Imaging prices at Johnson County Community Hospital
Mountain City, TN · every code in this section with a posted price and a Medicare benchmark.
201 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) | $64.63 | $281 | 0.8× |
| Abdomen 2 views (74019) | $67.85 | $295 | 0.7× |
| Angio internal mammary (75756) | $443.90 | $1,930 | 0.2× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$61.41–$67.85 | $267–$295 | varies |
| Bone age studies (77072) | $67.85 | $295 | 0.7× |
| Bone Imaging 3 Phase (78315) | $443.90 | $1,930 | 1.2× |
| Bone Imaging Whole Body (78306) | $443.90 | $1,930 | 1.2× |
| Bone survey infant (77076) | $67.85 | $295 | 0.7× |
| Cat Scan Follow-Up Study (76380) | $549.24 | $2,388 | 7.0× |
| Chest 1 view (71045) | $64.63 | $281 | 0.8× |
| Chest 2 views (71046) | $67.85 | $295 | 0.9× |
| Chest 3 views (71047) | $71.53 | $311 | 0.9× |
| Chg us nrv&acc strux 1 xtr compre w/img pr extremity (76883) | $99.82 | $434 | 1.1× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$64.63–$67.85 | $281–$295 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $89.47 | $389 | 0.9× |
| CT abdomen and pelvis without and with contrast (74178) | $576.61 | $2,507 | 1.8× |
| CT abdomen and pelvis without contrast (74176) | $521.87 | $2,269 | 2.4× |
| CT abdomen w contrast (74160) | $576.61 | $2,507 | 3.6× |
| CT abdomen w wo contrast (74170) | $605.36 | $2,632 | 3.8× |
| CT abdomen w/o contrast (74150) | $549.24 | $2,388 | 5.8× |
| CT Angio Abdomen and Pelvis (74174) | $614.33 | $2,671 | 1.9× |
| CT Angio Chest (71275) | $576.61 | $2,507 | 3.6× |
| CT Angio Head (70496) | $549.24 | $2,388 | 3.5× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $549.24 | $2,388 | 3.5× |
| CT Angio Neck (70498) | $549.24 | $2,388 | 3.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $549.24 | $2,388 | 3.5× |
| CT cervical spine w/ contrast (72126) | $549.24 | $2,388 | 1.7× |
| CT cervical spine w/o contrast (72125) | $521.87 | $2,269 | 5.5× |
| CT chest w contrast (71260) | $549.24 | $2,388 | 3.5× |
| CT chest w/wo contrast (71270) | $576.61 | $2,507 | 3.6× |
| CT head/brain with contrast (70460) | $549.24 | $2,388 | 3.5× |
| CT head/brain without and with contrast (70470) | $576.61 | $2,507 | 3.6× |
| CT heart no contrast quant eval coronry calcium (75571) | $7.13 | $31 | 0.1× |
| CT iac w contrast (70481) | $549.24 | $2,388 | 3.5× |
| CT l-spine w&w/o contrast (72133) | $576.61 | $2,507 | 3.6× |
| CT lower ext w/o (73700) | $521.87 | $2,269 | 5.5× |
| CT lower extremity w/contrast material (73701) | $549.24 | $2,388 | 3.5× |
| CT lumbar spine w contrast (72132) | $549.24 | $2,388 | 1.7× |
| CT lumbar spine w/o contrast (72131) | $521.87 | $2,269 | 5.5× |
| CT maxillofacial w contrast (70487) | $549.24 | $2,388 | 3.5× |
| CT maxillofacial wo contrast (70486) | $521.87 | $2,269 | 5.5× |
| CT neck tissue combo (70492) | $576.61 | $2,507 | 3.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $576.61 | $2,507 | 3.6× |
| CT orbits w/o contrast (70480) | $549.24 | $2,388 | 5.8× |
| CT pelvis w&w/o contrast (72194) | $635.95 | $2,765 | 4.0× |
| CT pelvis w/o contrast (72192) | $576.61 | $2,507 | 6.1× |
| CT scan of leg combo (73702) | $576.61 | $2,507 | 3.6× |
| CT scans face/jaw combo (70488) | $576.61 | $2,507 | 3.6× |
| CT soft tissue neck w contrast (70491) | $549.24 | $2,388 | 3.5× |
| CT soft tissue neck w/o contrast (70490) | $521.87 | $2,269 | 5.5× |
| CT thoracic spine w contrast (72129) | $549.24 | $2,388 | 3.5× |
| CT thoracic spine w/o contrast (72128) | $521.87 | $2,269 | 5.5× |
| CT thoracic spine w/wo cont (72130) | $576.61 | $2,507 | 3.6× |
| CT thorax w/o contrast (71250) | $521.87 | $2,269 | 5.5× |
| CT upper ext wo (73200) | $521.87 | $2,269 | 5.5× |
| CT upper extremity w/o & w/contrast material (73202) | $576.61 | $2,507 | 3.6× |
| CT upper extremity with contrast (73201) | $549.24 | $2,388 | 1.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $507.84 | $2,208 | 3.2× |
| Cta Abdomen (74175) | $576.61 | $2,507 | 3.6× |
| Dxa Bone Density Axial (77080) | $77.28 | $336 | 0.8× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $67.85 | $295 | 0.9× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$61.41–$67.85 | $267–$295 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$64.63–$71.53 | $281–$311 | varies |
| Gastric emptying imaging study (78264) | $443.90 | $1,930 | 1.2× |
| Gated Heart Planar Single (78472) | $422.74 | $1,838 | 1.2× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$61.18–$71.53 | $266–$311 | varies |
| Hepatobil Syst Image W/Drug (78227) | $443.90 | $1,930 | 0.9× |
| Hepatobiliary System Imaging (78226) | $443.90 | $1,930 | 1.2× |
