Supplies, drugs & other prices at Methodist Jennie Edmundson

Council Bluffs, IA · every code in this section with a posted price and a Medicare benchmark.

56 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
3d anat seg imaging preop (C8001) $400.50 $1,335 3.0×
Adm tocilizu covid-19 1st (M0249) $152.40 $508 0.3×
Adm tocilizu covid-19 2nd (M0250) $152.40 $508 0.3×
Admin hepatitis b vaccine (G0010) $5.10 $17 0.1×
Admin influenza virus vac (G0008) $29.40 $98 0.6×
Admin pneumococcal vaccine (G0009) $27.90 $93 0.6×
Ca screen;flexi sigmoidscope (G0104)
range across 2 matching MRF lines
$455.40–$1,125.90 $1,518–$3,753 varies
Colon ca scrn not hi rsk ind (G0121) $783.30 $2,611 0.8×
Colorectal scrn; hi risk ind (G0105) $639 $2,130 0.7×
Colpopexy, min/inv, ex-perit (C9778)
likely a partial charge, not the full procedure
$1,053.90 $3,513 0.2×
Crown porcelain/ceramic (D2740)
range across 12 matching MRF lines
$67.80–$69.30 $226–$231 varies
Diab manage trn per indiv (G0108) $44.10 $147 0.8×
Diab manage trn ind/group (G0109) $17.40 $58 1.1×
Direct refer hospital observ (G0379) $11.40 $38 0.0×
Drug test def 1-7 classes (G0480) $25.80 $86 0.2×
Drug test def 15-21 classes (G0482)
range across 3 matching MRF lines
$32.70–$64.80 $109–$216 varies
Egd flexible transnasal w/insj intral tube/cath (0654T) $1,625.40 $5,418 0.4×
Elec stim unattend for press (G0281) $22.80 $76 2.0×
Endo defect closure gi tract (C9901)
likely a partial charge, not the full procedure
$333.90 $1,113 0.0×
Endovascular Venous Arterialization Tibl/Prnl Vn (0620T)
unusually low: confirm this is the full procedure
$15,678.90 $52,263 0.3×
Esd endoscopy or colonoscopy (C9779) $2,445 $8,150 0.6×
Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) $9,372.30 $31,241 0.8×
Excision of rectal tumor, transanal endoscopic microsurgical approach (ie, TEMS), including muscularis propria (ie,… (0184T)
unusually low: confirm this is the full procedure
$2,532.60 $8,442 0.4×
Fecal microbiota prep instil (G0455)
range across 4 matching MRF lines
$527.10–$1,525.50 $1,757–$5,085 varies
Hepb screen high risk indiv (G0499) $69.90 $233 2.5×
Hospital outpt clinic visit (G0463) $81 $270 0.6×
Inj for sacroiliac jt anesth (G0260) $898.20 $2,994 1.2×
Insertion wrls car stimulator lv pacg compl sys (0515T) $14,619.90 $48,733 0.6×
Insj Wcs Lv Eltrd Only (0516T) $7,956.90 $26,523 0.7×
Insj Wcs Lv Pg Compnt (0517T) $7,956.90 $26,523 0.7×
Oth resp proc, indiv (G0238) $109.20 $364 3.7×
Pattern erg w/i&r (0509T) $132 $440 0.6×
Perc d-e cor revasc chro sin (C9607)
unusually low: confirm this is the full procedure
$7,907.70 $26,359 0.4×
Perc d-e cor revasc t cabg s (C9604) $7,907.70 $26,359 0.7×
Perc d-e cor stent ather s (C9602)
unusually low: confirm this is the full procedure
$7,907.70 $26,359 0.4×
Perc drug-el cor stent sing (C9600) $7,907.70 $26,359 0.7×
Perq Sacral Augmt Bilat Inj (0201T)
likely a partial charge, not the full procedure
$2,196 $7,320 0.3×
Perq Sacral Augmt Unilat Inj (0200T)
likely a partial charge, not the full procedure
$2,196 $7,320 0.3×
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T)
unusually low: confirm this is the full procedure
$5,151 $17,170 0.4×
Place device/marker, non pro (C9728) $1,141.20 $3,804 0.8×
Prolonged iv inf, req pump (C8957) $197.70 $659 0.9×
Quan CT tiss charac i&r w/cncrnt CT exam (0722T) $448.20 $1,494 0.7×
Rbc DNA gnotyp 10 bld groups (0084U) $131.40 $438 0.2×
Revasc intravasc lithotripsy (C9764) $6,795.60 $22,652 0.6×
Rmvl & Rplcmt Pg Compnt Wcs (0519T) $9,336.90 $31,123 0.9×
Rmvl&Rplcmt Pg Wcs New Eltrd (0520T) $14,857.20 $49,524 1.4×
Therapeutic procd strg endur (G0237) $109.20 $364 3.7×
Trauma respons w/hosp criti (G0390) $916.50 $3,055 0.7×
Trluml perip athrc abd aorta (0236T) $7,533.90 $25,113 0.6×
Trluml Perip Athrc Brchiocph (0237T) $7,533.90 $25,113 0.6×
Trluml Perip Athrc Iliac Art (0238T)
unusually low: confirm this is the full procedure
$8,272.80 $27,576 0.4×
Trluml Peripheral Atherectomy Renal Artery Ea (0234T) $7,533.90 $25,113 0.6×
Vasc emb/occ w/prs cath (C9797)
unusually low: confirm this is the full procedure
$7,400.10 $24,667 0.4×
Visit esketamine 56m or less (G2082) $628.20 $2,094 0.6×
Visit esketamine, > 56m (G2083) $918.30 $3,061 0.6×
Visit to determ ldct elig (G0296) $51 $170 0.5×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.