Lowest Retail Price: $269.99 + tax
My Price: $180 o.b.o.
I upgraded to a 8800 GTS, so this card is obviously useless to me now. It works fine without any problems. Great for gaming and video enthusiasts (hardware video decoding does make a difference). You can see how the card performs compared to others here.
Only the card is provided, unless you really want a DVI-VGA adapter.