Rapid strep test cost in Iowa
In Iowa, 63 hospitals publish a cash price for rapid strep A antigen test from a throat swab, read visually: from $15.00 to $140.00, with a median of $53.90. The lowest price is at Jefferson County Hospital (Fairfield). The highest price is 9.3× the lowest.
- The median here, $53.90, is 9% below the US median of $59.00.
- That is 3.3× Medicare's 2026 national rate for the same service ($16.53).
- Iowa ranks 21st of 50 states by median, cheapest first.
- 6 of 63 hospitals list a cash price equal to their full list price, with no self-pay discount.
Outpatient cash prices, one line per hospital — its lowest listed price for code 87880. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 7, 2026. See them on a map
Lowest$15.00Jefferson County Hospital
Median$53.90half of hospitals charge less
Highest$140.00in Iowa
Lowest saves$38.90vs the median
Hospitals in Iowa, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Jefferson County Hospital lowest Fairfield · Fairfield, IA Detection test by immunoassay with direct visual observation for Streptococcus, group A (strep) | $15.00 | $25.00 | Aug 20, 2026 source file |
| Boone County Hospital Boone · Ames, IA Detection test by immunoassay with direct visual observation for Streptococcus, group A (strep) | $16.00 | $20.00 | Jul 27, 2026 source file |
| Alegent Health - Mercy Hospital, Corning Iowa Corning · Corning, IA HC RHC RAPID STREP | $16.20 | $36.00 | Sep 30, 2026 source file |
| Alegent Health Community Memorial Hospital of Missouri Valley, Iowa Missouri Valley · Omaha, NE-IA HC RHC RAPID STREP | $18.00 | $36.00 | Sep 30, 2026 source file |
| St Anthony Regional Hospital and Nursing Home Carroll · Carroll, IA Detection test by immunoassay with direct visual observation for Streptococcus, group A (strep) | $23.00 | $23.00 | Nov 3, 2026 source file |
| Floyd County Memorial Hospital Commission Charles City · Charles City, IA Detection test by immunoassay with direct visual observation for Streptococcus, group A (strep) | $26.40 | $66.00 | Sep 30, 2026 source file |
| Van Buren County Hospital Keosauqua · Keosauqua, IA Detection test by immunoassay with direct visual observation for Streptococcus, group A (strep) | $26.60 | $38.00 | Jul 20, 2026 source file |
| MercyOne North Iowa Medical Center Mason City · Mason City, IA HC Infectious Agent Antigen Immunoassay Direct Optical Observation Streptococcus A | $27.95 | $43.00 | Mar 31, 2026 source file |
| Regional Medical Center Manchester · Manchester, IA STREP A ASSAY W/OPTIC | $30.40 | $38.00 | Feb 20, 2026 source file |
| Manning Regional Healthcare Center Manning · Carroll, IA Detection test by immunoassay with direct visual observation for Streptococcus, group A (strep) | $36.52 | $54.50 | Oct 16, 2026 source file |
| Story County Hospital Nevada · Ames, IA PBB STREP A ASSAY W/OPTIC | $36.80 | $46.00 | Mar 30, 2026 source file |
| Waverly Health Center Waverly · Waterloo-Cedar Falls, IA Detection test by immunoassay with direct visual observation for Streptococcus, group A (strep) | $36.92 | $71.00 | Oct 19, 2026 source file |
| St Luke's Methodist Hospital Cedar Rapids · Cedar Rapids, IA HC STREP A ASSAY W/OPTIC | $38.58 | $48.22 | Jan 28, 2026 source file |
| UnityPoint Health - Jones Regional Medical Center Anamosa · Cedar Rapids, IA HC STREP A ASSAY W/OPTIC | $38.58 | $48.22 | Jan 28, 2026 source file |
| Van Diest Medical Center Webster City · Webster City, IA STREP A TEST, THROAT | $39.20 | $49.00 | Feb 5, 2026 source file |
| MercyOne Genesis Davenport West Medical Center Davenport · Davenport-Moline-Rock Island, IA-IL Strep A Culture | $40.80 | $68.00 | Mar 31, 2026 source file |
| Community Memorial Hospital Medical Center Sumner · Waterloo-Cedar Falls, IA HC STREP A ASSAY W/OPTIC | $43.52 | $54.40 | Jun 18, 2026 source file |
