Visits & medical services prices at George C Grape Community Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640)
range across 20 matching MRF lines
$226.80–$17,236.80 $252–$19,152 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $80.10 $89 5.6×
Audiometry Air & Bone (92553) $145.80 $162 1.2×
Behavral qualit analys voice (92524) $336.60 $374 3.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $402.30 $447 1.1×
Canalith repositioning proc (95992) $113.40 $126 2.8×
Cardiac Stress Tst,Tracing Only (93017) $982.80 $1,092 4.7×
Cardiopulmonary resuscitation (92950) $474.30 $527 2.3×
Cardioversion (92960) $811.80 $902 1.3×
Chemo Anti-Neopl Sq/Im (96401) $172.80 $192 2.5×
Chemo Hormon Antineopl Sq/Im (96402) $172.80 $192 2.5×
Chemo IV infusion addl hr (96415) $124.20 $138 1.8×
Chemo IV push addl drug (96411) $226.80 $252 3.3×
Chemother Prolong Infuse W/Pump (96416) $472.50 $525 1.5×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $553.50 $615 8.0×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $553.50 $615 1.7×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $394.20 $438 1.2×
Chest Wall Manipulation (94668) $92.70 $103 0.7×
Color/duplex Doppler, complete (93975)
range across 2 matching MRF lines
$981–$1,006.20 $1,090–$1,118 varies
Continuous Pulse Ox (94762) $567.90 $631 4.6×
Cpt initial (94667) $135 $150 1.1×
Critical care first hour (99291) $730.80 $812 0.9×
Debridement Open Wound 20 Sq Cm< (97597)
range across 4 matching MRF lines
$145.80–$660.60 $162–$734 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978)
range across 2 matching MRF lines
$559.80–$870.30 $622–$967 varies
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $687.60 $764 6.8×
Dup-scan lxtr art/artl bpgs compl bi study (93925)
range across 2 matching MRF lines
$1,052.10–$1,073.70 $1,169–$1,193 varies
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 2 matching MRF lines
$786.60–$801.90 $874–$891 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 2 matching MRF lines
$1,203.30–$1,229.40 $1,337–$1,366 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 2 matching MRF lines
$851.40–$870.30 $946–$967 varies
Duplex up extrem art bilat (93930) $1,104.30 $1,227 4.8×
Duplex up extrem art unilat/ltd (93931)
range across 2 matching MRF lines
$765–$853.20 $850–$948 varies
Echo Congenital Complete (93303) $2,079 $2,310 4.0×
Echo Heart Xthoracic,Limited (93308)
range across 2 matching MRF lines
$729.90–$746.10 $811–$829 varies
Electrical Stimulation Ea 15 Min (97032) $81 $90 5.5×
Electrocardiogram Tracing (93005) $278.10 $309 4.9×
Emergency Dept Visit Level 2 (99282) $267.30 $297 1.8×
Emergency Dept Visit Level 3 (99283) $322.20 $358 1.2×
Emergency Dept Visit Level 4 (99284) $474.30 $527 1.2×
Er level 1 (99281) $227.70 $253 2.8×
Er level v (99285) $595.80 $662 1.0×
Evaluate pt use of inhaler (94664) $129.60 $144 0.6×
Evaluate Speech Production (92522) $336.60 $374 3.0×
Evaluate Swallowing Function (92610) $297.90 $331 3.5×
Evaluation of speech fluency (92521) $336.60 $374 2.5×
External ECG rec>48hr<7d recording (93242) $555.30 $617 15.5×
External ECG rec>48hr<7d scanning alys w/report (93243) $643.50 $715 5.0×
External ECG rec>7d<15d recording (93246) $555.30 $617 15.5×
External ECG rec>7d<15d scanning alys w/report (93247) $693 $770 5.4×
External Ecg Scanning Analysis Report (93226) $490.50 $545 8.6×
Extracranial Bilat Study (93880)
range across 2 matching MRF lines
$1,215–$1,239.30 $1,350–$1,377 varies
Holter monitor recording (93225) $555.30 $617 4.3×
Immunization administration (90471)
range across 3 matching MRF lines
$15.30–$99 $17–$110 varies
Iontophoresis 15 min (97033) $114.30 $127 6.0×
Irrig Drug Delivery Device (96523) $121.50 $135 2.1×
IV infusion hydration each additional hour (96361)
range across 2 matching MRF lines
$65.70–$81 $73–$90 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 2 matching MRF lines
