Procedures & surgery prices at George C Grape Community Hospital

Hamburg, IA · every code in this section with a posted price and a Medicare benchmark.

228 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $1,997.10 $2,219 2.3×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $1,215.90 $1,351 1.4×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $2,379.60 $2,644 1.2×
Amputation toe metatarsophalangeal joint (28820) $677.70 $753 0.2×
Application short arm splint forearm-hand static (29125) $145.80 $162 1.1×
Arterial puncture (36600) $92.70 $103 0.7×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $139.50 $155 0.5×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines
$284.40–$317.70 $316–$353 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $406.80 $452 1.4×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $145.80 $162 0.5×
Arthrs knee debridement/shaving artclr crtlg (29877) $2,735.10 $3,039 0.9×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $5,995.80 $6,662 1.9×
Aspirate/Inj Ganglion Cyst (20612) $145.80 $162 0.5×
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines
$145.80–$375.30 $162–$417 varies
Biopsy muscle percutaneous needle (20206) $145.80 $162 0.1×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $145.80 $162 0.2×
Biopsy/removal lymph nodes (38510) $3,591 $3,990 1.0×
Bladder Irrigation (51700) $125.10 $139 0.5×
Bladder Scan (51798) $240.30 $267 4.2×
Blood Transfusion Service (36430)
range across 3 matching MRF lines
$704.70–$879.30 $783–$977 varies
Bone Marrow Biopsy (38221) $250.20 $278 0.2×
Bone Marrow; Aspiration Only (38220) $537.30 $597 0.3×
Bx breast 1st lesion us imag (19083) $2,121.30 $2,357 1.3×
Bx breast needle core w/o imaging guidance spx (19100) $500.40 $556 0.3×
Bx Cervix (57500) $145.80 $162 0.2×
Bx/exc lymph node open deep axillary node (38525) $145.80 $162 0.0×
Carpal Tunnel Surgery (64721) $1,466.10 $1,629 0.8×
Catheter aspiration nasotracheal spx (31720) $69.30 $77 0.3×
Cautery Cervix Cryocautery Initial/Repeat (57511) $145.80 $162 0.5×
Change Cystostomy Tube Simple (51705)
range across 2 matching MRF lines
$145.80–$435.60 $162–$484 varies
Chemodenervation of internal anal sphincter (46505) $2,059.20 $2,288 1.8×
Circumcision 28 days or older (54161) $763.20 $848 0.4×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $145.80 $162 0.6×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $162.90 $181 0.1×
Collect Blood From Catheter Venous Nos (36592) $89.10 $99 0.7×
Collection of venous blood by venipuncture (36415) $36.90 $41 4.0×
Colonoscopy w/ablation (45388) $1,600.20 $1,778 1.4×
Colonoscopy w/fb removal (45379) $3,234.60 $3,594 2.8×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $472.50 $525 1.6×
Colposcopy Cervix Endocervical Curettage (57456) $360 $400 1.2×
Colposcopy cervix upper/adjacent vagina (57452) $330.30 $367 1.7×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $360 $400 1.2×
Control Nasal Hemorrhage Anterior Simple (30901) $145.80 $162 1.1×
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) $6,832.80 $7,592 2.2×
Create Eardrum Opening (69433) $145.80 $162 0.3×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $145.80 $162 0.6×
Cysto calibration dilat urtl strix/stenosis (52281) $145.80 $162 0.1×
Cysto w/destruction of lesions (52214) $4,248.90 $4,721 1.3×
Cysto w/removal of lesions small (52224) $4,717.80 $5,242 1.4×
Cysto w/removal of tumors small (52234) $6,516 $7,240 1.9×
Cysto W/Simple Removal Stone & Stent (52310) $3,937.50 $4,375 2.0×
Cystostomy Cystotomy W/Drainage (51040) $1,337.40 $1,486 0.7×
Cystourethroscopy (52000) $865.80 $962 1.3×
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) $5,217.30 $5,797 1.5×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 2 matching MRF lines
$145.80–$373.50 $162–$415 varies
Debride nail 6 or more (11721) $145.80 $162 2.6×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $373.50 $415 0.2×
Debridement subcutaneous tissue 20 sq cm/< (11042) $373.50 $415 1.0×
Declot vascular device (36593) $457.20 $508 1.4×
Destroy lumb/sac facet jnt (64635)
range across 2 matching MRF lines
