Johnson County Community Hospital
1901 S. SHADY ST., MOUNTAIN CITY, TN · Balladhealth · · NPI 1497859789
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 |
|---|---|---|---|---|
| Listeria monocytogenes CPT 86723 | $14.72 | $64.00 | $12.80 – $28.87 | 7 |
| Lithium therapeutic drug level CPT 80178 | $11.27 | $49.00 | $6.61 – $14.44 | 7 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $2,242.50 | $9,750.00 | $9,750.00 – $12,234.58 | 5 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | $78.20 | $340.00 | $166.05 – $340.00 | 6 |
| Liver Function Test CPT 80076 | $13.57 | $59.00 | $8.17 – $18.04 | 7 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $12.19 | $52.98 | $2.43 – $10.46 | 2 |
| Low cost skin substitute app HCPCS C5271 | $261.97 | $1,139.00 | $387.11 – $2,774.03 | 5 |
| Low cost skin substitute app HCPCS C5275 | $261.97 | $1,139.00 | $387.11 – $2,774.03 | 5 |
| Low cost skin substitute app HCPCS C5272 | $109.94 | $478.00 | $186.90 – $2,774.03 | 5 |
| Low cost skin substitute app HCPCS C5276 | $109.94 | $478.00 | $186.90 – $2,774.03 | 5 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $576.61 | $2,507.00 | $290.36 – $459.22 | 7 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $549.24 | $2,388.00 | $232.29 – $649.58 | 7 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $521.87 | $2,269.00 | $146.57 – $427.00 | 7 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $656.19 | $2,853.00 | $480.63 – $786.00 | 7 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $624.68 | $2,716.00 | $392.26 – $786.00 | 7 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $593.63 | $2,581.00 | $304.57 – $786.00 | 7 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $64.63 | $281.00 | $22.19 – $162.93 | 7 |
| Lung function test (mbc/mvv) CPT 94200 | $28.52 | $124.00 | $8.75 – $83.10 | 7 |
| Lung Function Test (Spirometry) CPT 94010 | $85.10 | $370.00 | $14.86 – $354.20 | 7 |
| Lymphocyte transformation mitogen CPT 86353 | $82.11 | $357.00 | $46.26 – $108.27 | 7 |
| Macroscopic exam parasite CPT 87169 | $6.90 | $30.00 | $4.31 – $11.66 | 7 |
| Magnesium CPT 83735 | $11.27 | $49.00 | $2.31 – $14.44 | 7 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $14.82 | $64.42 | $0.49 – $0.84 | 2 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $28.52 | $124.00 | $12.40 – $83.10 | 6 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $38.18 | $166.00 | $20.81 – $83.10 | 6 |
| Mastoids complete CPT 70130 | $67.85 | $295.00 | $25.93 – $162.93 | 7 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $2,814.69 | $12,237.78 | $31.66 – $35.15 | 2 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $24.84 | $108.00 | $13.72 – $31.76 | 7 |
| Mayo aathr protein s free CPT 85306 | $25.30 | $110.00 | $5.02 – $33.92 | 7 |
| Mayo activated protein c resistance assay CPT 85307 | $25.30 | $110.00 | $6.78 – $33.92 | 7 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $32.66 | $142.00 | $13.80 – $85.17 | 6 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $8.05 | $35.00 | $15.73 – $16.36 | 5 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $8.05 | $35.00 | $15.73 – $16.36 | 5 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $24.61 | $107.00 | $13.72 – $32.48 | 7 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $21.85 | $95.00 | $15.73 – $16.36 | 5 |
| Mayo alpha 1 antitrypsin CPT 82103 | $23.23 | $101.00 | $13.44 – $29.59 | 7 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $40.48 | $176.00 | $13.80 – $33.20 | 7 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | $11.27 | $49.00 | $15.73 – $16.36 | 5 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $11.27 | $49.00 | $15.73 – $16.36 | 5 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $208.61 | $907.00 | $49.44 – $267.78 | 7 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $157.55 | $685.00 | $49.44 – $202.10 | 7 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $172.50 | $750.00 | $123.30 – $301.70 | 6 |
| Mayo androstenedione CPT 82157 | $50.14 | $218.00 | $15.06 – $64.24 | 7 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $25.07 | $109.00 | $13.72 – $32.48 | 7 |