$204.30–$249.30 $227–$277 varies
IV infusion ther proph addl sequential to 1 hr (96367) $135.90 $151 2.0×
IV infusion therapy prophylaxis/dx ea hour (96366) $83.70 $93 1.9×
IV push initial (96374)
range across 2 matching MRF lines
$75.60–$76.50 $84–$85 varies
Lung Function Test (Mbc/Mvv) (94200) $108.90 $121 1.9×
Lwr Xtr Vasc Stdy Bilat (93924) $937.80 $1,042 4.5×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $63.90 $71 2.0×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $63.90 $71 1.7×
Motion Fluoroscopy/Swallow (92611) $499.50 $555 5.5×
Motor &/sens nrv cndj preconf eltrd array limb (95905) $250.20 $278 0.6×
Muscle Test 2 Limbs (95861) $701.10 $779 5.5×
Muscle Test One Limb (95860) $596.70 $663 4.7×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $747.90 $831 1.9×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $747.90 $831 1.9×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $371.70 $413 1.9×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $747.90 $831 1.9×
Nerve Conduction Studies 1-2 Studies (95907) $321.30 $357 1.5×
Nerve Conduction Studies 3-4 Studies (95908) $594.90 $661 2.9×
Neuromuscular Reeducation (97112) $96.30 $107 2.9×
Oral Function Therapy (92526)
range across 2 matching MRF lines
$278.10–$470.70 $309–$523 varies
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $97.20 $108 2.1×
Ot Contrast Bath Ea 15 Min (97034) $68.40 $76 4.9×
Ot eval high complexity (97167) $204.30 $227 2.0×
Ot Eval Low Complex (97165) $204.30 $227 2.0×
Ot Eval Moderate Complexity (97166) $204.30 $227 2.0×
Ot manual therapy 15 min (97140) $107.10 $119 3.9×
Ot paraffin bath (97018) $68.40 $76 11.4×
Ot Re-Eval Est Plan Care (97168) $128.70 $143 1.9×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $243.90 $271 2.0×
Phlebotomy therapeutic (99195) $165.60 $184 1.3×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,956.40 $4,396 4.8×
Pt Eval High Complex (97163) $204.30 $227 2.1×
Pt eval low complex 20 min (97161) $204.30 $227 2.1×
Pt Eval Mod Complex (97162) $204.30 $227 2.1×
Pt gait training 15 min (97116) $92.70 $103 3.2×
Pt mechanical traction (97012) $73.80 $82 5.1×
Pt Re-Eval Est Plan Care (97164) $128.70 $143 1.9×
Pulm function test by gas (94727) $252 $280 1.2×
Remote 30 Day Ecg Rev/Report (93270) $336.60 $374 9.4×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $194.40 $216 1.0×
Self Care Mngment Training (97535) $96.30 $107 3.0×
Sleep study unattended (95806) $987.30 $1,097 4.8×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $987.30 $1,097 4.8×
Speech sound lang comprehen (92523) $565.20 $628 2.5×
Spirometry (94010)
range across 2 matching MRF lines
$189.90–$197.10 $211–$219 varies
Stress Tte Only (93350)
range across 2 matching MRF lines
$1,440.90–$1,472.40 $1,601–$1,636 varies
Ther/Proph/Diag Inj Sc/Im (96372)
range across 5 matching MRF lines
$72.90–$1,702.80 $81–$1,892 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 2 matching MRF lines
$250.20–$252 $278–$280 varies
Therapeutic Activities (97530) $97.20 $108 2.8×
Tte w/doppler, complete (93306)
range across 2 matching MRF lines
$1,899–$1,938.60 $2,110–$2,154 varies
Tte W/O Doppler Complete (93307) $1,136.70 $1,263 5.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $278.10 $309 3.7×
Tx/Pro/Dx Inj New Drug Addon (96375) $127.80 $142 2.8×
Tympanometry (92567) $145.80 $162 4.1×
Upr/L Xtremity Art 2 Levels (93922)
range across 2 matching MRF lines
$496.80–$703.80 $552–$782 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923) $760.50 $845 3.7×
Vasopneumatic device (97016) $69.30 $77 5.8×
Vent Mgmt Inpat Init Day (94002) $486.90 $541 0.8×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $410.40 $456 0.7×
Vital capacity, total (94150) $97.20 $108 0.8×
Whirlpool Therapy (97022) $122.40 $136 7.8×

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.