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 |
|---|---|---|---|---|
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | $4,878.00 | $21,208.70 | $283.85 – $283.85 | 1 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $5,770.42 | $25,088.80 | $208.84 – $208.84 | 1 |
| Bln dil 900ml preperitnl HCPCS C1727 | $1,757.39 | $7,640.83 | $2,987.56 – $2,987.56 | 1 |
| Bln inpact admiral 4x150x130cm HCPCS C2623 | $6,879.29 | $29,909.96 | $4,845.80 – $4,845.80 | 1 |
| Blood Clotting (PT/INR) Test CPT 85610 | $6.67 | $29.00 | $4.29 – $9.38 | 7 |
| Blood Clotting (PTT) Test CPT 85730 | $10.35 | $45.00 | $5.02 – $12.99 | 7 |
| Blood Count (CBC) Test CPT 85025 | $13.34 | $58.00 | $6.78 – $17.32 | 7 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $11.04 | $48.00 | $4.62 – $14.44 | 7 |
| Blood count spun microhematocrit CPT 85013 | $1.84 | $8.00 | $2.31 – $8.00 | 7 |
| Blood Culture Test CPT 87040 | $17.94 | $78.00 | $10.32 – $23.10 | 7 |
| Blood draw capillary 36416 CPT 36416 | $2.76 | $12.00 | $0.44 – $3.65 | 6 |
| Blood gases o2 saturation direct measurement CPT 82805 | $48.76 | $212.00 | $36.18 – $133.52 | 7 |
| Blood gases ph venous CPT 82800 | $9.43 | $41.00 | $3.92 – $24.54 | 7 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $27.37 | $119.00 | $10.76 – $35.37 | 7 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $5.52 | $24.00 | $4.15 – $9.38 | 7 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $8.51 | $37.00 | $4.15 – $9.38 | 7 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $5.52 | $24.00 | $4.15 – $11.55 | 7 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $5.75 | $25.00 | $3.80 – $8.66 | 7 |
| Blood split unit HCPCS P9011 | $106.26 | $462.00 | $55.77 – $195.07 | 6 |
| Blood typing abo CPT 86900 | $18.17 | $79.00 | $2.99 – $6.50 | 7 |
| Blood typing ag donor ea ag CPT 86902 | $86.02 | $374.00 | $3.94 – $13.71 | 7 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $86.02 | $374.00 | $3.83 – $8.66 | 7 |
| Blood typing rh (d) CPT 86901 | $22.31 | $97.00 | $2.99 – $6.50 | 7 |
| Blood typing rh phenotype complete reference CPT 86906 | $13.34 | $58.00 | $4.94 – $17.32 | 7 |
| Bone Density Scan (DEXA) CPT 77080 | $77.28 | $336.00 | $55.50 – $162.93 | 7 |
| Bone marrow;aspiration only 38220 CPT 38220 | $406.64 | $1,768.00 | $1,768.00 – $2,690.59 | 6 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $544.41 | $2,367.00 | $1,918.87 – $2,690.59 | 6 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $28.29 | $123.00 | $12.80 – $37.53 | 7 |
| Borrelia miyamotoi amp prb CPT 87478 | $60.49 | $263.00 | $31.58 – $77.23 | 6 |
| Brace ank aftr bioskn med lg HCPCS L1906 | $12.42 | $54.00 | $54.00 – $54.00 | 1 |
| Brace knee extender plus 22-30in HCPCS L1832 | $204.04 | $887.14 | $707.92 – $707.92 | 1 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $656.19 | $2,853.00 | $480.63 – $786.00 | 7 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $593.63 | $2,581.00 | $304.57 – $786.00 | 7 |
