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George C Grape Community Hospital

Iowa · 1,500 published self-pay prices, from $132 to $44,911.

These items are published without a standard CPT or HCPCS code, so they cannot be reliably matched against the same service at another hospital. They are shown exactly as this facility published them, and are excluded from every median, average and comparison elsewhere on this site.

Showing the 300 lowest-priced of 1,500 published items.

ItemCash priceSetting
ABILIFY 2 MG TABLET$151Outpatient
ACAPELLA DM BLUE$191Outpatient
ACAPELLA OR VPEP$191Outpatient
ACMI CAUTERY CORD/DISP$184Outpatient
ACMI ELECTRODE: CUT LOOP 24F$344Outpatient
ACMI ELECTRODE: CUT/LOOP/RT.AN$363Outpatient
Activated protein resistance assay$194Outpatient
Acute hepatitis panel$371Outpatient
ADH (antidiuretic hormone) level$161Outpatient
Administration of additional new drug or substance into vein using push technique$227Outpatient
Administration of additional new drug or substance into vein, 1 hour or less$554Outpatient
Administration of chemotherapy into vein using push technique$394Outpatient
Administration of chemotherapy into vein, 1 hour or less$554Outpatient
Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle$173Outpatient
Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle$173Outpatient
Administration of prolonged chemotherapy into vein$472Outpatient
Adrenocorticotropic hormone (ACTH) level$341Outpatient
ADVAIR 100-50 DISKUS$339Outpatient
ADVAIR 250-50 DISKUS$309Outpatient
ADVAIR 500-50 DISKUS$479Outpatient
ADVANCED EXTREMITY PACK$258Outpatient
Age complicating anesthesia (younger than 1 year and older than 70 years)$226Outpatient
AIMOVIG 140 MG/ML AUTOINJECTOR$1,756Outpatient
AIR WALKER BOOT LOW: LARGE$309Outpatient
AIR WALKER BOOT LOW: MEDIUM$309Outpatient
AIR WALKER BOOT LOW: SMALL$309Outpatient
AIRCAST - STANDARD - RIGHT - A$160Outpatient
AIRVO OPTI FLOW MASK MED$156Outpatient
Alcohols levels$194Outpatient
Alcohols levels, 1 or 2$245Outpatient
Aldosterone hormone level$359Outpatient
Alkaloids levels$145Outpatient
ALL INCLUSIVE RATE - ALL-INCLUSIVE ROOM AND BOARD PLUS ANCILLARY$170Inpatient
Alpha-1-antitrypsin (protein) blood test, phenotype$174Outpatient
Alpha-1-antitrypsin (protein) blood test, total$183Outpatient
Alpha-fetoprotein (AFP) level, serum$145Outpatient
ALPHAGAN P 0.1% DROPS$222Outpatient
AMBU BAG - ADULT RESUS$185Outpatient
AMBU BAG - NEONATE - W/MANOMET$140Outpatient
AMBU BAG - PED RESUS$185Outpatient
Amikacin (antibiotic) level$264Outpatient
AMINOPHYLLINE 500MG 25ML$302Outpatient
Ammonia level$155Outpatient
AMOX-CLAV 200-28.5 MG/5 ML SUS$202Outpatient
AMOX-CLAV 400-57 MG/5 ML SUSP$219Outpatient
Amphetamines levels, 5 or more$157Outpatient
AMPICILLIN-SULBACTAM 1.5 GM VL$180Outpatient
Amplifed DNA or RNA probe detection of severe acute respiratory syndrome coronavirus 2 (Covid-19) antigen$266Outpatient
Amplifed nucleic acid probe typing of disease agent in blood culture specimen$759Outpatient
Amputation of toe at joint between forefoot and toes$678Outpatient
Analgesics levels, 1 or 2$180Outpatient
Analysis for antibody (IgM) to Cytomegalovirus (CMV)$167Outpatient
Analysis for antibody (IgM) to West Nile virus$198Outpatient
Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria)$165Outpatient
Analysis for antibody to Cytomegalovirus (CMV)$163Outpatient
Analysis for antibody to Epstein-Barr virus (mononucleosis virus), early antigen$159Outpatient
Analysis for antibody to Epstein-Barr virus (mononucleosis virus), nuclear antigen$136Outpatient
Analysis for antibody to fungus$204Outpatient