$1,675.80–$3,825 $1,862–$4,250 varies
Destruct B9 Lesion 1-14 (17110) $293.40 $326 1.5×
Destruction by neurolytic agent; plantar common digital nerve (64632) $202.50 $225 0.7×
Diagnostic sigmoidoscopy (45330) $556.20 $618 0.6×
Dilat Female Urethra W/Suppository&/Instlj Ini (53660) $145.80 $162 1.2×
Dilate Urethra Stricture (53600) $865.80 $962 3.6×
Dilation & curettage dx&/ther nonobstetric (58120) $2,025 $2,250 0.7×
Drainage of hydrocele (55000) $267.30 $297 0.4×
Draw Blood Off Venous Device (36591) $139.50 $155 1.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $373.50 $415 1.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $373.50 $415 1.9×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $373.50 $415 1.9×
Dstrj lesion anus simple surg excision (46922) $394.20 $438 0.1×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $897.30 $997 1.1×
Dx Bone Marrow Bx & Aspir (38222) $293.40 $326 0.1×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $3,022.20 $3,358 1.6×
Egd dilation gastric/duodenal stricture (43245) $3,840.30 $4,267 2.1×
Egd lesion ablation (43270) $2,567.70 $2,853 1.4×
Egd place gastrostomy tube (43246) $3,840.30 $4,267 2.1×
Egd remove lesion snare (43251) $3,840.30 $4,267 2.1×
Electro-Uroflowmetry First (51741) $240.30 $267 1.2×
Endocervical curettage (57505) $145.80 $162 0.2×
Endometrial Biopsy (58100)
range across 2 matching MRF lines
$145.80–$2,606.40 $162–$2,896 varies
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) $3,031.20 $3,368 1.9×
Exc arm/elbow les sc < 3 cm (24075) $2,227.50 $2,475 1.4×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $145.80 $162 0.2×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423)
range across 2 matching MRF lines
$145.80–$3,221.10 $162–$3,579 varies
Exc Back Les Sc < 3 Cm (21930) $2,115.90 $2,351 1.3×
Exc Back Tum Deep 5 Cm/> (21933) $5,638.50 $6,265 2.0×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $293.40 $326 0.4×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $590.40 $656 0.9×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $1,153.80 $1,282 0.7×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $443.70 $493 0.7×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $443.70 $493 0.7×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442)
range across 2 matching MRF lines
$235.80–$568.80 $262–$632 varies
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $876.60 $974 0.6×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 2 matching MRF lines
$145.80–$293.40 $162–$326 varies
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)
range across 2 matching MRF lines
$145.80–$431.10 $162–$479 varies
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 2 matching MRF lines
$139.50–$293.40 $155–$326 varies
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $4,716 $5,240 3.1×
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) $145.80 $162 0.0×
Exc neuroma major peripheral nrv xcp sciatic (64784) $3,658.50 $4,065 1.9×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 2 matching MRF lines
$145.80–$1,010.70 $162–$1,123 varies
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424)
range across 2 matching MRF lines
$145.80–$3,883.50 $162–$4,315 varies
Exc Skin Benig >4 Cm Remaindr Body (11426) $5,061.60 $5,624 1.8×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)
range across 2 matching MRF lines
$267.30–$3,743.10 $297–$4,159 varies
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623)
range across 2 matching MRF lines
$145.80–$770.40 $162–$856 varies
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $4,126.50 $4,585 2.6×
Exc thigh/knee les sc 3 cm/> (27337) $4,136.40 $4,596 1.5×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $4,060.80 $4,512 3.5×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 2 matching MRF lines
$145.80–$405.90 $162–$451 varies
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 2 matching MRF lines
$145.80–$203.40 $162–$226 varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404)
range across 2 matching MRF lines
$145.80–$658.80 $162–$732 varies