| Greene County Medical Center Jefferson · Jefferson, IA CHG IAADIADOO STREPTOCOCCUS GROUP A | $43.68 | $78.00 | Mar 26, 2026 source file |
| Allen Hospital Waterloo · Waterloo-Cedar Falls, IA HC STREP A ASSAY W/OPTIC | $43.80 | $54.74 | Nov 4, 2026 source file |
| Grinnell Regional Medical Center Grinnell · Grinnell, IA HC STREP A ASSAY W/OPTIC | $43.80 | $54.74 | Nov 4, 2026 source file |
| St Lukes Regional Medical Center Sioux City · Sioux City, IA-NE-SD HC STREP A ASSAY W/OPTIC | $43.80 | $54.74 | Nov 4, 2026 source file |
| The Finley Hospital Dubuque · Dubuque, IA HC STREP A ASSAY W/OPTIC | $43.80 | $54.74 | Nov 4, 2026 source file |
| Trinity - Bettendorf Bettendorf · Davenport-Moline-Rock Island, IA-IL HC STREP A ASSAY W/OPTIC | $43.80 | $54.74 | Nov 4, 2026 source file |
| Trinity Regional Medical Center Fort Dodge · Fort Dodge, IA HC STREP A ASSAY W/OPTIC | $43.80 | $54.74 | Nov 4, 2026 source file |
| Unity Healthcare Muscatine · Muscatine, IA HC STREP A ASSAY W/OPTIC | $43.80 | $54.74 | Nov 4, 2026 source file |
| UnityPoint Health - Des Moines Iowa Methodist Medical Des Moines · Des Moines-West Des Moines, IA HC STREP A ASSAY W/OPTIC | $43.80 | $54.74 | Nov 4, 2026 source file |
| UnityPoint Health Marshalltown Marshalltown · Marshalltown, IA HC STREP A ASSAY W/OPTIC | $43.80 | $54.74 | Nov 4, 2026 source file |
| Knoxville Hospital & Clinics Knoxville · Pella, IA Detection test by immunoassay with direct visual observation for Streptococcus, group A (strep) | $46.20 | $77.00 | Jan 24, 2026 source file |
| Cass County Memorial Hospital Atlantic · Atlantic, IA Detection test by immunoassay with direct visual observation for Streptococcus, group A (strep) | $48.30 | $69.00 | Jun 1, 2026 source file |
| Stewart Memorial Community Hospital Lake City · Lake City, IA BILL GROUP A AG SCREEN /C2/E | $51.00 | $64.00 | Oct 8, 2024 source file |
| Keokuk County Health Center Sigourney · Sigourney, IA STREPTOCOCCUS GROUP A RAPID STREP | $53.20 | $76.00 | Mar 16, 2026 source file |
| WinnMed Decorah · Decorah, IA Detection test by immunoassay with direct visual observation for Streptococcus, group A (strep) | $53.90 | $77.00 | Oct 13, 2026 source file |
| Hawarden Regional Healthcare Harwarden · Harwarden, IA STREP SCREEN | $54.40 | $64.00 | Apr 24, 2026 source file |
| Dallas County Hospital Perry · Des Moines-West Des Moines, IA STREP SCREEN GROUP A | $55.00 | $84.00 | May 29, 2026 source file |
| Broadlawns Medical Center Des Moines · Des Moines-West Des Moines, IA ED 87880 Rpd Grp A Strep Scrn | $58.00 | $58.00 | Sep 1, 2026 source file |
| Wayne County Hospital Corydon · Corydon, IA Detection test by immunoassay with direct visual observation for Streptococcus, group A (strep) | $59.00 | $59.00 | Jun 10, 2026 source file |
| Shelby County Chris A Myrtue Memorial Hospital Harlan · Harlan, IA Detection test by immunoassay with direct visual observation for Streptococcus, group A (strep) | $59.16 | $102.00 | Apr 21, 2026 source file |
| Franklin General Hospital Hampton · Hampton, IA Detection test by immunoassay with direct visual observation for Streptococcus, group A (strep) | $59.40 | $66.00 | Nov 3, 2026 source file |
| Avera Merrill Pioneer Rock Rapids · Rock Rapids, IA | $60.14 | $62.00 | — source file |
| Decatur County Hospital Leon · Leon, IA Detection test by immunoassay with direct visual observation for Streptococcus, group A (strep) | $61.60 | $77.00 | Mar 4, 2026 source file |
| Sanford Sheldon Medical Center Sheldon · Sheldon, IA RPD GROUP A STREP SCREEN 87880 | $62.40 | $78.00 | Mar 4, 2026 source file |
| Washington County Hospital Washington · Iowa City, IA Detection test by immunoassay with direct visual observation for Streptococcus, group A (strep) | $64.50 | $86.00 | Oct 20, 2026 source file |
| Belmond Community Hospital Belmond · Belmond, IA Detection test by immunoassay with direct visual observation for Streptococcus, group A (strep) | $66.00 | $110.00 | Apr 22, 2026 source file |
