How many shoppable procedure prices are published for Grove City Medical Center?

Grove City Medical Center in Grove City, PA currently has 134 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Grove City Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Grove City Medical Center's median negotiated commercial rate is 0.8× the regionally adjusted fair BaseRate benchmark.

What is Grove City Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Grove City Medical Center an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 67 Beds · urban Updated: 2026-04-14

Grove City Medical Center

631 North Broad Street Ext., Grove City, PA 16127 · 134 Priced Procedures · 67% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Good Deal · Below Fair Market

0.82×vs. Fair Market Price

Typical commercial prices here are 18% below the fair benchmark (0.82×) after accounting for local nurse/doctor wages and patient complexity.

82/100 · Corroborated

82/100Self-Pay Cash Beats Insurance 15% of the Time

File Completeness66

Price Logic92

Peer Alignment67

Clean Billing86

Real Cash Discount100

Regional Benchmark Tier

3-Star CMS clinical quality rating paired with 0.82× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Grove City Medical Center maintains low, disciplined commercial pricing across both routine shoppable procedures (0.7× Medicare, p50 0.82× Fair BaseRate) and emergency/ancillary services (1.0× Medicare, p75 0.96× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#14 of 134 in PA · 9th State Percentile#332 of 3,385 in U.S. · 9th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 18% below peer Fair BaseRate (0.82×)
Self-pay cash beats commercial insurance on 15% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 67% patient recommendation (65/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (10.6% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (0.82× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Captive ER (0.7×) & laboratory (1.3×) services average 1.43× higher multiples than routine shoppable care (0.7×)
Upper-quartile procedures (Q75 0.96×) jump +17% above the median procedure ratio (Q50 0.82×)
Consolidated metro market (HHI 4,103) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

0.7× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.43× Divergence

1.0× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+17% Upper Tail

Q25 0.57× · Q50 0.82× · Q75 0.96×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

0.7× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.4× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.7× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.3× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.7× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

15% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 65/100Fair

Procedure Prices at Grove City Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 134 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$26,375	$30,775	0.9×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$17,001	$19,087	0.9×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$16,116	$19,432	0.8×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$15,918	$17,936	0.9×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$6,669	$8,223	0.8×
Vaginal delivery (full package) CPT Code: `59400`	$1,557	$3,101	$2,680	1.2×
C-section delivery (full package) CPT Code: `59510`	$1,729	$3,101	$2,975	1.0×
Trauma team activation HCPCS Code: `G0390`	$4,355	$1,349	$1,453	0.9×
Blood transfusion CPT Code: `36430`	$1,280	$1,280	$498	2.6×
Cataract surgery with lens implant CPT Code: `66984`	$344	$831	$2,540	0.3×
Total hip replacement CPT Code: `27130`	$832	$832	$13,413	0.1×
Total knee replacement CPT Code: `27447`	$831	$831	$13,523	0.1×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$354	$717	$3,372	0.2×
Sleep study (overnight, in lab) CPT Code: `95810`	$3,721	$624	$1,021	0.6×
Bunion correction surgery CPT Code: `28296`	$336	$571	$3,446	0.2×
Inguinal hernia repair CPT Code: `49505`	$341	$524	$3,629	0.1×
Breast lump removal CPT Code: `19120`	$272	$510	$3,875	0.1×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$429	$429	$6,109	0.1×
Rabies immune globulin HCPCS Code: `90375`	$939	$309	$322	1.0×
MRI, brain (with and without contrast) CPT Code: `70553`	$3,919	$316	$511	0.6×
Colonoscopy with biopsy CPT Code: `45380`	$128	$327	$1,256	0.3×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,788	$280	$448	0.6×
Colonoscopy (diagnostic) CPT Code: `45378`	$118	$262	$981	0.3×
MRI, brain (no contrast) CPT Code: `70551`	$2,122	$205	$343	0.6×
MRI, knee or other leg joint CPT Code: `73721`	$2,122	$214	$369	0.6×
Upper endoscopy with biopsy CPT Code: `43239`	$88	$218	$987	0.2×
MRI, lower back (no contrast) CPT Code: `72148`	$2,122	$200	$338	unverified
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$174	$174	$64	2.7×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$885	$191	$272	0.7×
Hepatitis B immune globulin HCPCS Code: `90371`	$221	$143	$151	0.9×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,604	$167	$583	0.3×
Behavioral health assessment HCPCS Code: `H0001`	—	$140	$157	0.9×
Psychotherapy session (60 minutes) CPT Code: `90837`	$91	$131	$181	0.7×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,361	$150	$258	0.6×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,564	$162	$303	0.5×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$447	$130	$148	0.9×
Screening mammogram (both breasts) CPT Code: `77067`	$367	$105	$123	0.9×
Psychiatric evaluation (first visit) CPT Code: `90791`	$97	$123	$185	0.7×
Care planning with family CPT Code: `90887`	$49	$86	$107	0.8×
Office visit, established patient (30-39 min) CPT Code: `99214`	$578	$92	$123	0.7×
Ultrasound, abdomen (complete) CPT Code: `76700`	$584	$97	$134	0.7×
Review of medical records for care CPT Code: `90889`	—	$81	$114	0.7×
Ultrasound, pelvis CPT Code: `76856`	$584	$91	$130	0.7×
CT scan, sinuses CPT Code: `70486`	$1,128	$112	$166	0.7×
CT scan, pelvis CPT Code: `72192`	$1,128	$106	$163	0.7×
CT scan, chest (no contrast) CPT Code: `71250`	$1,128	$106	$167	0.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,128	$107	$169	0.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,128	$106	$168	0.6×
CT scan, head (with contrast) CPT Code: `70460`	$1,888	$124	$242	0.5×
CT scan, head (no contrast) CPT Code: `70450`	$1,128	$94	$160	0.6×
Psychotherapy session (45 minutes) CPT Code: `90834`	$61	$95	$166	0.6×
Family therapy session CPT Code: `90847`	$69	$94	$173	0.5×
Neurobehavioral status check CPT Code: `96116`	$51	$95	$231	0.4×
Ultrasound, thyroid and neck CPT Code: `76536`	$584	$104	$132	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$114	$114	$86	unverified
Typhoid vaccine HCPCS Code: `90675`	$187	$396	$347	1.1×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$225	$203	unverified
Pneumococcal vaccine HCPCS Code: `90732`	$54	$144	$140	unverified
Drug screening test HCPCS Code: `G0480`	—	$105	$116	0.9×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$43	$115	$111	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$307	$77	$86	0.9×
New patient office visit (30-44 min) CPT Code: `99203`	$495	$79	$110	0.7×
Ultrasound, abdomen (limited) CPT Code: `76705`	$584	$74	$126	0.6×
Blood test, vitamin D CPT Code: `82306`	$195	$31	$31	1.0×
Extended office visit (prolonged) HCPCS Code: `G2212`	$20	$33	$33	1.0×
Speech therapy (group session) CPT Code: `92508`	$90	$25	$27	0.9×
Orthotic fitting and training CPT Code: `97760`	$182	$46	$51	0.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$30	$49	$56	0.9×
Office visit, established patient (20-29 min) CPT Code: `99213`	$495	$70	$87	0.8×
Injection procedure for pain management HCPCS Code: `G0260`	$79	$79	$855	0.1×
X-ray, hip CPT Code: `73502`	$443	$45	$93	0.5×
X-ray, lower back CPT Code: `72110`	$534	$48	$112	0.4×
Community mental health services HCPCS Code: `H0038`	—	$16	$16	1.0×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$78	$26	$27	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$127	$19	$20	0.9×
Diagnostic procedure preparation HCPCS Code: `G0279`	$18	$33	$35	0.9×
Prosthetic fitting and training CPT Code: `97761`	$158	$40	$45	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$13	$14	0.9×
