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 |
|---|---|---|---|---|
| Rcnstj mdfc lefort i 2 w/grf CPT 21146 | $1,039.37 | $4,519.00 | $131.49 – $4,172.56 | 8 |
| Rcnstj mdfc lefort iii w/i CPT 21155 | $1,386.67 | $6,029.00 | $175.65 – $7,067.01 | 8 |
| Rcnstj mdfc lefort iii without i CPT 21154 | $1,249.82 | $5,434.00 | $158.37 – $6,233.94 | 8 |
| Rcnstj mdfc lefrtii w/b1 grf CPT 21151 | $1,160.58 | $5,046.00 | $147.12 – $5,820.74 | 8 |
| Rcnst mdfc lfrtiii advm w/i CPT 21160 | $1,803.43 | $7,841.00 | $210.00 – $9,559.57 | 8 |
| Rcnst mdfc lfrtiii advm wo i CPT 21159 | $1,662.67 | $7,229.00 | $210.00 – $8,728.73 | 8 |
| Rdctj forehead cntrg only CPT 21137 | $486.68 | $2,116.00 | $61.03 – $8,883.72 | 14 |
| Rdctj forehead cntrg&prostc CPT 21138 | $591.79 | $2,573.00 | $74.22 – $16,204.73 | 16 |
| Rdctj forehead cntrg&setback CPT 21139 | $701.73 | $3,051.00 | $88.27 – $16,204.73 | 16 |
| Realignment of knee CPT 27457 | $621.00 | $2,700.00 | $76.93 – $3,196.77 | 8 |
| Realignment of knee CPT 27455 | $623.76 | $2,712.00 | $78.32 – $2,964.22 | 8 |
| Realignment of tendons CPT 26437 | $426.65 | $1,855.00 | $54.67 – $8,887.94 | 16 |
| Realignment of thigh bone CPT 27454 | $839.04 | $3,648.00 | $105.03 – $4,001.27 | 8 |
| Rebuild eardrum structures CPT 69632 | $687.70 | $2,990.00 | $61.81 – $16,204.73 | 16 |
| Rebuild eardrum structures CPT 69633 | $669.53 | $2,911.00 | $60.15 – $16,204.73 | 16 |
| Rebuild eardrum structures CPT 69636 | $895.85 | $3,895.00 | $80.25 – $16,204.73 | 16 |
| Rebuild outer ear canal CPT 69310 | $708.63 | $3,081.00 | $63.62 – $16,204.73 | 16 |
| Rebuild outer ear canal CPT 69320 | $991.30 | $4,310.00 | $88.87 – $16,204.73 | 16 |
| Rechanneling of artery CPT 35361 | $965.31 | $4,197.00 | $83.64 – $5,450.38 | 8 |
| Rechanneling of artery CPT 35306 | $281.75 | $1,225.00 | $58.75 – $696.86 | 7 |
| Rechanneling of artery CPT 35311 | $984.63 | $4,281.00 | $85.64 – $5,894.47 | 8 |
| Rechanneling of artery CPT 35363 | $1,029.94 | $4,478.00 | $89.16 – $6,028.08 | 8 |
| Rechanneling of artery 35305 CPT 35305 | $773.49 | $3,363.00 | $67.39 – $1,922.42 | 7 |
| Rechanneling of artery 35341 CPT 35341 | $870.55 | $3,785.00 | $76.23 – $5,373.67 | 8 |
| Rechanneling w/graft tibioperoneal trunk artery 35304 CPT 35304 | $805.92 | $3,504.00 | $70.05 – $1,998.66 | 7 |
| Rechanneling w/wo patch graft abd aorta 35331 CPT 35331 | $915.63 | $3,981.00 | $79.90 – $4,624.28 | 8 |
| Rechanneling w/wo patch graft deep profunda fem art 35372 CPT 35372 | $616.63 | $2,681.00 | $53.66 – $3,088.22 | 8 |
| Rechanneling w/wo patch grf axillary-brachial 35321 CPT 35303 | $775.56 | $3,372.00 | $67.31 – $1,919.88 | 7 |
| Recipient nephrectomy CPT 50340 | $624.45 | $2,715.00 | $62.16 – $2,824.74 | 8 |
| Recon, cta for surg plan HCPCS G0288 | not published | not published | $34.62 – $45.44 | 3 |
| Reconst lwr jaw w/fixation CPT 21196 | $915.86 | $3,982.00 | $116.24 – $16,204.73 | 16 |
| Reconst lwr jaw w/graft CPT 21194 | $914.71 | $3,977.00 | $115.68 – $16,204.73 | 16 |
