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
Rpl non-tun cvc wo sbq prt/pmp CPT 36580 $727.49 $3,163.00 $1,399.22 – $1,685.84 6
Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 $241.50 $1,050.00 $1,050.00 – $1,685.84 6
Rsv assay w/optic CPT 87807 $20.01 $87.00 $11.21 – $28.87 7
Rubella antibody igg CPT 86762 $24.61 $107.00 $10.82 – $31.76 7
Rubeola antibody igg CPT 86765 $22.08 $96.00 $12.80 – $28.15 7
Russell viper venom diluted CPT 85613 $16.33 $71.00 $5.02 – $20.93 7
Rx metab gen seq alys pnl 6 CPT 81418 $795.11 $3,457.00 $741.65 – $2,021.70 6
Salmonella antibody CPT 86768 $23.00 $100.00 $12.80 – $28.87 7
Sarscov coronavirus ag ia CPT 87426 $10.12 $44.00 $11.21 – $44.00 6
Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 $337.87 $1,469.00 $125.69 – $812.75 7
Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 $225.17 $979.00 $112.12 – $442.10 7
Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 $337.87 $1,469.00 $117.72 – $588.97 7
Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 $225.17 $979.00 $78.40 – $412.73 7
Scan duplex extremity veins unilateral/limited study CPT 93971 $225.17 $979.00 $83.14 – $370.09 7
Scan duplex lower extremity arteries complete bilateral CPT 93925 $337.87 $1,469.00 $114.89 – $804.22 7
Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 $225.17 $979.00 $75.27 – $522.65 7
Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 $225.17 $979.00 $77.04 – $426.00 7
Scope uretscp lithovue dig disp HCPCS C1747 $8,336.73 $36,246.65 $6,082.59 – $6,082.59 1
Screening HIV antigen/antibody combination assay HCPCS G0475 $41.63 $181.00 $12.80 – $53.41 7
Screening Mammogram CPT 77067 $72.68 $316.00 $32.25 – $86.90 16
Screening prostate cancer PSA HCPCS G0103 $31.74 $138.00 $12.80 – $42.58 7
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 $119.37 $519.00 $30.03 – $31.24 5
Sedimentation rate erythrocyte automated CPT 85652 $4.83 $21.00 $2.70 – $7.05 7
Semen analysis presence/motility CPT 89321 $20.70 $90.00 $5.61 – $26.71 7
Semen analysis w/count CPT 89310 $8.97 $39.00 $5.61 – $18.77 7
Serpina1 gene CPT 81332 $131.33 $571.00 $43.65 – $96.00 7
Sertraline (zoloft) - sendout CPT 80332 $24.38 $106.00 $78.89 – $82.05 5
Sf3b1 gene common variants CPT 81347 $243.34 $1,058.00 $173.93 – $425.85 6
Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 $81.88 $356.00 $20.40 – $356.00 6
Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 $90.39 $393.00 $29.82 – $249.88 6
Shoulder MRI (with and without contrast) CPT 73223 $656.19 $2,853.00 $480.63 – $786.00 7
Shoulder MRI (without contrast) CPT 73221 $624.68 $2,716.00 $304.57 – $786.00 7
Shoulder X-ray CPT 73030 $75.21 $327.00 $18.91 – $88.43 7
Sickling rbc CPT 85660 $9.43 $41.00 $5.51 – $12.27 7
Sigmoidoscopy w/resection CPT 45349 $1,138.04 $4,948.00 $2,905.60 – $3,296.21 6
Sincalide 5 mcg solution for injection HCPCS J2805 $302.15 $1,313.70 $44.48 – $217.11 6
Sinus CT scan (with and without contrast) CPT 70488 $576.61 $2,507.00 $232.29 – $459.22 7
Sinus CT scan (with contrast) CPT 70487 $549.24 $2,388.00 $185.79 – $459.22 7
Sinus CT scan (without contrast) CPT 70486 $521.87 $2,269.00 $146.57 – $427.00 7
Skeletal muscle relaxant 1/2 CPT 80369 $13.34 $58.00 $15.73 – $16.36 5
Skel musc relaxant 3 or more CPT 80370 $13.34 $58.00 $15.73 – $16.36 5
Skin Biopsy CPT 11102 $38.64 $168.00 $65.69 – $617.83 6
Sleep study unattended CPT 95806 $255.76 $1,112.00 $153.06 – $354.20 7
Slp eval non-spch gen comm dev CPT 92605 $84.87 $369.00 $46.00 – $401.19 5
Slp ther svc non-spch gen CPT 92606 $36.80 $160.00 $38.57 – $40.11 5
Sm-153 lexidron ther HCPCS A9604 $4,078.82 $17,734.00 $6,014.17 – $19,563.22 7
Smear fluorescent and/or acid fast stain CPT 87206 $8.97 $39.00 $5.39 – $11.66 7
Smear gram stain CPT 87205 $7.36 $32.00 $4.27 – $11.66 7
Smear special stain inclusion bodies/parasites CPT 87207 $10.12 $44.00 $5.99 – $12.99 7
Smear wet mount CPT 87210 $6.90 $30.00 $5.45 – $12.99 7