Analysis for antibody to Helicobacter pylori (gastrointestinal bacteria)$144Outpatient
Analysis for antibody to Legionella (waterborne bacteria)$159Outpatient
Analysis for antibody to mumps virus$252Outpatient
Analysis for antibody to parvovirus$247Outpatient
Analysis for antibody to varicella-zoster virus (chicken pox)$185Outpatient
Analysis for antibody to West Nile virus$198Outpatient
Analysis for detection of tumor marker$238Outpatient
Analysis of voice and resonance production$337Outpatient
Analysis using chemiluminescent technique (light and chemical )reaction$181Outpatient
Androstenedione (hormone) level$253Outpatient
Anesthesia for access to central vein$145Outpatient
Anesthesia for closed procedure on hip joint$145Outpatient
Anesthesia for closed procedure on lower leg, ankle, and foot$145Outpatient
Anesthesia for closed procedure on pubic bone or pelvic joint$145Outpatient
Anesthesia for exam of colon using an endoscope$145Outpatient
Anesthesia for incision of ear drum$145Outpatient
ANESTHESIA FOR LOWER INTESTINAL ENDOSCOPIC PROCEDURES, ENDOSCOPE INTRODUCED DISTAL TO DUODENUM$145Outpatient
Anesthesia for nerve block and injection$145Outpatient
Anesthesia for open amputation below the knee$145Outpatient
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope$145Outpatient
Anesthesia for other procedure on external middle and inner ear$145Outpatient
Anesthesia for other procedure on face bones or skull$145Outpatient
Anesthesia for other procedure on female genitals$145Outpatient
Anesthesia for other procedure on large bowel using an endoscope$145Outpatient
Anesthesia for other procedure on lower abdomen$145Outpatient
Anesthesia for other procedure on lower abdomen outside abdominal cavity$145Outpatient
Anesthesia for other procedure on lower front abdomen$145Outpatient
Anesthesia for other procedure on lower leg, ankle, and foot bones$145Outpatient
Anesthesia for other procedure on lower spine$145Outpatient
Anesthesia for other procedure on male genitals$145Outpatient
Anesthesia for other procedure on middle spine$145Outpatient
Anesthesia for other procedure on mouth$145Outpatient
Anesthesia for other procedure on neck area (1 year or older)$145Outpatient
Anesthesia for other procedure on nerves, muscles, tendons, and tissue of lower leg, ankle, and foot$145Outpatient
Anesthesia for other procedure on skin of arms, legs, and front body$145Outpatient
Anesthesia for other procedure on skin, muscles, or nerves of head, neck, and upper back$145Outpatient
Anesthesia for other procedure on upper abdomen$145Outpatient
Anesthesia for other procedure on upper spine$145Outpatient
Anesthesia for other procedure on urinary system through urethra$145Outpatient
Anesthesia for other repair of lower abdomen hernia (1 year or older)$145Outpatient
Anesthesia for other repair of upper abdomen hernia$145Outpatient
Anesthesia for procedure on anus and rectum$145Outpatient
Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand$145Outpatient
Anesthesia for procedure on nerves, muscles, tendons, and tissue of knee$145Outpatient
Anesthesia for procedure on nerves, muscles, tendons, and tissue of upper leg$145Outpatient
Anesthesia for procedure on nerves, muscles, tendons, fascia, and bursae of shoulder and underarm$145Outpatient
Anesthesia for procedure on small and large bowel using an endoscope$145Outpatient
Anesthesia for procedure to correct abnormal heart rhythm$145Outpatient
Anesthesia for procedure to repair upper abdominal incisional hernia and/or wound opening$145Outpatient
Anesthesia for removal of all or part of breast$145Outpatient