| Reconst lwr jaw without fixation CPT 21195 | $856.98 | $3,726.00 | $108.79 – $16,204.73 | 16 |
| Reconst lwr jaw without graft CPT 21193 | $791.66 | $3,442.00 | $100.09 – $16,204.73 | 16 |
| Reconst major injured chest 32820 CPT 32820 | $892.17 | $3,879.00 | $105.95 – $4,676.46 | 5 |
| Reconst pectus excavatum/carinatum opn 21740 CPT 21740 | $659.41 | $2,867.00 | $82.01 – $3,007.65 | 8 |
| Reconstr lwr jaw segment CPT 21198 | $651.13 | $2,831.00 | $82.20 – $16,204.73 | 14 |
| Reconstr lwr jaw w/advance CPT 21199 | $655.96 | $2,852.00 | $82.74 – $16,204.73 | 16 |
| Reconstruct ankle joint CPT 27702 | $624.45 | $2,715.00 | $78.44 – $50,375.76 | 16 |
| Reconstruct bronchus CPT 31775 | $891.25 | $3,875.00 | $84.00 – $4,550.68 | 8 |
| Reconstruct cleft foot CPT 28360 | $714.15 | $3,105.00 | $89.60 – $19,568.78 | 16 |
| Reconstruct cleft palate CPT 42200 | $597.08 | $2,596.00 | $67.63 – $16,204.73 | 16 |
| Reconstruct cleft palate CPT 42205 | $621.46 | $2,702.00 | $70.34 – $8,883.72 | 16 |
| Reconstruct cleft palate CPT 42210 | $693.91 | $3,017.00 | $78.50 – $16,204.73 | 16 |
| Reconstruct cleft palate CPT 42215 | $452.87 | $1,969.00 | $51.36 – $16,204.73 | 16 |
| Reconstruct cleft palate CPT 42220 | $372.83 | $1,621.00 | $42.35 – $16,204.73 | 16 |
| Reconstruct cleft palate CPT 42225 | $631.12 | $2,744.00 | $71.52 – $16,204.73 | 16 |
| Reconstruct cranial bone CPT 21182 | $1,362.29 | $5,923.00 | $170.67 – $6,650.30 | 8 |
| Reconstruct cranial bone CPT 21183 | $1,481.43 | $6,441.00 | $185.62 – $7,275.79 | 8 |
| Reconstruct cranial bone CPT 21184 | $1,592.98 | $6,926.00 | $199.64 – $7,898.04 | 8 |
| Reconstruct elbow joint CPT 24360 | $587.88 | $2,556.00 | $23.38 – $19,568.78 | 16 |
| Reconstruct elbow joint CPT 24361 | $655.96 | $2,852.00 | $82.10 – $50,375.76 | 16 |
| Reconstruct elbow joint CPT 24362 | $689.54 | $2,998.00 | $86.38 – $35,246.01 | 16 |
| Reconstruct elbow lat ligmnt CPT 24344 | $719.44 | $3,128.00 | $6.50 – $19,568.78 | 16 |
| Reconstruct elbow med ligmnt CPT 24346 | $719.44 | $3,128.00 | $90.19 – $35,246.01 | 16 |
| Reconstruct extra finger CPT 26587 | $680.34 | $2,958.00 | $85.22 – $8,887.94 | 16 |
| Reconstruct finger joint CPT 26545 | $469.66 | $2,042.00 | $60.25 – $8,887.94 | 16 |
| Reconstruct finger joint CPT 26548 | $513.59 | $2,233.00 | $17.79 – $8,887.94 | 16 |
| Reconstruct head of radius CPT 24365 | $419.98 | $1,826.00 | $52.65 – $35,246.01 | 16 |
| Reconstruct head of radius CPT 24366 | $445.97 | $1,939.00 | $6.09 – $35,246.01 | 16 |
| Reconstruction ankle joint CPT 27703 | $722.66 | $3,142.00 | $90.41 – $3,492.03 | 8 |
| Reconstruction knee CPT 27427 | $462.53 | $2,011.00 | $9.70 – $19,568.78 | 16 |
| Reconstruction knee CPT 27428 | $727.49 | $3,163.00 | $9.70 – $35,246.01 | 16 |
| Reconstruction knee CPT 27429 | $820.18 | $3,566.00 | $16.00 – $35,246.01 | 16 |
| Reconstruction of anus CPT 46753 | $402.73 | $1,751.00 | $45.11 – $7,512.21 | 17 |
| Reconstruction of bile ducts 47800 CPT 47800 | $1,006.25 | $4,375.00 | $112.66 – $3,899.53 | 8 |