| Brain MRI (with and without contrast) CPT 70553 | $656.19 | $2,853.00 | $480.63 – $786.00 | 7 |
| Brain MRI (without contrast) CPT 70551 | $593.63 | $2,581.00 | $304.57 – $786.00 | 7 |
| Brca1 dna gene analy known fam var CPT 81215 | $71.99 | $313.00 | $47.12 – $421.46 | 7 |
| Brca2 dna gene analy known fam var CPT 81217 | $71.99 | $313.00 | $47.12 – $421.46 | 7 |
| Brcassure ashkenazi panel-sendout CPT 81212 | $136.39 | $593.00 | $159.03 – $593.00 | 7 |
| Brcassure comprehensive panel-sendout CPT 81162 | $2,113.70 | $9,190.00 | $1,824.88 – $4,022.48 | 7 |
| Bronchial challenge CPT 94070 | $214.36 | $932.00 | $51.77 – $632.57 | 7 |
| Buprenorphine and metabolite - sendout CPT 80348 | $26.22 | $114.00 | $15.73 – $16.36 | 5 |
| Burr hole implant ventricular cath/other device CPT 61210 | $262.20 | $1,140.00 | $701.58 – $8,748.67 | 5 |
| Butorphanol tartrate 1 mg HCPCS J0595 | $23.24 | $101.03 | $4.14 – $11.32 | 2 |
| Bx skin incisnl ea sep/add l les CPT 11107 | $80.96 | $352.00 | $137.63 – $617.83 | 5 |
| Bx skin punch ea sep/ addl les CPT 11105 | $31.97 | $139.00 | $54.35 – $617.83 | 5 |
| Bx skin tangential ea sep/ addl les CPT 11103 | $20.47 | $89.00 | $34.80 – $617.83 | 5 |
| Bypass temp external fem-fem CPT 37799 | $486.22 | $2,114.00 | $2,114.00 – $3,046.27 | 5 |
| C-1 esterase, berinert HCPCS J0597 | $5,798.68 | $25,211.65 | $27.21 – $6,861.76 | 7 |
| C1 esterase inhibitor func - sendout CPT 86161 | $20.47 | $89.00 | $12.00 – $26.71 | 7 |
| Cacna1a gen detc abnor allel CPT 81184 | $105.80 | $460.00 | $123.30 – $301.70 | 6 |
| Cacna1a gene full gene seq CPT 81185 | $652.51 | $2,837.00 | $741.65 – $1,865.08 | 6 |
| Cadd pump refill CPT 96521 | $157.55 | $685.00 | $71.11 – $381.19 | 7 |
| Calcium 24 hour urine CPT 82340 | $10.35 | $45.00 | $6.03 – $12.99 | 7 |
| Calcium ionized CPT 82330 | $23.69 | $103.00 | $13.68 – $30.31 | 7 |
| Calcium total CPT 82310 | $8.97 | $39.00 | $2.31 – $11.55 | 7 |
| Calprotectin fecal CPT 83993 | $33.81 | $147.00 | $13.72 – $43.31 | 7 |
| Canthotomy 67715 CPT 67715 | $932.65 | $4,055.00 | $79.35 – $1,968.96 | 5 |
| Cap trach decann 15mm HCPCS C1750 | $2,597.62 | $11,294.02 | $372.26 – $372.26 | 1 |
| Carbamazepine free CPT 80157 | $23.00 | $100.00 | $12.95 – $28.87 | 7 |
| Carbamazepine free -sendout CPT 80161 | $23.69 | $103.00 | $13.80 – $41.14 | 6 |
| Carbamazepine total therapeutic drug level CPT 80156 | $25.07 | $109.00 | $13.80 – $31.76 | 7 |
| Carbohydrate urine - sendout CPT 84377 | $9.43 | $41.00 | $5.50 – $12.27 | 7 |
| Carbon dioxide CPT 82374 | $8.51 | $37.00 | $4.88 – $10.83 | 7 |
| Carboxyhemoglobin quantitative CPT 82375 | $20.93 | $91.00 | $12.32 – $27.43 | 7 |
| Carcinoembryonic ag (cea) CPT 82378 | $32.66 | $142.00 | $13.72 – $41.86 | 7 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $422.74 | $1,838.00 | $130.21 – $1,711.97 | 7 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | $24.84 | $108.00 | $28.45 – $214.82 | 7 |
| Cardiolipin antibody iga CPT 86147 | $38.41 | $167.00 | $12.80 – $56.30 | 7 |
