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 |
|---|---|---|---|---|
| Unlisted px casting/strpg CPT 29799 | $53.59 | $233.00 | $102.15 – $106.24 | 5 |
| Unlisted px small intestine CPT 44799 | $1,080.31 | $4,697.00 | $1,058.33 – $2,944.30 | 6 |
| Unlisted transfusion med px CPT 86999 | $11.73 | $51.00 | $4.94 – $25.80 | 6 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $163.76 | $712.00 | $83.00 – $1,270.12 | 7 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $656.19 | $2,853.00 | $480.63 – $786.00 | 7 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $624.68 | $2,716.00 | $392.26 – $786.00 | 7 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $593.63 | $2,581.00 | $304.57 – $786.00 | 7 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $418.83 | $1,821.00 | $282.31 – $1,438.65 | 5 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $377.43 | $1,641.00 | $311.30 – $1,438.65 | 5 |
| Urea nitrogen CPT 84520 | $6.67 | $29.00 | $3.95 – $8.66 | 7 |
| Urea nitrogen 24 hour urine CPT 84540 | $8.05 | $35.00 | $5.56 – $12.27 | 7 |
| Ureteral reflux study CPT 78740 | $179.17 | $779.00 | $69.65 – $528.56 | 7 |
| Uric acid blood CPT 84550 | $8.05 | $35.00 | $4.52 – $10.10 | 7 |
| Uric acid urine CPT 84560 | $8.28 | $36.00 | $5.08 – $11.55 | 7 |
| Urinalysis microscopic only CPT 81015 | $5.06 | $22.00 | $3.05 – $6.50 | 7 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | $3.91 | $17.00 | $2.17 – $5.05 | 7 |
| Urinalysis (with microscopy) CPT 81001 | $5.52 | $24.00 | $2.58 – $7.22 | 7 |
| Urinalysis (without microscopy) CPT 81003 | $3.91 | $17.00 | $2.08 – $5.05 | 7 |
| Urine Culture Test CPT 87086 | $13.80 | $60.00 | $8.07 – $18.04 | 7 |
| Urine pregnancy test CPT 81025 | $10.81 | $47.00 | $3.35 – $18.77 | 7 |
| Vaccine dtap < 7 years im CPT 90700 | $87.47 | $380.30 | $25.50 – $58.33 | 6 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $85.26 | $370.69 | $6.22 – $57.66 | 7 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $35.45 | $154.11 | $2.59 – $38.90 | 7 |
| Vaccine mmr live subcutaneous CPT 90707 | $237.69 | $1,033.45 | $35.05 – $187.65 | 6 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $500.74 | $2,177.13 | $36.53 – $446.34 | 7 |
| Vaccine rabies im CPT 90675 | $896.01 | $3,895.71 | $53.19 – $856.70 | 7 |
| Vaccine tdap >=7 years im CPT 90715 | $121.96 | $530.25 | $35.05 – $96.10 | 6 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $103.22 | $448.79 | $21.50 – $83.28 | 6 |
| Valproic acid total therapeutic drug level CPT 80164 | $23.46 | $102.00 | $13.54 – $29.59 | 7 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $480.39 | $2,088.67 | $0.05 – $0.09 | 2 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | $138.50 | $602.18 | $0.21 – $0.22 | 2 |
| Vancomycin peak therapeutic drug level CPT 80202 | $23.46 | $102.00 | $13.54 – $29.59 | 7 |
| Varicella zoster antibody igg CPT 86787 | $22.08 | $96.00 | $12.80 – $28.15 | 7 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | $463.68 | $2,016.00 | $98.30 – $102.23 | 5 |