Physical therapy (gait training) CPT Code: `97116`	$119	$28	$33	0.8×
Occupational therapy (self-care training) CPT Code: `97535`	$128	$32	$38	0.8×
Physical therapy (functional capacity test) CPT Code: `97750`	$146	$32	$38	0.8×
Colorectal cancer screening HCPCS Code: `G0010`	$118	$41	$49	0.8×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$157	$33	$40	0.8×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$136	$31	$38	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$109	$27	$34	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$120	$26	$35	0.7×
Pneumonia vaccine injection HCPCS Code: `G0009`	$118	$33	$49	0.7×
Psychological testing evaluation CPT Code: `96136`	$15	$37	$128	0.3×
Psychological testing by technician CPT Code: `96138`	$22	$60	$395	0.2×
Flu vaccine injection HCPCS Code: `G0008`	$118	$33	$48	0.7×
X-ray, neck (cervical spine) CPT Code: `72040`	$443	$35	$93	0.4×
X-ray, hand CPT Code: `73130`	$354	$35	$93	0.4×
Blood test, basic metabolic panel CPT Code: `80048`	$55	$9	$9	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$69	$11	$11	1.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$89	$14	$14	1.0×
Blood test, liver function panel CPT Code: `80076`	$54	$9	$9	1.0×
X-ray, ankle CPT Code: `73610`	$443	$34	$93	0.4×
Behavioral health living support HCPCS Code: `H2019`	—	$12	$34	0.4×
X-ray, shoulder CPT Code: `73030`	$443	$32	$92	0.3×
X-ray, foot CPT Code: `73630`	$443	$32	$92	0.3×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$22	$3	$3	1.0×
Blood test, calcium CPT Code: `82310`	$34	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$34	$5	$5	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$25	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$64	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$45	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$44	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$32	$5	$5	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$127	$19	$19	1.0×
Blood test, sodium CPT Code: `84295`	$32	$5	$5	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$110	$17	$18	0.9×
Blood test, amylase CPT Code: `82150`	$42	$6	$7	0.9×
X-ray, chest (two views) CPT Code: `71046`	$443	$28	$93	0.3×
Mental health services (therapy) HCPCS Code: `H0032`	—	$17	$65	0.3×
Group therapy session CPT Code: `90853`	$16	$26	$100	0.3×
X-ray, chest (single view) CPT Code: `71045`	$354	$21	$92	0.2×
X-ray, pelvis CPT Code: `72170`	$428	$24	$110	0.2×
Mental health services (assessment) HCPCS Code: `H0031`	—	$29	$140	0.2×
Breathing treatment (nebulizer) CPT Code: `94640`	$484	$32	$201	0.2×
Blood test, vitamin B12 CPT Code: `82607`	$99	$15	$16	unverified
Hepatitis B vaccine HCPCS Code: `90744`	—	$35	$37	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$26	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$52	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$39	$6	$6	1.0×
Hepatitis C antibody test CPT Code: `86803`	$94	$15	$15	1.0×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	$37	$39	0.9×
Culture, blood CPT Code: `87040`	$68	$11	$11	1.0×
Culture, bacterial CPT Code: `87070`	$57	$9	$9	1.0×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$9	$21	$25	0.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$28	$4	$5	0.8×
Blood test, hemoglobin CPT Code: `85018`	$15	$2	$3	0.7×
Blood antibody screen CPT Code: `86850`	$352	$11	$46	0.2×
Blood test, ferritin (iron stores) CPT Code: `82728`	$90	$14	$14	unverified
Flu vaccine (high dose) HCPCS Code: `90656`	—	$24	$25	unverified

Showing top 25 high-impact procedures of 134 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 10.6%

Audit a Bill or Quote at Grove City Medical Center (Zero PHI Required)

CMS CCN: 390266

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $26,375

1. Amount on Your Bill or Quote ($) Pre-filled with Grove City Medical Center’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $6,703 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $6,703

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (10.6% of gross = $6,703).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Grove City Medical Center's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$32,525 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($63,300) is $32,525 above the denoised Fair BaseRate ($30,775) and 2.7× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 251340370

Filing Period: 201510

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (10.6% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Safety Composite65/100

Would Recommend67%

Rated 9 or 10 (HCAHPS)69%

Median ER Wait147 min

Left ER Before Seen2%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionsame

Source: CMS Hospital Care Compare (175 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Quality & Price Benchmark Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Grove City Medical Center.

Price Index: 0.47× regional baseline

Quality: 55/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Martin's Point

+95.0%

Median Household Income$60,614U.S. Census ACS

Local Uninsured Share6.0%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 82/100 · Corroborated CMS CCN 390266 EIN 251340370

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 390266) ↗ Verify IRS Form 990 (EIN 251340370) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-04-14

Validated Rate Rows18,416 (CMS v3.0.0)

File Integrity DigestVerified · CCN 390266

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy