Supplies, drugs & other prices at Johnson County Community Hospital
Mountain City, TN · every code in this section with a posted price and a Medicare benchmark.
49 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2d tte w or w/o fol w/con,co (C8923) | $180.32 | $784 | 0.3× |
| 2d tte w or w/o fol w/con,fu (C8924) | $284.05 | $1,235 | 0.9× |
| Adm tocilizu covid-19 1st (M0249) | $127.65 | $555 | 0.3× |
| Adm tocilizu covid-19 2nd (M0250) | $127.65 | $555 | 0.3× |
| Admin hepatitis b vaccine (G0010) | $13.34 | $58 | 0.3× |
| Admin influenza virus vac (G0008) | $14.95 | $65 | 0.4× |
| Admin pneumococcal vaccine (G0009) | $13.34 | $58 | 0.3× |
| Covid-19 lab test non-cdc (U0002) | $14.72 | $64 | 0.3× |
| Diab manage trn per indiv (G0108) | $20.47 | $89 | 0.4× |
| Drug test def 1-7 classes (G0480) | $100.74 | $438 | 0.9× |
| Drug test def 15-21 classes (G0482) | $208.84 | $908 | 1.1× |
| Drug test def 22+ classes (G0483) | $270.94 | $1,178 | 1.1× |
| Drug test def 8-14 classes (G0481) | $155.02 | $674 | 1.0× |
| Elec stim other than wound (G0283) | $15.41 | $67 | 1.2× |
| Elec stim unattend for press (G0281) | $23.46 | $102 | 2.0× |
| Glyca nuc mr spectroscopy quantitative (0024U) | $26.91 | $117 | 0.8× |
| Hbot, full body chamber, 30m (G0277) | $120.29 | $523 | 1.0× |
| Hiv combination assay (G0475) | $41.63 | $181 | 1.7× |
| Home sleep test/type 3 porta (G0399) | $158.70 | $690 | 0.8× |
| Hopd mntl hlt, 15-29 min (C7900) | $12.42 | $54 | 0.4× |
| Hopd mntl hlt, 30-60 min (C7901) | $31.51 | $137 | 0.3× |
| Hopd mntl hlt, grp (C7903) | $12.42 | $54 | 0.4× |
| Hospital outpt clinic visit (G0463) | $38.64 | $168 | 0.3× |
| Mra w/o fol w/cont, abd (C8902) | $656.19 | $2,853 | 2.1× |
| Mra w/o fol w/cont, pelvis (C8920) | $647.45 | $2,815 | 2.0× |
| Mra, w/o&w/dye, spinal canal (C8933) | $527.16 | $2,292 | 1.7× |
| Neuro csf detcj prion prtn quakg conf conv qual (0035U) | $460 | $2,000 | 0.9× |
| Obtaining screen pap smear (Q0091) | $5.29 | $23 | 0.2× |
| Oth resp proc, indiv (G0238) | $77.51 | $337 | 3.0× |
| Pathogen test for platelets (P9100) | $32.20 | $140 | 0.6× |
| Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) likely a partial charge, not the full procedure |
$2,408.79 | $10,473 | 0.2× |
| Prgrmg dev eval ldls pm single car chamber ip (0826T) | $504.16 | $2,192 | 14.9× |
| Psa screening (G0103) | $31.74 | $138 | 1.6× |
| Quan MRI alys brn w/o dx MRI (0865T) | $624.68 | $2,716 | 2.9× |
| Rbc DNA gnotyp 10 bld groups (0084U) | $906.89 | $3,943 | 1.3× |
| Revasc lith-sten-ath tib/per (C9775) unusually low: confirm this is the full procedure |
$7,482.13 | $32,531 | 0.4× |
| Revasc lithotr-ather tib/per (C9774) unusually low: confirm this is the full procedure |
$7,482.13 | $32,531 | 0.4× |
| Revasc lithotr-stent tib/per (C9773) unusually low: confirm this is the full procedure |
$7,482.13 | $32,531 | 0.4× |
| Revasc lithotrip tibi/perone (C9772) unusually low: confirm this is the full procedure |
$4,677.51 | $20,337 | 0.4× |
| Slctv nzmtc dbrdmt brn eschar anes s/n/hf&/md 1 (0975T) | $169.05 | $735 | 0.5× |
| Slctv nzmtc dbrdmt brn eschar req anes t/a/l 1st (0973T) | $169.05 | $735 | 0.5× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) likely a partial charge, not the full procedure |
$3,950.02 | $17,174 | 0.2× |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) | $1,387.59 | $6,033 | 0.5× |
| Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) likely a partial charge, not the full procedure |
$3,950.02 | $17,174 | 0.2× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) unusually low: confirm this is the full procedure |
$2,357.73 | $10,251 | 0.5× |
| Therapeutic procd strg endur (G0237) | $77.51 | $337 | 3.0× |
| Trim nail(s) (G0127) | $11.73 | $51 | 0.2× |
| Tte w or wo fol wcon,doppler (C8929) | $465.06 | $2,022 | 0.7× |
| Unsched dialysis esrd pt hos (G0257) | $163.76 | $712 | 0.3× |