| Ventilator each subsequent day CPT 94003 | $397.67 | $1,729.00 | $59.04 – $1,706.89 | 6 |
| Ventilator initial day CPT 94002 | $195.27 | $849.00 | $81.31 – $1,706.89 | 6 |
| Virus isolation addl studies ea CPT 87253 | $33.58 | $146.00 | $11.21 – $44.75 | 7 |
| Visit established high 40-54 minutes/level 5 HCPCS G0463 | $64.17 | $279.00 | $31.67 – $81.00 | 2 |
| Vital capacity test CPT 94150 | $27.60 | $120.00 | $2.97 – $120.00 | 7 |
| Vitamin b-12 CPT 82607 | $25.76 | $112.00 | $15.06 – $33.20 | 7 |
| Vitamin D Test CPT 82306 | $51.06 | $222.00 | $29.60 – $64.96 | 7 |
| Vkorc1 gene CPT 81355 | $113.16 | $492.00 | $49.44 – $194.16 | 7 |
| Volume measurement urine timed CPT 81050 | $5.06 | $22.00 | $3.35 – $7.94 | 7 |
| Warde 1003990 aldosterone CPT 82088 | $67.39 | $293.00 | $34.06 – $89.50 | 7 |
| Warde 1005020 citrate 24 hour urine CPT 82507 | $47.61 | $207.00 | $27.80 – $61.35 | 7 |
| Warde 1005055 5-hiaa 24 hour urine CPT 83497 | $22.31 | $97.00 | $12.90 – $28.15 | 7 |
| Warde 1006955 catecholamines fractionated 24 hour urine CPT 82384 | $43.47 | $189.00 | $15.06 – $55.58 | 7 |
| Warde 1007138 vanillymandelic acid 24 hour urine CPT 84585 | $26.68 | $116.00 | $15.06 – $33.92 | 7 |
| Warde 1015200 kappa light chain free CPT 83521 | $37.49 | $163.00 | $13.72 – $38.25 | 6 |
| Warde 3004000 immunoglobulin subclass 1 CPT 82787 | $13.80 | $60.00 | $6.19 – $17.32 | 7 |
| Warde 3016000 west nile virus antibody CPT 86788 | $25.53 | $111.00 | $12.80 – $36.81 | 7 |
| Warde 3016000 west nile virus antibody igg CPT 86789 | $24.61 | $107.00 | $12.80 – $31.76 | 7 |
| Warde 3016300 saccharomyces cerevisiae iga antibody CPT 86671 | $11.27 | $49.00 | $12.25 – $26.71 | 7 |
| Warde 3400652 ova & parasites direct smear concentration and id CPT 87177 | $15.18 | $66.00 | $8.90 – $19.49 | 7 |
| Warde 3400652 smear complex special stain ova/parasites CPT 87209 | $30.82 | $134.00 | $11.21 – $39.70 | 7 |
| Warde 3400683 amplification rna markers infectious disease bacterial vaginosis CPT 81513 | $179.40 | $780.00 | $128.37 – $314.70 | 6 |
| Warde 3400852 arsenic CPT 82175 | $32.66 | $142.00 | $13.80 – $41.86 | 7 |
| Warde 3708165 mercury urine CPT 83825 | $28.06 | $122.00 | $13.80 – $36.09 | 7 |
| Warde acetylcholine receptor blocking antibody CPT 86042 | $23.46 | $102.00 | $12.80 – $40.42 | 6 |
| Warde actin (smooth muscle) antibody each CPT 86015 | $27.60 | $120.00 | $10.38 – $26.71 | 6 |
| Warde adenosine deaminase pleural fluid CPT 84311 | $11.73 | $51.00 | $6.19 – $18.04 | 7 |
| Warde adrenocorticotropic hormone (acth) CPT 82024 | $66.47 | $289.00 | $38.62 – $85.17 | 7 |
| Warde aldolase CPT 82085 | $16.56 | $72.00 | $6.19 – $21.65 | 7 |
| Warde amiodarone therapeutic drug level CPT 80151 | $23.69 | $103.00 | $13.80 – $41.14 | 6 |
| Warde analysis gene hfe common variants CPT 81256 | $112.24 | $488.00 | $47.12 – $144.36 | 7 |
| Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative CPT 81206 | $281.75 | $1,225.00 | $115.92 – $361.61 | 7 |
| Warde antiepileptics nos definitive assay 1-3 clobazam w metabolites CPT 80339 | $18.86 | $82.00 | $78.89 – $82.05 | 5 |
