CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Methodist Jennie Edmundson

Billing Code: 99203 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$201
about 1.7× the $118 Medicare rate · typically $98–$299
modeled estimate · not a bill or quote
What this hospital charges insurers
$182
About the fair price
about $19 under the fair price · 1.5× Medicare
Medicare pays $118 Fair price $201 This hospital $182 Cash price $91 Hospital's list price $304

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

Highest price of the 9 IA hospitals we have prices for — worth calling around.

Cheapest $46 Priciest $182

Black dot = this hospital, among the 9 IA hospitals with a price for this procedure. Full list below.

A fair price for a New patient office visit (30-44 min) is about $201 (about 1.7× the $118 Medicare rate). Methodist Jennie Edmundson charges insurers about $182, or about $91 in cash — about the fair price. Located in Council Bluffs, IA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $176 - $219 150%
Blue Cross Blue Shieldmajor $191 - $491 162%
Aetnamajor $176 - $242 150%
Ambetter (Centene) $227 193%
Medica $125 - $168 106%
+ 2 smaller / regional plans $135 - $208
Government programs also on file: Medicare.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 933 East Pierce Street, Council Bluffs, IA 51503
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals