Visits & medical services prices at Johnson County Community Hospital

Mountain City, TN · every code in this section with a posted price and a Medicare benchmark.

124 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480) $17.48 $76 0.5×
Airway Inhalation Treatment (94640)
range across 2 matching MRF lines		 $59.34–$96.60 $258–$420 varies
Analyze neurostim no prog (95970) $53.82 $234 0.4×
Analyze Neurostim Simple (95971) $58.88 $256 0.7×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $15.87 $69 1.1×
Assessment of aphasia per hr (96105) $97.06 $422 1.0×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $191.13 $831 0.6×
Canalith repositioning proc (95992) $33.81 $147 0.8×
Cardiac Stress Tst,Tracing Only (93017) $219.88 $956 1.1×
Cardiopulmonary resuscitation (92950) $504.16 $2,192 2.6×
Cardioversion (92960) $504.16 $2,192 0.8×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $33.12 $144 1.3×
Cbt 1st hour (94644) $42.55 $185 0.4×
Chest Wall Manipulation (94668) $28.52 $124 0.2×
Color/duplex Doppler, complete (93975) $337.87 $1,469 1.6×
Color/duplex Doppler, limited (93976) $225.17 $979 2.4×
Continuous Pulse Ox (94762) $67.85 $295 0.6×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $230.23 $1,001 1.2×
Cpt initial (94667) $38.18 $166 0.3×
Critical care first hour (99291) $686.32 $2,984 0.9×
Debridement Open Wound 20 Sq Cm< (97597)
range across 2 matching MRF lines		 $70.15–$75.67 $305–$329 varies
Developmental tst admin phys/qhp 1st hour (96112) $66.01 $287 0.6×
Dialysis One Evaluation (90945) $191.13 $831 0.5×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $337.87 $1,469 1.6×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $225.17 $979 2.4×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $337.87 $1,469 1.6×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $225.17 $979 2.4×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $337.87 $1,469 1.6×
Dup-scan xtr veins unilateral/limited study (93971) $225.17 $979 2.4×
Duplex up extrem art bilat (93930) $337.87 $1,469 1.6×
Duplex up extrem art unilat/ltd (93931) $225.17 $979 2.4×
Echo Congenital Complete (93303) $439.99 $1,913 0.9×
Echo Heart Xthoracic,Limited (93308) $172.04 $748 0.8×
Echo Transesophageal - Congenital Tee Complete (93315) $287.73 $1,251 0.6×
Electrical Stimulation Ea 15 Min (97032) $18.17 $79 1.2×
Electrocardiogram Tracing (93005) $69.69 $303 1.3×
Emergency Dept Visit Level 2 (99282) $92.46 $402 0.7×
Emergency Dept Visit Level 3 (99283) $201.02 $874 0.8×
Emergency Dept Visit Level 4 (99284) $294.63 $1,281 0.8×
Er level 1 (99281) $66.93 $291 0.9×
Er level v (99285) $447.58 $1,946 0.8×
Evaluate pt use of inhaler (94664) $34.04 $148 0.2×
Evaluate Swallowing Function (92610) $80.73 $351 1.0×
Exercise test for bronchospasm (94617) $59.11 $257 0.5×
External ECG rec>48hr<7d recording (93242) $158.93 $691 4.7×
External ECG rec>7d<15d recording (93246) $158.93 $691 4.7×
External Ecg Scanning Analysis Report (93226) $242.65 $1,055 4.5×
Extracranial Bilat Study (93880) $225.17 $979 1.0×
F-up/limited tthrc echo congenital car anomaly (93304) $205.85 $895 0.4×
Flexible endoscopic eval swallow c/v rec (92612) $80.73 $351 0.4×
Holter monitor recording (93225) $242.65 $1,055 2.0×
Img retina detcj/mntr ds rem clin staff uni/bi (92227) $24.61 $107 0.5×
Immunization administration (90471) $25.07 $109 0.4×
Insert/Place Heart Catheter (93503) $1,784.11 $7,757 1.2×
Interrog&prgrmg impl phrenic nrv stimulator sys (93151) $46.69 $203 0.5×
Interrog&prgrmg ipnss during polysomnography (93152) $144.21 $627 0.5×
Interrogation without programming ipnss (93153) $144.21 $627 1.7×
Iontophoresis 15 min (97033) $27.60 $120 1.4×
Irrig Drug Delivery Device (96523) $28.98 $126 0.5×
