Physician
Family Medicine
Family Medicine
PRAIRIE DU CHIEN, WI
GUNDERSEN LUTHERAN MEDICAL CENTER
gundersenhealth.org/locations/gundersen-lutheran-medical-center
Based on specialty. Actual services may vary — contact the provider's office to confirm.
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
| Procedure | Avg Charge | Medicare Allowed | Medicare Paid | Services |
|---|---|---|---|---|
99496 Transitional care management services for problem of high complexity | $916 | $266 | $212 | 17 |
20610 Aspiration and/or injection of fluid from large joint | $740 | $65 | $50 | 25 |
99215 Established patient office or other outpatient visit, 40-54 minutes | $493 | $172 | $123 | 49 |
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | $448 | $281 | $281 | 13 |
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $395 | $124 | $124 | 129 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $366 | $122 | $74 | 472 |
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $313 | $102 | $75 | 61 |
91320 Sarscv2 vac 30mcg trs-suc im | $307 | $128 | $128 | 12 |
71046 X-ray of chest, 2 views | $267 | $22 | $13 | 23 |
96372 Injection of drug or substance under skin or into muscle | $183 | $14 | $9 | 53 |
G0009 Administration of pneumococcal vaccine | $167 | $29 | $29 | 13 |
90662 Influenza vaccine split virus, preservative free | $155 | $72 | $72 | 27 |
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing | $112 | $6 | $4 | 15 |
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | $75 | $22 | $15 | 18 |
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes | $68 | $53 | $40 | 75 |
90480 Admn sarscov2 vacc 1 dose | $54 | $39 | $39 | 12 |
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $47 | $8 | $8 | 232 |
83690 Lipase (fat enzyme) level | $42 | $7 | $7 | 18 |
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test | $39 | $6 | $6 | 301 |
G0008 Administration of influenza virus vaccine | $35 | $29 | $29 | 30 |
84460 Liver enzyme (sgpt), level | $32 | $5 | $5 | 293 |
84075 Phosphatase (enzyme) level, alkaline | $32 | $5 | $5 | 81 |
82565 Blood creatinine level | $31 | $5 | $5 | 581 |
82247 Bilirubin level, total | $31 | $5 | $5 | 130 |
84295 Blood sodium level | $29 | $5 | $5 | 304 |
84132 Blood potassium level | $29 | $5 | $5 | 328 |
J1040 Injection, methylprednisolone acetate, 80 mg | $29 | $12 | $9 | 15 |
85610 Blood test, clotting time | $26 | $4 | $4 | 282 |
82947 Blood glucose (sugar) level | $24 | $4 | $4 | 150 |
84520 Urea nitrogen level to assess kidney function, quantitative | $24 | $4 | $4 | 96 |
81001 Manual urinalysis test with examination using microscope, automated | $19 | $3 | $3 | 47 |
85018 Blood count, hemoglobin | $14 | $2 | $2 | 34 |
81003 Automated urinalysis test | $14 | $2 | $2 | 22 |
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.