| Iowa Specialty Hospital-Clarion Clarion · Clarion, IA Detection test by immunoassay with direct visual observation for Streptococcus, group A (strep) | $67.20 | $112.00 | Jun 11, 2026 source file |
| Rawford County Memorial Hospital Denison · Denison, IA Detection test by immunoassay with direct visual observation for Streptococcus, group A (strep) | $68.00 | $85.00 | Jul 27, 2026 source file |
| Cherokee Regional Medical Center Cherokee · Cherokee, IA HC STREP A ASSAY W/OPTIC | $69.30 | $77.00 | Mar 31, 2026 source file |
| Guttenberg Municipal Hospital Guttenberg · Guttenberg, IA HC STREP A ASSAY W/OPTIC | $73.60 | $92.00 | Mar 31, 2026 source file |
| Adair County Memorial Hospital Greenfield · Greenfield, IA Detection test by immunoassay with direct visual observation for Streptococcus, group A (strep) | $78.75 | $105.00 | Sep 2, 2026 source file |
| Hancock County Health System Britt · Britt, IA Detection test by immunoassay with direct visual observation for Streptococcus, group A (strep) | $87.00 | $116.00 | Oct 20, 2026 source file |
| Mercy Medical Center - New Hampton New Hampton · New Hampton, IA HC POCT Infectious Agent Antigen Immunoassay Direct Optical Observation Streptococcus A | $94.25 | $145.00 | Mar 31, 2026 source file |
| MercyOne Dyersville Medical Center Dyersville · Dubuque, IA HC Infectious Agent Antigen Immunoassay Direct Optical Observation Streptococcus A | $94.25 | $145.00 | Mar 31, 2026 source file |
| MercyOne Oelwein Medical Center Oelwein · Oelwein, IA HC Infectious Agent Antigen Immunoassay Direct Optical Observation Streptococcus A | $94.25 | $145.00 | Mar 31, 2026 source file |
| Audubon County Memorial Hospital Audubon · Audubon, IA Detection test by immunoassay with direct visual observation for Streptococcus, group A (strep) | $95.00 | $95.00 | Sep 14, 2026 source file |
| Shenandoah Medical Center Shenandoah · Shenandoah, IA Detection test by immunoassay with direct visual observation for Streptococcus, group A (strep) | $99.45 | $153.00 | Sep 21, 2026 source file |
| Sartori Memorial Hospital Cedar Falls · Waterloo-Cedar Falls, IA HC Infectious Agent Antigen Immunoassay Direct Optical Observation Streptococcus A | $111.15 | $171.00 | Mar 31, 2026 source file |
| Gundersen Palmer Lutheran Hospital and Clinic West Union · West Union, IA INFECTIOUS AGENT ANTIGEN DETECTION; SCREEN-B STREP GRP A | $112.27 | $189.00 | Jun 27, 2026 source file |
| Jackson County Regional Health Center Maquoketa · Maquoketa, IA STREP SCREEN THROAT ONLY | $115.00 | $115.00 | Aug 11, 2026 source file |
| Lakes Regional Hospital Spirit Lake · Spirit Lake, IA | $116.85 | $123.00 | Apr 1, 2026 source file |
| MercyOne Waterloo Medical Center Waterloo · Waterloo-Cedar Falls, IA HC Infectious Agent Antigen Immunoassay Direct Optical Observation Streptococcus A | $117.65 | $181.00 | Mar 31, 2026 source file |
| University of Iowa Health Care Medical Center Down Iowa City · Iowa City, IA HB RAPID STREP | $126.70 | $181.00 | Mar 11, 2026 source file |
| University of Iowa Hospital & Clinics Iowa City · Iowa City, IA HB RAPID STREP | $126.70 | $181.00 | Mar 11, 2026 source file |
| CHI Health Mercy Council Bluffs Council Bluffs · Omaha, NE-IA HC STREP SCREEN | $128.57 | $299.00 | Sep 30, 2026 source file |
| Hansen Family Hospital Iowa Falls · Iowa Falls, IA Detection test by immunoassay with direct visual observation for Streptococcus, group A (strep) | $140.00 | $140.00 | Jul 10, 2026 source file |
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
File date When the hospital last updated its price file, as the file says itself. A dash means the file gives no date.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
By metro area
Each metro page compares every listing, including prices for both sides of the body.
