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 |
|---|---|---|---|---|
| Reconstruction of urethra CPT 54326 | $608.12 | $2,644.00 | $76.63 – $9,447.74 | 16 |
| Reconstruction tongue fold CPT 41520 | $161.92 | $704.00 | $18.54 – $8,883.72 | 15 |
| Reconstruct larynx & pharynx CPT 31395 | $1,875.42 | $8,154.00 | $210.00 – $7,327.98 | 8 |
| Reconstruct lip with flap CPT 40527 | $406.87 | $1,769.00 | $46.37 – $16,204.73 | 16 |
| Reconstruct lip w/local flap 40525 CPT 40525 | $356.04 | $1,548.00 | $40.63 – $8,883.72 | 16 |
| Reconstruct lower jaw bone CPT 21255 | $854.22 | $3,714.00 | $108.51 – $16,204.73 | 16 |
| Reconstruct lower jaw bone CPT 21247 | $1,015.45 | $4,415.00 | $128.42 – $5,781.34 | 8 |
| Reconstruct orbit/forehead CPT 21172 | $1,369.19 | $5,953.00 | $169.64 – $16,204.73 | 16 |
| Reconstruct shoulder joint CPT 23470 | $776.25 | $3,375.00 | $97.34 – $35,246.01 | 16 |
| Reconstruct shoulder joint CPT 23472 | $934.95 | $4,065.00 | $117.12 – $50,375.76 | 16 |
| Reconstruct ulna/radioulnar CPT 25337 | $581.44 | $2,528.00 | $72.89 – $19,568.78 | 16 |
| Reconstruct upper jaw bone CPT 21206 | $630.89 | $2,743.00 | $79.17 – $16,204.73 | 16 |
| Reconstruct urethra/bladder CPT 53431 | $742.21 | $3,227.00 | $74.81 – $13,925.53 | 16 |
| Reconstruct urethra stage 1 CPT 53420 | $542.34 | $2,358.00 | $54.70 – $13,925.53 | 16 |
| Reconstruct urethra stage 2 CPT 53425 | $603.75 | $2,625.00 | $60.84 – $13,925.53 | 16 |
| Reconstruct vena cava 34502 CPT 34502 | $982.79 | $4,273.00 | $85.71 – $5,785.39 | 8 |
| Reconstruct windpipe CPT 31780 | $773.72 | $3,364.00 | $47.25 – $3,965.63 | 8 |
| Reconstruct windpipe CPT 31781 | $927.36 | $4,032.00 | $47.25 – $4,615.93 | 8 |
| Rectal sensation test CPT 91120 | $30.59 | $133.00 | $39.22 – $853.02 | 16 |
| Red blood cells each unit HCPCS P9021 | $666.82 | $866.00 | $30.00 – $395.33 | 15 |
| Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit HCPCS P9057 | $2,242.24 | $2,912.00 | $30.00 – $1,329.57 | 15 |
| Red blood cells leukocytes reduced cmv negative irradiated each unit HCPCS P9058 | $1,029.49 | $1,337.00 | $30.00 – $610.48 | 15 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $840.84 | $1,092.00 | $69.39 – $498.55 | 13 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $1,181.95 | $1,535.00 | $168.85 – $700.71 | 13 |
| Red blood cells washed each unit HCPCS P9022 | $1,833.37 | $2,381.00 | $189.20 – $1,087.14 | 13 |
| Red cell mass multiple CPT 78121 | $9.43 | $41.00 | $10.60 – $1,474.48 | 16 |
| Red cell mass single CPT 78120 | $6.21 | $27.00 | $7.79 – $1,100.73 | 16 |
| Red cell sequestration CPT 78140 | $15.64 | $68.00 | $13.13 – $1,100.73 | 16 |
| Red cell survival study CPT 78130 | $15.64 | $68.00 | $20.15 – $1,100.73 | 16 |
| Redo compl cardiac anomaly CPT 33622 | $2,174.42 | $9,454.00 | $188.93 – $5,379.39 | 7 |
| Redo endovas vena cava filtr CPT 37192 | $218.27 | $949.00 | $269.36 – $8,621.93 | 17 |
| Reduce bowel obstruction 44050 CPT 44050 | $606.05 | $2,635.00 | $67.86 – $2,267.27 | 8 |
