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 |
|---|---|---|---|---|
| Cell count body fluid CPT 89050 | $8.28 | $36.00 | $4.72 – $10.10 | 7 |
| Cell count w differential body fluid CPT 89051 | $9.43 | $41.00 | $5.60 – $12.27 | 7 |
| Cell function assay w/stim CPT 86352 | $233.22 | $1,014.00 | $46.26 – $299.54 | 7 |
| Cell marker study CPT 88182 | $82.11 | $357.00 | $15.32 – $208.03 | 7 |
| #cf-97variants CPT 81220 | $1,511.33 | $6,571.00 | $405.25 – $1,227.03 | 7 |
| Change cystostomy tube simple CPT 51705 | $281.06 | $1,222.00 | $50.95 – $120.07 | 5 |
| Change of windpipe airway 31502 CPT 31502 | $242.19 | $1,053.00 | $52.40 – $265.28 | 5 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | $119.14 | $518.00 | $141.61 – $574.07 | 6 |
| Chest apical lordotic proj CPT 71047 | $71.53 | $311.00 | $21.26 – $88.43 | 7 |
| Chest CT scan (with and without contrast) CPT 71270 | $576.61 | $2,507.00 | $290.36 – $459.22 | 7 |
| Chest CT scan (with contrast) CPT 71260 | $549.24 | $2,388.00 | $232.29 – $459.22 | 7 |
| Chest CT scan (without contrast) CPT 71250 | $521.87 | $2,269.00 | $146.57 – $427.00 | 7 |
| Chest X-ray CPT 71046 | $67.85 | $295.00 | $16.68 – $88.43 | 7 |
| Chest X-ray (single view) CPT 71045 | $64.63 | $281.00 | $9.05 – $88.43 | 7 |
| Chg pr pul rehab for copd patients CPT 94626 | $37.03 | $161.00 | $47.27 – $79.42 | 6 |
| Chimerism anal no cell selec CPT 81267 | $218.27 | $949.00 | $115.92 – $457.61 | 7 |
| Chimerism anal w/cell select CPT 81268 | $274.39 | $1,193.00 | $115.92 – $574.54 | 7 |
| Chlamydia culture CPT 87110 | $33.58 | $146.00 | $11.21 – $43.31 | 7 |
| Chlamydia type CPT 87140 | $9.66 | $42.00 | $5.57 – $12.27 | 7 |
| Chloride CPT 82435 | $8.05 | $35.00 | $4.60 – $10.10 | 7 |
| Chloride 24 hour urine CPT 82436 | $8.74 | $38.00 | $5.75 – $12.99 | 7 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $124.11 | $539.63 | $3.13 – $44.48 | 2 |
| Cholesterol CPT 82465 | $7.36 | $32.00 | $2.31 – $9.38 | 7 |
| Cholesterol body fluid CPT 84999 | $28.52 | $124.00 | $11.50 – $14.27 | 6 |
| Cholesterol (Lipid) Test CPT 80061 | $23.23 | $101.00 | $10.29 – $29.59 | 7 |
| Chrom analysis CPT 88273 | $25.76 | $112.00 | $34.81 – $76.51 | 7 |
| Chromatography CPT 83021 | $30.82 | $134.00 | $6.78 – $39.70 | 7 |
| Chromogenic substrate assay CPT 85130 | $12.42 | $54.00 | $6.78 – $25.98 | 7 |
| Chromosome analysis 15-20 cell count CPT 88262 | $214.13 | $931.00 | $49.44 – $276.44 | 7 |
| Chromosome analysis 5 CPT 88261 | $142.83 | $621.00 | $181.79 – $582.48 | 7 |
| Chromosome analysis 50-100 CPT 88248 | $140.07 | $609.00 | $173.17 – $381.82 | 7 |
| Chromosome analys placenta CPT 88267 | $145.13 | $631.00 | $181.79 – $415.75 | 7 |
| Chromosome count additional CPT 88285 | $19.78 | $86.00 | $18.62 – $59.19 | 7 |
| Chromosome karyotype study CPT 88280 | $43.24 | $188.00 | $32.00 – $73.62 | 7 |
| Chylomicron screen, bf - sendout CPT 82664 | $27.37 | $119.00 | $31.87 – $119.00 | 7 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $10,614.72 | $46,150.95 | $18,045.02 – $18,045.02 | 1 |
| Clearance of airways CPT 31725 | $89.70 | $390.00 | $390.00 – $838.05 | 5 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $66.01 | $287.00 | $219.10 – $696.66 | 5 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | $121.90 | $530.00 | $428.98 – $696.66 | 5 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $617.55 | $2,685.00 | $353.72 – $696.66 | 5 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $62.10 | $270.00 | $270.00 – $696.66 | 5 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $62.10 | $270.00 | $83.11 – $696.66 | 5 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $709.78 | $3,086.00 | $489.76 – $1,450.92 | 5 |
| Clot factor fletcher fact CPT 85292 | $32.66 | $142.00 | $5.02 – $41.86 | 7 |
| Clot factor xiii fibrin stab CPT 85290 | $20.93 | $91.00 | $5.02 – $36.09 | 7 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $241.50 | $1,050.00 | $195.08 – $696.66 | 5 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $187.45 | $815.00 | $251.14 – $696.66 | 5 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $127.42 | $554.00 | $203.96 – $696.66 | 5 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | $62.10 | $270.00 | $135.16 – $696.66 | 5 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $62.10 | $270.00 | $134.14 – $696.66 | 5 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $44.85 | $195.00 | $100.86 – $696.66 | 5 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $207.92 | $904.00 | $319.19 – $696.66 | 5 