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 |
|---|---|---|---|---|
| Cystine urine quantitative CPT 82131 | $29.21 | $127.00 | $13.72 – $50.52 | 7 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $24.61 | $107.00 | $12.80 – $31.76 | 7 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $28.06 | $122.00 | $12.80 – $36.81 | 7 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $76.13 | $331.00 | $33.13 – $110.14 | 7 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $34.73 | $151.00 | $20.26 – $44.75 | 7 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $84.64 | $368.00 | $14.36 – $248.61 | 7 |
| Cytopath smear other source CPT 88160 | $42.78 | $186.00 | $5.53 – $115.82 | 7 |
| Cytotoxic antibody screening CPT 86808 | $31.28 | $136.00 | $4.94 – $65.68 | 7 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $217.21 | $944.39 | $0.05 – $0.45 | 3 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $1,970.95 | $8,569.34 | $2.84 – $688.31 | 7 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | $1,247.98 | $5,426.00 | $318.22 – $3,395.34 | 5 |
| Dch validity tests CPT 81002 | $4.37 | $19.00 | $3.26 – $7.94 | 7 |
| Deamidated gliadin antibody iga CPT 86258 | $72.91 | $317.00 | $10.38 – $26.71 | 6 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $153.87 | $669.00 | $38.75 – $560.84 | 5 |
| Debridement (>20 cm) charge pt CPT 97598 | $75.67 | $329.00 | $46.00 – $1,463.97 | 6 |
| Debridement bone <= 20 sq cm CPT 11044 | $470.35 | $2,045.00 | $232.56 – $1,918.87 | 6 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $26.91 | $117.00 | $45.75 – $1,463.97 | 5 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $452.18 | $1,966.00 | $82.89 – $1,463.97 | 5 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $299.00 | $1,300.00 | $70.65 – $560.84 | 5 |
| Debride nail6 or more 11721 CPT 11721 | $24.38 | $106.00 | $36.10 – $95.10 | 6 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | $289.11 | $1,257.00 | $340.70 – $815.43 | 6 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $111.32 | $484.00 | $28.93 – $1,463.97 | 5 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $338.79 | $1,473.00 | $306.96 – $560.84 | 5 |
| Debr inf skin add-on 11001 CPT 11001 | $30.59 | $133.00 | $22.03 – $560.84 | 5 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $284.74 | $1,238.00 | $168.56 – $694.93 | 6 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $256.91 | $1,117.00 | $390.44 – $423.58 | 6 |
| Deep muscle biopsy 20205 CPT 20205 | $1,104.00 | $4,800.00 | $2,512.14 – $3,309.36 | 6 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $133.32 | $579.64 | $10.15 – $15.86 | 2 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $34.04 | $148.00 | $18.88 – $83.10 | 6 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $3,039.86 | $13,216.78 | $12.99 – $1,586.39 | 7 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $201.94 | $878.00 | $66.75 – $265.28 | 5 |
| Dermagraft HCPCS Q4106 | $23.23 | $101.00 | $36.45 – $79.09 | 3 |
| Dermapure 1 square cm HCPCS Q4152 | $215.16 | $935.46 | $89.25 – $136.74 | 2 |
| Desoxycorticosterone CPT 82633 | $32.43 | $141.00 | $30.98 – $68.57 | 7 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $97.52 | $424.00 | $20.40 – $249.88 | 6 |
| Destruction benign lesions < 14 lesions CPT 17110 | $38.64 | $168.00 | $20.40 – $249.88 | 6 |
| Devel tst phys/qhp 1st hr CPT 96112 | $66.01 | $287.00 | $46.00 – $879.37 | 6 |
| Device ablt adv novasure HCPCS C1886 | $10,557.35 | $45,901.53 | $363.24 – $363.24 | 1 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $5,486.26 | $23,853.30 | $9,326.64 – $9,326.64 | 1 |
| Device tiss remov myosure reach HCPCS C1782 | $1,876.06 | $8,156.79 | $2,976.41 – $2,976.41 | 1 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | $33.12 | $144.00 | $46.00 – $879.37 | 5 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $67.85 | $295.00 | $23.77 – $108.07 | 7 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $0.41 | $1.78 | $0.04 – $0.07 | 2 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $25.69 | $111.68 | $0.16 – $0.62 | 2 |
| Dextran 40 infusion HCPCS J7100 | $27.23 | $118.41 | $100.25 – $118.41 | 2 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $11.13 | $48.38 | $9.23 – $18.92 | 2 |
| Dextrose 5 % IV bolus HCPCS J7070 | $11.13 | $48.38 | $10.76 – $18.92 | 2 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $38.18 | $166.00 | $15.06 – $49.08 | 7 |
