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 |
|---|---|---|---|---|
| Warde somatomedin CPT 84305 | $35.42 | $154.00 | $15.06 – $46.92 | 7 |
| Warde sugars single qualitative each specimen stool CPT 84376 | $9.43 | $41.00 | $5.50 – $12.27 | 7 |
| Warde t3 (triiodothyronine) reverse CPT 84482 | $27.14 | $118.00 | $15.06 – $34.65 | 7 |
| Warde thyroid stimulating immunoglobulins CPT 84445 | $56.81 | $247.00 | $39.49 – $111.88 | 7 |
| Warde topiramate therapeutic drug level CPT 80201 | $20.47 | $89.00 | $11.92 – $25.98 | 7 |
| Warde virus isolation tissue culture innoculation presumptive id herpes simplex CPT 87252 | $44.85 | $195.00 | $11.21 – $57.74 | 7 |
| Warde viscosity CPT 85810 | $20.01 | $87.00 | $6.78 – $25.98 | 7 |
| Warde vitamin a CPT 84590 | $20.01 | $87.00 | $11.61 – $25.26 | 7 |
| Warde vitamin b-1 (thiamine) CPT 84425 | $36.57 | $159.00 | $13.72 – $46.92 | 7 |
| Warde vitamin b6 (pyridoxine) CPT 84207 | $48.30 | $210.00 | $28.10 – $62.07 | 7 |
| Warde vitamin c (ascorbic acid) CPT 82180 | $17.02 | $74.00 | $6.19 – $21.65 | 7 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $66.24 | $288.00 | $31.87 – $85.17 | 7 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | $24.38 | $106.00 | $13.72 – $31.04 | 7 |
| Warde zinc CPT 84630 | $19.55 | $85.00 | $11.39 – $25.26 | 7 |
| Wbc automated CPT 85048 | $4.37 | $19.00 | $2.31 – $7.05 | 7 |
| Western blot test CPT 84181 | $29.21 | $127.00 | $12.80 – $37.53 | 7 |
| Whole blood for transfusion HCPCS P9010 | $106.26 | $462.00 | $61.33 – $265.98 | 6 |
| Whole mitochondrial genome CPT 81460 | $1,621.04 | $7,048.00 | $1,158.30 – $2,836.59 | 7 |
| Whole mitochondrial genome CPT 81465 | $1,178.52 | $5,124.00 | $741.65 – $2,063.57 | 7 |
| Wnd prep f/n/hf/g addl cm CPT 15005 | $82.57 | $359.00 | $102.49 – $560.84 | 5 |
| Wound closure by adhesive HCPCS G0168 | $17.25 | $75.00 | $44.79 – $272.07 | 5 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $74.06 | $322.00 | $38.72 – $560.84 | 6 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | $74.06 | $322.00 | $39.09 – $560.84 | 6 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $60.03 | $261.00 | $32.65 – $272.07 | 6 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $53.59 | $233.00 | $35.12 – $560.84 | 6 |
| Wrist X-ray CPT 73110 | $75.21 | $327.00 | $17.78 – $88.43 | 7 |
| Xe133 xenon 10mci HCPCS A9558 | $67.62 | $294.00 | $38.96 – $294.00 | 2 |
| X-ray abdomen 1 view CPT 74018 | $64.63 | $281.00 | $15.46 – $88.43 | 7 |
| X-ray abdomen 2 views CPT 74019 | $67.85 | $295.00 | $18.51 – $162.93 | 7 |
| X-ray abdomen >=3 views CPT 74021 | $71.53 | $311.00 | $21.56 – $162.93 | 7 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $67.85 | $295.00 | $24.29 – $162.93 | 7 |
| X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 | $67.85 | $295.00 | $22.19 – $88.43 | 7 |
| X-ray ankle 2 views (both sides) CPT 73600 | $67.85 | $295.00 | $16.48 – $46.10 | 7 |
| X-ray bone age studies CPT 77072 | $67.85 | $295.00 | $11.14 – $162.93 | 7 |
| X-ray bone survey complete CPT 77075 | $71.53 | $311.00 | $51.50 – $166.44 | 7 |
| X-ray bone survey infant CPT 77076 | $67.85 | $295.00 | $31.96 – $162.93 | 7 |
| X-ray cervical spine 2-3 views CPT 72040 | $67.85 | $295.00 | $19.89 – $88.43 | 7 |
| X-ray cervical spine 4-5 views CPT 72050 | $71.53 | $311.00 | $29.36 – $162.93 | 7 |
| X-ray cervical spine >= 6 views CPT 72052 | $75.21 | $327.00 | $37.04 – $162.93 | 7 |
| X-ray clavicle complete (both sides) CPT 73000 | $67.85 | $295.00 | $17.45 – $88.43 | 7 |
| X-ray elbow 2 views (both sides) CPT 73070 | $67.85 | $295.00 | $17.45 – $44.21 | 7 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $75.21 | $327.00 | $18.91 – $88.43 | 7 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $71.53 | $311.00 | $42.29 – $162.93 | 7 |
| X-ray exam entire spi 6/> vw CPT 72084 | $83.72 | $364.00 | $51.07 – $162.93 | 7 |
| X-ray exam of arm infant CPT 73092 | $94.53 | $411.00 | $16.48 – $162.93 | 7 |
| X-ray exam of eye sockets CPT 70200 | $67.85 | $295.00 | $25.93 – $162.93 | 7 |
| X-ray exam of femur 1 CPT 73551 | $64.63 | $281.00 | $16.24 – $88.43 | 7 |
| X-ray exam of jaw joint CPT 70328 | $64.63 | $281.00 | $16.48 – $88.43 | 7 |
| X-ray exam of sinuses CPT 70210 | $34.04 | $148.00 | $20.54 – $88.43 | 7 |
| X-ray exam si joints CPT 72200 | $64.63 | $281.00 | $17.45 – $162.93 | 7 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $67.85 | $295.00 | $13.86 – $88.43 | 7 |
