Johnson County Community Hospital

1901 S. SHADY ST., MOUNTAIN CITY, TN · Balladhealth · · NPI 1497859789

Source: hospital's published price file ↗ · Published Mar 23, 2026 · Ingested Sep 16, 2026

Published prices by procedure

Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.

Procedure Cash price Gross charge Negotiated range Payers
Infectious agent nucleic acid amplified probe CPT 87798 $60.03 $261.00 $35.09 – $77.23 7
Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 $60.03 $261.00 $35.09 – $77.23 7
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 $60.03 $261.00 $37.27 – $82.28 7
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 $720.13 $3,131.00 $204.38 – $918.83 7
Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 $60.03 $261.00 $35.09 – $77.23 7
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 $60.03 $261.00 $35.09 – $77.23 7
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 $60.03 $261.00 $41.68 – $91.67 7
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 $60.03 $261.00 $35.09 – $77.23 7
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 $14.72 $64.00 $46.18 – $68.74 6
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 $46.23 $201.00 $66.09 – $201.00 6
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 $60.26 $262.00 $66.09 – $262.00 6
Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 $60.03 $261.00 $35.09 – $77.23 7
Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 $30.36 $132.00 $35.09 – $77.23 7
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 $34.27 $149.00 $69.09 – $72.35 2
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 $395.14 $1,718.00 $204.38 – $918.83 7
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 $219.88 $956.00 $128.29 – $282.94 7
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 $365.93 $1,591.00 $204.38 – $579.59 7
Infectious agent nucleic acid quantification bk virus CPT 87799 $73.83 $321.00 $42.84 – $94.55 7
Infectious agent nucleic acid quantification hepatitis b CPT 87517 $73.83 $321.00 $42.84 – $94.55 7
Infectious agent nucleic acid quantification hepatitis c CPT 87522 $73.83 $321.00 $42.84 – $94.55 7
Infectious agent nucleic acid quantification hiv-1 CPT 87536 $146.28 $636.00 $66.09 – $187.66 7
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 $52.67 $229.00 $79.13 – $123.40 6
Initiation & management bipap/cpap initial day CPT 94660 $230.23 $1,001.00 $56.16 – $203.60 6
Injection radioactive tracer sentinel node (both sides) CPT 38792 $474.03 $2,061.00 $497.41 – $792.85 6
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 $201.94 $878.00 $57.16 – $574.07 5
Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 $231.15 $1,005.00 $47.63 – $354.99 5
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 $241.50 $1,050.00 $56.91 – $354.99 5
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 $27.37 $119.00 $21.16 – $73.96 7
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 $42.78 $186.00 $12.41 – $73.96 5
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 $58.65 $255.00 $31.33 – $255.00 7
Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 $31.51 $137.00 $19.18 – $82.60 7
Inj intralesional <= 7 lsn(s) CPT 11900 $81.88 $356.00 $14.13 – $249.88 6
Inj ivig privigen 500 mg HCPCS J1459 $9,976.63 $43,376.67 $30.96 – $1,780.59 7
Inj levocarnitine per 1 gm HCPCS J1955 $127.68 $555.12 $36.29 – $41.55 2
Inj, lidocaine w epinephrine HCPCS J2004 $4.49 $19.50 $7.62 – $7.62 1
Inj sulf hexa lipid microsph HCPCS Q9950 $132.10 $574.35 $0.24 – $29.75 2
Insert and remove bone pin CPT 20650 $497.26 $2,162.00 $130.45 – $3,426.31 5
Insert cath pleura without image CPT 32556 $1,039.60 $4,520.00 $1,390.68 – $1,446.31 5
Insertion catheter bladder non indwelling CPT 51701 $34.27 $149.00 $115.45 – $149.00 6
Insertion catheter bladder temporary simple CPT 51702 $42.32 $184.00 $115.45 – $149.52 6
Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 $529.00 $2,300.00 $285.81 – $1,685.84 5
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 $505.08 $2,196.00 $1,399.22 – $1,685.84 6
Insertion picc without port or pump with imaging guidance=>5y CPT 36573 $1,027.64 $4,468.00 $1,399.22 – $1,685.84 6
Insert swan-ganz cath CPT 93503 $1,784.11 $7,757.00 $185.47 – $1,685.84 6
Insitu hybridization auto CPT 88367 $218.27 $949.00 $33.13 – $229.87 7
