MyCareCost

Compare and Negotiate Healthcare Pricing

Physician

EMMA NORDSTROM, MD

Family Medicine

LEBANON, IN, 46052
NPI: 1003136011

Contact

Family Medicine

LEBANON, IN

WITHAM HEALTH SERVICES

765-485-8000

witham.org

Hospital Affiliations

Search procedure prices at these hospitals only

Common Procedures for Family Medicine

Annual Physical ExamWell-Child VisitImmunizationsChronic Disease ManagementSports PhysicalMinor Wound CareSkin Lesion RemovalJoint InjectionPreventive ScreeningMental Health Screening

Based on specialty. Actual services may vary — contact the provider's office to confirm.

Procedure Pricing (Medicare Data)

Based on CMS Medicare Provider Utilization data for 2023. These represent what this physician charged Medicare, not necessarily what you would pay. Compare with other physicians

ProcedureAvg ChargeMedicare AllowedMedicare PaidServices
90677
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use
$350$283$28363
99495
Transitional care management services for problem of at least moderate complexity
$275$193$15533
G0438
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit
$273$157$15712
G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
$176$122$122198
99214
Established patient office or other outpatient visit, 30-39 minutes
$161$120$77343
G0180
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and
$160$49$4021
93000
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
$109$14$922
99213
Established patient office or other outpatient visit, 20-29 minutes
$109$85$56204
99212
Established patient office or other outpatient visit, 10-19 minutes
$86$53$3314
90694
Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage
$86$76$7656
99490
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
$62$59$45165
83036
Hemoglobin a1c level
$54$10$1020
99439
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month
$53$45$3590
96372
Injection of drug or substance under skin or into muscle
$34$13$1142
G0009
Administration of pneumococcal vaccine
$30$29$2967
G0008
Administration of influenza virus vaccine
$30$29$2960
81003
Automated urinalysis test
$27$2$231
36415
Insertion of needle into vein for collection of blood sample
$24$8$8241
J0897
Injection, denosumab, 1 mg
$22$22$171,860

Compare prices for procedures performed by Family Medicine physicians

Search published hospital rates side by side to find lower cash prices and stronger negotiating leverage.

Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.