IV infusion hydration each additional hour (96361) $27.14 $118 0.6×
IV infusion hydration initial 31 min-1 hour (96360) $78.66 $342 0.4×
IV infusion ther proph addl sequential to 1 hr (96367) $43.24 $188 0.7×
IV infusion therapy prophylaxis/dx ea hour (96366) $35.42 $154 0.8×
IV push initial (96374) $58.65 $255 0.3×
Lung Function Test (Mbc/Mvv) (94200) $28.52 $124 0.5×
Methacholine challenge (94070) $214.36 $932 0.6×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $74.06 $322 0.2×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $74.06 $322 0.2×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $60.03 $261 0.3×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $53.59 $233 0.1×
Neurobehavioral Status Exam (96116) $126.04 $548 0.6×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $53.59 $233 0.5×
Neuromuscular Reeducation (97112) $31.74 $138 1.0×
Orthc/Prostc Mgmt Sbsq Enc (97763) $45.31 $197 0.9×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $35.65 $155 0.8×
Ot eval high complexity (97167) $77.74 $338 0.8×
Ot Eval Low Complex (97165) $70.38 $306 0.7×
Ot Eval Moderate Complexity (97166) $74.06 $322 0.7×
Ot manual therapy 15 min (97140) $28.52 $124 1.0×
Ot paraffin bath (97018) $24.61 $107 4.1×
Ot Prosthetic Training, Each 15 Min (97761) $31.51 $137 0.8×
Ot Re-Eval Est Plan Care (97168) $44.85 $195 0.7×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $24.84 $108 0.2×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $52.67 $229 0.3×
Phlebotomy therapeutic (99195) $63.94 $278 0.5×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $37.03 $161 0.7×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $33.58 $146 0.6×
Physical Performance Test (97750) $31.51 $137 0.9×
Plethysmography (94726) $90.85 $395 0.3×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $5.75 $25 0.1×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $12.88 $56 0.3×
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) $160.54 $698 0.4×
Pt Eval High Complex (97163) $80.27 $349 0.8×
Pt eval low complex 20 min (97161) $72.45 $315 0.7×
Pt Eval Mod Complex (97162) $76.36 $332 0.8×
Pt gait training 15 min (97116) $26.91 $117 0.9×
Pt mechanical traction (97012) $19.78 $86 1.4×
Pt Re-Eval Est Plan Care (97164) $47.61 $207 0.7×
Pulm function test by gas (94727) $46.69 $203 0.2×
Pulmonary Stress Testing (94618) $90.16 $392 0.7×
Refill/Maint Portable Pump (96521) $157.55 $685 0.8×
Remote 30 Day Ecg Rev/Report (93270) $242.65 $1,055 7.2×
Respiratory flow volume loop (94375) $90.62 $394 0.5×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $82.34 $358 0.5×
Self Care Mngment Training (97535) $33.12 $144 1.0×
Sleep study unattended (95806) $255.76 $1,112 1.3×
Slp caregiver training 1st 30 min (97550) $66.01 $287 1.3×
Speech sound lang comprehen (92523) $173.88 $756 0.8×
Spirometry (94010) $85.10 $370 0.4×
Temp transcutaneous pacing (92953) $504.16 $2,192 0.8×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $24.84 $108 0.8×
Ther/Prop/Diag Inj/Inf Proc (96379) $19.09 $83 0.4×
Ther/Proph/Diag Inj Ia (96373) $52.67 $229 0.3×
Ther/Proph/Diag Inj Sc/Im (96372) $31.51 $137 0.5×
Ther/Proph/Diag Iv Inf Init (96365) $90.85 $395 0.5×
Therapeutic Activities (97530) $33.12 $144 0.9×
Tte w/doppler, complete (93306) $439.99 $1,913 0.9×
Tx/Pro/Dx Inj New Drug Addon (96375) $27.37 $119 0.6×
Upr/L Xtremity Art 2 Levels (93922) $225.17 $979 1.9×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $247.71 $1,077 1.3×
Vent Mgmt Inpat Init Day (94002) $195.27 $849 0.3×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $397.67 $1,729 0.7×
Vital capacity, total (94150) $27.60 $120 0.2×
Whirlpool Therapy (97022) $21.39 $93 1.4×

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.