| Reduce testis torsion CPT 54600 | $293.71 | $1,277.00 | $37.10 – $9,447.74 | 16 |
| Reduction of facial bones CPT 21209 | $388.01 | $1,687.00 | $49.52 – $16,204.73 | 17 |
| Reduction of procidentia 45900 CPT 45900 | $138.00 | $600.00 | $17.20 – $2,497.44 | 14 |
| Reduction of skull defect CPT 62115 | $1,103.08 | $4,796.00 | $149.51 – $4,346.39 | 8 |
| Reduction of skull defect CPT 62117 | $1,280.41 | $5,567.00 | $173.21 – $5,380.52 | 8 |
| Re-exploration of chest 32120 CPT 32120 | $560.28 | $2,436.00 | $69.59 – $2,309.28 | 8 |
| Reexploration pelvic wound 49014 CPT 49014 | $244.26 | $1,062.00 | $302.30 – $601.33 | 7 |
| Re-explore parathyroids CPT 60502 | $843.64 | $3,668.00 | $94.80 – $16,204.73 | 16 |
| Refill maint impl spine pump CPT 95991 | $25.30 | $110.00 | $32.24 – $808.61 | 17 |
| Refill/maint pump/resvr syst CPT 96522 | $616.77 | $801.00 | $86.85 – $577.14 | 15 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $207.50 | $902.16 | $2.73 – $5.14 | 6 |
| Reimplant artery each 35697 CPT 35697 | $92.69 | $403.00 | $26.85 – $229.24 | 7 |
| Reimplant ureter in bladder CPT 50782 | $692.53 | $3,011.00 | $69.77 – $3,779.02 | 8 |
| Reimplant ureter in bladder CPT 50783 | $725.42 | $3,154.00 | $73.13 – $3,889.42 | 8 |
| Reimplant ureter in bladder CPT 50785 | $782.92 | $3,404.00 | $78.61 – $4,096.48 | 8 |
| Reinforce clavicle CPT 23490 | $560.74 | $2,438.00 | $11.00 – $19,568.78 | 16 |
| Reinforced solid stirrup HCPCS L2260 | not published | not published | $116.42 – $413.29 | 13 |
| Reinforce eye wall CPT 67250 | $563.27 | $2,449.00 | $73.37 – $6,390.66 | 16 |
| Reinforce/graft eye wall CPT 67255 | $434.24 | $1,888.00 | $55.88 – $11,019.80 | 16 |
| Reinforce hip bones CPT 27187 | $647.91 | $2,817.00 | $81.18 – $3,561.39 | 8 |
| Reinforce shoulder bones CPT 23491 | $660.79 | $2,873.00 | $15.00 – $35,246.01 | 16 |
| Reinforce thigh CPT 27495 | $733.47 | $3,189.00 | $91.86 – $3,942.55 | 8 |
| Reinforce tibia CPT 27745 | $478.17 | $2,079.00 | $10.50 – $19,568.78 | 16 |
| Reinnervate larynx CPT 31590 | $590.64 | $2,568.00 | $75.36 – $16,204.73 | 16 |
| Reinsertion of spinal fixation device 22849 CPT 22849 | $848.93 | $3,691.00 | $105.36 – $3,603.72 | 8 |
| Reinsert ocular implant CPT 65155 | $604.44 | $2,628.00 | $78.47 – $10,329.88 | 16 |
| Release encircling material CPT 67115 | $315.10 | $1,370.00 | $40.47 – $11,019.80 | 16 |
| Release eye tissue CPT 67343 | $426.88 | $1,856.00 | $54.60 – $6,390.66 | 16 |
| Release facial nerve CPT 69720 | $753.02 | $3,274.00 | $67.25 – $16,204.73 | 16 |
| Release facial nerve CPT 69725 | $1,195.77 | $5,199.00 | $106.62 – $16,204.73 | 16 |
| Release facial nerve CPT 69955 | $1,258.10 | $5,470.00 | $112.14 – $16,204.73 | 16 |
| Release finger contracture CPT 26525 | $435.62 | $1,894.00 | $56.13 – $4,383.99 | 16 |
| Release forearm/hand tendon CPT 26449 | $459.08 | $1,996.00 | $28.00 – $8,887.94 | 16 |
| Release inner ear canal CPT 69960 | $1,208.19 | $5,253.00 | $107.46 – $16,204.73 | 16 |