| X-ray facial bones complete > 3 views CPT 70150 | $67.85 | $295.00 | $25.93 – $162.93 | 7 |
| X-ray femur >=2 views (both sides) CPT 73552 | $71.53 | $311.00 | $19.27 – $88.43 | 7 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $71.53 | $311.00 | $13.86 – $88.43 | 7 |
| X-ray foot 2 views (both sides) CPT 73620 | $67.85 | $295.00 | $16.48 – $44.21 | 7 |
| X-ray forearm 2 views (both sides) CPT 73090 | $71.53 | $311.00 | $17.45 – $44.21 | 7 |
| X-ray hand 2 views (both sides) CPT 73120 | $71.53 | $311.00 | $16.48 – $81.46 | 7 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $71.53 | $311.00 | $15.82 – $88.43 | 7 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $71.53 | $311.00 | $31.38 – $162.93 | 7 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $64.63 | $281.00 | $23.50 – $162.93 | 7 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $67.85 | $295.00 | $28.36 – $162.93 | 7 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $71.53 | $311.00 | $34.12 – $162.93 | 7 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $64.63 | $281.00 | $16.84 – $88.43 | 7 |
| X-ray humerus >= 2 views left CPT 73060 | $71.53 | $311.00 | $18.91 – $45.48 | 7 |
| X-ray joint survey 1 view CPT 77077 | $67.85 | $295.00 | $31.85 – $162.93 | 7 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $64.63 | $281.00 | $17.45 – $88.43 | 7 |
| X-ray knee 3 views (both sides) CPT 73562 | $71.53 | $311.00 | $18.91 – $88.43 | 7 |
| X-ray knee ap standing bilateral CPT 73565 | $67.85 | $295.00 | $16.48 – $88.43 | 7 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $67.85 | $295.00 | $16.48 – $88.43 | 7 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $61.41 | $267.00 | $29.36 – $162.93 | 7 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $67.85 | $295.00 | $30.01 – $162.93 | 7 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $71.53 | $311.00 | $38.66 – $162.93 | 7 |
| X-ray mandible complete > 4 views CPT 70110 | $67.85 | $295.00 | $20.54 – $162.93 | 7 |
| X-ray mandible ltd <4 views CPT 70100 | $64.63 | $281.00 | $17.45 – $88.43 | 7 |
| X-ray nasal bones complete > 3 views CPT 70160 | $67.85 | $295.00 | $17.45 – $88.43 | 7 |
| X-ray neck soft tissue CPT 70360 | $67.85 | $295.00 | $13.86 – $88.43 | 7 |
| X-ray nose to rectum for foreign body child CPT 76010 | $67.85 | $295.00 | $17.45 – $88.43 | 7 |
| X-ray optic foramina CPT 70190 | $67.85 | $295.00 | $20.54 – $88.43 | 7 |
| X-ray pelvis 1-2 views CPT 72170 | $64.63 | $281.00 | $17.45 – $162.93 | 7 |
| X-ray pelvis complete > 3 views CPT 72190 | $67.85 | $295.00 | $22.19 – $162.93 | 7 |
| X-ray ribs 2 views left CPT 71100 | $64.63 | $281.00 | $18.91 – $88.43 | 7 |
| X-ray ribs 3 views bilateral CPT 71110 | $71.53 | $311.00 | $25.93 – $162.93 | 7 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $67.85 | $295.00 | $22.19 – $162.93 | 7 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $75.21 | $327.00 | $29.36 – $162.93 | 7 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $67.85 | $295.00 | $20.54 – $162.93 | 7 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $67.85 | $295.00 | $18.91 – $88.43 | 7 |
| X-ray scapula complete (both sides) CPT 73010 | $67.85 | $295.00 | $17.45 – $162.93 | 7 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $67.85 | $295.00 | $15.82 – $88.43 | 7 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $67.85 | $295.00 | $25.93 – $88.43 | 7 |
| X-ray skull < 4 views CPT 70250 | $64.63 | $281.00 | $20.54 – $162.93 | 7 |
| X-ray skull > 4 views complete CPT 70260 | $67.85 | $295.00 | $29.36 – $162.93 | 7 |
| X-ray spine single view CPT 72020 | $64.63 | $281.00 | $13.86 – $88.43 | 7 |
| X-ray sternum > 2 views CPT 71120 | $64.63 | $281.00 | $21.54 – $88.43 | 7 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $67.85 | $295.00 | $27.56 – $88.43 | 7 |
| X-ray thoracic spine 2 views CPT 72070 | $64.63 | $281.00 | $21.54 – $162.93 | 7 |
| X-ray thoracic spine 3 views CPT 72072 | $67.85 | $295.00 | $24.29 – $162.93 | 7 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $75.21 | $327.00 | $22.19 – $88.43 | 7 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $64.63 | $281.00 | $21.39 – $88.43 | 7 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $67.85 | $295.00 | $38.96 – $162.93 | 7 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $71.53 | $311.00 | $17.45 – $44.85 | 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.