Anesthesia for removal of prostate including use of an endoscope$145Outpatient
Anesthesia for removal of testicle through groin$145Outpatient
Anesthesia for removal of urinary bladder tumors including use of an endoscope$145Outpatient
ANKLE CONTROL ORTHOSIS, STIRRUP STYLE, RIGID, INCLUDES ANY TYPE INTERFACE (E.G., PNEUMATIC, GEL), PREFABRICATED, OFF-THE-SHELF$157Outpatient
Antibody evaluation, initial single antibody stain procedure$388Outpatient
Antibody identification test, platelet antibodies$320Outpatient
Antidepressants levels, 1 or 2 (serotonergic class)$410Outpatient
Antidepressants levels, not specified$136Outpatient
Antipsychotics levels, 1-3$166Outpatient
Antithrombin III antigen (clotting inhibitor) activity$211Outpatient
Application of nonmoveable forearm to hand splint$146Outpatient
Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less$212Outpatient
Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, each additional 25.0 sq cm of wound 100.0 sq cm or less$212Outpatient
Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less$212Outpatient
Application of skin substitute graft to wound of trunk, arms, or legs, each additional 25.0 sq cm of wound 100.0 sq cm or less$212Outpatient
ARNUITY ELLIPTA 100 MCG INH$292Outpatient
ARTHROSCOPY PACK$246Outpatient
Ascorbic acid (Vitamin C) level, blood$167Outpatient
ASMANEX TWISTHALER 220 MCG #14$264Outpatient
Aspiration and/or injection of cyst of tendon$146Outpatient
Aspiration and/or injection of fluid from large joint$284Outpatient
Aspiration and/or injection of fluid from medium joint$140Outpatient
Aspiration and/or injection of fluid from small joint$146Outpatient
Aspiration and/or injection of fluid large joint using ultrasound guidance$407Outpatient
Aspiration of bone marrow sample for diagnosis$537Outpatient
Aspiration of fluid collection in testicle and sperm reservoir$267Outpatient
AZITHROMYCIN 100 MG/5 ML SUSP$180Outpatient
AZITHROMYCIN 200 MG/5 ML SUSP$180Outpatient
Bacterial blood culture$211Outpatient
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm$3,022Outpatient
BCG (INTRAVESICAL) PER INSTILLATION$847Outpatient
BECONASE AQ/NAPHCON Nasal (compound)$431Outpatient
Benzodiazepines levels, 1-12$152Outpatient
Benzodiazepines levels, 13 or more$152Outpatient
BEPOTASTINE 1.5% EYE DROP$481Outpatient
Beta-2 microglobulin (protein) level$159Outpatient
BIKTARVY 50-200-25 MG TABLET$316Outpatient
BIO-CONNEKT WOUND MATRIX, PER SQUARE CENTIMETER$1,871Outpatient
Biopsy and aspiration of bone marrow sample for diagnosis$293Outpatient
Biopsy and scraping of cervix using an endoscope$472Outpatient
Biopsy of bone marrow$250Outpatient
Biopsy of breast and placement of locating device using ultrasound, first growth$2,121Outpatient
Biopsy of cervix or removal of growth$146Outpatient
Biopsy of cervix using an endoscope$360Outpatient
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope$3,126Outpatient
Biopsy of growth of external female genitals, first growth$146Outpatient
Biopsy of large bowel using a flexible endoscope$3,235Outpatient
Biopsy of lining of uterus$146Outpatient
Biopsy of prostate gland$636Outpatient
Biopsy or removal of deep lymph nodes of neck$3,591Outpatient
Biopsy or removal of deep lymph nodes of underarm$146Outpatient
BIOPSY-SOFT TISSUE-JAMSHADI TR$153Outpatient
BIOVAIR (membrane RESTORE) (non qcode)$1,726Outpatient
Blood gases measurement$241Outpatient
Blood glucose (sugar) tolerance test, 3 specimens$203Outpatient
Blood test, basic group of blood chemicals (Calcium, total)$152Outpatient
Blood test, comprehensive group of blood chemicals$187Outpatient
Blood test, lipids (cholesterol and triglycerides)$134Outpatient