| Reconstruction of eyelid CPT 67971 | $455.17 | $1,979.00 | $58.16 – $6,390.66 | 16 |
| Reconstruction of eyelid CPT 67973 | $585.58 | $2,546.00 | $74.81 – $6,390.66 | 16 |
| Reconstruction of eyelid CPT 67974 | $583.97 | $2,539.00 | $74.65 – $10,329.88 | 16 |
| Reconstruction of eyelid CPT 67975 | $431.48 | $1,876.00 | $55.08 – $6,390.66 | 16 |
| Reconstruction of hip socket CPT 27120 | $841.57 | $3,659.00 | $105.41 – $4,267.64 | 8 |
| Reconstruction of hip socket CPT 27122 | $715.76 | $3,112.00 | $89.73 – $3,838.87 | 8 |
| Reconstruction of jaw CPT 21245 | $606.74 | $2,638.00 | $77.00 – $16,204.73 | 15 |
| Reconstruction of jaw CPT 21246 | $546.71 | $2,377.00 | $69.14 – $16,204.73 | 14 |
| Reconstruction of jaw CPT 21248 | $516.81 | $2,247.00 | $64.82 – $16,204.73 | 15 |
| Reconstruction of jaw CPT 21249 | $722.89 | $3,143.00 | $90.56 – $16,204.73 | 15 |
| Reconstruction of jaw joint CPT 21240 | $677.35 | $2,945.00 | $85.33 – $16,204.73 | 16 |
| Reconstruction of jaw joint CPT 21242 | $650.90 | $2,830.00 | $82.40 – $16,204.73 | 16 |
| Reconstruction of jaw joint CPT 21243 | $1,040.98 | $4,526.00 | $136.39 – $50,375.76 | 16 |
| Reconstruction of lower jaw CPT 21244 | $644.23 | $2,801.00 | $82.00 – $16,204.73 | 14 |
| Reconstruction of midface CPT 21188 | $1,010.85 | $4,395.00 | $128.22 – $4,570.99 | 8 |
| Reconstruction of mouth CPT 40840 | $406.87 | $1,769.00 | $46.52 – $16,204.73 | 17 |
| Reconstruction of mouth CPT 40842 | $397.21 | $1,727.00 | $49.60 – $16,204.73 | 17 |
| Reconstruction of mouth CPT 40843 | $563.50 | $2,450.00 | $63.58 – $16,204.73 | 17 |
| Reconstruction of mouth CPT 40844 | $762.45 | $3,315.00 | $86.01 – $16,204.73 | 17 |
| Reconstruction of mouth CPT 40845 | $780.39 | $3,393.00 | $88.55 – $16,204.73 | 17 |
| Reconstruction of nail bed CPT 11762 | $121.67 | $529.00 | $15.29 – $5,010.80 | 18 |
| Reconstruction of nose CPT 30410 | $896.77 | $3,899.00 | $114.82 – $16,204.73 | 14 |
| Reconstruction of nose CPT 30420 | $917.93 | $3,991.00 | $118.51 – $16,204.73 | 14 |
| Reconstruction of orbit CPT 21256 | $801.55 | $3,485.00 | $100.54 – $16,204.73 | 16 |
| Reconstruction of throat CPT 42950 | $506.00 | $2,200.00 | $58.30 – $16,204.73 | 16 |
| Reconstruction of urethra CPT 53410 | $631.12 | $2,744.00 | $63.69 – $13,925.53 | 16 |
| Reconstruction of urethra CPT 53415 | $727.26 | $3,162.00 | $73.32 – $3,574.32 | 8 |
| Reconstruction of urethra CPT 53430 | $627.90 | $2,730.00 | $63.29 – $13,925.53 | 16 |
| Reconstruction of urethra CPT 54308 | $463.22 | $2,014.00 | $58.39 – $13,925.53 | 16 |
| Reconstruction of urethra CPT 54312 | $528.77 | $2,299.00 | $66.66 – $9,447.74 | 16 |
| Reconstruction of urethra CPT 54316 | $641.01 | $2,787.00 | $80.81 – $25,330.66 | 16 |
| Reconstruction of urethra CPT 54318 | $460.92 | $2,004.00 | $58.08 – $9,447.74 | 16 |
| Reconstruction of urethra CPT 54322 | $504.85 | $2,195.00 | $63.59 – $9,447.74 | 16 |
| Reconstruction of urethra CPT 54324 | $624.91 | $2,717.00 | $78.71 – $9,447.74 | 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.