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $1,227.60 $1,364 0.4×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $2,479.50 $2,755 0.9×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $145.80 $162 0.1×
Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) $5,149.80 $5,722 1.8×
Exc tumor soft tissue leg/ankle subq <3cm (27618) $1,188.90 $1,321 0.7×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $5,354.10 $5,949 1.9×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $145.80 $162 0.1×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $3,904.20 $4,338 1.4×
Excision External Ear Partial Simple Repair (69110) $2,941.20 $3,268 1.1×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $482.40 $536 0.7×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $603 $670 0.9×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $634.50 $705 1.6×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $3,168 $3,520 4.7×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $620.10 $689 0.4×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $579.60 $644 0.9×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $652.50 $725 1.0×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $4,281.30 $4,757 2.8×
Excision of hydrocele; bilateral (55041) $5,417.10 $6,019 1.6×
Excision of pilonidal cyst or sinus; simple (11770) $4,783.50 $5,315 1.7×
Excision of single external papilla or tag, anus (46220) $3,213.90 $3,571 2.8×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $3,217.50 $3,575 2.0×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $4,783.50 $5,315 3.0×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $2,227.50 $2,475 1.4×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $4,136.40 $4,596 1.5×
Fasciotomy, foot and/or toe (28008) $4,536.90 $5,041 1.4×
Fine needle aspiration without imaging guidance (10021) $303.30 $337 0.8×
Guide Cathet Fluid Drainage (10030) $145.80 $162 0.2×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $7,521.30 $8,357 2.8×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $4,163.40 $4,626 1.6×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $1,713.60 $1,904 1.9×
Hemorrhoidopexy by stapling (46947) $4,524.30 $5,027 1.7×
I&d abscess simple (10060)
range across 2 matching MRF lines
$145.80–$2,181.60 $162–$2,424 varies
Incise finger tendon sheath (26055) $1,868.40 $2,076 1.2×
Incision and drainage of vulva or perineal abscess (56405) $861.30 $957 2.9×
Incision extensor tendon sheath wrist (25000) $3,852.90 $4,281 2.5×
Incision of eardrum (69420) $145.80 $162 0.6×
Incision of rectal abscess (46040) $2,916.90 $3,241 2.5×
Incisional biopsy skin single lesion (11106) $1,383.30 $1,537 1.9×
Injection 1 tendon sheath/ligament aponeurosis (20550) $139.50 $155 0.5×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $1,386 $1,540 1.6×
Injection aa&/strd nerves nrvtg si joint w/img (64451)
range across 2 matching MRF lines
$1,395.90–$1,443.60 $1,551–$1,604 varies
Injection single/mlt trigger point 1/2 muscles (20552)
range across 3 matching MRF lines
$456.30–$1,644.30 $507–$1,827 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 3 matching MRF lines
$401.40–$1,064.70 $446–$1,183 varies
Injection therapeutic carpal tunnel (20526) $145.80 $162 0.5×
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines
$1,395.90–$1,443.60 $1,551–$1,604 varies
Insert Drug Implant Device (11981) $283.50 $315 2.2×
Insert non-tunnel cv cath (36556) $491.40 $546 0.2×
Insert pessary/other device (57160) $145.80 $162 0.8×
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines
$125.10–$331.20 $139–$368 varies
Insert tunneled cv cath (36561) $5,198.40 $5,776 1.7×
Insertion Picc W/Rs&I 5 Yr/> (36573) $3,766.50 $4,185 2.5×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $1,429.20 $1,588 0.5×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $1,575 $1,750 1.0×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $1,015.20 $1,128 0.3×
Laparoscopy w/rmvl adnexal structures (58661) $3,133.80 $3,482 0.5×
Laps fulg/exc ovary viscera/peritoneal surface (58662) $5,202 $5,780 0.9×
N block inj intercost sng (64420) $822.60 $914 1.2×