In situ hybridization per specimen each additional single probe stain CPT 88364 $91.54 $398.00 $44.84 – $217.69 7
In situ hybridization per specimen initial single probe stain CPT 88365 $132.25 $575.00 $12.40 – $293.92 7
Insj phrnc nrv stim sys CPT 33276 $13,714.21 $59,627.00 $26,676.25 – $59,627.00 6
Insj phrnc nrv stim transvns CPT 33277 $5,233.65 $22,755.00 $4,391.82 – $4,567.49 5
Ins left heart vent thor inscn ecmo CPT 33988 $454.48 $1,976.00 $1,976.00 – $11,393.49 5
Ins picc wo subq prt/pmp w image guidnc <5yr CPT 36572 $1,008.55 $4,385.00 $871.97 – $1,685.84 6
Instll rx agnt into rnal tub CPT 50391 $126.50 $550.00 $326.73 – $572.85 6
Insulin total CPT 83525 $19.55 $85.00 $11.43 – $25.26 7
Integra meshed bil wound mat HCPCS C9363 $114.59 $498.21 $17.92 – $121.11 2
Interrog&prgrmg ipnss CPT 93151 $46.69 $203.00 $49.44 – $163.47 6
Interrog&prgrmg ipnss polysm CPT 93152 $144.21 $627.00 $49.44 – $371.69 6
Interrog without prgrmg ipnss CPT 93153 $144.21 $627.00 $49.44 – $163.47 6
Intrinsic factor antibody CPT 86340 $25.76 $112.00 $12.80 – $33.20 7
Intubation endotracheal emergency procedure CPT 31500 $230.46 $1,002.00 $254.09 – $1,062.17 6
Iodine i-123 sod iodide mil HCPCS A9509 $48.99 $213.00 $133.96 – $213.00 2
Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 $80.92 $351.84 $0.30 – $13.70 2
Ip/obs cnsltj new/est low 45 CPT 99253 $70.84 $308.00 $97.09 – $99.86 2
Ipratropium bromide non-comp HCPCS J7644 $1.67 $7.25 $2.83 – $7.25 2
Iron CPT 83540 $11.04 $48.00 $2.31 – $14.44 7
Iron binding capacity CPT 83550 $15.18 $66.00 $2.31 – $19.49 7
Irradiation of blood product each unit reference CPT 86945 $119.83 $521.00 $13.44 – $123.12 6
Irrigation implantable venous access device for drug delivery systems CPT 96523 $28.98 $126.00 $24.74 – $79.42 7
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 $43.24 $188.00 $31.14 – $406.06 7
IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 $25.07 $109.00 $18.55 – $406.06 5
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 $35.42 $154.00 $19.87 – $734.25 7
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 $90.85 $395.00 $61.37 – $406.06 7
Jak2 targeted sequence analysis CPT 81279 $118.68 $516.00 $166.68 – $408.53 6
Ketamine and metabolite screen - quest CPT 80357 $20.01 $87.00 $15.73 – $16.36 5
Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 $14.26 $62.00 $6.19 – $18.04 7
Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 $4.49 $19.50 $0.53 – $1.04 3
Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 $99.82 $434.00 $64.60 – $236.49 7
Kit gene analys d816 variant CPT 81273 $106.26 $462.00 $49.44 – $275.00 7
Knee MRI (with and without contrast) CPT 73723 $656.19 $2,853.00 $480.63 – $786.00 7
Knee MRI (without contrast) CPT 73721 $603.52 $2,624.00 $304.57 – $786.00 7
Knee X-ray CPT 73564 $78.66 $342.00 $20.54 – $162.93 7
Lactate dehydrogenase (ldh) CPT 83615 $10.35 $45.00 $6.04 – $12.99 7
Lactated ringers intravenous solution HCPCS J7120 $11.13 $48.38 $12.61 – $18.92 2
Lactic acid CPT 83605 $18.40 $80.00 $11.57 – $25.26 7
Lactoferrin fecal qualitative CPT 83630 $33.81 $147.00 $13.72 – $43.31 7
Lactoferrin fecal quant CPT 83631 $20.70 $90.00 $13.72 – $43.31 7
Laryngoscopy w/fb removal CPT 31530 $588.11 $2,557.00 $298.66 – $838.05 5
Lead capillary CPT 83655 $20.70 $90.00 $12.11 – $26.71 7
Leg Vein Ultrasound (DVT study, both legs) CPT 93970 $337.87 $1,469.00 $123.50 – $632.56 7
Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 $69.00 $300.01 $5.67 – $18.76 2
Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 $225.52 $980.54 $0.07 – $0.48 2
Levetiracetam therapeutic drug level CPT 80177 $23.00 $100.00 $13.25 – $28.87 7
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 $592.02 $2,573.98 $4.47 – $21.00 2
Ligation/major artery/extremity 37618 CPT 37618 $632.50 $2,750.00 $2,750.00 – $3,046.27 5
Ligation vericose vein cluster(s) 1 leg CPT 37785 $310.04 $1,348.00 $1,348.00 – $3,786.00 6
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 $44.31 $192.67 $3.99 – $31.82 3
Lipase CPT 83690 $11.73 $51.00 $6.19 – $15.16 7
Lipoprotein blood high res frac & quant CPT 83701 $42.55 $185.00 $31.64 – $74.34 7
Lipoprotein blood quant CPT 83704 $54.28 $236.00 $31.87 – $75.07 7
Lipoprotein direct measurement hdl CPT 83718 $14.26 $62.00 $6.19 – $18.04 7
Lipoprotein direct measurement ldl CPT 83721 $16.33 $71.00 $6.19 – $23.10 7

A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.