Supplies, drugs & other prices at Grand Itasca Clinic and Hospital
Grand Rapids, MN · every code in this section with a posted price and a Medicare benchmark.
40 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tte w or w/o fol w/con,fu (C8924) | $566.53 | $1,333 | 1.6× |
| Admin hepatitis b vaccine (G0010) range across 2 matching MRF lines |
$9.02–$17 | $21.22–$40 | varies |
| Admin influenza virus vac (G0008) range across 4 matching MRF lines |
$9.02–$17.01 | $21.22–$40.01 | varies |
| Admin pneumococcal vaccine (G0009) range across 3 matching MRF lines |
$9.02–$17.03 | $21.22–$40.06 | varies |
| Ca screen;pelvic/breast exam (G0101) | $52.28 | $123 | 0.5× |
| Colon ca scrn not hi rsk ind (G0121) range across 2 matching MRF lines |
$866.44–$875.04 | $2,038.67–$2,058.90 | varies |
| Colorectal scrn; hi risk ind (G0105) range across 2 matching MRF lines |
$925.41–$927.35 | $2,177.42–$2,182 | varies |
| Diab manage trn per indiv (G0108) range across 7 matching MRF lines |
$119–$131.41 | $280–$309.19 | varies |
| Diab manage trn ind/group (G0109) | $88.40 | $208 | 5.5× |
| Drug test def 1-7 classes (G0480) range across 22 matching MRF lines |
$2.13–$29.33 | $5–$69 | varies |
| Drug test def 15-21 classes (G0482) range across 20 matching MRF lines |
$2.13–$29.33 | $5–$69 | varies |
| Ekg tracing for initial prev (G0404) | $14.03 | $33 | 0.5× |
| Fern test (Q0114) | $41.23 | $97 | 4.2× |
| Hep c screen high risk/other (G0472) | $56.10 | $132 | 1.2× |
| Hiv combination assay (G0475) | $57.80 | $136 | 2.4× |
| Home sleep test/type 3 porta (G0399) | $329.80 | $776 | 1.5× |
| Hospital outpt clinic visit (G0463) range across 21 matching MRF lines |
$59.33–$158.10 | $139.60–$372 | varies |
| Hpv combo assay ca screen (G0476) | $46.75 | $110 | 1.3× |
| Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) | $171.07 | $402.50 | 3.9× |
| Initial preventive exam (G0402) range across 19 matching MRF lines |
$13.18–$140.10 | $8–$329.64 | varies |
| Inj for sacroiliac jt anesth (G0260) range across 4 matching MRF lines |
$787.74–$1,195.95 | $1,853.50–$2,814 | varies |
| Mri w/o fol w/cont, breast, (C8908) range across 2 matching MRF lines |
$1,031.44–$1,036.15 | $2,426.91–$2,438 | varies |
| Obtaining screen pap smear (Q0091) | $83.30 | $196 | 2.8× |
| Oth resp proc, group (G0239) | $99.03 | $233 | 2.6× |
| Oth resp proc, indiv (G0238) | $65.03 | $153 | 2.2× |
| Pemivibart infusion (M0224) | $375.28 | $883 | 0.8× |
| Prostate biopsy, any mthd (G0416) | $120.84 | $284.32 | 0.3× |
| Psa screening (G0103) range across 5 matching MRF lines |
$25.08–$55.25 | $59–$130 | varies |
| Quan mr alys tiss composition w/MRI 1orgn (0649T) | $93.50 | $220 | 0.1× |
| Rbc DNA gnotyp 10 bld groups (0084U) | $320.88 | $755 | 0.4× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) range across 2 matching MRF lines |
$113.48–$416.08 | $267–$979 | varies |
| Scr c/v cyto,thinlayer,rescr (G0145) | $37.83 | $89 | 1.4× |
| Screen cerv/vag thin layer (G0123) range across 4 matching MRF lines |
$27.20–$51.62 | $64–$121.45 | varies |
| Therapeutic procd strg endur (G0237) range across 2 matching MRF lines |
$73.76–$73.95 | $173.55–$174 | varies |
| Tomosynthesis, mammo (G0279) range across 4 matching MRF lines |
$19.13–$45.48 | $45–$107 | varies |
| Trauma respons w/hosp criti (G0390) range across 3 matching MRF lines |
$1,699.96–$2,336.10 | $3,999.90–$5,496.68 | varies |
| Trim nail(s) (G0127) | $32.30 | $76 | 0.5× |
| Tte w or w/o fol w/con,stres (C8928) | $813.45 | $1,914 | 1.0× |
| Tte w or wo fol wcon,doppler (C8929) range across 2 matching MRF lines |
$813.45–$815.28 | $1,914–$1,918.30 | varies |
| Visit to determ ldct elig (G0296) range across 3 matching MRF lines |
$41.22–$41.24 | $96.98–$97.02 | varies |
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.