| Ht Muscle Image Spect Sing (78451) | $422.74 | $1,838 | 0.4× |
| Joint Survey Single View (77077) | $67.85 | $295 | 0.7× |
| K Flow/Funct Image W/Drug (78708) | $443.90 | $1,930 | 0.9× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $411.01 | $1,787 | 1.1× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$67.85–$71.53 | $295–$311 | varies |
| Mr safety determination physician/other qhp (76016) | $39.10 | $170 | 0.5× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $10.81 | $47 | 0.4× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $38.87 | $169 | 0.5× |
| Mr safety implt pos&/immoblj (76019) | $25.30 | $110 | 0.5× |
| Mr safety med physics xm customization plng&mntr (76017) | $102.35 | $445 | 0.5× |
| Mra Head W/O & W/Contrast Material (70546) | $656.19 | $2,853 | 2.1× |
| MRA head w/o contrast (70544) | $593.63 | $2,581 | 2.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $656.19 | $2,853 | 2.1× |
| MRA neck w/o contrast (70547) | $593.63 | $2,581 | 2.7× |
| MRI abdomen w/o contrast (74181) | $593.63 | $2,581 | 2.7× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $656.19 | $2,853 | 2.1× |
| MRI cervical spine w contrast (72142) | $624.68 | $2,716 | 2.0× |
| MRI cervical spine w/o cont (72141) | $593.63 | $2,581 | 2.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$635.26–$656.19 | $2,762–$2,853 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$593.63–$667 | $2,581–$2,900 | varies |
| MRI lumbar spine w contrast (72149) | $624.68 | $2,716 | 2.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $656.19 | $2,853 | 2.1× |
| MRI orbit face &/neck w/o contrast (70540) | $593.63 | $2,581 | 2.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $656.19 | $2,853 | 2.1× |
| MRI pelvis w/o & w contrast (72197) | $656.19 | $2,853 | 2.1× |
| MRI pelvis w/o contrast (72195) | $593.63 | $2,581 | 2.7× |
| MRI thoracic spine w/o contrast (72146) | $593.63 | $2,581 | 2.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $593.63 | $2,581 | 2.7× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $656.19 | $2,853 | 2.1× |
| MRI, abdomen, combo (74183) | $656.19 | $2,853 | 2.1× |
| MRI, dorsal spine combo (72157) | $656.19 | $2,853 | 2.1× |
| MRI, dorsal spine contrast (72147) | $624.68 | $2,716 | 2.0× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$593.63–$624.68 | $2,581–$2,716 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$635.26–$656.19 | $2,762–$2,853 | varies |
| MRI, lumbar spine combo (72158) | $656.19 | $2,853 | 2.1× |
| Myocardial Spect Multiple Studies (78452) | $443.90 | $1,930 | 0.4× |
| N-invas est c ffr sw aly CTA (75580) | $1,346.88 | $5,856 | 1.7× |
| Neck soft tissue (70360) | $67.85 | $295 | 0.9× |
| Optic foramina (70190) | $67.85 | $295 | 0.9× |
| Pelvis 1 or 2 views (72170) | $64.63 | $281 | 0.7× |
| Plasma Vol Radiopharm Vol Dilute Spx Mult Smples (78111) | $571.55 | $2,485 | 0.5× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $67.85 | $295 | 0.7× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$71.53–$75.21 | $311–$327 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$67.85–$71.53 | $295–$311 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$71.53–$75.21 | $311–$327 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $67.85 | $295 | 0.7× |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$67.85–$71.53 | $295–$311 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$71.53–$75.21 | $311–$327 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$75.21–$78.66 | $327–$342 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$64.63–$67.85 | $281–$295 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $67.85 | $295 | 0.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $67.85 | $295 | 0.9× |
| Radex Ribs Unilateral 2 Views (71100) | $64.63 | $281 | 0.8× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$71.53–$75.21 | $311–$327 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $34.04 | $148 | 0.4× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $245.87 | $1,069 | 1.5× |
| Radex Spine 1 View Specify Level (72020) | $64.63 | $281 | 0.8× |
| Radex Sternum Minimum 2 Views (71120) | $64.63 | $281 | 0.8× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $67.85 | $295 | 0.9× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$64.63–$71.53 | $281–$311 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$67.85–$94.53 | $295–$411 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$71.53–$75.21 | $311–$327 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $83.72 | $364 | 0.9× |
