 | 16 |
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | $617.09 | $2,683.00 | $77.73 – $7,840.00 | 16 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | not published | not published | $59.70 – $156.35 | 14 |
| Range of motion measurements CPT 95852 | $3.68 | $16.00 | $4.39 – $9.17 | 14 |
| Ranibizumab injection HCPCS J2778 | $85.56 | $372.00 | $73.06 – $191.34 | 14 |
| Rapid desensitization CPT 95180 | $65.78 | $286.00 | $8.50 – $1,093.09 | 17 |
| Rapid Strep Test CPT 87880 | $109.34 | $142.00 | $6.30 – $31.50 | 18 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $4,455.64 | $19,372.36 | $316.96 – $790.61 | 14 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | not published | not published | $180.58 – $472.91 | 14 |
| Rb82 rubidium HCPCS A9555 | not published | not published | $384.42 – $679.58 | 2 |
| Rbc count only automated CPT 85041 | $20.02 | $26.00 | $1.99 – $6.43 | 17 |
| Rbc deglycerolized each unit HCPCS P9039 | $3,019.94 | $3,922.00 | $330.00 – $1,790.79 | 13 |
| Rbc depletion of harvest CPT 38212 | $31.97 | $139.00 | $38.33 – $1,197.56 | 14 |
| Rbc irradiated each unit HCPCS P9038 | $689.15 | $895.00 | $99.18 – $408.76 | 13 |
| Rbc mechanical fragility CPT 85547 | $5.98 | $26.00 | $5.68 – $15.86 | 17 |
| Rbc o2 co2 reduced HCPCS P9027 | not published | not published | $323.76 – $1,334.31 | 13 |
| Rbc osmotic fragility CPT 85555 | $5.06 | $22.00 | $3.00 – $8.14 | 17 |
| Rbc serum pretx incubj drugs CPT 86975 | $2,626.47 | $3,411.00 | $24.43 – $1,093.09 | 14 |
| Rcm img acquisj&i&r 1st les CPT 96931 | not published | not published | $137.58 – $262.23 | 4 |
| Rcm img acquisj&i&r ea addl CPT 96934 | not published | not published | $95.70 – $182.68 | 4 |
| Rcm img acquisj only 1st les CPT 96932 | not published | not published | $100.96 – $193.89 | 4 |
| Rcm img acquisj only ea addl CPT 96935 | not published | not published | $61.47 – $118.07 | 4 |
| Rcm i&r only 1st lesion CPT 96933 | not published | not published | $35.34 – $68.34 | 4 |
| Rcm i&r only ea addl lesion CPT 96936 | not published | not published | $33.40 – $64.62 | 4 |
| Rcnst bfrnt sp orb rm&lw fhd CPT 21175 | $1,419.79 | $6,173.00 | $178.28 – $16,204.73 | 16 |
| Rcnstj forehead w/autograft CPT 21180 | $1,093.42 | $4,754.00 | $137.12 – $5,197.36 | 8 |
| Rcnstj forehead with grafts CPT 21179 | $978.88 | $4,256.00 | $122.84 – $4,570.99 | 8 |
| Rcnstj mdfc lefort i 1 w/grf CPT 21145 | $995.44 | $4,328.00 | $125.92 – $4,031.82 | 8 |
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.