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 |
|---|---|---|---|---|
| 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.