| Release knuckle contracture CPT 26520 | $432.40 | $1,880.00 | $55.81 – $8,887.94 | 16 |
| Release middle ear bone CPT 69650 | $511.52 | $2,224.00 | $45.99 – $8,883.72 | 16 |
| Release muscles of hand CPT 26593 | $411.93 | $1,791.00 | $52.86 – $8,887.94 | 16 |
| Release of eye fluid CPT 67015 | $379.73 | $1,651.00 | $49.03 – $6,247.59 | 16 |
| Release of foot tendon CPT 28220 | $198.95 | $865.00 | $25.26 – $4,383.99 | 17 |
| Release of foot tendon 28225 CPT 28225 | $173.42 | $754.00 | $21.89 – $8,887.94 | 17 |
| Release of foot tendons CPT 28222 | $241.27 | $1,049.00 | $30.57 – $8,887.94 | 17 |
| Release of foot tendons CPT 28226 | $261.74 | $1,138.00 | $26.50 – $8,887.94 | 17 |
| Release of lower leg tendon CPT 27680 | $276.92 | $1,204.00 | $34.68 – $8,887.94 | 16 |
| Release of lower leg tendons CPT 27681 | $332.58 | $1,446.00 | $41.76 – $8,887.94 | 16 |
| Release of lung 32220 CPT 32220 | $1,021.66 | $4,442.00 | $127.20 – $4,053.68 | 8 |
| Release of midfoot joint CPT 28260 | $349.83 | $1,521.00 | $37.13 – $8,887.94 | 17 |
| Release of midfoot joint CPT 28264 | $447.81 | $1,947.00 | $54.99 – $4,383.99 | 17 |
| Release of shoulder ligament CPT 23415 | $457.93 | $1,991.00 | $57.27 – $19,568.78 | 16 |
| Release of skull seams CPT 61550 | $785.45 | $3,415.00 | $106.55 – $3,121.16 | 8 |
| Release of skull seams CPT 61552 | $972.90 | $4,230.00 | $131.75 – $4,059.89 | 8 |
| Release of ureter CPT 50715 | $780.62 | $3,394.00 | $78.23 – $3,429.23 | 8 |
| Release of ureter CPT 50722 | $658.26 | $2,862.00 | $66.38 – $3,077.77 | 8 |
| Release of ureter CPT 50940 | $572.93 | $2,491.00 | $57.75 – $2,750.14 | 8 |
| Release palm contracture CPT 26040 | $208.84 | $908.00 | $9.64 – $4,383.99 | 17 |
| Release palm contracture CPT 26121 | $393.53 | $1,711.00 | $49.43 – $8,887.94 | 16 |
| Release palm contracture CPT 26123 | $548.78 | $2,386.00 | $68.89 – $8,887.94 | 16 |
| Release palm contracture CPT 26125 | $172.96 | $752.00 | $216.11 – $887.96 | 8 |
| Release palm contracture 26045 CPT 26045 | $311.19 | $1,353.00 | $9.22 – $8,887.94 | 16 |
| Release palm & finger tendon CPT 26442 | $635.26 | $2,762.00 | $8.00 – $8,887.94 | 16 |
| Release palm/finger tendon CPT 26440 | $413.31 | $1,797.00 | $17.00 – $4,383.99 | 16 |
| Release/revise ureter CPT 50725 | $709.55 | $3,085.00 | $71.52 – $3,484.27 | 8 |
| Release spinal cord lumbar CPT 63200 | $1,011.31 | $4,397.00 | $135.74 – $3,670.25 | 8 |
| Release thumb contracture CPT 26508 | $431.71 | $1,877.00 | $55.55 – $8,887.94 | 16 |
| Release wrist/forearm tendon CPT 25295 | $346.61 | $1,507.00 | $43.53 – $8,887.94 | 16 |
| Relieve bladder contracture CPT 52640 | $209.99 | $913.00 | $21.19 – $9,447.74 | 16 |
| Relieve cranial pressure 61345 CPT 61345 | $1,332.39 | $5,793.00 | $180.19 – $5,482.50 | 8 |
| Relocation of testis(es) CPT 54680 | $508.99 | $2,213.00 | $64.13 – $9,447.74 | 16 |
| Relocation skin pocket aicd CPT 33223 | $259.21 | $1,127.00 | $22.74 – $5,010.80 | 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.