Physician
Family Medicine
Family Medicine
COUNCIL BLUFFS, IA
METHODIST JENNIE EDMUNDSON
bestcare.org/locations/methodist-jennie-edmundson-cancer-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 |
|---|---|---|---|---|
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | $687 | $262 | $262 | 14 |
99204 New patient office or other outpatient visit, 45-59 minutes | $420 | $154 | $115 | 16 |
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | $394 | $153 | $153 | 29 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $276 | $118 | $82 | 225 |
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $268 | $120 | $120 | 42 |
77067 Screening mammography | $263 | $84 | $84 | 16 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $243 | $84 | $52 | 131 |
99212 Established patient office or other outpatient visit, 10-19 minutes | $110 | $52 | $31 | 12 |
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | $108 | $58 | $46 | 95 |
83036 Hemoglobin a1c level | $92 | $9 | $9 | 107 |
77063 Screening 3d breast mammography | $86 | $22 | $22 | 16 |
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | $84 | $75 | $75 | 25 |
71046 X-ray of chest, 2 views | $72 | $21 | $15 | 19 |
G0009 Administration of pneumococcal vaccine | $39 | $27 | $27 | 14 |
G0008 Administration of influenza virus vaccine | $39 | $28 | $28 | 32 |
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $35 | $8 | $8 | 239 |
36415 Insertion of needle into vein for collection of blood sample | $26 | $8 | $8 | 332 |
81001 Manual urinalysis test with examination using microscope, automated | $19 | $3 | $3 | 18 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.