Smn1 gene full gene sequence CPT 81336 $232.30 $1,010.00 $181.79 – $664.04 6
Sodium 24 hour urine CPT 84300 $8.51 $37.00 $5.06 – $10.83 7
Sodium chloride 0.9 % intravenous solution HCPCS J7030 $11.13 $48.38 $7.99 – $18.92 2
Sodium chloride 0.9 % IV bolus HCPCS J7040 $11.13 $48.38 $7.38 – $18.92 2
Sodium chloride 0.9 % IV bolus HCPCS J7050 $11.13 $48.38 $7.08 – $18.92 2
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 $119.24 $518.44 $3.56 – $9.01 2
Sodium serum/plasma/whole blood CPT 84295 $8.51 $37.00 $4.81 – $10.83 7
Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 $191.13 $831.00 $32.89 – $632.57 7
Splint finger fold over sm HCPCS L3924 $151.34 $658.00 $75.00 – $75.00 1
Split blood or products CPT 86985 $37.72 $164.00 $7.32 – $123.12 6
Sputum specimen collection CPT 89220 $46.69 $203.00 $13.11 – $238.40 7
Sr-89 stront chlor ther / mci HCPCS A9600 $812.13 $3,531.00 $837.39 – $19,563.22 7
Staph a dna amp probe CPT 87640 $60.03 $261.00 $35.09 – $77.23 7
St evaluate speech sound production comprehensive/expressive CPT 92523 $173.88 $756.00 $46.00 – $401.19 6
St evaluation swallow function CPT 92610 $80.73 $351.00 $37.68 – $401.19 6
Stimulants synthetic CPT 80371 $20.93 $91.00 $15.73 – $16.36 5
Strapping of ankle and/or ft 29540 CPT 29540 $50.83 $221.00 $28.21 – $106.24 5
Strapping of elbow or wrist 29260 CPT 29260 $36.80 $160.00 $25.02 – $106.24 5
Strapping of hand or finger CPT 29280 $55.89 $243.00 $23.70 – $106.24 5
Strapping of knee CPT 29530 $55.89 $243.00 $28.10 – $106.24 5
Strapping of toes 29550 CPT 29550 $50.83 $221.00 $21.06 – $106.24 5
Strep b dna amp probe CPT 87653 $60.03 $261.00 $35.09 – $77.23 7
Stress test pulmonary CPT 94618 $90.16 $392.00 $10.35 – $149.52 6
Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 $188.05 $817.60 $0.30 – $1.62 2
Sugars multiple quant CPT 84379 $11.96 $52.00 $11.53 – $25.26 7
Sulfonylurea screen qn-sendout CPT 80377 $18.40 $80.00 $15.73 – $16.36 5
Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 $433.78 $1,886.02 $33.21 – $66.42 3
Surgical pathology level 3 gross & microscopic examination CPT 88304 $44.39 $193.00 $16.17 – $69.01 7
Surgical pathology level 4 gross & microscopic examination CPT 88305 $74.06 $322.00 $18.48 – $111.06 7
Surgical pathology level 5 gross & microscopic examination CPT 88307 $230.92 $1,004.00 $34.65 – $432.63 7
Susceptibility agar dilution per agent CPT 87181 $8.28 $36.00 $4.75 – $11.66 7
Susceptibility enzyme detection per enzyme CPT 87185 $3.91 $17.00 $4.75 – $11.66 7
Susceptibility mic per plate CPT 87186 $14.95 $65.00 $8.65 – $18.77 7
Suscept studies macrobroth dilution ea CPT 87188 $7.13 $31.00 $6.64 – $14.44 7
Syphilis test non-treponemal antibody quantitative rpr CPT 86593 $7.82 $34.00 $4.40 – $13.31 7
T3 (triiodothyronine) free CPT 84481 $29.21 $127.00 $15.06 – $37.53 7
T3 (triiodothyronine) total CPT 84480 $24.38 $106.00 $14.18 – $31.04 7
T4 (thyroxine) free CPT 84439 $15.41 $67.00 $9.02 – $20.21 7
T4 (thyroxine) total CPT 84436 $11.73 $51.00 $6.87 – $15.66 7
Tacrolimus therapeutic drug level CPT 80197 $23.69 $103.00 $13.73 – $30.31 7
Target gsa panel hmtlmph neop CPT 81450 $816.50 $3,550.00 $80.85 – $1,674.53 7
Target gsa panel organ/hmtlmph neop CPT 81455 $3,676.78 $15,986.00 $2,627.64 – $6,435.39 7
Tbp gene detc abnor alleles CPT 81344 $105.80 $460.00 $123.30 – $301.70 6
Tb test cell mediated immunity antigen response gamma interferon CPT 86480 $106.49 $463.00 $46.26 – $136.42 7
Tc-99m disofenin HCPCS A9510 $35.65 $155.00 $62.42 – $125.66 2
Tc-99m exame autol wbc diag per dose HCPCS A9569 $1,255.34 $5,458.00 $936.29 – $3,076.92 3
Tc-99m exametazime diag HCPCS A9521 $713.00 $3,100.00 $708.40 – $3,076.92 3
Tc-99m labeled rbc HCPCS A9560 $291.87 $1,269.00 $106.48 – $167.68 2
Tc-99m maa HCPCS A9540 $48.07 $209.00 $6.84 – $53.86 2
Tc-99m mebrofenin HCPCS A9537 $51.52 $224.00 $63.59 – $99.30 2

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.