| Warde anti-mullerian hormone CPT 82166 | $66.47 | $289.00 | $13.72 – $85.17 | 6 |
| Warde apolipoprotein b CPT 82172 | $26.68 | $116.00 | $13.72 – $46.19 | 7 |
| Warde calcitonin CPT 82308 | $44.39 | $193.00 | $15.06 – $59.19 | 7 |
| Warde calculus (stone) infrared CPT 82365 | $22.31 | $97.00 | $12.90 – $28.15 | 7 |
| Warde clozapine therapeutic drug level CPT 80159 | $31.74 | $138.00 | $13.80 – $44.75 | 7 |
| Warde cobalt heavy metal quantitative each nes CPT 83018 | $37.49 | $163.00 | $13.80 – $48.36 | 7 |
| Warde complement total hemolytic CPT 86162 | $34.96 | $152.00 | $12.80 – $44.75 | 7 |
| Warde copper CPT 82525 | $21.16 | $92.00 | $12.41 – $27.43 | 7 |
| Warde cryoglobulin CPT 82595 | $11.04 | $48.00 | $6.19 – $14.44 | 7 |
| Warde erythropoietin CPT 82668 | $32.20 | $140.00 | $13.72 – $41.14 | 7 |
| Warde estrogen fractionated CPT 82671 | $26.91 | $117.00 | $32.30 – $71.46 | 7 |
| Warde fluorescent antibody screen endomysial iga CPT 86231 | $28.29 | $123.00 | $10.88 – $26.71 | 6 |
| Warde folic acid rbc CPT 82747 | $29.67 | $129.00 | $11.07 – $38.98 | 7 |
| Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative CPT 82955 | $16.56 | $72.00 | $6.19 – $21.65 | 7 |
| Warde gastrin CPT 82941 | $30.36 | $132.00 | $15.06 – $38.98 | 7 |
| Warde growth hormone (hgh) CPT 83003 | $28.75 | $125.00 | $15.06 – $36.81 | 7 |
| Warde haloperidol therapeutic drug level CPT 80173 | $25.07 | $109.00 | $13.80 – $34.65 | 7 |
| Warde helminth antibody strongyloides igg CPT 86682 | $22.31 | $97.00 | $12.80 – $28.87 | 7 |
| Warde hepatitis a antibody CPT 86708 | $20.24 | $88.00 | $12.39 – $27.43 | 7 |
| Warde hepatitis be antibody CPT 86707 | $19.78 | $86.00 | $11.57 – $25.26 | 7 |
| Warde hepatitis delta agent antibody CPT 86692 | $13.80 | $60.00 | $12.80 – $37.53 | 7 |
| Warde immunofixation electrophoresis urine CPT 86335 | $50.37 | $219.00 | $29.35 – $64.96 | 7 |
| Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn CPT 87350 | $19.32 | $84.00 | $11.21 – $25.26 | 7 |
| Warde infectious agent nucleic acid genotype hepatitis c CPT 87902 | $381.11 | $1,657.00 | $181.79 – $567.32 | 7 |
| Warde islet cell antibody zinc transporter 8 CPT 86341 | $32.66 | $142.00 | $12.80 – $51.97 | 7 |
| Warde lipoprotein (a) CPT 83695 | $22.31 | $97.00 | $13.72 – $31.76 | 7 |
| Warde lipoprotein-associated phospholipase a2 CPT 83698 | $58.42 | $254.00 | $31.87 – $101.77 | 7 |
| Warde mitochondrial antibody each CPT 86381 | $28.29 | $123.00 | $12.80 – $56.30 | 6 |
| Warde neutralization rabies CPT 86382 | $28.06 | $122.00 | $12.80 – $37.53 | 7 |
| Warde oxcarbazepine therapeutic drug level CPT 80183 | $23.00 | $100.00 | $13.25 – $28.87 | 7 |
| Warde pancreatic elastase fecal quantitative CPT 82653 | $6.21 | $27.00 | $13.72 – $27.00 | 6 |
| Warde protein c antigen CPT 85302 | $20.47 | $89.00 | $5.02 – $26.71 | 7 |
| Warde sex hormone binding globulin CPT 84270 | $37.26 | $162.00 | $13.72 – $47.64 | 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.