| Radiolog exam mandible compl minimum 4 views (70110) | $67.85 | $295 | 0.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $71.53 | $311 | 0.8× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$75.21–$78.66 | $327–$342 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $67.85 | $295 | 0.7× |
| Radiologic examination femur 1 view (73551) | $64.63 | $281 | 0.8× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$67.85–$71.53 | $295–$311 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$61.41–$64.63 | $267–$281 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$64.63–$71.53 | $281–$311 | varies |
| Red Cell Volume Determination Spx Mult Samplings (78121) | $217.58 | $946 | 0.4× |
| Ribs bilateral 3 views (71110) | $71.53 | $311 | 0.8× |
| Scapula (73010) | $67.85 | $295 | 0.7× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $72.68 | $316 | 3.1× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$64.63–$67.85 | $281–$295 | varies |
| Skull less than 4 views (70250) | $64.63 | $281 | 0.7× |
| Thoracic spine 2 views (72070) | $64.63 | $281 | 0.7× |
| Thoracic spine 3 views (72072) | $67.85 | $295 | 0.7× |
| Thoracolumbar 2 views (72080) | $75.21 | $327 | 1.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $443.90 | $1,930 | 1.2× |
| Ultrasound Breast Limited (76642) | $90.16 | $392 | 1.1× |
| Ultrasound Exam Aaa Screen (76706) | $99.82 | $434 | 1.1× |
| Ultrasound, abdomen limited (76705) | $94.76 | $412 | 1.0× |
| Ureteral Reflux Study (78740) | $179.17 | $779 | 0.5× |
| Us breast unilateral complete (76641) | $94.99 | $413 | 1.0× |
| Us chest (76604) | $99.82 | $434 | 1.1× |
| Us complete joint (76881) | $99.82 | $434 | 1.1× |
| Us exam, pelvic, limited (76857) | $99.82 | $434 | 1.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$94.76–$99.82 | $412–$434 | varies |
| Us ob limited 1 or more fetuses (76815) | $99.82 | $434 | 1.1× |
| Us ob transvaginal (76817) | $99.82 | $434 | 1.1× |
| Us pelvic non ob complete (76856) | $99.82 | $434 | 1.1× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $99.82 | $434 | 1.1× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $94.99 | $413 | 1.0× |
| Us retroperitoneal complete (76770) | $99.82 | $434 | 1.1× |
| Us retroperitoneal limited (76775) | $94.76 | $412 | 1.0× |
| Us scrotum and contents (76870) | $99.82 | $434 | 1.1× |
| Us thyroid (76536) | $99.82 | $434 | 1.1× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$61.41–$67.85 | $267–$295 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $67.85 | $295 | 0.9× |
| X-Ray Bend Only L-S Spine (72120) | $61.41 | $267 | 0.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$61.41–$67.85 | $267–$295 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $64.63 | $281 | 0.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $67.85 | $295 | 0.7× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $71.53 | $311 | 0.8× |
| X-Ray Exam Hip Uni 1 View (73501) | $64.63 | $281 | 0.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $67.85 | $295 | 0.9× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $71.53 | $311 | 0.8× |
| X-Ray Exam Hips Bi 2 Views (73521) | $64.63 | $281 | 0.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $67.85 | $295 | 0.7× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $71.53 | $311 | 0.8× |
| X-Ray Exam L-S Spine Bending (72114) | $71.53 | $311 | 0.8× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $67.85 | $295 | 0.9× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $75.21 | $327 | 0.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $67.85 | $295 | 0.7× |
| X-ray eye for foreign body (70030) | $67.85 | $295 | 0.9× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$64.63–$71.53 | $281–$311 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $64.63 | $281 | 0.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $67.85 | $295 | 0.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $64.63 | $281 | 0.7× |
| X-ray nose-rectum child f.b. (76010) | $67.85 | $295 | 0.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $75.21 | $327 | 0.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $67.85 | $295 | 0.7× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $64.63 | $281 | 0.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $67.85 | $295 | 0.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $67.85 | $295 | 0.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $67.85 | $295 | 0.7× |
| X-Ray Tmj Unilat (70328) | $64.63 | $281 | 0.8× |
| X-Rays Bone Survey Complete (77075) | $71.53 | $311 | 0.8× |
| Xr c-spine 4 or 5 views (72050) | $71.53 | $311 | 0.8× |
| Xr facial bones less than 3 views (70140) | $64.63 | $281 | 0.8× |
| Xr orbits complete 4 views (70200) | $67.85 | $295 | 0.7× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.