Needle Biopsy Lymph Nodes (38505) $145.80 $162 0.1×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $568.80 $632 0.2×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines
$857.70–$1,472.40 $953–$1,636 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321)
range across 2 matching MRF lines
$1,899.90–$2,098.80 $2,111–$2,332 varies
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $1,508.40 $1,676 2.2×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 2 matching MRF lines
$1,637.10–$2,098.80 $1,819–$2,332 varies
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $1,876.50 $2,085 2.2×
Orchiectomy partial (54522) $4,397.40 $4,886 1.3×
Ostc prtl exostc/condylc metar head (28288) $3,402 $3,780 1.1×
Ovarian cystectomy, unilateral or bilateral (58925) $5,435.10 $6,039 1.1×
Peritoneal Lavage (49084) $1,764 $1,960 2.0×
Punch biopsy skin single lesion (11104)
range across 2 matching MRF lines
$145.80–$418.50 $162–$465 varies
Removal impacted cerumen irrigation/lvg unilat (69209) $145.80 $162 2.6×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines
$67.50–$72.90 $75–$81 varies
Removal Implant Superficial Separate Procedure (20670) $3,229.20 $3,588 2.0×
Removal of nail bed (11750) $145.80 $162 0.4×
Removal of sesamoid bone (28315) $4,705.20 $5,228 1.5×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $98.10 $109 0.5×
Removal sweat gland lesion (11450) $6,105.60 $6,784 2.2×
Remove drug implant device (11982) $189 $210 0.4×
Remove Intrauterine Device (58301) $283.50 $315 1.0×
Remove Nasal Foreign Body (30300) $174.60 $194 1.4×
Remove palate/lesion (42120)
likely a partial charge, not the full procedure
$145.80 $162 0.0×
Remove prostate regrowth (52630) $4,918.50 $5,465 1.0×
Remove Tendon Sheath Lesion (26160) $4,101.30 $4,557 2.7×
Remove/Insert Drug Implant (11983) $472.50 $525 1.1×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $302.40 $336 0.8×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $1,137.60 $1,264 2.9×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $834.30 $927 2.1×
Repair complex trunk 2.6-7.5 cm (13101) $1,752.30 $1,947 2.5×
Repair Hallux Rigidus (28289) $5,597.10 $6,219 1.8×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $6,822.90 $7,581 2.0×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $664.20 $738 1.7×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $653.40 $726 1.7×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $823.50 $915 2.1×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $235.80 $262 0.6×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines
$145.80–$1,135.80 $162–$1,262 varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $315 $350 0.8×
Rerepair ing hernia reduce (49520) $5,838.30 $6,487 1.7×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $531.90 $591 0.4×
Rplc Gtube No Revj Trc (43762) $145.80 $162 0.6×
Rplcmt compl tun ctr vad w/subq port (36582) $6,231.60 $6,924 2.1×
Rpr aa hrn 1st 3-10 rdc (49593)
likely a partial charge, not the full procedure
$1,804.50 $2,005 0.3×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) $2,445.30 $2,717 0.8×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $145.80 $162 0.8×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $145.80 $162 0.8×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $369 $410 1.9×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines
$171–$217.80 $190–$242 varies
Skin sub graft face/nk/hf/g (15275) $212.40 $236 0.3×
Skin sub graft trnk/arm/leg (15271) $212.40 $236 0.3×
Surg tx anal fistula subq (46270) $5,823.90 $6,471 2.2×
Transur electr resection of prostate (52601) $4,616.10 $5,129 0.9×
Trim skin lesion (11055) $145.80 $162 0.8×
Trim skin lesions 2 to 4 (11056) $145.80 $162 0.8×
Tx open tendon flexor toe 1 tendon spx (28232) $2,413.80 $2,682 1.6×
Tympanostomy general anesthesia (69436) $1,116.90 $1,241 0.7×
Unlisted procedure nervous system (64999) $529.20 $588 1.8×
Vasectomy uni/bi spx w/postop semen exams (55250) $1,072.80 $1,192 0.5×
Wedge excision skin nail fold (11765) $145.80 $162 0.4×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.