| Mayo antithrombin iii antigen CPT 85301 | $18.63 | $81.00 | $5.02 – $23.82 | 7 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $25.07 | $109.00 | $12.80 – $33.20 | 7 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $60.49 | $263.00 | $31.58 – $77.23 | 6 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $8.51 | $37.00 | $15.73 – $16.36 | 5 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $17.48 | $76.00 | $10.18 – $22.38 | 7 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $248.86 | $1,082.00 | $115.92 – $319.03 | 7 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $276.46 | $1,202.00 | $115.92 – $472.77 | 7 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $22.31 | $97.00 | $12.80 – $28.15 | 7 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | $13.80 | $60.00 | $15.73 – $16.36 | 5 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $23.00 | $100.00 | $12.80 – $28.87 | 7 |
| Mayo c1 esterase inhibitor CPT 83883 | $22.31 | $97.00 | $12.80 – $30.31 | 7 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $6.90 | $30.00 | $15.73 – $16.36 | 5 |
| Mayo ceruloplasmin CPT 82390 | $18.63 | $81.00 | $6.19 – $23.82 | 7 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $13.11 | $57.00 | $13.29 – $31.04 | 7 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $22.08 | $96.00 | $12.80 – $28.15 | 7 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $199.87 | $869.00 | $116.49 – $256.95 | 7 |
| Mayo chromium CPT 82495 | $33.58 | $146.00 | $13.80 – $44.75 | 7 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $20.47 | $89.00 | $15.73 – $16.36 | 5 |
| Mayo coccidioides antibody CPT 86635 | $19.55 | $85.00 | $11.47 – $25.26 | 7 |
| Mayo cocou cortisone urine CPT 82542 | $16.56 | $72.00 | $13.72 – $53.41 | 7 |
| Mayo cortisol free CPT 82530 | $13.11 | $57.00 | $13.72 – $36.81 | 7 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $11.73 | $51.00 | $12.80 – $51.00 | 6 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | $13.80 | $60.00 | $15.73 – $16.36 | 5 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | $31.74 | $138.00 | $15.73 – $16.36 | 5 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $12.19 | $53.00 | $12.80 – $28.87 | 7 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $43.70 | $190.00 | $13.72 – $55.58 | 7 |
| Mayo dihydrotestosterone CPT 82642 | $40.71 | $177.00 | $15.06 – $64.24 | 6 |
| Mayo estriol CPT 82677 | $41.63 | $181.00 | $15.06 – $53.41 | 7 |
| Mayo estrone CPT 82679 | $42.78 | $186.00 | $15.06 – $54.86 | 7 |
| Mayo everolimus therapeutic drug level CPT 80169 | $100.74 | $438.00 | $13.73 – $30.31 | 7 |
| Mayo factor ii CPT 85210 | $22.31 | $97.00 | $5.02 – $28.87 | 7 |
| Mayo factor v CPT 85220 | $30.36 | $132.00 | $5.02 – $38.98 | 7 |
| Mayo factor vii CPT 85230 | $30.82 | $134.00 | $5.02 – $39.70 | 7 |
| Mayo factor viii vw factor antigen CPT 85246 | $39.56 | $172.00 | $22.94 – $50.52 | 7 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $39.56 | $172.00 | $22.94 – $50.52 | 7 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $39.56 | $172.00 | $22.94 – $50.52 | 7 |
| Mayo factor x CPT 85260 | $30.82 | $134.00 | $5.02 – $39.70 | 7 |
| Mayo factor xi CPT 85270 | $30.82 | $134.00 | $5.02 – $39.70 | 7 |
| Mayo fat/lipids feces quantitative CPT 82710 | $28.98 | $126.00 | $13.72 – $36.81 | 7 |
| Mayo fbl culture fungi blood CPT 87103 | $15.41 | $67.00 | $11.21 – $36.01 | 7 |
| Mayo fibrinogen antigen CPT 85385 | $8.97 | $39.00 | $5.02 – $31.76 | 7 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $23.00 | $100.00 | $13.80 – $47.64 | 7 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $60.49 | $263.00 | $35.09 – $77.23 | 7 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $21.16 | $92.00 | $12.80 – $30.31 | 7 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $44.39 | $193.00 | $4.94 – $57.02 | 7 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $15.18 | $66.00 | $8.89 – $19.49 | 7 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $23.46 | $102.00 | $12.80 – $29.59 | 7 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $46.69 | $203.00 | $15.06 – $59.91 | 7 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $22.31 | $97.00 | $13.72 – $38.25 | 7 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $11.73 | $51.00 | $12.80 – $33.20 | 7 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $35.65 | $155.00 | $12.80 – $46.19 | 7 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $35.65 | $155.00 | $12.80 – $46.19 | 7 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $19.78 | $86.00 | $11.21 – $35.37 | 7 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $19.55 | $85.00 | $11.21 – $26.71 | 7 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $26.91 | $117.00 | $31.58 – $77.23 | 6 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $31.05 | $135.00 | $35.09 – $77.23 | 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.