| Cardioversion elective electrical conversion arrhythmia external CPT 92960 | $504.16 | $2,192.00 | $151.93 – $929.93 | 7 |
| Caregiver training strategies&tq 1st 30 minutes CPT 97550 | $66.01 | $287.00 | $46.00 – $98.93 | 6 |
| Caregiver training strategies&tq ea addl 15 min CPT 97551 | $33.12 | $144.00 | $25.16 – $98.93 | 6 |
| Car ion chnnlpath inc 2 gns CPT 81414 | $502.09 | $2,183.00 | $405.25 – $1,289.10 | 7 |
| Carotene CPT 82380 | $15.87 | $69.00 | $6.19 – $20.21 | 7 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $225.17 | $979.00 | $114.91 – $619.29 | 7 |
| Catecholamines,fractionated, urine CPT 82382 | $14.26 | $62.00 | $15.06 – $59.91 | 7 |
| Cath ablat bi-d d-d 8fr 115cm HCPCS C2630 | $5,040.20 | $21,913.92 | $8,568.34 – $8,568.34 | 1 |
| Cath ablt clsfast 7fx100cmx HCPCS C1888 | $4,770.66 | $20,742.00 | $8,110.12 – $8,110.12 | 1 |
| Cath access del ds spyscop 2.0 HCPCS C1748 | $341.55 | $1,485.00 | $469.20 – $469.20 | 1 |
| Cath acuity innr ic130 6f 63cm HCPCS C1887 | $6,225.71 | $27,068.31 | $105.43 – $160.13 | 2 |
| Cath adherent clot 10mm 6f 10 HCPCS C1757 | $17,889.98 | $77,782.50 | $259.08 – $259.08 | 1 |
| Cath baloon occl urnry 34f 7x2x65 HCPCS C2628 | $10,552.70 | $45,881.30 | $160.17 – $160.17 | 1 |
| Cath blazer dx/20 2-10-2 space HCPCS C1731 | $4,804.05 | $20,887.19 | $4,302.42 – $4,302.42 | 1 |
| Cath cv dl inj 7fx16cm HCPCS C1751 | $767.48 | $3,336.87 | $286.21 – $286.21 | 1 |
| Cath del ampltz 12f 45d 80cm HCPCS C1893 | $3,317.97 | $14,425.96 | $669.09 – $669.09 | 1 |
| Cath hawkone s directional HCPCS C1714 | $8,914.57 | $38,759.02 | $12,976.20 – $12,976.20 | 1 |
| Cath imag ivus pv 8.5fx90 .035 HCPCS C1753 | $1,729.37 | $7,518.98 | $2,939.92 – $2,939.92 | 1 |
| Cath malecot 28fr 4-wing ltx HCPCS C1729 | $571.78 | $2,486.00 | $149.75 – $149.75 | 1 |
| Cath steerable flex adv 12f HCPCS C1766 | $4,174.33 | $18,149.25 | $3,584.67 – $3,584.67 | 1 |
| Cath uret open tp 6fx70cm HCPCS C1758 | $300.27 | $1,305.50 | $338.76 – $338.76 | 1 |
| Cauterization chemical granulation tissue CPT 17250 | $60.03 | $261.00 | $36.89 – $249.88 | 5 |
| #cbg+cort-cbg CPT 84449 | $20.01 | $87.00 | $15.06 – $39.70 | 7 |
| Ccnd1/igh translocation alys CPT 81168 | $261.28 | $1,136.00 | $181.79 – $456.89 | 6 |
| Cdna analysis for variants CPT 81403 | $206.31 | $897.00 | $166.68 – $408.53 | 7 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $29.20 | $126.97 | $1.41 – $1.85 | 2 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $67.78 | $294.68 | $2.15 – $7.98 | 2 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | $74.81 | $325.24 | $8.41 – $9.23 | 2 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | $491.83 | $2,138.38 | $0.67 – $171.92 | 7 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $248.57 | $1,080.75 | $0.76 – $10.76 | 2 |
| #celiac hla-dq2 CPT 81377 | $96.60 | $420.00 | $47.12 – $208.59 | 7 |
| #celiac hla-dq8 CPT 81383 | $187.45 | $815.00 | $49.44 – $240.35 | 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.