| Metro area | Hospitals | Lowest | Median |
|---|---|---|---|
| Waterloo-Cedar Falls, IA | 5 | $36.92 | $43.80 |
| Des Moines-West Des Moines, IA | 3 | $43.80 | $55.00 |
| Iowa City, IA | 3 | $64.50 | $126.70 |
| Ames, IA | 2 | $16.00 | $26.40 |
| Carroll, IA | 2 | $23.00 | $29.76 |
| Davenport-Moline-Rock Island, IA-IL | 2 | $40.80 | $42.30 |
| Dubuque, IA | 2 | $43.80 | $69.02 |
| Omaha, NE-IA | 2 | $18.00 | $73.28 |
| Atlantic, IA | 1 | $48.30 | $48.30 |
| Audubon, IA | 1 | $95.00 | $95.00 |
| Belmond, IA | 1 | $66.00 | $66.00 |
| Britt, IA | 1 | $87.00 | $87.00 |
| Cedar Rapids, IA | 1 | $38.58 | $38.58 |
| Charles City, IA | 1 | $26.40 | $26.40 |
| Cherokee, IA | 1 | $69.30 | $69.30 |
| Clarion, IA | 1 | $67.20 | $67.20 |
| Corning, IA | 1 | $16.20 | $16.20 |
| Corydon, IA | 1 | $59.00 | $59.00 |
| Cedar Rapids, IA | 1 | $38.58 | $38.58 |
| Decorah, IA | 1 | $53.90 | $53.90 |
| Denison, IA | 1 | $68.00 | $68.00 |
| Fairfield, IA | 1 | $15.00 | $15.00 |
| Fort Dodge, IA | 1 | $43.80 | $43.80 |
| Greenfield, IA | 1 | $78.75 | $78.75 |
| Grinnell, IA | 1 | $43.80 | $43.80 |
| Guttenberg, IA | 1 | $73.60 | $73.60 |
| Hampton, IA | 1 | $59.40 | $59.40 |
| Harlan, IA | 1 | $59.16 | $59.16 |
| Harwarden, IA | 1 | $54.40 | $54.40 |
| Iowa Falls, IA | 1 | $140.00 | $140.00 |
| Jefferson, IA | 1 | $43.68 | $43.68 |
| Keosauqua, IA | 1 | $26.60 | $26.60 |
| Lake City, IA | 1 | $51.00 | $51.00 |
| Leon, IA | 1 | $61.60 | $61.60 |
| Manchester, IA | 1 | $30.40 | $30.40 |
| Maquoketa, IA | 1 | $115.00 | $115.00 |
| Marshalltown, IA | 1 | $43.80 | $43.80 |
| Mason City, IA | 1 | $27.95 | $27.95 |
| Muscatine, IA | 1 | $43.80 | $43.80 |
| New Hampton, IA | 1 | $94.25 | $94.25 |
| Oelwein, IA | 1 | $94.25 | $94.25 |
| Pella, IA | 1 | $46.20 | $46.20 |
| Rock Rapids, IA | 1 | $60.14 | $60.14 |
| Sheldon, IA | 1 | $62.40 | $62.40 |
| Shenandoah, IA | 1 | $99.45 | $99.45 |
| Sigourney, IA | 1 | $53.20 | $53.20 |
| Sioux City, IA-NE-SD | 1 | $43.80 | $43.80 |
| Spirit Lake, IA | 1 | $116.85 | $116.85 |
| Webster City, IA | 1 | $39.20 | $39.20 |
| West Union, IA | 1 | $112.27 | $112.27 |
Market A metro area (as the Census Bureau defines it) or, outside metro areas, a town. Each links to every hospital price there.
Hospitals How many hospitals publish a cash price for this code here. Each hospital counts once, at its lowest outpatient cash price.
Lowest The lowest cash price among those hospitals.
Median The middle cash price: half of the hospitals charge less, half charge more. One price per hospital. More
What rapid strep test is, what the price covers and why prices differ: Rapid strep test explained.
Rapid strep A antigen test from a throat swab, read visually in other states
- Alabama$43.16
- Alaska$87.87
- Arizona$30.50
- Arkansas$26.65
- California$107.89
- Colorado$142.19
- Connecticut$46.63
- Delaware$114.75
- District of Columbia$102.00, 3 hospitals
- Florida$114.40
- Georgia$72.10
- Hawaii$55.50
- Idaho$61.51
- Illinois$61.00
- Indiana$77.70
- Kansas$72.00
- Kentucky$59.26
- Louisiana$26.55
- Maine$39.60
- Maryland$72.37
- Massachusetts$64.37
- Michigan$53.55
- Minnesota$54.56
- Mississippi$34.50
- Missouri$45.01
- Montana$48.75
- Nebraska$48.90
- Nevada$35.77
- New Hampshire$77.90
- New Jersey$18.18
- New Mexico$66.00
- New York$40.00
- North Carolina$57.25
- North Dakota$78.65
- Ohio$57.20
- Oklahoma$48.56
- Oregon$54.75
- Pennsylvania$63.30
- Puerto Rico$37.50
- Rhode Island$27.65, 4 hospitals
- South Carolina$87.50
- South Dakota$75.65
- Tennessee$36.00
- Texas$98.80
- Utah$112.60
- Vermont$67.00
- Virginia$89.50
- Washington$72.05
- West Virginia$40.75
- Wisconsin$45.58
- Wyoming$53.25
Median cash price across the state's hospitals.