| Diabetes (HbA1c) Test CPT 83036 | $16.56 | $72.00 | $6.19 – $21.65 | 7 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $135.70 | $590.00 | $31.22 – $513.77 | 5 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $50.14 | $218.00 | $114.06 – $265.28 | 5 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $83.95 | $365.00 | $64.50 – $209.96 | 7 |
| Diagnostic Mammogram (one breast) CPT 77065 | $72.68 | $316.00 | $64.50 – $163.85 | 7 |
| Dialysis one evaluation CPT 90945 | $191.13 | $831.00 | $72.41 – $1,270.12 | 7 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $104.32 | $453.55 | $0.92 – $12.94 | 2 |
| Dicyclomine injection HCPCS J0500 | $272.00 | $1,182.61 | $1.85 – $19.99 | 2 |
| Diffusing capacity CPT 94729 | $98.21 | $427.00 | $40.95 – $125.63 | 6 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $290.58 | $1,263.41 | $1.62 – $15.93 | 2 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $7,506.92 | $32,638.78 | $540.91 – $9,096.08 | 7 |
| Digoxin total therapeutic drug level CPT 80162 | $23.00 | $100.00 | $13.28 – $29.59 | 7 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $330.61 | $1,437.44 | $10.46 – $105.60 | 2 |
| Dilation of cervical canal 57800 CPT 57800 | $1,321.35 | $5,745.00 | $3,235.20 – $3,395.34 | 6 |
| Dilator fascial 10fx20cm HCPCS C2627 | $595.86 | $2,590.68 | $381.62 – $381.62 | 1 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $10.31 | $44.83 | $0.92 – $1.34 | 2 |
| Disability dlco CPT 94727 | $46.69 | $203.00 | $27.05 – $203.00 | 7 |
| Disaccharidases CPT 82657 | $30.82 | $134.00 | $13.72 – $49.08 | 7 |
| Dmd dup/delet analysis CPT 81161 | $215.05 | $935.00 | $126.13 – $614.96 | 7 |
| Dna antibody native/double stranded CPT 86225 | $23.69 | $103.00 | $12.80 – $30.31 | 7 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $36.93 | $160.56 | $7.69 – $12.46 | 2 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $13.16 | $57.20 | $0.71 – $1.46 | 2 |
| Doppler echo complete CPT 93320 | $220.11 | $957.00 | $60.67 – $672.12 | 5 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $247.71 | $1,077.00 | $75.90 – $387.15 | 7 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $225.17 | $979.00 | $40.79 – $256.39 | 7 |
| Dpyd gene common variants CPT 81232 | $220.11 | $957.00 | $157.33 – $385.43 | 7 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $65.32 | $284.00 | $61.12 – $1,797.56 | 5 |
| Drainage external ear simple 69000 CPT 69000 | $55.89 | $243.00 | $84.82 – $265.28 | 5 |
| Drainage mouth roof lesion CPT 42000 | $144.67 | $629.00 | $66.06 – $265.28 | 5 |
| Drainage of urethra abscess 53060 CPT 53060 | $860.89 | $3,743.00 | $72.27 – $4,315.26 | 5 |
| Drain blood from under nail 11740 CPT 11740 | $40.25 | $175.00 | $32.36 – $95.10 | 5 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $356.96 | $1,552.00 | $773.48 – $1,092.54 | 6 |
| Drain finger abscess;simple 26010 CPT 26010 | $128.34 | $558.00 | $95.92 – $249.88 | 5 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $224.02 | $974.00 | $98.47 – $272.07 | 5 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $74.52 | $324.00 | $52.10 – $272.07 | 5 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $100.28 | $436.00 | $115.32 – $560.84 | 5 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | $262.20 | $1,140.00 | $614.08 – $8,748.67 | 5 |
| Drng of eyelid abscess 67700 CPT 67700 | $201.94 | $878.00 | $85.07 – $420.59 | 5 |
| Drng of finger abscess comp 26011 CPT 26011 | $696.44 | $3,028.00 | $159.67 – $1,591.44 | 5 |
| Drng of hydrocele 55000 CPT 55000 | $283.13 | $1,231.00 | $102.13 – $120.07 | 5 |
| Drng of scrotum abscess 55100 CPT 55100 | $349.60 | $1,520.00 | $154.57 – $4,120.19 | 5 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $32.29 | $140.37 | $2.77 – $13.43 | 2 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $4.60 | $20.00 | $4.62 – $13.00 | 3 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $333.55 | $1,450.21 | $14.84 – $89.76 | 3 |
| Drug assay posaconazole CPT 80187 | $20.93 | $91.00 | $13.80 – $59.91 | 6 |
| Drug assay rufinamide CPT 80210 | $34.04 | $148.00 | $13.80 – $59.91 | 6 |
| Drug assay vedolizumab CPT 80280 | $32.66 | $142.00 | $13.80 – $85.17 | 6 |
| Drug assay voriconazole CPT 80285 | $34.04 | $148.00 | $13.80 – $59.91 | 6 |
| Drug asy hydroxychloroquine CPT 80220 | $14.49 | $63.00 | $13.80 – $41.14 | 6 |
| Drug screening tapentadol CPT 80372 | $14.49 | $63.00 | $15.73 – $16.36 | 5 |
| Drug test def 15-21 classes HCPCS G0482 | $208.84 | $908.00 | $149.43 – $336.86 | 6 |
| Drug test def 1-7 classes HCPCS G0480 | $100.74 | $438.00 | $71.95 – $251.90 | 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.