Pennsylvania / Grove City Hospital
CMS certification 390266 · Grove City, PA
Grove City Hospital: charges and Medicare payments
Grove City Hospital reported 77 Medicare inpatient stays across 3 DRGs in 2024. Across them it charged 2.97 times what it was paid. Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 42 stays at an average charge of $41,940, 54% below the national average. It also billed 372 outpatient services, charging 6.71 times what Medicare paid.
- 1Medicare inpatient stays 77
- 2Charge ÷ paid, inpatient 2.97×
- 3Rank in PA (highest ratio = 1) –
- 4CMS price-transparency actions 0
Inpatient stays
For the 3 DRGs that can be compared with the national average, Grove City Hospital charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 42 | $41,940 | -54% | $14,960 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 18 | $32,809 | -33% | $7,926 |
| 291 Heart Failure and Shock with MCC | 17 | $27,038 | -52% | $10,253 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 132 | $19,343 | $2,412 |
| Level 4 Musculoskeletal Procedures | 33 | $17,479 | $6,390 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 28 | $10,825 | $1,422 |
| Level 5 Musculoskeletal Procedures | 26 | $52,208 | $11,351 |
| Level 3 Urology and Related Services | 25 | $11,861 | $1,819 |
| Level 1 Nerve Procedures | 24 | $8,349 | $1,725 |
| Level 4 Urology and Related Services | 21 | $11,554 | $3,114 |
| Level 3 Musculoskeletal Procedures | 17 | $12,840 | $2,891 |
| Level 5 Urology and Related Services | 16 | $14,330 | $4,622 |
| Level 2 Musculoskeletal Procedures | 14 | $10,295 | $1,436 |
| Level 3 Vascular Procedures | 13 | $19,257 | $2,628 |
| Level 4 Gynecologic Procedures | 12 | $10,144 | $2,607 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 11 | $26,442 | $2,261 |
Against the Pennsylvania average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Grove City Hospital charged $41,940 on average, 52% less than the Pennsylvania average of $88,167, and was paid $14,960 against a state average of $16,881. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Grove City Hospital charged $32,809 on average, 34% less than the Pennsylvania average of $49,758, and was paid $7,926 against a state average of $9,077. For Heart Failure and Shock with MCC (DRG 291), Grove City Hospital charged $27,038 on average, 53% less than the Pennsylvania average of $57,362, and was paid $10,253 against a state average of $11,112. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $19,343 was 11% below the state average of $21,732. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $17,479 was 63% below the state average of $47,486. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $10,825 was 21% below the state average of $13,651. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $52,208 was 18% below the state average of $63,627.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.