Blood unit compatibility test, antiglobulin technique$194Outpatient
Blood unit compatibility test, immediate spin technique$182Outpatient
BLUNT PORT 5MM - 12MM$453Outpatient
BONE MARROW TRAY$338Outpatient
BONE SURVEY INFANT$156Outpatient
BOOT: WALKER-XL$470Outpatient
BRA - COMPRESSION LARGE 36 -4$165Outpatient
BRA - COMPRESSION MEDIUM 34 -$165Outpatient
BRA - COMPRESSION PETITE 28 -3$165Outpatient
BRA - COMPRESSION SMALL 32 -3$165Outpatient
BRA - COMPRESSION XL 40 -45$165Outpatient
BRA - COMPRESSION XXL 45 -50$165Outpatient
Breath test analysis for helicobacter pylori$285Outpatient
BREO ELLIPTA 200-25 MCG INHALR$539Outpatient
BREVI-KATH EPIDURAL$259Outpatient
BREZTRI AEROSPHR 160-9-4.8 MCG$143Outpatient
BRIDION 200 MG/2 ML VIAL$556Outpatient
Brimonidine Tart Opth ( ALPHAGAN 0.15%)$222Outpatient
Brinzolamide Ophth Susp 1% (AZOPT)$178Outpatient
BUTRANS 10 MCG/HR PATCH$292Outpatient
BUTRANS 5 MCG/HR PATCH$214Outpatient
C-peptide (protein) level$182Outpatient
CABOMETYX 60 MG TABLET$1,957Outpatient
CALCITONIN-SALMON 200 UNIT SPR$338Outpatient
Calcium level, ionized$133Outpatient
Cannabinoids levels, natural$220Outpatient
CAPSAICIN 8% PATCH, PER SQUARE CENTIMETER$2,041Outpatient
Carbamazepine level, total$142Outpatient
Carboxyhemoglobin (protein) level$143Outpatient
Carcinoembryonic antigen (CEA) protein level$174Outpatient
Carnitine level$300Outpatient
Catecholamines (organic nitrogen) level$249Outpatient
CEFDINIR Susp 125mg /5ML(OMNICEF)$195Outpatient
Cefdinir Susp 250 mg/5ML (OMNICEF )$340Outpatient
CEFPROZIL 250 MG/5 ML SUSP$151Outpatient
Cell examination of specimen, selective cellular enhancement technique$161Outpatient
CENTRAL VENOUS CATH KIT 7 FR$244Outpatient
CEPHALEXIN 250 MG/5 ML SUSP$165Outpatient
Chemical analysis using chromatography technique$210Outpatient
CHEST DRAINAGE UNIT$348Outpatient
CHOLECAL DF 95 MCG-1 MG TABLET$136Outpatient
Chromium level to test for poisoning or deficiency$167Outpatient
Chromosome analysis for genetic defects, additional cells counted, each study$264Outpatient
Chromosome analysis for genetic defects, additional karyotypes, each study$332Outpatient
Chromosome analysis for genetic defects, analyze 100-300 cells$556Outpatient
Chromosome analysis for genetic defects, analyze 20-25 cells$425Outpatient
Chromosome analysis for genetic defects, count 15-20 cells$1,076Outpatient
Chromosome analysis for genetic defects, count 5 cells$1,562Outpatient
CILOXAN 0.3% OINTMENT$288Outpatient
CIPROFLOX-DEXAMETH OTIC SUSP$548Outpatient
CIPROFLOXACIN 0.3% EYE DROP$212Outpatient
Ciprofloxacin 400 MG/40 ML (NF)$155Outpatient
CLEARIFY VISUALIZATION SYSTEM$179Outpatient
CLINIMIX 4.25%-10% SOLUTION$511Outpatient
CLINIMIX 4.25%-5% SOLUTION$346Outpatient
CLINIMIX E 2.75%-5% SOLUTION$163Outpatient
CLINIMIX E 5%-15% SOLUTION$382Outpatient
CLIPS COLON$543Outpatient
CLIPS GASTRO$543Outpatient
CLOBETASOL 0.05% CREAM$145Outpatient
CLOBETASOL 0.05% OINTMENT$632Outpatient
CLOBETASOL 0.05% SOLUTION$190Outpatient
CLONIDINE 0.2 MG/DAY PATCH$271Outpatient
CLONIDINE 0.3 MG/DAY PATCH$264Outpatient
Closed treatment of broken forearm (radius) bone at the wrist area on the thumb side of the wrist without manipulation$146Outpatient
Closed treatment of broken or growth plate separate of forearm bone at wrist with manipulation$163Outpatient
Clotting factor II prothrombin, measurement$275Outpatient
Clotting factor IX (PTC or Christmas) measurement$410Outpatient
Clotting factor V (AcG or proaccelerin) measurement$226Outpatient
Clotting factor VIII (AHG) measurement$226Outpatient
Clotting factor VIII (VW factor) antigen$254Outpatient
Clotting factor VIII (VW factor) measurement$254Outpatient
COCK UP WRIST SPLINT: LG - LF$135Outpatient
Collection of blood sample from implanted device$140Outpatient
COLONIC DILATOR (10-12)$1,200Outpatient
COLONIC DILATOR (12-15)$1,200Outpatient
COLONIC DILATOR (15-18)$620Outpatient
COLONIC DILATOR (6-8)$1,200Outpatient
COLONIC DILATOR (8-10$1,200Outpatient
COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL AT HIGH RISK$2,631Outpatient
COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK$2,606Outpatient
COLORECTAL CANCER SCREENING; FLEXIBLE SIGMOIDOSCOPY$2,907Outpatient
COMBIVENT RESPIMAT 20-100 MCG$885Outpatient
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count$148Outpatient
Complete removal of remaining or regrown prostate tissue with control of bleeding using an endoscope$4,918Outpatient
Complete ultrasound of abdomen and pelvis artery and vein blood flow$981Outpatient
Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts$560Outpatient
Complete ultrasound scan behind abdominal cavity$731Outpatient
Complete ultrasound scan of 1 breast$424Outpatient
Complete ultrasound scan of abdomen$775Outpatient
Complete ultrasound scan of joint$681Outpatient
Complete ultrasound scan of pelvis$731Outpatient
Complete ultrasound study of arm and leg arteries$760Outpatient
Complete X-ray of body bones$749Outpatient
Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm$302Outpatient
Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm$1,138Outpatient
Complicated repair of wound of scalp, arms, or legs, 1.1-2.5 cm$834Outpatient
Complicated repair of wound of trunk, 2.6-7.5 cm$1,752Outpatient
COMPRESSION CALF - LG SLEEVE$145Outpatient
COMPRESSION CALF - MED SLEEVE$178Outpatient
CONMED U PLUS HAND CONTROL SI$259Outpatient
Copper level$132Outpatient
Correction of bunion$6,833Outpatient
Correction of rigid deformity of first joint of big toe$5,597Outpatient
Cortisol (hormone) measurement, free$163Outpatient
COVID 19 BY PCR$240Outpatient
CPAP FULL FACE MASK LARGE$203Outpatient
CPAP FULL FACE MASK MED$203Outpatient
CPAP FULL FACE MASK SMALL$203Outpatient
Creatine kinase (cardiac enzyme) level, isoenzymes$155Outpatient
Creatine kinase (cardiac enzyme) level, MB fraction only$185Outpatient
Creatinine clearance measurement to test for kidney function$173Outpatient
Critical care, each additional 30 minutes$406Both
Critical care, first 30-74 minutes$731Both
CT GUIDED NEEDLE BIOPSY$1,626Outpatient
CT scan head or brain with contrast$2,073Outpatient
CT scan head or brain without contrast$1,906Outpatient
CT scan of abdomen and pelvis before and after contrast$4,518Outpatient
CT scan of abdomen and pelvis with contrast$4,064Outpatient
CT scan of abdomen and pelvis without contrast$3,610Outpatient
CT scan of abdomen before and after contrast$2,794Outpatient
CT scan of abdomen with contrast$2,373Outpatient
CT scan of abdomen without contrast$2,159Outpatient
CT scan of abdominal aorta and both leg arteries with contrast$2,908Outpatient
CT scan of arm before and after contrast$2,073Outpatient
CT scan of arm with contrast$2,073Outpatient
CT scan of arm without contrast$2,073Outpatient
CT scan of blood vessels of abdomen and pelvis with contrast$4,659Outpatient
CT scan of blood vessels of abdomen with contrast$2,876Outpatient
CT scan of blood vessels of arm with contrast$2,541Outpatient
CT scan of blood vessels of chest with contrast$2,710Outpatient
CT scan of blood vessels of head with contrast$2,740Outpatient
CT scan of blood vessels of lower leg with contrast$2,541Outpatient
CT scan of blood vessels of neck with contrast$2,741Outpatient

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