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | $201.94 | $878.00 | $265.11 – $696.66 | 5 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $201.94 | $878.00 | $84.11 – $696.66 | 5 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $848.70 | $3,690.00 | $669.87 – $696.66 | 5 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $65.55 | $285.00 | $62.97 – $696.66 | 5 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $85.79 | $373.00 | $78.44 – $696.66 | 5 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $232.07 | $1,009.00 | $216.43 – $696.66 | 5 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $371.22 | $1,614.00 | $382.23 – $696.66 | 5 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $181.93 | $791.00 | $189.76 – $696.66 | 5 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $270.25 | $1,175.00 | $393.59 – $696.66 | 5 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $201.94 | $878.00 | $350.39 – $696.66 | 5 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $62.10 | $270.00 | $270.00 – $696.66 | 5 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $228.62 | $994.00 | $153.49 – $696.66 | 5 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $278.76 | $1,212.00 | $214.47 – $696.66 | 5 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $109.48 | $476.00 | $170.73 – $696.66 | 5 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $65.55 | $285.00 | $159.44 – $696.66 | 5 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | $278.76 | $1,212.00 | $269.51 – $696.66 | 5 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $278.76 | $1,212.00 | $207.88 – $696.66 | 5 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $106.95 | $465.00 | $192.45 – $696.66 | 6 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $241.50 | $1,050.00 | $317.86 – $696.66 | 5 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $38.64 | $168.00 | $104.35 – $696.66 | 5 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $62.10 | $270.00 | $214.17 – $696.66 | 5 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $201.94 | $878.00 | $340.66 – $696.66 | 5 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $398.82 | $1,734.00 | $283.59 – $696.66 | 5 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $676.20 | $2,940.00 | $360.54 – $696.66 | 5 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $625.60 | $2,720.00 | $270.31 – $1,450.92 | 5 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $201.94 | $878.00 | $69.98 – $265.28 | 5 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $71.53 | $311.00 | $67.98 – $696.66 | 5 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | $224.94 | $978.00 | $264.12 – $696.66 | 5 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $330.51 | $1,437.00 | $450.74 – $696.66 | 5 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $187.45 | $815.00 | $224.84 – $696.66 | 5 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | $278.76 | $1,212.00 | $323.90 – $696.66 | 5 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | $207.92 | $904.00 | $433.87 – $696.66 | 5 |
| Cltx post ankle fx w/mnpj CPT 27768 | $646.99 | $2,813.00 | $330.86 – $696.66 | 5 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | $710.01 | $3,087.00 | $246.49 – $696.66 | 5 |
| Cltx thigh fx CPT 27267 | $1,418.18 | $6,166.00 | $349.52 – $696.66 | 5 |
| Cmv pcr-sendout CPT 87496 | $60.03 | $261.00 | $35.09 – $77.23 | 7 |
| Coagulation time activated teg CPT 85347 | $7.36 | $32.00 | $4.28 – $9.38 | 7 |
| Cold agglutinin titer CPT 86157 | $13.80 | $60.00 | $8.06 – $18.04 | 7 |
| Collagen based wound filler HCPCS A6010 | $7,108.28 | $30,905.58 | $17.15 – $17.15 | 1 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $33.35 | $145.00 | $18.42 – $102.23 | 6 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $25.07 | $109.00 | $98.30 – $109.00 | 6 |
| Collection of venous blood by venipuncture CPT 36415 | $6.67 | $29.00 | $2.70 – $5.09 | 6 |
| Colonoscopy (with biopsy) CPT 45380 | $474.95 | $2,065.00 | $1,332.91 – $1,429.60 | 6 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $61.18 | $266.00 | $15.75 – $193.68 | 6 |
| Compatibility test each unit electronic CPT 86923 | $30.59 | $133.00 | $13.44 – $193.68 | 6 |
| Compatibility test each unit immediate spin technique CPT 86920 | $61.18 | $266.00 | $13.44 – $193.68 | 6 |
| Complement antigen each component c3 CPT 86160 | $20.47 | $89.00 | $12.00 – $26.71 | 7 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | $408.94 | $1,778.00 | $192.71 – $617.83 | 5 |
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.